Medicore Medical Services Blog

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ECG Quiz 7

50 Year Old Female: Chest Discomfort

You are called to a examine woman who has been complaining of chest discomfort. He husband informs you that she has been having this chest pain for over an hour.

You start to examine the woman and notice that she is diaphoretic:

  • Onset: 1 Hour ago
  • Provocation/Palliation: nothing makes it better or worse
  • Quality: "pressure"
  • Radiation: none
  • Severity: "it isn't that bad"
  • Timing: constant
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Heart Attack Symptoms in Women

Heart Attack Symptoms in Women

We've all seen the movie scenes where a man gasps, clutches his chest and falls to the ground. In reality, a heart attack victim could easily be a woman, and the scene may not be that dramatic.

"Although men and women can experience chest pressure that feels like an elephant sitting across the chest, women can experience a heart attack without chest pressure, " said Nieca Goldberg, M.D., medical director for the Joan H. Tisch Center for Women's Health at NYU's Langone Medical Center and an American Heart Association volunteer. "Instead they may experience shortness of breath, pressure or pain in the lower chest or upper abdomen, dizziness, lightheadedness or fainting, upper back pressure or extreme fatigue."

Even when the signs are subtle, the consequences can be deadly, especially if the victim doesn't get help right away.

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Hands Only CPR

Hands Only CPR

All victims of cardiac arrest should receive, at a minimum, high-quality chest compressions (ie, chest compressions of adequate rate and depth with minimal interruptions). To support that goal and save more lives, the AHA ECC Committee recommends the following. When an adult suddenly collapses, trained or untrained bystanders should—at a minimum—activate their community emergency medical response system (eg, call 999 or 112) and provide high-quality chest compressions by pushing hard and fast in the center of the chest, minimizing interruptions (Class I).

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Pre-Hospital Assessment of Stroke


Pre-Hospital Assessment of Stroke A lot of time and effort has gone into educating the public over the last number of years in relation to cerebrovascular accident's (CVA's) or strokes, as they are more commonly known. From inclusion of a stroke module in the Pre-Hospital Emergency Care Council Cardiac First Response Programme and consequently the FETAC occupational first aid course. To the Irish Heart Foundation National Stroke Week [www.stroke.ie] (16th - 20th April 2012) which includes public awareness campaigns, tv and radio information,  to direct marketing of stroke awareness material to GP surgeries and primary health centres. As a result of a lot of hard work by lots of different organisations, people are becoming more aware of the sign and symptoms of stroke.  Here are some facts in relation to stroke in Ireland: Around 10,000 people will have a stroke in Ireland this year. Over 2,000 will die and thousands more will...
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Precordial Thump

thump
According to the 2010 American Heart Association guidelines: T he precordial thump should not be used for unwitnessed out-of-hospital cardiac arrest (Class III, LOE C). The precordial thump may be considered for patients with witnessed, monitored, unstable ventricular tachycardia including pulseless VT if a defibrillator is not immediately ready for use (Class IIb, LOE C), but it should not delay CPR and shock delivery. There is insufficient evidence to recommend for or against the use of the precordial thump for witnessed onset of asystole. !   Given that the American Heart Association give no direction, is this something you would consider before the arrival of an AED?
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