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Warning sign of a Heart Attack

Source: http://www.heart.org/

Some heart attacks are sudden and intense — the “movie heart attack,” where no one doubts what’s happening. But most heart attacks start slowly, with mild pain or discomfort. Often people affected aren’t sure what’s wrong and wait too long before getting help. Here are signs that can mean a heart attack is happening:

  • Chest discomfort. Most heart attacks involve discomfort in the center of the chest that lasts more than a few minutes, or that goes away and comes back. It can feel like uncomfortable pressure, squeezing, fullness or pain.
  • Discomfort in other areas of the upper body. Symptoms can include pain or discomfort in one or both arms, the back, neck, jaw or stomach.
  • Shortness of breath with or without chest discomfort.
  • Other signs may include breaking out in a cold sweat, nausea or lightheadedness.

As with men, women’s most common heart attack symptom is chest pain or discomfort. But women are somewhat more likely than men to experience some of the other common symptoms, particularly shortness of breath, nausea/vomiting, and back or jaw pain. Learn about the warning signs of heart attack in women.

heart attackLearn the signs, but remember this: Even if you’re not sure it’s a heart attack, have it checked out (tell a doctor about your symptoms). Minutes matter! Fast action can save lives — maybe your own. Don’t wait more than five minutes to call 9-1-1 or your emergency response number.

Calling 9-1-1 is almost always the fastest way to get lifesaving treatment. Emergency medical services (EMS) staff can begin treatment when they arrive — up to an hour sooner than if someone gets to the hospital by car. EMS staff are also trained to revive someone whose heart has stopped. Patients with chest pain who arrive by ambulance usually receive faster treatment at the hospital, too. It is best to call EMS for rapid transport to the emergency room.

 

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Quiz Yourself: Do you know the Key Summary of Basic Life Support?

Source: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science

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Nurse reveals the top 5 regrets people make on their deathbed

For many years I worked in palliative care. My patients were those who had gone home to die. Some incredibly special times were shared. I was with them for the last three to twelve weeks of their lives. People grow a lot when they are faced with their own mortality.

I learnt never to underestimate someone’s capacity for growth. Some changes were phenomenal. Each experienced a variety of emotions, as expected, denial, fear, anger, remorse, more denial and eventually acceptance. Every single patient found their peace before they departed though, every one of them.

When questioned about any regrets they had or anything they would do differently, common themes surfaced again and again. Here are the most common five:

1. I wish I’d had the courage to live a life true to myself, not the life others expected of me.
This was the most common regret of all. When people realize that their life is almost over and look back clearly on it, it is easy to see how many dreams have gone unfulfilled. Most people had not honoured even a half of their dreams and had to die knowing that it was due to choices they had made, or not made.

It is very important to try and honour at least some of your dreams along the way. From the moment that you lose your health, it is too late. Health brings a freedom very few realise, until they no longer have it.

2. I wish I didn’t work so hard.
This came from every male patient that I nursed. They missed their children’s youth and their partner’s companionship. Women also spoke of this regret. But as most were from an older generation, many of the female patients had not been breadwinners. All of the men I nursed deeply regretted spending so much of their lives on the treadmill of a work existence.

By simplifying your lifestyle and making conscious choices along the way, it is possible to not need the income that you think you do. And by creating more space in your life, you become happier and more open to new opportunities, ones more suited to your new lifestyle.

3. I wish I’d had the courage to express my feelings.
Many people suppressed their feelings in order to keep peace with others. As a result, they settled for a mediocre existence and never
became who they were truly capable of becoming. Many developed illnesses relating to the bitterness and resentment they carried as a
result.

We cannot control the reactions of others. However, although people may initially react when you change the way you are by speaking honestly, in the end it raises the relationship to a whole new and healthier level. Either that or it releases the unhealthy relationship from your life. Either way, you win.

4. I wish I had stayed in touch with my friends.
Often they would not truly realise the full benefits of old friends until their dying weeks and it was not always possible to track them down. Many had become so caught up in their own lives that they had let golden friendships slip by over the years. There were many deep regrets about not giving friendships the time and effort that they deserved. Everyone misses their friends when they are dying.

It is common for anyone in a busy lifestyle to let friendships slip. But when you are faced with your approaching death, the physical
details of life fall away. People do want to get their financial affairs in order if possible. But it is not money or status that holds the true importance for them. They want to get things in order more for the benefit of those they love. Usually though, they are too ill and weary to ever manage this task. It is all comes down to love and relationships in the end.
That is all that remains in the final weeks, love and relationships.

