1. Cardiac Chain of Survival How to handle a cardiac emergency!

2. Four Links in the Cardiac Chain of Survival Early recognition of the emergency and early access to EMS Early CPR Early defibrillation Early advanced medical care

3. Signs and Symptoms of a Heart Attack Persistent chest discomfort Discomfort that spreads to shoulder, neck, jaw,arm Trouble breathing Nausea/vomiting Trouble breathing Dizziness, light- headed, fainting Pale/ashen/grayish /bluish skin Sweating Denial of signs/symptoms

4. How to help someone having a heart attack Immediately call EMS Have the victim rest Loosen any tight clothing Comfort the victim Assist with any medication Be prepared to perform CPR or use AED

5. Cardiac Arrest Life threatening emergency Heart stops beating/beating irregularly or weakly to circulate blood Signs + symptoms: unconsciousness, no pulse Can occur without warning

6. CPR (Cardio-pulmonary Resuscitation) Combination of rescue breaths and chest compressions Circulates blood and oxygen – DOES NOT RE-START THE HEART Increases the chances of survival CPR techniques are modified for body size

7. DVD Segment: CPR

8. Despite your best efforts: Victim’s ribs may break Victim may vomit The scene may be chaotic Victim may not survive

9. Adult CPR 30 Compression…2 breaths Compress the chest 1 ½ to 2 inches Compress the chest at a rate of 100 compressions per minute

10. Child CPR 30 Compressions…2 breaths Compress the chest 1 to 1 ½ inches Compress the chest at a rate of 100 compressions per minute

11. Infant CPR 30 Compressions…2 breaths Compress the chest 1 to ½ inch Compress the chest at a rate of 100 compressions per minute Use 2-3 fingers in the center of the chest

12. DVD Segment: Two Person CPR

13. Two-Rescuer CPR Adult…remains 30 compressions/2 breaths Child and infant…changes to 15 compressions/2 breaths

14. Two-Rescuer CPR When two rescuers begin CPR together… FIRST rescuer does the initial assessment and the SECOND rescuer gets into position to do chest compressions If there is no breathing/pulse, first rescuer says, “BEGIN CPR!” Change about every 2 minutes

15. CPR Keep going until… Another trained rescuer arrives and takes over You are too exhausted to continue The scene becomes unsafe You notice an obvious sign of life