CVA Anatomy/emergencies by Kevin Cousins

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CVA Anatomy/emergencies

Published on Nov 21, 2015

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PRESENTATION OUTLINE

CVA ANATOMY/EMERGENCIES REVIEW

Photo by L.C.Nøttaasen

OEC OBJECTIVES

Cardiovascular anatomy
CPR/AED review and practice
Risk factors for CVA emergencies
What are the CVA emergencies Peds v. Adults diffs
Care for pt. W/ CVA emergency and scene considerations

Photo by tab2space

GERIATRICS

Likely to have cardiac conditions
Also more likely to vote

ANATOMY REVIEW

BLOOD FLOW THROUGH HEART

Photo by bobo615

MORE ANATOMY

CORONARY ARTERIES

RISK FACTORS

Photo by liquidnight

AGE

85 % OLDER THAN 65

HYPERTENSION

Photo by hjl

14.

OBESITY

15.

DIABETES

Photo by aldenchadwick

16.

CARDIOVASCULAR DISEASE

ANY DISEASE THAT EFFECTS HEART/BLOOD VESSELS EG HTN

Photo by YannGarPhoto (Where are the stats??)

17.

ATHEROSCLEROSIS

Photo by EMSL

18.

Specific type of arteriosclerosis in which artery wall thickens and becomes less elastic. Caused by an accumulation of white blood cells,triglycerides and cholesterol that eventually calcify and harden.

Photo by euthman

19.

CORONARY ARTERY DISEASE

PLAQUE BUILD UP IN ARTERIES THAT SUPPLY THE HEART

Photo by Crossett Library Bennington College

20.

MEDS

HIGH RISK PEOPLE TAKE

Photo by Charles Williams

21.

ASPRIN

ANTI PLATELET AGGREGATE

Photo by ChrisGoldNY

22.

BETA BLOCKERS

Decrease HR/BP
Block effects of epi/norepi
End in lol
Metroprolol,atenolol, propanolol
Sometimes used as preformance enhancer

Photo by john mct's photos

23.

ACE INHIBITORS

End in pril, enalapril, lisinopril
Decrease BP
Renin Angiotensin aldosterone

Photo by Revan Jinn.

24.

ANTICOAGULANTS

WARFARIN,HEPARIN,ENOXAPARIN,TENZOPARIN

Photo by Fredrik Linge

25.

DIGOXIN

CARDIAC GLYCOSIDE

Photo by chemazgz

26.

DIURETICS

LASIX, BUMEX, DEMADEX

Photo by unsure shot

27.

CVA EMERGENCIES

Photo by Kaensu

28.

DVT

NOT AN EMERGENCY YET

Photo by Mr Thinktank

29.

PULMONARY EMBOLISM

BLOCKAGE IN MAIN ARTERY OF LUNG

Photo by Hey Paul Studios

30.

STROKE

Photo by pennstatenews

31.

PERICARDIAL TAMPONADE

BUILDUP OF FLUID, PUS, BLOOD, OR GAS INSIDE PERICARDIAL SAC

32.

ABDOMINAL AORTIC ANEURYSM

IF IT RUPTURES PT NEEDS TRAUMA SURGEON

33.

AORTIC DISSECTION

34.

COMMOTIO CORDIS

35.

THE BIG ONE

ACUTE MI

36.

WHAT IS ACUTE "MYOCARDIAL INFARCTION"

Photo by gandhiji40

37.

ACUTE= SUDDEN

Photo by Telstar Logistics

38.

MYOCARDIAL= MUSCLE TISSUE OF THE HEART

Photo by Open.Michigan

39.

INFARCT= TISSUE DEATH

Photo by Pulmonary Pathology

40.

PEDS V ADULTS CAUSES

41.

WHAT CAUSES PEDIATRIC CARDIAC ARREST"

RESPIRATORY FAILURE

Photo by Upsilon Andromedae

42.

CHOKING HAZARDS

Photo by deege@fermentarium.com

43.

DROWNING

Photo by kmakice

44.

POISONING

Photo by e_monk

45.

CONGENITAL DEFECT

Photo by otisarchives3

46.

BRADYCARDIA "SLOW HEART RATE" IS BAD SIGN

INDICATES IMPENDING CARDIAC ARREST

Photo by Popfossa

47.

Untitled Slide

48.

CAUSES OF ARREST IN ADULTS

THE H'S AND T'S

Photo by derpunk

49.

HYPOVOLEMIA

Photo by AhmadHammoud

50.

HYPOXIA

Photo by eschipul

51.

HYDROGEN ION

ACIDOSIS RESPIRATORY OR METABOLIC

Photo by makelessnoise

52.

HYPER/HYPOKALEMIA

TOO MANY OR NOT ENOUGH BANANAS

Photo by bfraz

53.

TENSION PNEUMO

Photo by Howard Dickins

54.

TOXINS

Photo by s8an

55.

TRAUMA

Photo by United States Marine Corps Official Page

56.

WHAT DO YOU DO?

Photo by tab2space

57.

Untitled Slide

58.

REMEMBER ABC'S

OPEN AIRWAY

Photo by skipnclick

59.

ASSESS BREATHING AND PULSE

Look
Listen
Feel

Photo by expertinfantry

60.

CALL FOR HELP

EXAMPLE: I AM WORKING A CORE IN THE BML

Photo by afagen

61.

WHAT DO WE MEAN BY HELP?

MORE BODIES

Photo by DennyMont

62.

ALS

ASK FOR FLASH, DEVON, TONY C., RICK IHNKEN, OR VOLUNTEER MEDIC

63.

MORE GEAR

BLS pack
ALS pack
2 rigs
AED/lifepak
Suction

Photo by alex gemmato

64.

START HIGH QUALITY CPR

Photo by Elitist Czar

65.

ADULT

66.

Untitled Slide

67.

DEFIB EARLY

Photo by Dave77459

68.

CALL FLIGHTS

Photo by abkfenris

69.

WHY FLIGHTS

CATH LAB VIDEO CATH LAB AO 0001

70.

CHAIN OF SURVIVAL

Immediate recognition
Activation of EMS
Early HQCPR
Rapid defib
Early ALS

Photo by justDONQUE.images

71.

ADDITIONAL SCENE MGMT CONSIDERATIONS

THINK OF FAMILY MEMBERS NEEDS

Photo by tim caynes

72.

ASSIGN SOMEONE TO HANDLE FAMILY MEMBERS

Move family aside
Explain what is happening
Explain treatment plan
Explain pt. Destination
Be compassionate

Photo by PizzaDeBarr

73.

DEBRIEF

LESSONS LEARNED

Photo by Official U.S. Navy Imagery

74.

AED REVIEW/PRACTICE

Photo by Frederick Md Publicity

75.

TURN IT ON

Photo by marcus-e

76.

LISTEN TO INSTRUCTIONS

Photo by Taylor.McBride™

77.

FOLLOW INSTRUCTIONS

78.

WHAT RHYTHMS WILL THE AED SHOCK?

Photo by SK-y Photography

79.

V-TACH

80.

V-FIB

81.

QUESTIONS?

ASK TONY C.

Photo by Jan Tik

Slide Notes