2. • The Nation No 1 Killer of the Adult Population
in the United States (600,000 yearly).
• The Plan here is to reduce this number in half
(300,000 yearly). Plan is in effect and working!
BACKGROUND
3. PLAN AND REASONING
• The Strategy is to develop ER Chest Pain
Centers in Hospitals along with Early Heart
Attack Care
• Why Chest Pain Centers in Hospital ERs?
What is Early Heart Attack Care (EHAC)?
4. WHAT YOU NEED TO
KNOW ?
• There are over 1000 accredited Chest Pain
Centers in USA
• And more than 650,000 EHAC Caregivers
ready to carry out Early Heart Attack Care.
5. ACCREDITED CHEST PAIN CENTERS ARE NEEDED TO
PROVIDE QUALITY HEART ATTACK CARE; HOW SO?
6.
7.
8.
9. DISCOVERY THAT HEART ATTACKS HAVE
BEGINNINGS THAT CAN BE FOUND AND STOPPED
(INTERCEPTED)
• Beginnings in more than 50% of the cases, but present
problems not readily apparent.
• Patient does not look sick, will sit down and hope
symptoms will go away,denial
• Bystander becomes more of an Enabler than a Caregiver
• The EHAC Course is designed to overcome this denial
and ends in taking an Oath.
10. EHAC ADDED AS FIFTH LINK IN THE CHAIN OF
SURVIVAL AND PUBLISHED IN JEMS IN 1998
11. STRATEGY OF EHAC CAREGIVER SIMILAR
TO BYSTANDER INVOLVEMENT IN CARDIAC
ARREST CASES
• Survival of cardiac arrest and Heart Attack
Saves goes up with more participation
12.
13. • EHAC being spread by accrediting more Chest
Pain Centers as all the employees must take
• EHAC being added to HeartSafe Communities
and HeartSafe College Campuses
SPREADING OF EHAC
14.
15. THE STRATEGY IS TO REACH ONE MILLION
EHAC CAREGIVERS AND HAVE THE
MESSAGE GO VIRAL,THAT …
“ HEART ATTACKS HAVE BEGINNINGS” THAT IF
IDENTIFIED AND ACTED UPON WILL SAVE COUNTLESS LIVES.
16.
17. PLEDGE:
I understand that heart attacks have beginnings that may
include chest discomfort, shortness of breath and/ or arm
pain, and weakness.
These may occur hours or weeks before the actual heart
attack. I solemnly swear that if it happens to me or
anyone I know, I will call 9-1-1 or activate our Emergency
Medical Services.
18.
19. EHAC ON GROUNDS:
WHY OR WHY NOT?
UNIVERSITY OF VIRGINIA
DEPARTMENT OF EMERGENCY MEDICINE
Dr. David Burt and Alexa Van Besien
22. QUESTIONS FOR YOU:
How many of you have had a heart attack?
Family members or friends?
Signs and symptoms before hand that just did not
listen to?
23. ADD ONE MORE TO THE LIST:
Tests
Homework
Clubs
Job
Internships
Social Life
Save the world
movements
24. COULD BE EHAC!
EHAC
Bill and Melinda
Gates Foundation
Make a Wish
Foundation
Red Cross
Salvation
Army
St. Jude’s
Feeding America
Susan G. Komen
25. WHY DOES THIS MATTER
AT YOUR SCHOOL?
• Administrators, professors, at most vulnerable
age
• Student athletes
• High volume events: sporting events,
concerts, parties
• Family members who come to visit
• World at large
26. EHAC ALONE? TOUGH SELL
HOW TO KEEP IT GREAT
• CPR courses and other health programs
• Greek functions
• Club organization meetings or events
• EMS training
• Independent tents at football games or other
sporting events
• Farmer’s Markets
• Etc.
27. UVA 2017 COMBO PACKET:
EHAC & HEARTSAFE
• Inter-greek competition
• Sporting events
• Training “student teachers”
• Squad model
• Athlete and a capella practices
• Community events
28. HOW DO I BRING THIS HOME?
• Multitude of Online resources
• Early Heart Attack Care App
• EHAC Course – via download
• Social Media
• Websites
• Can make unique to your community
• But universal goals of EHAC
29. BENEFITS OF BEING A HEART HERO
• Educate
• Local businesses, schools, health care
organizations, religious groups
• Incentivize
• T-shirts, pins, local discounts
• Raffles
• Build the community
30. EHAC AND CHEST PAIN CENTERS:
EVIDENCE OF OUTREACH
• Chest Pain Center near your university
• Help with accreditation
31. STATISTICS: ON OUR
SIDE
• Going into healthcare?
