Cardiac-Arrest.9103963.powerpoint

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What is Cardiac Arrest? Cardiac arrest is an extreme and sudden

What is Cardiac Arrest?

Cardiac arrest is an extreme and sudden medical

emergency condition in which the heart stops its functioning and there is an unexpected loss of breath and consciousness. Cardiac arrest and heart attack are most often confused to be the same but they are not.
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Cardiac Arrest

Cardiac Arrest

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Guidelines 2015 highlights the critical importance of the interactions between the

Guidelines 2015 highlights the critical importance of the interactions between the

emergency medical dispatcher, the bystander who provides CPR and the timely deployment of an automated external defibrillator.
An effective, co-ordinated community response that draws these elements together is key to improving survival from out-of-hospital cardiac arrest.
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Sudden cardiac arrest (SCA) is one of the leading causes of

Sudden cardiac arrest (SCA) is one of the leading causes of

death in Europe.
Depending how SCA is defined, about 55–113 per 100,000 inhabitants a year or 350,000–700,000 individuals a year are affected in Europe.
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. Who Is at Risk for Cardiac Arrest? . Certain heart

. Who Is at Risk for Cardiac Arrest?

.

Certain heart conditions and

health factors can increase your risk of cardiac arrest.
Coronary Heart Disease
This type of heart disease begins in the coronary arteries. These arteries supply the heart muscle itself. When they become blocked, your heart does not receive blood. It may stop working properly.
Large Heart
Having an abnormally large heart places you at increased risk for cardiac arrest. A large heart may not beat correctly. The muscle may also be more prone to damage.
Irregular Heart Valves
Valve disease can make heart valves leaky or narrower. This means blood circulating through the heart either overloads the chambers with blood or does not fill them to capacity. The chambers may become weakened or enlarged.
Congenital Heart Disease
Some people are born with heart damage. This is known as a congenital heart problem. Sudden cardiac arrest may occurin children who were born with a serious heart problem.
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The Chain of Survival summarizes the vital links needed for successful

The Chain of Survival summarizes the vital links needed for successful

resuscitation.
Most of these links apply to victims
of both primary cardiac and asphyxia arrest
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THE CHAIN OF SURVIVE

THE CHAIN OF SURVIVE

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Early recognition and call for help Chest pain should be recognized

Early recognition and call for help

Chest pain should be recognized as

a symptom of myocardial ischaemia. Cardiac arrest occurs in a quarter to a third of patients with myocardial ischaemia within the first hour after onset of chest pain
Once cardiac arrest has occurred, early recognition is critical to enable rapid activation of the EMS and prompt initiation of bystander CPR.
The key observations are unresponsiveness and not breathing normally.
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Early bystander CPR The immediate initiation of CPR can double or

Early bystander CPR

The immediate initiation of CPR can double or quadruple

survival from cardiac arrest.
If able, bystanders with CPR training should give chest compressions together with ventilations.
When a bystander has not been trained in CPR, the emergency
medical dispatcher should instruct him or her to give chest compression-only CPR while awaiting the arrival of professional help.
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Early defibrillation Defibrillation within 3–5 min of collapse can produce survival

Early defibrillation

Defibrillation within 3–5 min of collapse can produce survival rates

as high as 50–70%.
Each minute of delay to defibrillation reduces
the probability of survival to discharge by 10–12%.
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Early advanced life support and standardized post-resuscitation care Advanced life support

Early advanced life support and standardized post-resuscitation care

Advanced life support with

airway management, drugs and correcting causal factors may be needed if initial attempts at resuscitation are un-successful.
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OPEN THE AIRWAY

OPEN THE AIRWAY

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LOOK, LISTEN AND FELL FOR NORMAL BREATHING!

LOOK, LISTEN AND FELL FOR NORMAL BREATHING!

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Unresponsive and nor breathing normally – alert emergency service – 112

Unresponsive and nor breathing normally – alert emergency service – 112

in Europe, 103 – in Russia
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SEND SOMBODY FOR AED (IN EUROPE)

SEND SOMBODY FOR AED (IN EUROPE)

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START CHEST COMPRESSIONS

START CHEST COMPRESSIONS

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IF YOU UNTRAINER OR UNABLE TO DO RESCUE BREATH – DO ONLY CRP!

IF YOU UNTRAINER OR UNABLE TO DO RESCUE BREATH – DO

ONLY CRP!
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When providing manual chest compressions: 1. Deliver compressions ‘in the centre

When providing manual chest compressions:

1. Deliver compressions ‘in the centre of

the chest’.
2. Compress to a depth of at least 5 cm but not more than 6 cm.
3. Compress the chest at a rate of 100–120 min−1 with as few interruptions as possible.
4. Allow the chest to recoil completely after each compression; do not lean on the chest.
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WHEN AED ARRIVES

WHEN AED ARRIVES

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IF NO SHOCK IS INDICATED

IF NO SHOCK IS INDICATED

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IF NO AED CONTINUE CRP!

IF NO AED CONTINUE CRP!

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Diagnosing Cardiac Arrest During a cardiac event that causes your heart

Diagnosing Cardiac Arrest
During a cardiac event that causes your heart to

stop beating efficiently, it’s vital to seek medical attention immediately. Medical treatment will focus on getting blood flowing back to your body. Your doctor will most likely perform a test called an electrocardiogram to identify the type of abnormal rhythm your heart is experiencing. To treat the condition, your doctor will likely use a defibrillator to shock your heart. An electric shock can often return the heart to a normal rhythm.
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