A Call to Action from

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A Call to Action from
Your Organization or Name Here
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A New National Campaign

• A new national heart attack education campaign is
  urging Americans to
• Act in Time to Heart Attack Signs.

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Act in Time to Heart Attack Signs

• Act in Time is sponsored by the National Heart,
  Lung, and Blood Institute (NHLBI), part of the
  National Institutes of Health.
• The campaign is a key activity of NHLBIs
  National Heart Attack Alert Program (NHAAP).
• The NHAAP is a national program to reduce death
  and disability from heart attacks through
  professional, patient, and public education.

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Act in Time to Heart Attack Signs

• Your organization name is one of 40 national
  professional and voluntary organizations and
  Federal agencies on the NHAAP Coordinating
  Committee.
• The Coordinating Committee advises about
  education activities and disseminates Program
  recommendations and materials.

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Act in Time to Heart Attack Signs

• We are joining with the other organizations on
  the NHAAP Coordinating Committee to disseminate
  Act in Time messages and materials.

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Act in Time to Heart Attack Signs

• American Heart Association
• American Red Cross
• National Council on the Aging
• Act in Time was developed in partnership with
  these organizations.
• They are active in disseminating campaign
  messages and materials through their local
  chapters and networks across the country.

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Act in Time to Heart Attack Signs

• Act in Time calls on health care professionals
  to give their patients three life-saving
  messages
• Learn the heart attack warning signs.
• Call 9-1-1 immediately if a heart attack is
  suspected.
• Be prepared with a heart attack survival plan.

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Act in Time to Heart Attack Signs

• Why Act in Time to Heart Attack Signs?
• Each year, about 1.1 million Americans suffer a
  heart attack.
• 460,000 of them die.
• About 220,000 of those heart attack deaths occur
  suddenly and outside the hospital.

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Act in Time to Heart Attack Signs

• Artery-opening treatments developed over the past
  20 years can prevent heart damage and death.
• Research shows these treatments work best when
  given within 1 hour of the onset of heart attack
  symptoms.
• But only one in five patients gets to the
  hospital early enough to benefit fully from
  treatment.

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Act in Time to Heart Attack Signs

• Patient delay is the main reason so few heart
  attack victims benefit from artery-opening
  treatment.
• Most heart attack victims wait 2 to 4 hours
  before seeking care.
• Some wait a day or more.
• Most are not aware that they are having a heart
  attack.

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Act in Time to Heart Attack Signs

• The goal of Act in Time is to
• Save lives by increasing the number of heart
  attack victims who are treated within the first
  hour of experiencing symptomsthe period in which
  artery-opening treatments are most effective.
• Act in Time messages and materials target
  health care professionals, patients, and the
  public.

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Act in Time to Heart Attack Signs

• Act in Time is based on research funded by
  NHLBI
• REACT (Rapid Early Action for Coronary Treatment)
• 4-year study undertaken in 10 States
• First large-scale study to evaluate effects of
  community education on patient delay time

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Act in Time to Heart Attack Signs

• Act in Time used findings from REACT to shape
  campaign strategy and materials. REACT found
  that
• Relatively few patients call emergency medical
  services when having chest pain.
• Few people are aware of the benefits of calling
  9-1-1.
• People are unaware of many of the heart attack
  signs.

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Act in Time to Heart Attack Signs

• Why do patients delay? REACT found
• Key reason for patient delay the Hollywood
  Heart Attack
• Expectation dramatic event with crushing chest
  pain
• Reality is often different many heart attacks
  start slowly as mild pain or discomfort
• Little talk or planning occurred before or after
  an event with family/spouse or health care
  providers

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Act in Time to Heart Attack Signs

• Act in Time used REACT findings and other
  research to update the heart attack warning signs
  message. Warning signs are
• Chest discomfort pressure, squeezing, fullness,
  or pain in the center of the chest
• Pain or discomfort in one or both arms, back,
  neck, jaw, or stomach
• Shortness of breath
• Breaking out in a cold sweat
• Nausea
• Light-headedness

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Act in Time to Heart Attack Signs

• Other key campaign messages
• Heart disease is the top killer of men and
  women.
• Learn the signs of a heart attack and the steps
  to take if one happens. You can save a
  lifemaybe your own.
• Treatments can stop a heart attack in its tracks.
  
• They work best if given within 1 hour of the
  start of symptoms

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Act in Time to Heart Attack Signs

• Other key campaign messages
• Uncertainty is normal.
• Heart attacks are not always sudden and intense
  (like in the movies). Many start with only mild
  pain. You may not be sure whats wrong. When in
  doubt, check it out.
• Minutes matter.
• Anyone with heart attack symptoms should not wait
  more than a few minutes5 at the mostto call
  9-1-1.

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Act in Time to Heart Attack Signs

• Other key campaign messages
• Plan ahead.
• Learn the heart attack warning signs.
• Talk with family, friends, coworkers about the
  warning signs and the importance of calling 9-1-1
  quickly.
• Keep essential information handymedicines you
  are taking, medicine allergies, name and phone
  number of person to be contacted if you go to the
  hospital.

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Campaign Materials
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Small Group Session Kit includes
lesson plan and video
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Core Brochure in English and Spanish
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Wallet Card
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Act in Time to Heart Attack Signs Web Site
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Warning Signs Wall Poster
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Provider Card and Palm OS
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Action Plan Tablet
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Act in Time to Heart Attack Signs

• Use the T.I.M.E method to help patients make a
  heart heart attack survival plan.

• Talk with patients about
• Risk of a heart attack and recognition of
  symptoms
• Right action steps to take and why it is
  important to act quickly
• Rx give instructions for when symptoms occur
  (based on patient history).
• Remembering to call 9-1-1 quicklywithin 5
  minutes.

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Act in Time to Heart Attack Signs

• Investigate
• Feelings about heart attack
• Barriers to symptom evaluation and response
• Personal and family experience with heart attack
  and emergency medical treatment
• Make a plan
• Help patients/family members make a plan for what
  to do in case of heart attack symptoms
• Evaluate
• Patients and familys understanding of the risk
  in delaying and your recommendations

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Act in Time to Heart Attack Signs

• Health care providers and other professionals can
  help spread the life-saving messages and
  materials of Act in Time in other ways
• Use the Small Group
• Session Kita handy
• talk in a boxto
• make a presentation
• in your community.

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Act in Time to Heart Attack Signs

• Make a presentation about Act in Time to
  colleagues at a professional meeting.
• Download the Palm OS applicationthe electronic
  version of the T.I.M.E method.
• Integrate materials into ongoing patient
  education activitiesput up the poster, use the
  prescription pad, hand out brochures and wallet
  cards.
• Show the video in a waiting room.
• Refer patients to the Web site
  www.nhlbi.nih.gov. Click on Act in Time.

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Act in Time to Heart Attack Signs

• To obtain materials
• Download free at www.nhlbi.nih.gov
• Order online at low cost http//emall.nhlbihin.n
  et
• Order by telephone [phone]

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Act in Time to Heart Attack Signs

• Join your colleagues who are using the Act in
  Time materials to convey life-saving information
  quickly, effectively, and memorably.