Emergency cardiac care involves recognizing and responding to cardiovascular emergencies through: 1) Early recognition of signs of heart attack and stroke and making monitoring equipment available. 2) Providing immediate on-site basic life support as needed. 3) Providing advanced cardiac life support on-site as quickly as possible to defibrillate and stabilize the victim before transporting them to the hospital. 4) Transporting the stabilized victim to the hospital for definitive cardiac care.

2. Emergency Cardiac Care includes all responses
necessary to deal with sudden and often life-
threatening events affecting the cardiovascular,
cerebrovascular, and pulmonary systems. It
specifically includes
1. Recognition of early warning signs of heart attack, and
stroke, efforts to prevent complications, reassurance of
the victim, and prompt availability of monitoring
equipment.
2. Provision of immediately BLS at the scene when needed
3. Provision of ACLS at the scene as quickly as possible to
defibrillate, if necessary and stabilize the victim before
transportation
4. Transfer of the stabilized victim to a hospital where
definitive cardiac care can be provided.

4. Successful resuscitation following cardiac arrest
requires an integrated set of coordinated actions
represented by the links in the Chain of Survival

5. The links include the following:
Immediate recognition of cardiac arrest and
activation of the emergency response system
Early CPR with an emphasis on chest
compressions
Rapid defibrillation
Effective advanced life support
integrated post– cardiac arrest care

6. Summary of Key BLS Components for
Adults, Children and Infants

9. Systemic approach
( BLS primary survey & ACLS secondary survey)

17. Effective resuscitation team
dynamics
Understanding team roles
helping in anticipate:
• what actions will be performed next
• how to communicate & work as a
member or leader of team

18. Role of team leader &
members
1. Team leader:
–Organizes the group
–Monitors team members performance
–Backs up team members
–Models excellent team behaviors
–Trains & coaches
–Facilitates understanding
–Focuses on comprehensive

19. 2. Team members: should be
skilled & authorized
clear about role assignments
Prepared to fulfill role
responsibilities
Well practiced in resuscitation
skills
Knowledgeable about the
algorithms
Committed to success

20. Elements of effective
resuscitation team dynamics
1. Closed loop communication
2. Clear messages
3. Clear roles & responsibilities
4. Knowing one’s limitations
5. Knowledge sharing
6. Constructive intervention
7. Reevaluation & summarizing
8. Mutual respect

21. Respiratory arrest
1. BLS primary survey:
 First step: scene safety, check response,
Activate EMS
 ABCD assessment:
 Assess & reassess the patient
 Ventilation & pulse check

22. 2. ACLS secondary survey

23. Management of respiratory
arrest
1. Giving supplementary oxygen
2. Opening the airway
3. Providing basic ventilation
4. Using basic airway adjuncts
5. Suctioning
6. advanced airways

25. 1. Giving supplementary oxygen

28. 2. Opening the airway

29. 3. Providing basic ventilation
• Mouth to mouth ventilation
• Mouth to nose ventilation
• Mouth to barrier device
• Bag mask ventilation

33. 4. Using basic airway
adjuncts
1. Oropharn
geal
Airway
2. Nasophar
yngeal
Airway
Step 1 Step 2 Step 3

37. 5. Suctioning a Patient’s
Airway
Step 1
Step 2
Step 3
Step 4

40. 6. advanced airways
ET tube
combitube
LMA