1. PAMELA KOSTIC, RN, CCCC, CHEST PAIN COORDINATOR STONY BROOK MEDICINE “NO RELEVANT FINANCIAL RELATIONSHIP EXIST” HEART AND EARLY HEART ATTACK CARE DISEASE

2. All communities should create and maintain a regional system of STEMI CARE that includes assessment & continuous quality improvement of EMS & Hospital based activities….ACC/AHA

3. ULITMATE GOAL…. Make a difference in our community by educating your colleagues and including EHAC education before each CPR class/EMS event.

4. HEART DISEASE IS THE LEADING CAUSE OF DEATH FOR BOTH MEN AND WOMEN ABOUT 800,000 PEOPLE DIE OF HEART DISEASE IN THE UNITED STATES EVERY YEAR OF THESE 800,000 PEOPLE, 425,000 HAPPEN IN PEOPLE WHO HAVE ALREADY HAD A HEART ATTACK QUICK FACTS HOW MANY LIVES DOES HEART DISEASE CLAIM EACH YEAR? ARE THERE ANY REOCCURING TRENDS FOR PEOPLE WHO DIE OF HEART DISEASE? WHAT IS THE LEADING CAUSE OF DEATH FOR MEN? WHAT ABOUT WOMEN?

5. HEART ATTACK PRESENTS IN 3 WAYS MILD DISCOMFORT SEVERE CHEST PAIN CARDIAC ARREST THE FINAL STAGE OF HEART ATTACK PROGRESSION OF HEART ATTACK INITIAL STAGE OF HEART ATTACK 1 2 3 IT’S SNEAKY

6. HEART ATTACK POP QUIZ QUESTION WHY IS THE TIME FROM FIRST SYMPTOMS TO CATHETERIZATION IMPORTANT? THE QUESTION IS THE FOLLOWING: ANSWERS 85% OF HEART DAMAGE OCCURS WITHIN THE FIRST TWO (2) HOURS OF A HEART ATTACK. THE ANSWER IS THE FOLLOWING: &

7. A BALLOON TIME STUDY DOOR TO BALLOON TIMES HAS DROPPED SIGNIFICANTLY, HOWEVER THE FASTER RESPONSE HAS NOT IMPROVE THE OVERALL PATIENTS MORTALITY. SEPT 5 2013 NEW ENGLAND JOURNAL OF MEDICINE : REDUCING DOOR TO BALLOON TIME DID IMPROVE PATIENT SURVIVAL RATES, HOWEVER EARLY RECOGNITION PROVED TO HAVE THE GREATEST IMPACT ON PATIENT’S LIFE AND “QUALITY OF LIFE” FURTHER REASEARCH SHOWED THAT:

8. STUDY CONCLUDED THAT TIME BETWEEN THE PATIENT’S ONSET OF SYMPTOMS AND TREATMENT IS THE MOST CRITICAL QUICK FACTS WITH RESEARCH INTO HEART ATTACKS:

9. A CAMPAIGN TO EDUCATE THE COMMUNITY TO BE RESPONSIBLE NOT ONLY FOR THEMSELVES, BUT FOR THOSE AROUND THEM WHO MAYBE EXPERIENCING EARLY HEART ATTACK SYMPTOMS AND TO HELP THEM OBTAIN IMMEDIATE TREATMENT BY CALLING 911. ATTACK CARE EARLY HEART

10. CHEST PAIN CERTIFIED THIS IS DIVDED INTO SEVERAL DIFFERENT CATEGORIES THE CARDIOVASCULAR SOCIETY HAS ACCREDITED MORE THAN 900 HOSPITALS 2005 STONY BROOK MEDICINE HAS MAINTAINED ITS ACCREDITATION SINCE

11. BECOMING A DEPUTY WWW.DEPUTYHEARTATTACK.ORG TAKE THE EHAC (EARLY HEART ATTACK CARE) EDUCATIONAL COURSE & BECOME DEPUTIZED IN HEART ATTACK CARE. HOW YOU CAN BECOME MORE ACTIVELY INVOLVED EHAC TEACHES CAREGIVERS “SOFT "CARDIAC SYMPTOMS & “NOT LOOKING THAT SICK” WILL NOT PREVENT THEM FROM CALLING 911, RECEIVING EARLY CARE, AND PREVENTING A HEART ATTACK. WHAT THE WEBSITE WILL TEACH YOU ABOUT:

12. SURVEY SHOWS AN IMPORTANT TREND RECOGNITION OF CHEST PAIN 92% PEOPLE SURVEYED RECOGNIZED CHEST PAIN AS A SYMPTOM OF A HEART ATTACK 1 2 3 CDC STATS RECOGNITION OF OTHER SIGNS ONLY 27% PEOPLE RECOGNIZED OTHER TYPES OF SYMPTOMS AS A HEART ATTACK RECOGNITION OF AN EMERGENCY ONLY THOSE 27% KNEW TO CALL 911 TO REPORT A POSSIBLE HEART ATTACK

13. 47% OF SUDDEN CARDIAC DEATHS OCCUR OUTSIDE A HOSPITAL AND THIS 47% WITH HEART DISEASE DO NOT ACT ON EARLY WARNING SIGNS QUICK FACTS WITH RESEARCH INTO HEART ATTACKS:

