Having a heart attack? And you're alone? Now What?

Gofirstclass

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Apr 20, 2010
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This comes from Dr. Patrick Teefy, Cardiology Head at the Nuclear Medicine Institute, University Hospital, London, Ont.

1. Let's say it's 7:25 p.m. and you're going home home, alone of course, after an unusually hard day on the job.

2. You're really tired, upset and frustrated.

3. Suddenly you start experiencing a severe pain in your chest that starts to drag out into your arm and up into your jaw. You are only a couple miles from the hospital nearest you.

4. Unfortunately you don't know if you'll be able to make it that far.

5. You have been trained in CPR but the guy that taught the course did not tell you how to perform it on yourself.

6. HOW TO SURVIVE A HEART ATTACK WHEN ALONE.
Since many people are alone when they suffer a heart attack without help, the person whose heart is beating improperly and who begins to feel faint, has only about 10 seconds left before losing consciousness.

7. However, these victims can help themselves by coughing repeatedly and very vigorously.

A deep breath should be taken before each cough, and the cough must be deep and prolonged, as when producing sputum from deep inside the chest.

A breath and a cough must be repeated about every two seconds without letup until help arrives, or until the heart is felt to be beating normally again.

8. Deep breaths get oxygen into the lungs and coughing movements squeeze the heart and keep the blood circulating. The squeezing pressure on the heart also helps it to regain a normal rhythm.

In this way, heart attack victims can get help or to a hospital.

9. Tell as many other people as possible about this. It could save their lives!
 
Great advice -- since it can be hard to detect your own heart attack if you don't know the signs. A good friend of mine (same age) is a firefighter and EMT. He told me he's responded to a hundred heart attack calls, and he knows all the signs/signals as part of the training. But when it happened to him, even with the training, he said it was completely diffferent.
 
Thats great information to have. And after a certain age or if you are at risk, having some aspirin on hand to quickly chew is supposed to help with clotting damage.
 
Actually performing the valsalva maneuver can delay or diminish the infarction till you get to ER.
 
Little, to no, evidence for "cough CPR" being effective unfortunately. It is not recommended by any major medical assoc.

As usual, El Capturd is full of it again. Yes, it can potentially slow a rapid heartbeat, but that ain't the same.
 
Little, to no, evidence for "cough CPR" being effective unfortunately. It is not recommended by any major medical assoc.

As usual, El Capturd is full of it again. Yes, it can potentially slow a rapid heartbeat, but that ain't the same.

Yea, I was going to stay away from this one but pure BS. The amount of evidence needed, powered by a randomized study, to support either claim is huge and non existent.
 
I am a retired paramedic. 25 years working a truck. I can tell you that while coughing does squeeze the heart a slight amount, you will not get a significant enough pump to move a enough blood to make a difference. Coughing also stimulates the vagus nerve which actually causes the heart to skip a beat. It’s why we say God bless you when someone sneezes or coughs.

The valsalva maneuver will force blood to your core increasing BP. To accomplish this, bear down as if you are grunting to take a dump. Deep breaths could provide a slight amount of relief but it also depends upon the source of the heart attack. If it’s from blocked cardiac arteries nothing short of a cath lab will help. High flow oxygen may slow damaged muscle. Best advice if you are not sure you can make it to ER is to dial 911. We carry everything onboard a truck to achieve advanced cardiac life support.

as pointed out earlier, aspirin may or may not help. It thins the blood. If the chest pain is due to a clot it MIGHT help. It certainly allows the heart to not work as hard to pump the blood. The only limiting factor is the time of absorption. Allowing an aspirin to dissolve under your tongue is best. It tastes horrible but allows for rapid absorption.

I retired about 12 years ago. All information above is based upon knowledge from that time
 
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The younger you are having a heart attack the higher mortality.

Fix yourself before you have one. It’s preventable.
 
The younger you are having a heart attack the higher mortality.

Fix yourself before you have one. It’s preventable.

Except for the 2 out of 3 things you can't prevent. Genes and sex. Life style is important but it's not going to fix your shitty genes, if you have them.
 
Except for the 2 out of 3 things you can't prevent. Genes and sex. Life style is important but it's not going to fix your shitty genes, if you have them.

Cholesterol, hypertension, etc which are the things you can inherit are controllable with meds.

Nobody’s dies of a heart attack because of genes. They inherit the underlying causes that over time lead to an attack. Those risk factors can be mitigated.
 
This thread is too important to allow anyone to post incorrect information. May I suggest that unless you are a trained medical professional, do not post ANY information beyond dial 911.

I strongly suggest every one of us take a CPR course. If we are 10 miles out when a guest has a cardiac event it may mean the difference in life and death until rescue arrives
 
We are required by osha to take first aid & CPR every 2 years, which I have done for the 32 years working for this company, along with my 23 years being a volunteer firefighter. I have never had to administer CPR. I did however save granddaughter #7 when she was choking on a hot dog.
 
My mom was in the hospital recovering from a severe ankle fracture surgery when she had a heart attack. She had to argue, yes argue, with the nurses for 1/2 the morning telling them something was not right. They kept telling her it was gas. They finally put an EKG on her and sure enough, she was having a heart attack. Triple bypass surgery the next morning.
 
My mom was in the hospital recovering from a severe ankle fracture surgery when she had a heart attack. She had to argue, yes argue, with the nurses for 1/2 the morning telling them something was not right. They kept telling her it was gas. They finally put an EKG on her and sure enough, she was having a heart attack. Triple bypass surgery the next morning.

More common than you think. Hope she’s better!
 
This thread is too important to allow anyone to post incorrect information. May I suggest that unless you are a trained medical professional, do not post ANY information beyond dial 911.

I strongly suggest every one of us take a CPR course. If we are 10 miles out when a guest has a cardiac event it may mean the difference in life and death until rescue arrives

I’ve had my ACLS, and other cardiology credentials for 30 years.
 
Then I seriously question your memory. I have had my ACLS credentials for 35 years. Perhaps a refresher would be in order? I’m not trying to be offensive. I just believe accurate information is vitally important. What you are recommending is complete silliness and quite frankly reckless. If you are ACLS certified you should know these things. Please stick with recommending a CPR course only and dialing 911.
 
Phasma, it's the vagus nerve...slight misspelling, but otherwise correct info. Better than aspirin would be nitroglycerin. Obviously not as available to most. In fact, if my memory serves, if 2 nitro pills 5 minutes apart do not relieve chest pain, that is diagnostic for an MI (heart attack). I used to teach ACLS back in my USAF days. That was 20 years ago and I have not maintained my ACLS certification so take this as such. I don't need much ACLS in a dental office since I do not sedate anymore.
 
SpikeDaddy, you are correct on spelling. Spellcheck did me in once again. As for nitro, if a patient already has a heart condition warranting a script for nitro, by all means administer two within 5 minutes. If not prescribed, keep in mind, nitro can cause a dangerous sudden drop in blood pressure and can create a whole list of other issues. Being able to maintain hemodynamic stability with IV fluids is hugely important for a patient if administering nitro. The half life of nitro is short but in can be dangerous.
 
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