Presentation on theme: "Early Heart Attack Care"— Presentation transcript:
1 Early Heart Attack Care Heart Attacks Have Beginnings
2 Heart Attack: A Community Problem With A Community Solution
3 Course Outline Anatomy and Physiology 101: Your Heart A Heart Attack in ProgressConcepts of Early Heart Attack CareRecognition and InterventionDelay and Denial6. You: The Early Heart Attack Care Giver
4 Anatomy and Physiology 101: Your Heart Part 1Anatomy and Physiology 101: Your Heart
5 The Human Heart Location: Middle of the chest Size: That of a fist Purpose: Pumps blood throughout the bodyWeight: ouncesCapacity: Pumps 1,800 gallons of blood & beats over 100,000 times daily
6 The Human Heart and Coronary Arteries SUPERIOR VENA CAVAL BRANCH (NODAL ARTERY)L. CORONARY ARTERYANTERIOR R. ATRIAL BRANCH OF R. CORONARY ARTERYCIRCUMFLEX BRANCH OF L. CORONARY ARTERYRIGHT CORONARY ARTERYGREAT CARDIAC VEINANTERIOR INTERVENTRICULAR (ANTERIOR DESCENDING) BRANCH OF L. CORONARY ARTERYANTERIOR CARDIAC VEINSSMALL CARDIAC VEIN
7 The Human Heart and Coronary Arteries SUPERIOR VENA CAVAL BRANCH (NODAL ARTERY)OBLIQUE VEIN OF L. ATRIUMGREAT CARDIAC VEINSINOATRIAL (S-A) NODECIRCUMFLEX BRANCH OF L. CORONARY ARTERYSMALL CARDIAC VEINCORONARY SINUSPOSTERIOR VEIN OF L. VENTRICLER. CORONARY ARTERYMIDDLE CARDIAC VEINPOSTERIOR INTERVENTRICULAR (POSTERIOR DESCENDING) BRANCH OF R. CORONARY ARTERY
9 A Heart Attack in Progress Part 2A Heart Attack in Progress
10 Heart Attack Facts #1 Killer of Adults 4,100 Heart Attacks every day 600,000 Heart Attack deaths each yearHundreds of thousands survive but are left with a damaged heart
11 Three Presentations of a Heart Attack Sudden, severe pain that stops you in your tracks.Gradual increasing pain with damage occurring over a period of hours.Very early presentation with mild symptoms over hours or days.
17 Progress: Heart Attack Treatment Thrombolytic Therapy (clot busters)AngioplastyPrehospital Cardiac CareDecrease in hospital time to treatment saved heart muscle improvement in quality of life
18 Too Little Progress: Heart Attack Recognition Only 25% of heart attack victims receive thrombolytic therapyOnly 10% receive therapy within the first critical hourMost heart attack patients do not benefit from optimal medical advancesWHY?
19 DELAYin recognizing and responding to the early warning signs of a heart attack
20 Why EHAC? Early Care: Recognize & Respond often mild symptoms, usually normal activityLate Care: Obvious Emergency & Respondincapacitating pain, diminished activityToo Late Care: Critical Emergency & Respondunconscious, CPR, defibrillation, probable death85% of the heart damage takes place within the first two hours.
21 Recognition and Intervention Part 4Recognition and Intervention
22 Early Symptoms of a Heart Attack Non-Specific Symptoms:weakness/fatigueclammy/sweatingnausea/indigestiondizziness/nervousnessshortness of breathneck/back/jaw painfeeling of doomelbow painSpecific Symptomschest discomfortchest pressurechest achechest burningchest fullness
23 Early Signs of a Heart Attack Present in up to half of heart attacks.Suddenly accelerate preceding the heart attack.Usually appear within 24 hours before the acute attack but can begin two to three weeks before.Duration varies from a few minutes to several hours.Usually intermittent with a pain free period before the onset of acute occlusion.
34 You: The Early Heart Attack Care Giver Part 6You: The Early Heart Attack Care Giver
35 The EHAC Caregiver Spouse Children Parent Co-worker Friend Exercise PartnerAnyone who cares about you!
36 What to Ask and Look For Do you have any chest discomfort? Is it tightness, pressure, pain in the center of your chest?Is the discomfort also in your arms or jaw or neck or throat or back?Are you sick to your stomach?Is the person sweaty or clammy?What were you doing when the symptoms started?Do the symptoms go away with rest?Are you having any shortness of breath?
37 Overcoming Reluctance Suggest he or she check out early symptoms, better safe than sorry.Call Paramedics have excellent evaluation tools.Offer to call spouse or family members if he or she is anxious.If he or she refuses to seek help, enlist friends or family members to help you convince them.Be personal and persistent. Sit, talk, try to relieve any tension and don’t go away.When he or she agrees, congratulate them on their good judgment.If all else fails, take charge and be aggressive about getting the patient to the hospital.
38 A C T W I S E L Y A C T W I S E L Y Acknowledge the problem Be Calm Be Tenacious and do not give in.Be Willing to spend the timeBe InfluentialKeep it SimpleBe EmpatheticLink patient w/ early symptoms to medical careSay Yes - I’ll pay attention
39 Listen to your and be a Winner! Be aware of pressure, not necessarily pain, in your chest.Be aware if it increases with activity and subsides with rest.Don’t try to rationalize it away. Be honest with yourself and others.Call or have someone drive you to the nearest emergency room.Don’t go to your doctors office or wait for an appointment.EHAC is knowing the subtle danger signs and acting on them before damage occurs.