• Unfortunate truth
• Be on the right side: be prepared
32. PLEDGE:
I understand that heart attacks have beginnings that may
include chest discomfort, shortness of breath and/ or arm
pain, and weakness.
These may occur hours or weeks before the actual heart
attack. I solemnly swear that if it happens to me or
anyone I know, I will call 9-1-1 or activate our Emergency
Medical Services.
Editor's Notes
One of our collaborators at UVA over winter break was speaking to her mom who said she had pressure and fluttering in chest, but didn’t think that matterws because thought no pain in left arm; but symptoms different for women and men differ slightly; for women chest discomfort is more common; mom of 6 kids, super active and engaged;
Went to ED; had EKG which ended up being abnormal EKG; first stress test inconclusive so they kept ger for another; ended without heart attack but still kept her for two overnights– this is a great example of where is one that us just beginning and EHAC provides a clear positive impact.
Simple stuff: people die every day because symptoms like chest pressure, discomfort, nausea etc without responding to their discomfort. One way we can make a difference when we meet people with these symptoms Is by getting them to take steps;
The mom was super resistant but the EHAC program teaches ways to ways to overcome denial and resistance to medical attention:
Gloria: 28 and she is an active school teacher, served in army, and one day she was having fluttering in chest, just like Mary Kate’s mom; went to see doctor and they discounted her. Went home but for 2 days it persitsted and kept getting worse;
Finally paid attention;
abnormal stress test
Catheterization
then coronary artery bypass at age 30: alive because in the end they finally listened to her;
suffers massive scar and medical journey
Other extreme where early heart attack care might baac been able to save her
Safe to say that cardiac healthcare affects all of us.
As college students and as many of you are EMS providers, we work hard to always be prepared whether its classes, tests, presentation, clubs, internships and then jobs.
This isn’t just checking of a box and more than preparing for future ahead, this actually saves lives.
We know a lot of people are involved in these “saving the world” organizations! EHAC is a quick and easy way to teach something locally--> that can impact the world and you wherever you are in the world
Value in EHAC before severe damage. A few small things that could save not only the people in your direct community but truly the world at large
Risk factors on college campuses are high: Stress, Binge drinking, smoking, lack of exercise;
Important but still a tough sell; may be considered boring topic?
Realize not that exciting: how we counter?
Why tough sell– may be harder to engage people that aren’t in this room; so can both spice it up and tag to other
Adding EHAC to existing initatives or meetings;
Medically related like we’re doing at UVA
3-5 minutes max;
Trained to give dynamically
Pledge pin;
Sales part? Making it pretty– quality selling
Why UVA why EHAC–
Super busy and overscheduled; vivacious and fast moving community;
Heart attack symptoms can be boring; not super exciting until think of it
UVA vibrant community and surrounding Charlottesville. Almost 16,000 undergrads and 6500 graduate students
Challenges of getting overscheduled college students to listen; want to attach it to concept of cycle of citizen CPR and defribillator skills. to learn about ehac tagging it on to something
What is Project Heartsafe: HEARTSafe is a public health initiative intended to help more people survive after sudden out-of-hospital cardiac arrest. Educate people on CPR and how to use defribrillator; “cardiac chain of survival” ; This is in response to sudden cardiac arrest. Wonderful paradox: more people understanding EHAC, should be lower numbers of cardiac arrest and thus “less business” for Heart Safe
Reactive is EMS; but trying to be proactive
Dr. Burt, my collaborator Mary Kate and I called David Hiltz a year ago to have a conversation on Heart Safe and then Dr. Bahr about how to incorporate them and bring to our community.
The resources are available, it’s up to you to to spread the word– like pay it forward; you teach 5 people, they teach 5 etc.
A lot you sitting here don’t need the material gain, but in order to really bring this to the larger community level, some beneficial and fun ways to get people and your local businesses aware and involved are to incentivize through small rewards
Make them feel like theyre on the inside; in group via
T-shirts, gel bracelets, etc, discounts at local establishments
At UVA, Dr. Burt is the Director of the Chest Pain Center.
EHAC mat also help with Chest Pain Center accreditation – idea is that by deputizing large number of the community it is supporting the CPC if documented; if already accredited, could help them with re-accredidation linked.
Synergy with chest pain center; UVA is accredited; what we do as college EHAC counted towards re-accredidation