1. Chapter 7 Cardiac Emergencies and CPR

2. Cardiovascular disease-#1 killer
Coronary Heart (artery) disease *when the arteries that supply blood to the heart harden and become narrow.

3. 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

4. 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.

5. 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.

6. 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).

7. Cardiac arrest When the heart stops beating properly. Breathing stops
Unconscious
No heart beat

8. 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

9. 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????

10. UNTIL?????
AED is available
They start breathing
You are too tired to continue
Scene becomes unsafe
Another trained person takes over

11. 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

12. 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????

13. Compressions for child

14. 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.

15. 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