1. The heart failure The death is not a fatality

2. Vocabulary n SecouristeRescuer n SecourismeFirst aid n Crise cardiaqueHeart attack n Arrêt cardiaqueArrest heart n Infarctus du myocardeMyocardial infarction n R é animation cardiopulmonaire (RCP)Cardio-pulmonary resuscitation (CPR) n Le ranimateur (secouriste isol é )Bystander CPR n SymptômeSymptom n DSA (d é fibrillateur semi-automatique)Semi-automatique defibrillator n CelluleCell n N é croseNecrose n Souffrirto suffer n Douleurpain n MâchoireJaw n PoitrineChest n RespirationBreathing

3. Heart attack n Generality : –Some figures –Some statistiques n Myocardial infarction –mechanisms –symptoms n Technics of intervention n conclusion

4. Some figures

5. Some figures (1/2) n n 70 000 to 100 000 unexpected deaths during a year, n n 50 % outside the hospital (residence), n n 80 % of cardiac origin.

6. Some figures (2/2) survival without CPR

7. Mechanisms of occured

8. Mechanism of occured (1/3) Normal heart Electric activity is normal The heart beats normally

9. Mechanism of occured (2/3) The cardiac muscle suffer !!! Necrose area desynchronization of the electric activity the heart beats abnormally

10. Mechanism of occured (3/3) The cardiac muscle is dead The heart stops beating

11. Symptoms

12. Symptoms (1/2) n Physicals symptoms : –Chest pain (feeling of compression) –Left arm pain(sometimes in the right) –Jaw paint (sometimes) –Abdomen pain (sometimes)

13. Symptoms (1/2) n Others symptoms : –Cardiac activity (high and irregular) –Breathing activity (high and difficult) –Sweat, paleness, arterial pression(down) The evolution must to be oversee Pulse and breath could disappeared

14. Technics of intervention (how and why)

15. Technics of intervention (1/6) position sitted half ONLY if breathing difficulties reclining position

16. Technics of intervention (2/6) external cardiac massage

17. Technics of intervention (3/6) Semi-automatique defibrillator

18. Technics of intervention (5/6) n The two methods are complementary n The DSA can t be use when the heart no beats (it s unitile), only when he beat abnormally (Ventricular Fibrillation)

19. Technics of intervention (6/6)

20. Technics of intervention (5/5)

21. Technics of intervention (5/..) 1 lost minute = 10 % of survival in less

22. Conclusion

23. Conclusion n It s important to do something very quickly n This technics must be learned before practise n You must to learn first aid technics (AFPS). It s for everybody and so indispensable

24. Question ?