1. Cardiopulmonary Emergencies

2. Cardiac Compromise Chest pain Dyspnea Anxious Nausea Abdominal pain
Sweating
Abnormal HR and RR

3. Abnormal HR Bradycardia Tachycardia Palpitations Slower than 60 BPM
Faster than 100 BPM
Palpitations
Irregular or rapid heart beats that cause fluttering in the chest

4. Patient Care Place pt in position of comfort High-concentration O2
Transport IMMEDIATELY if:
No hx of cardiac problems, does not have nitroglycerin, or systolic BP < 90
Nitroglycerin
Repeat if needed
Aspirin??

5. Common Causes Coronary Artery Disease Aneurysm Angina Pectoris
Congestive Heart Failure
Acute Myocardial Infarction

6. Cardiac Arrest 1-2% of calls Chain of Survival: Early access Early CPR
Early defibrillation
Early advanced care

7. Adult CPR Head tilt-chin lift Check breathing and give 2 breaths
Check carotid pulse
Compressions
Hands 2 fingers above the ziphoid process
1.5 – 2 inches depth
100/minute
Ratio 30:2

8. Child CPR Between 1 year and puberty
Open airway, assess, and give breaths
Carotid pulse < 60
Compressions
May use 1 hand for small victims
1/3 to 1/2 depth of chest
100/minute
30:2 (1-rescuer) 15:2 (2-rescuer)

9. Infant CPR Less than 1 year old Open airway, assess, and give breaths
Check brachial pulse < 60bpm
Compressions
Place 2 fingers below nipple line
1/3 to 1/2 depth of chest
100/minute
30:2 (1-rescuer) 15:2 (2-rescuer)

10. AEDs Verify cardiac arrest Start CPR Turn on AED
Apply AED and clear pt
Press analyze

11. Shock Indicated Deliver 1 shock Perform 2 minutes of CPR Press analyze
Deliver 1 more shock
After 3 shocks prepare for transport

12. No Shock Indicated
Perform CPR for 2 minutes
Press analyze