Tracy S. Patil, EdS, MSN, RN. Baptist Health Corbin Cardiovascular Educator Chest Pain Center Coordinator

Transcription

1 Tracy S. Patil, EdS, MSN, RN Baptist Health Corbin Cardiovascular Educator Chest Pain Center Coordinator

2 Hands Only CPR

3 Early Heart Attack Care Heart Attacks Have Beginnings

4 Heart Attack: A Community Problem With A Community Solution

5 Course Outline 1. Anatomy and Physiology 101: Your Heart 2. A Heart Attack in Progress 3. Concepts of Early Heart Attack Care 4. Recognition and Intervention 5. Delay and Denial 6. You: The Early Heart Attack Care Giver

6 Part 1 Anatomy and Physiology 101: Your Heart

7 The Human Heart Location: Middle of the chest Size: That of a fist Purpose: Pumps blood throughout the body Weight: 7-12 ounces Capacity: Pumps 1,800 gallons of blood & beats over 100,000 times daily

8 The Human Heart and Coronary Arteries

9 The Human Heart and Coronary Arteries

10 The Human Heart Electric Pump

11 Part 2 A Heart Attack in Progress

12 Heart Attack Facts #1 Killer of Adults 4,100 Heart Attacks every day 600,000 Heart Attack deaths each year Hundreds of thousands survive but are left with a damaged heart

13 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.

14 Ischemia & Angina Pectoris

15 Coronary Artery Disease

16 Complete Obstruction: AMI Area of Infarct

17 Part 3 Concepts of EHAC

18 Are All Heart Attacks Created Equal?

19 Progress: Heart Attack Treatment Thrombolytic Therapy (clot busters) Angioplasty Prehospital Cardiac Care Decrease in hospital time to treatment saved heart muscle improvement in quality of life

20 Too Little Progress: Heart Attack Recognition Only 25% of heart attack victims receive thrombolytic therapy Only 10% receive therapy within the first critical hour Most heart attack patients do not benefit from optimal medical advances WHY?

21 DELAY in recognizing and responding to the early warning signs of a heart attack

22 Why EHAC? Early Care: Recognize & Respond often mild symptoms, usually normal activity Late Care: Obvious Emergency & Respond incapacitating pain, diminished activity Too Late Care: Critical Emergency & Respond unconscious, CPR, defibrillation, probable death 85% of the heart damage takes place within the first two hours.

23 Part 4 Recognition and Intervention

24 Early Symptoms of a Heart Attack Non-Specific Symptoms: weakness/fatigue clammy/sweating nausea/indigestion dizziness/nervousness shortness of breath neck/back/jaw pain feeling of doom elbow pain Specific Symptoms chest discomfort chest pressure chest ache chest burning chest fullness

25 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.

26 Part 5 Delay and Denial

27 Why Do We Delay? Denial and Procrastination = Our Heart s Enemy!

28 I ll just rest a bit 1. It s Nothing Really Serious

29 I don t have time to be sick 2. I m Too Busy Right Now

30 3. I Don t Want to be a Problem If it turns out to be nothing I ll be embarrassed by the fuss made.

31 4. Paramedics Beware! First responders can easily be swayed by patient rationalizations and denials

32 5. It s Probably Heartburn or Indigestion I ll take something for it

33 6. I m Strong Just walk it off, grin and bear it

34 7. I m Healthy I have no serious medical problems.. I exercise

35 Everything will be OK 8. I ll Just Wait It Out

36 Part 6 You: The Early Heart Attack Care Giver

37 Spouse Children Parent Co-worker Friend Exercise Partner The EHAC Caregiver Anyone who cares about you!

38 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?

39 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.

40 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 time Be Influential Keep it Simple Be Empathetic Link patient w/ early symptoms to medical care Say Yes - I ll pay attention

41 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.

42 EHAC Pledge I understand that heart attacks have beginnings that may include chest discomfort, shortness of breath and/or arm pain, and weakness. These may occur hours or weeks before the acutal heart attack. I solemnly swear that if it happens to me or anyone I know, I will call or activate our Emergency Medical Services.

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44 Just a Little Heart Attack

45 The Deputy Heart Attack Program and Early Heart Attack Care (EHAC) Education is a community outreach program sponsored by the Society of Cardiovascular Patient Care. For more information, visit their website: 45