14. HEART ATTACK POP QUIZ QUESTION WHY ARE THESE EARLY HEART ATTACK SYMPTOMS OCCURRING? THE HEART ATTACK QUESTION IS THE FOLLOWING: ANSWERS SYMPTOMS WILL OCCUR IF THERE IS NARROWING OF ARTERIES THAT LEAD TO THE HEART CAUSING INTERRUPTION OF THE HEART’S BLOOD SUPPLY THE HEART ATTACK ANSWER IS THE FOLLOWING: &

15. SINCE 1984 THE NUMBER OF DEATHS ATTRIBUTED TO HEART AND CARDIOVASCULAR DISEASES HAS BEEN REPORTED AS BEING GREATER FOR FEMALES THAN MALES TRENDS GENDER SPECIFIC HEART DISEASE IS THE NUMBER ONE KILLER FOR WOMEN OVER THE AGE OF 65.

16. MOST PEOPLE CHARACTERIZE IT SIMILAR TO “HEARTBURN” OR “INDIGESTION” AS WELL AS OTHER SIMILAR DISCOMFORTS IT FEELS LIKE… SYMPTOMS OF ATTACKS USUALLY A POUNDING OR THROBBING SENSATION IS COMMON OF HEART ATTACKS PRESSURE/DISCOMFORT IN CHEST BURNING SENSATION/ACHING/SQUEEZING “FEELING” IN THE CHEST, BACK, SHOULDER, ARMS, NECK & JAW. PECULIAR SENSATIONS FEELINGS OF ANXIETY OR IMPENDING DOOM ARE ALSO FREQUENTLY EXPERIENCED SYMPTOMS PSYCHOLOGICAL FEELING

17. WOMEN’S SURVEY BELOW ARE THE MOST COMMON REOCCURING SYMPTOMS IN THE SURVEY A GROUP OF WOMEN WERE SURVEYS AND MANY OF THEM SHARED SIMILAR SYMPTOMS IN EARLY STAGES UNUSUAL FATIGUE – 71% SLEEP DISTURBANCE – 48% SHORTNESS OF BREATH – 42% INDIGESTION/NAUSEA – 39% ANXIETY – 35% THE SYMPTOMS THE FOLLOWING ARE

18. MALE HEART ATTACKS MEN 35 TO 65 YEARS OLD WHO HAD OUT-OF- HOSPITAL CARDIAC ARRESTS IN 2002–2012 FOUND 53% HAD SYMPTOMS PRIOR TO THE CARDIAC ARREST ACCORDING TO A STUDY CONDUCTED IN OREGON 56% CHEST PAIN AND DISCOMFORT 13% SHORTNESS OF BREATH 4% DIZZINESS OR EVEN FAINTING THE SYMPTOMS THAT APPEARED THE MOST FREQUENT INCLUDED:

19. ALMOST 80 PERCENT OF THE SYMPTOMS OCCURRED BETWEEN FOUR WEEKS AND ONE HOUR BEFORE THE SUDDEN CARDIAC ARREST QUICK FACTS (MOST MEN HAD CORONARY ARTERY DISEASE, BUT ONLY ABOUT HALF HAD BEEN TESTED FOR IT BEFORE THEIR CARDIAC ARREST).

20. SYMPTOMS OF ATTACKS TYPICAL HEARTBURN JAW/BACK/SHOULDER PAIN PAIN TRAVELING DOWN ARM(S) CHEST PRESSURE/PAIN/ACHE CHEST SQUEEZING/BURNING SHORTNESS OF BREATH COLD SWEAT THE HEART ATTACK QUESTION IS THE FOLLOWING: ATYPICAL NAUSEA FATIGUE ANXIETY FEELING OF FULLNESS SHORTNESS OF BREATH NOT FEELING RIGHT THE HEART ATTACK ANSWER IS THE FOLLOWING: &

21. HOW EMS CAN FIGHT A HEART ATTACK BEGIN TREATMENT UPON ARRIVAL SINCE HEART ATTACKS ARE VERY TIME SENSITIVE, IT IS IMPORTANT TO 1 2 3 A FEW TIPS RAPID TRANSPORT TO THE ER BECAUSE NOT ALL NECESSARY RESOURCES ARE AVAILABLE AT THE SITE OF DISPATCH TRAINED IN CPR & RESUSCITATION IN AN ADVERSE EVENT WHERE A PATIENT LOSES PULSE, IT MAY BE USEFUL TO BE

22. I UNDERSTAND THAT HEART ATTACKS HAVE BEGINNINGS THAT MAY INCLUDE CHEST DISCOMFORT, SHORTNESS OF BREATH, ARM PAIN, AND WEAKNESS. THESE MAY OCCUR HOURS OR WEEKS BEFORE THE ACTUAL HEART ATTACK. I SOLEMNLY SWEAR THAT IF IT HAPPENS TO ME OR ANYONE I KNOW, I WILL CALL 911 BECAUSE EVERY HEART MATTERS THE OATH

23. DEPUTYHEARTATTACK.ORG SCPCP.ORG CNN.COM BIOGRAPHY.COM DEPUTYHEARTATTACK.ORG KIDS.BRITANNICA.COM NHLBI.NIH.GOV YOUTUBE.COM ABCNEWS.COM VARIETY.COM KTLA.COM HUFFINGTONPOST.COM PEOPLE.COM CREDITS & REFERENCES POWERPOINT BY PAMELA KOSTIC & PAK CHAU