Post on 02-Jan-2016
Cardiac CompromiseCardiac Compromise
Chest painChest pain
DyspneaDyspnea
AnxiousAnxious
NauseaNausea
Abdominal painAbdominal pain
SweatingSweating
Abnormal HR and RRAbnormal HR and RR
Abnormal HRAbnormal HR
BradycardiaBradycardia– Slower than 60 BPMSlower than 60 BPM
TachycardiaTachycardia– Faster than 100 BPM Faster than 100 BPM
PalpitationsPalpitations– Irregular or rapid heart beats that cause Irregular or rapid heart beats that cause
fluttering in the chestfluttering in the chest
Patient CarePatient Care
Place pt in position of comfortPlace pt in position of comfort
High-concentration O2High-concentration O2
Transport IMMEDIATELY if:Transport IMMEDIATELY if:– No hx of cardiac problems, does not have No hx of cardiac problems, does not have
nitroglycerin, or systolic BP < 90nitroglycerin, or systolic BP < 90
NitroglycerinNitroglycerin
Repeat if neededRepeat if needed
Aspirin??Aspirin??
Common Causes Common Causes
Coronary Artery DiseaseCoronary Artery Disease
AneurysmAneurysm
Angina PectorisAngina Pectoris
Congestive Heart FailureCongestive Heart Failure
Acute Myocardial InfarctionAcute Myocardial Infarction
Cardiac ArrestCardiac Arrest
1-2% of calls1-2% of calls
Chain of Survival:Chain of Survival:– Early accessEarly access– Early CPREarly CPR– Early defibrillationEarly defibrillation– Early advanced careEarly advanced care
Adult CPRAdult CPR
Head tilt-chin liftHead tilt-chin lift
Check breathing and give 2 breathsCheck breathing and give 2 breaths
Check carotid pulseCheck carotid pulse
CompressionsCompressions– Hands 2 fingers above the ziphoid processHands 2 fingers above the ziphoid process– 1.5 – 2 inches depth1.5 – 2 inches depth– 100/minute100/minute– Ratio 30:2Ratio 30:2
Child CPRChild CPR
Between 1 year and pubertyBetween 1 year and puberty
Open airway, assess, and give breathsOpen airway, assess, and give breaths
Carotid pulse < 60Carotid pulse < 60
CompressionsCompressions– May use 1 hand for small victimsMay use 1 hand for small victims– 1/3 to 1/2 depth of chest1/3 to 1/2 depth of chest– 100/minute100/minute– 30:2 (1-rescuer) 15:2 (2-rescuer) 30:2 (1-rescuer) 15:2 (2-rescuer)
Infant CPRInfant CPR
Less than 1 year oldLess than 1 year old
Open airway, assess, and give breathsOpen airway, assess, and give breaths
Check brachial pulse < 60bpmCheck brachial pulse < 60bpm
CompressionsCompressions– Place 2 fingers below nipple linePlace 2 fingers below nipple line– 1/3 to 1/2 depth of chest1/3 to 1/2 depth of chest– 100/minute100/minute– 30:2 (1-rescuer) 15:2 (2-rescuer) 30:2 (1-rescuer) 15:2 (2-rescuer)
AEDsAEDs
Verify cardiac arrestVerify cardiac arrest
Start CPR Start CPR
Turn on AEDTurn on AED
Apply AED and clear ptApply AED and clear pt
Press analyzePress analyze
Shock Indicated Shock Indicated
Deliver 1 shockDeliver 1 shock
Perform 2 minutes of CPRPerform 2 minutes of CPR
Press analyzePress analyze
Deliver 1 more shockDeliver 1 more shock
After 3 shocks prepare for transportAfter 3 shocks prepare for transport