5. I wish that I had let myself be happier.
This is a surprisingly common one. Many did not realise until the end that happiness is a choice. They had stayed stuck in old patterns and habits. The so-called ‘comfort’ of familiarity overflowed into their emotions, as well as their physical lives. Fear of change had them pretending to others, and to their selves, that they were content. When deep within, they longed to laugh properly and have silliness in their life again. When you are on your deathbed, what  others think of you is a long way from your mind. How wonderful to be able to let go and smile again, long before you are dying.

Life is a choice. It is YOUR life. Choose consciously, choose wisely, choose honestly. Choose happiness.

Source :http://www.ariseindiaforum.org/nurse-reveals-the-top-5-regrets-people-make-on-their-deathbed/

The Man who can’t be moved

Your mother asked you to buy a bottle of soda to the nearest sari-sari store. While walking, you witness a high-speed Ducati motorcycle crashes.
Everybody is alarmed but no one attempts to respond. Perceiving the urgency to help the victim, you decide to approach him and offer some help.
The rule of thumb in responding a vehicular accident like this is to have control over the situation. A lay rescuer must ensure his safety, the victim’s safety and lastly, the crowd’s. There are a lot of potential hazards that can cause greater damage or may worsen the situation. That is why it is always advisable for a lay rescuer to size up the scene.
The first thing to do is to switch off the engine or remove the engine’s battery if there is any. This is to prevent ignition. Then, you seek medical help by calling the Emergency Medical System (EMS) hotline. During this situation, you should expect that bystanders will be curious and they will gather around. Some will just look but do not mind to help. But worst, take advantage to the victim’s condition. How to manage this situation? You, as a lay rescuer, can request the bystanders to provide some space for assessment and treatment. More so, you can ask also anyone to help you. Thus, the lay rescuer should also inform the crowd not to move the victim because it is a mistake to do. This can cause more injuries to the victim. Since these people are not trained personnel, they don’t have the know-how on transferring the victim safely. Instead, it is better to let the victim lie on the area, remove the helmet of the victim, assess his level of consciousness and finally, wait for the Emergency Response Unit to arrive.
Here are some tips in assessing the victim’s level of consciousness. Proceed at the victim’s side and start asking him what had happened. You may ask the victim about date, place or person. (E.g. What day is it? Where are you now? What is your name?) The level of consciousness can actually be determined by the appropriateness of verbal responses. If the person answers with coherent statement, we can conclude that the patient has a patent airway, good respiratory function, sufficient cerebral circulation and reasonable neurologic functioning. (National Association of Emergency Medical Technicians and Trauma of the American College of Surgeon, 2007) By having this assessment, you may recognize whether the victim is in life-threating condition or not and you may provide possible treatment while waiting for the arrival of the EMS.

SAMPLE, anyone?

It is already past two in the afternoon. While finishing her overwhelming reports, Jamie keeps on complaining that she is having headache. She cannot concentrate with her work now. Her officemate notices that Jamie is becoming uneasy and has turned pale. If you are the officemate, what is the best thing you could do to help Jamie in her condition?
Right questions lead to right treatment. For one to arrive with appropriate first aid interventions in general, he or she must learn how to ask and assess victims properly.
Relating this principle with our situation above, information about the time of the last oral intake and pertinent medical history such as diabetes mellitus can be relevant. One may consider asking the whether the victim is taking insulin and his last time of insulin administration.
Just in case you are having a hard time constructing the key questions. You may actually use the mnemonic SAMPLE during your history taking. (Antonio, 2009)
S = Signs and symptoms
A = Allergies to medications, food and environment
M = Medications (Currently taking or recently taken)
P = Pertinent medical history
L = Last solid or liquid intake
E = Events leading up to the injury or illness
Once you are done with the data gathering, a lay rescuer can start assessing the victim. One technique that is commonly used is Inspection. It is the use of our sense of sight in checking the physical condition of a person or confirming the victim’s complaint. In Jamie’s condition, her officemate should assess the victim’s general appearance. This includes her facial expression, emotional state, composure, skin color, posture etc.
Jamie is actually suffering from hypoglycemic episode. This is a condition when a person’s blood sugar level goes below the normal rage. It happens when your body has already consumed most of your blood sugar for metabolism. The probable signs and symptoms you should watch out for are headache, difficulty of thinking, change in emotional behavior, sweating, pale skin, shakiness and anxiety. In short, the typical experience of a person when he is hungry.
Mild hypoglycaemia is actually easy to manage. All you have to do is to take 15 g of rapid-acting sugar. Examples are ½ cup of fruit juice or regular soda, 8 ounces of skim milk, 2-3 teaspoon of sugar or honey. Hard candies can also be helpful. ?

“Teach me how to do the R.I.C.E.?”

