Medical Advices

 your healthy heart

Medical Advices 
This part is very important because it will deal with emergencies in simple way

Basic Life support                

Did you face a situation that you are alone and there's somebody in need of help-May be you will blame yourself if you can't do anything Here a chance to something then you will be able to do something

Chain of survival
o deal with a case of cardiac arrest this a multilevel procedure for nonprofessionals and professionals people.

Cardiopulmonary resuscitation CPR or in a simple way heart massage during arrest is not enough only to save lives in most of cases .Its only part of chain the other parts are early access to the victim by asking help as soon as possible .earl defibrillation & early advanced care .The two items are only for specialized people. All these items are called Chain of life

Technique of CPR

   Airway opening

immediate opening of the airway by proper positioning of head remember that tongue is the most common cause of airway obstruction in unconscious victim. This can be done easily by head tilt and chin lift unless there is neck injury only we can do jaw trust  

We must determine breathing stat of the victim  then we can start artificial breathing .  The easiest way to do this is mouth to mouth breathing . this is to be continuous until victim can breath or trained professional arrived

assessment of presence of pulse in neck - carotid- is very important step . If there is no pulse you must start chest compression If you are alone you must do 15 compression and 2 ventilations. At the end of  4 cycles check for return of

I got very nice gift for you. A nice and useful share for our senior CPR instructor Dr. Amr Shams


Chain of Survival
The Links in the Chain of Survival


Early Access:
Call 997 (or the EMS system in your area) and get an AED!

Recognize an Emergency.
First, you or other witnesses must recognize the emergency. You must recognize the warning signs of a heart attack, cardiac arrest, stroke, or choking. Anyone who is unresponsive should receive emergency care. Heart attack, cardiac arrest, stroke, and foreign-body airway obstruction can each cause unresponsiveness. Although many conditions not just cardiac arrest can cause unresponsiveness, all unresponsive victims will benefit from activation of the Chain of Survival.

Call 997 (or the EMS system in your area).
As soon as an emergency is recognized, call 997. When you or another rescuer calls 997, let the dispatcher ask you questions. While the dispatcher interviews you, he or she will enter the data on a computer. The information you give will be relayed to a response team. Answer in short, specific replies, giving only the requested information. The dispatcher will probably ask:

"What is your emergency?" You might answer, "A customer had sudden chest pain and has now collapsed."

"What's happening now?" "My friend is giving cardiopulmonary resuscitation. We have an automated external defibrillator."

"Where is the patient located?" "We are at the Evergreen Company, here at 1234 Fifth Avenue NE, in the back hall."

"What number are you calling from?" "The number is 698  

At this point the dispatcher may give you directions such as "Stay on the line until I tell you to hang up. Rescuers are being sent to your location. Please meet them and direct them to the scene."

Remember, though, if you are alone, you must immediately begin performing CPR, the next link in the chain.


Early CPR:
"Pump and Blow"

Begin Cardiopulmonary Resuscitation (CPR).
CPR is the critical link that buys time between the first link (call 911) and the third link (use the AED). The earlier you give CPR to a person in cardiac or respiratory arrest, the greater their chance of survival. CPR keeps oxygenated blood flowing to the brain and heart until defibrillation or other advanced care can restore normal heart action.

Dispatcher-Assisted CPR and Defibrillation and Enhanced 911. In many areas of the country emergency dispatchers are taught how to help callers give emergency care. With help from the dispatcher, callers can give CPR (and use an AED). The instructions are basic and simple, but they will help the victim until EMS personnel arrive. Remember, CPR needs to be started immediately!

Using a prepared list of instructions, the dispatcher can coach you through the basic steps of CPR. At a worksite you will usually have help.

Use this approach Repeat the dispatcher's instructions loudly to the other rescuers and confirm that they are following that step If the patient vomits or other complications arise, tell the dispatcher. Do not expect that you will perform perfectly in such a crisis
Be sure that rescuers follow each instruction, even if it takes extra seconds Ensure rescuer safety at all times When EMS personnel arrive at the victim's side, the dispatcher will tell you that he or she is hanging  up You hang up last

Find Out if Your Community Has Enhanced 911 (or No .in your area.
In enhanced 911 a computer automatically confirms the caller's address. Also ask if your 911 dispatchers are trained to offer pre arrival instructions to rescuers. This means that they can give instructions for immediate care based on the clinical criteria of the emergency. If not, become a vocal advocate for such services in your community. Enhanced 911 can save precious seconds, minutes, and even lives.

Early Defibrillation: Use the AED!

Use the Automated External Defibrillator (AED) to Treat Ventricular Fibrillation.
Most sudden cardiac arrest victims are in ventricular fibrillation (VF). VF is an abnormal, chaotic heart rhythm that prevents the heart from pumping blood. VF causes more cardiac arrests than any other rhythm (about 80% to 90% of cases). You must defibrillate a victim immediately to stop VF and allow a normal heart rhythm to resume. The sooner you provide defibrillation with the AED, the better the victim's chances of survival. If you provide defibrillation within the first 5 minutes of a cardiac arrest, the odds are about 50% that you can save the victim's life. But with each passing minute during a cardiac arrest, the chance of successful resuscitation is reduced by 7% to 10%. After 10 minutes there is very little chance of successful rescue.

Public Access Defibrillation.
The AHA promotes the most rapid possible defibrillation of victims of cardiac arrest. To do this the AHA wants to place AEDs in the hands of trained, nontraditional rescuers. These include police, security guards, and family members of patients at high risk for cardiac arrest. Public access defibrillation (PAD) programs place AEDs in homes, police cars, worksites, and public gathering places, under the supervision of licensed physicians. PAD rescuers must be trained in CPR and the use of an AED. When AEDs are readily available, rescuers can provide defibrillation within the first few minutes of out-of-hospital cardiac arrest. This dramatically increases the victim's chances of survival.
Public access defibrillation programs and AED manufacturers should work with local EMS systems. Program authorities or manufacturers should notify EMS directors of AEDs placed in homes, businesses, or other public areas.
Heartsaver AED.
The AHA has developed the Heartsaver AED Course to support the public access defibrillation movement and specific PAD programs. The course is designed to help you learn how to give CPR and use an AED. These skills are essential in caring for the victim of cardiac arrest.

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