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Sudden Cardiac Arrest

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Sudden cardiac arrest (SCA) is an event caused by a problem with the heart's "electrical" system. SCA occurs when the heart suddenly stops beating. The heart’s electrical system sends signals to the heart to beat much too fast. The heart cannot beat that fast, so the heart muscle just quivers. Blood and oxygen do not reach vital organs like the brain. Then it stops altogether. The heart needs immediate treatment from an electrical shock (defibrillation) to restart the electrical system. If SCA is not treated within 7-10 minutes, it leads to sudden cardiac death.

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HANDLING SUDDEN CARDIAC ARREST DR. D. B. PAHLAJANI Consultant Cardiologist & Chief of Cardiac Catherization Laboratory, Breach Candy Hospital
Sudden Cardiac Arrest (SCA) Statistics ,[object Object],[object Object]
Major killer worldwide ,[object Object],[object Object],* American Heart Association 2002 Heart & Stroke statistical Update, Dallas, Texas : AHA 2000. “ He died so suddenly and we didn’t even know he had heart disease” Sudden Cardiac Arrest (SCA)
Source : American Heart Association 2002 Heart & Stroke statistical Update , Dallas, Texas : AHA 2000. Sudden Cardiac Arrest (SCA) Incidence of SCA Vs Other Main causes of death
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Sudden Cardiac Arrest vs Heart Attack
[object Object],[object Object],[object Object],[object Object],[object Object],Sudden Cardiac Arrest vs Heart Attack
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Cardiac Electrical Conduction
Sinoatrial Node Normal Sinus Rhythm
 
Ventricular Tachycardia Sudden Cardiac Arrest (SCA)
Ventricular Fibrillation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Sudden Cardiac Arrest (SCA)
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Incidence of Sudden Cardiac Death (SCD)
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Risk Factors of Sudden Cardiac Death (SCD)
Treatment “ Chain of Survival” ,[object Object],[object Object],[object Object],[object Object],Sudden Cardiac Arrest (SCA)
“ Chain of Survival” First link – Early access ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Sudden Cardiac Arrest (SCA)
“ Chain of Survival” Second link – Early CPR ,[object Object],[object Object],[object Object],[object Object],[object Object],Sudden Cardiac Arrest (SCA)
[object Object],[object Object],[object Object],[object Object],Sudden Cardiac Arrest (SCA) “ Chain of Survival” Second link – Early CPR
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],“ Chain of Survival” Second link – Early CPR Sudden Cardiac Arrest (SCA)
[object Object],[object Object],“ Chain of Survival” Second link – Early CPR Sudden Cardiac Arrest (SCA)
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],“ Chain of Survival” Second link – Early CPR Sudden Cardiac Arrest (SCA)
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],“ Chain of Survival” Second link – Early CPR Sudden Cardiac Arrest (SCA)
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],“ Chain of Survival” Second link – Early CPR Sudden Cardiac Arrest (SCA)
 
“ Chain of Survival” Second link – Early CPR Sudden Cardiac Arrest (SCA)
“ Chain of Survival” Third link – Early Defibrillation ,[object Object],[object Object],[object Object],Sudden Cardiac Arrest (SCA)
“ Chain of Survival” Third link – Early Defibrillation ,[object Object],[object Object],[object Object],[object Object],[object Object],AHA/ERC Standards & Guidelines VF Defibrillation NSR Defibrillation Electrical Current Stops VF Sudden Cardiac Arrest (SCA)
“ Chain of Survival” Third link – Early Defibrillation Defibrillation Electrode Placement ,[object Object],Sudden Cardiac Arrest (SCA)
 
“ Chain of Survival” Third link – Early Defibrillation ,[object Object],[object Object],[object Object],[object Object],[object Object],The Importance of TIME : Sudden Cardiac Arrest (SCA)
Time is the enemy : % Success Time (minutes) Resuscitation Success vs. Time Success rates decrease 7-10% each minute Sudden Cardiac Arrest (SCA) “ Chain of Survival” Third link – Early Defibrillation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],0 1 2 3 4 5 6 7 8 9
[object Object],Sudden Cardiac Arrest (SCA) “ Chain of Survival” Third link – Early Defibrillation
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Sudden Cardiac Arrest (SCA) “ Chain of Survival” Third link – Early Defibrillation
[object Object],[object Object],[object Object],[object Object],Sudden Cardiac Arrest (SCA) “ Chain of Survival” Third link – Early Defibrillation AEDs are WELL SUITED for USE by NON-TRADITIONAL RESPONDERS
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Automated external defibrillators (AEDs) are safe for trained lay rescuers to use, to treat sudden cardiac arrest. The devices analyze a victim’s heart rhythm and only allow an electric shock to be delivered when necessary . read more… DID YOU KNOW? Source : AHA website Sudden Cardiac Arrest (SCA) “ Chain of Survival” Third link – Early Defibrillation
“ Chain of Survival” Third link – Early Defibrillation ,[object Object],[object Object],[object Object],[object Object],[object Object],Types of AEDs Sudden Cardiac Arrest (SCA)
[object Object],[object Object],[object Object],[object Object],“ Chain of Survival” Third link – Early Defibrillation ,[object Object],TYPES OF AEDs Sudden Cardiac Arrest (SCA)
[object Object],[object Object],[object Object],“ Chain of Survival” Third link – Early Defibrillation ,[object Object],TYPES OF AEDs Sudden Cardiac Arrest (SCA)
“ Chain of Survival” Fourth link – Early ACLS ,[object Object],[object Object],[object Object],Sudden Cardiac Arrest (SCA)
MESSAGE FOR ALL OF US Sudden Cardiac Arrest (SCA) The FUTURE will see severe competition due to which tensions are going to mount. We must care for HIGH PROFILE INDIVIDUALS. Must provide LIFE SAVING SUPPORT to handle such EVENTUALITIES.
Thank you ! Handling Sudden Cardiac Arrest (SCA)

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Sudden Cardiac Arrest

  • 1. HANDLING SUDDEN CARDIAC ARREST DR. D. B. PAHLAJANI Consultant Cardiologist & Chief of Cardiac Catherization Laboratory, Breach Candy Hospital
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  • 4. Source : American Heart Association 2002 Heart & Stroke statistical Update , Dallas, Texas : AHA 2000. Sudden Cardiac Arrest (SCA) Incidence of SCA Vs Other Main causes of death
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  • 8. Sinoatrial Node Normal Sinus Rhythm
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  • 10. Ventricular Tachycardia Sudden Cardiac Arrest (SCA)
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  • 24. “ Chain of Survival” Second link – Early CPR Sudden Cardiac Arrest (SCA)
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  • 39. MESSAGE FOR ALL OF US Sudden Cardiac Arrest (SCA) The FUTURE will see severe competition due to which tensions are going to mount. We must care for HIGH PROFILE INDIVIDUALS. Must provide LIFE SAVING SUPPORT to handle such EVENTUALITIES.
  • 40. Thank you ! Handling Sudden Cardiac Arrest (SCA)