Cardiopulmonary Emergencies

1
Cardiopulmonary Emergencies
2
Cardiac Compromise

• Chest pain
• Dyspnea
• Anxious
• Nausea
• Abdominal pain
• Sweating
• Abnormal HR and RR

3
Abnormal HR

• Bradycardia
• Slower than 60 BPM
• Tachycardia
• Faster than 100 BPM
• Palpitations
• Irregular or rapid heart beats that cause
  fluttering in the chest

4
Patient Care

• Place pt in position of comfort
• High-concentration O2
• Transport IMMEDIATELY if
• No hx of cardiac problems, does not have
  nitroglycerin, or systolic BP lt 90
• Nitroglycerin
• Repeat if needed
• Aspirin??

5
Common Causes

• Coronary Artery Disease
• Aneurysm
• Angina Pectoris
• Congestive Heart Failure
• Acute Myocardial Infarction

6
Cardiac Arrest

• 1-2 of calls
• Chain of Survival
• Early access
• Early CPR
• Early defibrillation
• Early advanced care

7
Adult CPR

• Head tilt-chin lift
• Check breathing and give 2 breaths
• Check carotid pulse
• Compressions
• Hands 2 fingers above the ziphoid process
• 1.5 2 inches depth
• 100/minute
• Ratio 302

8
Child CPR

• Between 1 year and puberty
• Open airway, assess, and give breaths
• Carotid pulse lt 60
• Compressions
• May use 1 hand for small victims
• 1/3 to 1/2 depth of chest
• 100/minute
• 302 (1-rescuer) 152 (2-rescuer)

9
Infant CPR

• Less than 1 year old
• Open airway, assess, and give breaths
• Check brachial pulse lt 60bpm
• Compressions
• Place 2 fingers below nipple line
• 1/3 to 1/2 depth of chest
• 100/minute
• 302 (1-rescuer) 152 (2-rescuer)

10
AEDs

• Verify cardiac arrest
• Start CPR
• Turn on AED
• Apply AED and clear pt
• Press analyze

11
Shock Indicated

• Deliver 1 shock
• Perform 2 minutes of CPR
• Press analyze
• Deliver 1 more shock
• After 3 shocks prepare for transport

12
No Shock Indicated

• Perform CPR for 2 minutes
• Press analyze