Early Heart Attack Care “EHAC” for staff in the School Setting Sonia Marchitello, RN BSN CSN-NJ AtlantiCare Regional Medical Center Objectives 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 Care. Mission: Lifeline 2007 http://www.heart.org/HEARTORG/HealthcareResearch/MissionLifelineHomePage/ Mission-Lifeline-Video-Library_UCM_316687_Article.jsp Improve outcomes by eliminating obstacles that keep patients from getting treatment. Lifeline systems: 911/ED Cath Lab Home newsroom.heart.org International & non-profit organization Mission: Eliminate heart disease as the #1 killer worldwide. 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 treatment Concentrates on the benefits of receiving early treatment, and activating emergency medical services. scpcp.org 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 fat/cholesterol/plaque. Heart attack occurs when tissue dies from lack of blood flow heart.org Healthy vs. Unhealthy Artery images.google.com Risk Factors 1st or 2nd hand smoke exposure High Blood Pressure Diabetes REMEMBER: Prior stroke A Heart Attack Sedentary lifestyle can happen Obesity to ANYONE, High Cholesterol ANYWHERE, AT ANY TIME. Increased age Family history heart.org “The Beginnings” Nausea STOP 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 scpcp.org 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 anxiety. 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 increases. heart.org What you need to do… …is call 911!!! Do NOT drive yourself or a loved one to the hospital! Why call 911? http://scpcp.org/ehac/heart-attack 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. www.scpcp.org Treatments for a Heart Attack Change in lifestyle Diet and Exercise Medication Blood thinners Blood Pressure lowering Cardiac Catheterization “PCI”-Percutaneous Coronary Intervention Angioplasty Stent Laser Cardiothoracic “Open- Heart” Surgery images.search.yahoo.com; heart.org 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 facility. circ.ahajournals.org 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 techniques. Krames Stay Well Resources for you and your students Heart.org (American Heart Association’s website) Classroom.kidshealth.org (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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