Disclaimer: This is not about the new dance craze. ?
Healthcare professionals are not always readily available during accidents or onset of diseases. It is the lay people. With the occurrence of such situations, it would be better if at least they have the know-how in giving first aid measures. These are simple interventions yet can be considered as life-saving.
Now, let us have some Health101. Our case is about Alvin, the point guard of the team, is complaining of severe ankle pain in the middle of the practice game. He attempts to walk but the pain is intolerable. There is no available healthcare provider. What can you do to help Alvin in his condition?
One of the common health concerns of athletes is sprain. Going back to our case study, Alvin has sprained ankle. Meaning, the ligaments of his ankle are torn or overstretched. Aside from pain, other signs that Alvin could experience are swelling of ankle and bruise. This condition usually happens when the person has exhausted his feet in a motion beyond the ankle’s normal limits.
Ankle sprain is not hard to manage. Everyone can actually do it!
The following are the simple steps in managing sprained ankle in the pre-hospital setting.

1) Have control over the situation.
Transfer the person to an area where you can assess and treat the victim properly. Your selected “treatment” area should be safe for both the responder and the victim. In our case, the volunteer responder must be able to transfer Alvin to the courtside.

2) Call for help.
Ask for medical help to further assess the severity of the injury and provide the appropriate treatment. Dial the hotline numbers you know to activate medical assistance. Your role, as a first aider, is important since you can help in minimizing the degree of injury or prevent possible complications.

3) Lastly, rest, immobilize, compress and elevate. In short, R.I.C.E.!

Rest
Allow the victim to rest. Rest also promotes healing of the injured ankle.

Immobilize
Immobilize the affected ankle to prevent worsening the victim’s condition. Thus, it decreases swelling and pain. Use a bandage to immobilize the injured area. When you are bandaging the person, it is important that you roll the bandage snugly. Ask the victim regarding the tightness of the bandage. Then, check the capillary refill of his affected extremity to assess the blood circulation. Checking the capillary refill is done through squeezing the toenail between your fingers enough to cause blanching. (Kozier,2004) Upon releasing the pressure, you should observe that the normal color of the toenails returns immediately. If this is not manifested, adjust the bandage.

To further understand how to perform bandaging, please refer to the link below:
http://www.youtube.com/watch?v=WwhFALn7DN4

Compress.
Use cold compress and place it on the sprained ankle for 15-20 minutes only. This is done to stop the swelling. When using a cold compress, make sure that you wrap it with towel before applying it on the affected area. This is for the purpose of preventing frost bite.

Elevate
Elevate the affected extremity two inches above the heart. It may minimize swelling and promote venous return.

References:
Burke, K., LeMone, P., Brown, E. M., & Eby, L. (2007). Medical-Surgical Nursing Care. New Jersey: Pearson Education, Inc. .
Kozier, B., & Glenora Erb, A. B. (2004). Fundamentals of Nursing. New Jersey: Pearson Education, Inc.

Topic: Cardiopulmonary Resuscitation

Case Study: Ben and his grandmother are left alone at home. His grandmother suddenly collapses while she is preparing their lunch. When Ben approaches and taps her grandma’s shoulder, she seems to be unresponsive and not breathing. If you are Ben, what would you do in this situation?
Life is valuable. Staying alive is one big blessing. Meanwhile, saving a life is a privilege. For someone to save a life, he must possess the following: A clinical eye, a skillful hand and a witful mind.
People are sometimes reluctant in extending help especially in a life and death situation. Each has its own reason; But for the meantime, let us set aside all of your apprehensions and know the things you MUST do during emergency situations.
Cardiac arrest is a condition where a person’s heart stops beating. During this event, an individual becomes unresponsive and breathless. Going back to our case, to conclude that Ben’s grandmother is having an arrest, Ben must confirm that his grandma is not responding to any verbal or tactile stimulus, at the same time, her chest doesn’t rise and fall. As a lay rescuer, it is important that you recognize QUICKLY these signs. If you are Ben, you should immediately call for help and contact the hotline to activate the nearest emergency response unit in your community.
The key in reviving Ben’s grandmother is to perform cardiopulmonary resuscitation (CPR). CPR is an intervention made by a responder through chest compression to promote blood circulation of the victim. No license is required here. You just have to learn the principles and practice the skill. Place the heel of your one hand in the middle of the victim’s chest. Interlock your one hand with your other hand. Start compressing the chest of the victim. Remember to push hard, push fast and allow chest recoil. You do it continuously until the emergency response unit arrives.
To further understand this concept, here is a video on how to perform CPR effectively. This clip is based on American Heart Association (AHA) new guidelines. Sit back, relax and stay alive! Be a hero in your own community!

http://www.youtube.com/watch?v=jLBe_-Zch_A