EHACforschoolstaff heartattack by 7o3NJoP


									Early Heart Attack Care
for staff in the School Setting

Sonia Marchitello, RN BSN CSN-NJ
AtlantiCare Regional Medical Center
    This presentation is designed to introduce
   participants to Early Heart Attack Care (EHAC).
     At the end of this presentation, you will:

1. Understand the roles of the American Heart Association
   and the Society for Chest Pain Centers.
2. Identify risk factors that contribute to heart attacks.
3. Recognize signs and symptoms that patients can
   experience during a heart attack.
4. Attest to become an ambassador for Early Heart Attack
Mission: Lifeline 2007

 Improve outcomes by eliminating obstacles
  that keep patients from getting treatment.
 Lifeline systems:

    911/ED                      Cath Lab                        Home

 International & non-profit organization
 Mission: Eliminate heart disease as the #1 killer
 Helping hospitals succeed in improving both their
  clinical and financial outcomes.
 Promotes Early Symptom Recognition
   “Preventing the heart attack prevents heart damage”
   A plea to the public to be responsible, obtain medical
   Concentrates on the benefits of receiving early
      treatment, and activating emergency medical

SCPC and AHA have joined forces to
 improve cardiac care, especially for
       Heart Attack patients.
What        is a heart attack?

                                       “Build-up” breaks free from
   A heart attack occurs when                 the artery wall
    the blood flow to a part of
    the heart is blocked.
                                                    Clots form
   Slowly, over time, the
    coronary arteries become
    thicker and harder from
    build-up of                                Blood flow is blocked

                                              Heart attack occurs when
                                               tissue dies from lack of
                                                      blood flow

Healthy vs. Unhealthy Artery

Risk Factors
   1st or 2nd hand smoke exposure
   High Blood Pressure
   Diabetes
   Prior stroke
                                     A Heart Attack
   Sedentary lifestyle               can happen
   Obesity                               to
   High Cholesterol                 ANYWHERE,
                                     AT ANY TIME.
   Increased age
   Family history

“The Beginnings”
   Nausea
   Pain down one or both arms
   Jaw pain
   Fatigue
   Anxiety
   Chest pressure, squeezing, discomfort
   Back pain
   Shortness of breath (with or without exertion)
   Feeling full
   Feeling of impending doom
   Heart burn; indigestion
   Breaking out in a cold sweat

Special Considerations:
 Diabetics
      May not present with pain at all!!
      Mostly vague complaints (nausea, vomiting, shortness of breath)

 Age
      About 82% of people who die of coronary heart disease are over
       65 years old.
      At older ages, women who have heart attacks are more likely than
       men are to die from them within a few weeks.
 Gender
      Women are more likely to present with nausea, dizziness, and
      Men have a greater risk of heart attack than women do, and they
       have attacks earlier in life.
      After menopause women's death rates from heart disease

What you need to do…

             …is call 911!!!

 Do NOT drive yourself or a loved one to the hospital!
Why call 911?

 1.    The fact remains that every minute counts, and calling 911
       starts treatment earlier.

 2.    911 dispatchers are often trained to not only locate you quickly
       but also assist you in early treatment options.

 3.    In many areas of the country, Emergency Medical Services
       (EMS) can diagnosis a heart attack by using an
       electrocardiogram (ECG) and also initiate early treatment.

 4.    Many patients who experience chest pain drive themselves,
       only to find that they may wait in the ED lobby until they can
       see the doctor. Do not let this happen to you.

 5.    EMS is able to radio ahead to the ED that you are on your way.
       This enables the ED staff to be ready for you when you arrive
       through their doors.

Treatments for a Heart Attack
   Change in lifestyle
       Diet and Exercise

   Medication
       Blood thinners
       Blood Pressure lowering

   Cardiac Catheterization
       “PCI”-Percutaneous Coronary
       Angioplasty
       Stent
       Laser

   Cardiothoracic “Open-
    Heart” Surgery

  Not all hospitals are created equal

 Know the “Beginning” symptoms.

 Research the hospitals in your area.

 Know what these hospitals offer patients who are
  experiencing a heart attack.
PCI vs. Non-PCI-capable Facilities

    The decision of treatment is based on:

   Mortality risk of the heart attack
   Risk of fibrinolytic therapy
   Duration of initial symptoms
   Time required for transport to PCI-capable

     How to prevent a heart attack:

 Learn how to take your own blood pressure & keep
  a record of your results.
 Maintain a healthy weight. Get help to lose any
  extra pounds.
 Cut back on salt. Limit canned, dried, packaged, and
  fast foods. Don’t add salt to your food at the table.
  Use herbs instead of salt when you cook.
 Begin an exercise program. Ask your doctor how to
  get started. You can benefit from simple activities
  such as walking or gardening.
 Break the smoking habit. Enroll in a stop-smoking
  program to improve your chances of success.
 Avoid stressful situations. Learn stress-management

                      Krames Stay Well
Resources for you and your students

 (American Heart
  Association’s website)

 (great ideas
  for lesson planning)
We Need You!!!

             Pledge to become an
         Ambassador for EHAC,
            not only for yourself,
but for your own family, friends, and also for
     the students, visitors and employees
             of Little Egg Harbor!

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