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Chapter 7 Cardiac Emergencies and CPR. Cardiovascular disease-#1 killer. Coronary Heart (artery) disease *when the arteries that supply blood to the heart harden and become narrow. Signs and Symptoms of a heart attack. Chest pain-crushing sensation Pressure in chest
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Cardiovascular disease-#1 killer Coronary Heart (artery) disease *when the arteries that supply blood to the heart harden and become narrow.
Signs and Symptoms of a heart attack. • Chest pain-crushing sensation • Pressure in chest • Constant pain or discomfort • Pain spread to shoulder, arm, neck, jaw, stomach or back • Trouble breathing • Pale, gray or ashen skin color • Dizzy and lightheaded • Nausea or vomiting
When to call 911 • Pain or discomfort lasts for more than 3-5 minutes. • Pain comes and goes for 3-5 minutes. • Shows symptoms of heart attack.
Care given • Call 911 • Have person rest • Loosen tight clothing • Monitor person • Ask if they have heart disease, taking any medications or has this happened before. • Be calm and reassuring • Be prepared to perform CPR/use AED.
When to offer aspirin • Ask the following questions: • Are you allergic to aspirin? • Do you have stomach ulcers or stomach disease? • Are you taking blood thinners (Coumadin)? • Have you ever been told to avoid aspirin? • ANSWER IS NO to ALL QUESTIONS-GIVE IT 1 TABLET(325 MG) or 2 baby aspirins (81mg).
Cardiac arrest • When the heart stops beating properly. • Breathing stops • Unconscious • No heart beat
Cardiac Chain of Survival 1. Early recognition and early access to EMS 2. Early CPR 3. Early defibrillation 4. Early advanced medical care. Each minute of delay=10% decrease in chance of survival
CPR for adults 1. Check the scene 2. Check the victim-are you ok? Shoulder tap 3. Call 911-Get the AED 4. Head tilt-chin lift 5. Look, listen and feel-10 seconds 6. Scan for bleeding (quickly) 7. Not breathing-begin chest compressions 8. 30 compressions-at least 100 per minute 2 inches 9. Give 2 rescue breaths 10. Continue until????
UNTIL????? • AED is available • They start breathing • You are too tired to continue • Scene becomes unsafe • Another trained person takes over
Compressions • Kneel beside person • Put hand in middle of breastbone • Interlock fingers • Fully extend your arms • Press down on chest using bodyweight to push chest down • Pivot at the waist • Make compressions smooth and rhythmic
CPR for child Infant 1. Check the scene 2. Check the victim-are you ok? Shoulder tap Foot flick 3. Call 911-Get the AED 4. Head tilt-chin lift 5. Look, listen and feel-10 seconds 6. Give two rescue breaths over infants mouth and nose 7. Scan for bleeding (quickly) 8. No breathing begin chest compressions 9. 30 compressions-at least 100 per minute 2 inches 2 finger compressions- 1 ½ inch at least 100 compressions 10. Give 2 rescue breaths 11. Continue until????
Compressions for Infant • Find nipple line and place one finger on it and 2 fingers next to it. • Lift up nipple line finger and use 2 fingers for compressions. • Hold head with other hand so airway is open.
Hands only compressions • If you are unable to give rescue breaths (for any reason) call 911 and then give continuous chest compressions UNTIL……. • EMS arrives • You notice signs of life • Scene becomes unsafe • Too tired to continue