SUDDEN CARDIAC ARREST Dr. Mansoor Khan MBBS, FCPS I, Resident, Surgical “C”, KTH Peshawar. Nov 2 nd , 2008
“ Electrical system of the  heart either stops or  contracts irregularly,  causing the heart to  pump ineffectively  ”
Ninety-five percent of people who  have SCA die from it — most within minutes.
Arrhythmias (ventricular tachycardia, ventricular fibrillation) Coronary artery disease Severe physical stress  Inherited ...
 
Coronary artery disease (CAD) Arrhythmias, Heart failure, Drug abuse or excessive  alcohol intake, Smoking
CAD causing ventricular fibrillation
Sudden Fainting leading to unconsciousness Pulselesness on examinationt, sometimes racing heartbeat, dizziness or light-he...
EKG (Electrocardiogram),  Echocardiography Angiography
Normal EKG
There is electrical activity so it isn't a flat line  BUT NO RECOGNIZABLE PATTERN , NO p-wave,  no QRS complex
Treatment  Emergency   Preventive
Emergency Treatment SCA is a cardiac emergency, Without immediate treatment  patient dies within minutes
Emergency Treatment Survival  is not  cardiologist dependent
Emergency Treatment Survival depends on  location, location, location
Emergency Treatment Depends on  CPR  and early  defibrillation
Emergency Treatment Mass training  of layman  in  CPR Provision of  Automated external defibrillators (AEDs)  in public pl...
Cardio-Pulmonary  Resuscitation   (CPR)
Cardio-Pulmonary Resuscitation   (CPR)
How to use  Automated external defibrillators   AED……
How to use  Automated external defibrillators   AED……
Combination of  CPR & AED use
Combination of CPR & AED use
Preventive Treatment
Admit the patient Sort out the cause of SCA (CAD, CCF etc) Treat the cause Implantable cardioverter defibrillator (ICD)
Implantable cardioverter defibrillator (ICD)
 
Absolutely no pulse, no BP, no breathing
THANKS
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Cardiac Arest

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Cardiac Arest

  1. 1. SUDDEN CARDIAC ARREST Dr. Mansoor Khan MBBS, FCPS I, Resident, Surgical “C”, KTH Peshawar. Nov 2 nd , 2008
  2. 2. “ Electrical system of the heart either stops or contracts irregularly, causing the heart to pump ineffectively ”
  3. 3. Ninety-five percent of people who have SCA die from it — most within minutes.
  4. 4. Arrhythmias (ventricular tachycardia, ventricular fibrillation) Coronary artery disease Severe physical stress Inherited disorders that disrupt the heart's electrical activity (LQTS) Structural changes in the heart (CCF)
  5. 6. Coronary artery disease (CAD) Arrhythmias, Heart failure, Drug abuse or excessive alcohol intake, Smoking
  6. 7. CAD causing ventricular fibrillation
  7. 8. Sudden Fainting leading to unconsciousness Pulselesness on examinationt, sometimes racing heartbeat, dizziness or light-headedness just before fainting, shortness of breath, nausea or vomiting
  8. 9. EKG (Electrocardiogram), Echocardiography Angiography
  9. 10. Normal EKG
  10. 11. There is electrical activity so it isn't a flat line BUT NO RECOGNIZABLE PATTERN , NO p-wave, no QRS complex
  11. 12. Treatment Emergency Preventive
  12. 13. Emergency Treatment SCA is a cardiac emergency, Without immediate treatment patient dies within minutes
  13. 14. Emergency Treatment Survival is not cardiologist dependent
  14. 15. Emergency Treatment Survival depends on location, location, location
  15. 16. Emergency Treatment Depends on CPR and early defibrillation
  16. 17. Emergency Treatment Mass training of layman in CPR Provision of Automated external defibrillators (AEDs) in public places
  17. 18. Cardio-Pulmonary Resuscitation (CPR)
  18. 19. Cardio-Pulmonary Resuscitation (CPR)
  19. 20. How to use Automated external defibrillators AED……
  20. 21. How to use Automated external defibrillators AED……
  21. 22. Combination of CPR & AED use
  22. 23. Combination of CPR & AED use
  23. 24. Preventive Treatment
  24. 25. Admit the patient Sort out the cause of SCA (CAD, CCF etc) Treat the cause Implantable cardioverter defibrillator (ICD)
  25. 26. Implantable cardioverter defibrillator (ICD)
  26. 28. Absolutely no pulse, no BP, no breathing
  27. 29. THANKS
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