Health & Wellness for Port Ludlow
Cardiovascular Disease & Heart Attacks
incl. Warning Signs, Protocols & Partnerships
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Cardiac Care
& Heart Attack


Health Emergencies

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Heart-Healthy Life
Heart-Attack Prevention

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Heart Attack
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Heart Centers
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American Heart
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Cardiac
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  • IN AN EMERGENCY: CALL 911!

  • FOR INFORMATION RELATED TO:
    1. THE LOCAL PROVISION OF MEDICAL EMERGENCY SERVICES (Port Ludlow Fire & Rescue) and
    2. WHAT IS A MEDICAL EMERGENCY?
Click Here: Port Ludlow Fire & Rescue

Heart-Healthy Life & Heart Attack Prevention


Cardiac: Heart Attack and Cardiac Arrest Warning Signs & Triage

  1. What Is a Heart Attack? [NIH: NHLBI]

  2. Heart Attack and Cardiac Arrest Warning Signs [Port Ludlow Fire Department EMS Page]

  3. Washington Dept of Health: Cardiac Triage & Protocols: Signs and symptoms: Chest discomfort (pressure, crushing pain, tightness, heaviness, cramping, burning, aching sensation), usually in the center of the chest lasting more than a few minutes, or that goes away and comes back. Epigastric (stomach) discomfort, such as unexplained indigestion, belching, or pain. Shortness of breath with or without chest discomfort. Radiating pain or discomfort in 1 or both arms, neck, jaws, shoulders, or back. Other symptoms may include sweating, nausea, vomiting. Women, diabetics, and geriatric patients might not have chest discomfort or pain. Instead they might have nausea/vomiting, back or jaw pain, fatigue/weakness, or generalized complaints.

  4. Call 911 [If possible, call by "landline"; if you need to call by cell-phone, make sure to identify the county you are in as well as your exact location; you can never be sure which cell tower will pick up your call]

  5. Aspirin for heart attack: Chew! Don't swallow. [Harvard Medical School] "...people who think they may be having an attack need an extra 325 mg of aspirin, and they need it as quickly as possible. For the best results, chew a single full-sized 325-mg tablet, but don’t use an enteric-coated tablet, which will act slowly even if chewed....]

  6. The patient should not be driven by spouse or friend.... call 911! Treatment can start already in the ambulance -- in communication with the hospital -- all of which saves time! The hospital CathLab can be alerted and prepared for patient's arrival -- possibly bypassing the emergency room.

  7. In case of cardiac arrest (and after calling 911 and trying to secure an AED) CPR should be applied. For adults and teens, push hard (hand-over-hand) and fast (about 100 beats per second) at the center of the chest. Call for help to be able to take turns with applying CPR. Continue CPR until paramedic not just arrives, but is ready to take over...
    Cardiac Arrest... [PLFR]
    Hands-only CPR (American Heart Association) | or here!

  8. Triage and Destination Procedures: Prehospital Cardiac Triage Destination Procedure - Triage Tool (PDF)
  9. Protocol Guidelines: Suspected Acute Coronary Syndrome (ACS) Prehospital Protocol Guidelines (PDF)
  10. CT Cardiac Exam: Medicare now covers cardiac CTA for the evalution of patients with acute chest pain present in an emergency room (or equivalent) when necessary to rapidly differentiate among reasonably probable aortic, pulmonary, and/or coronary etiologies....

  11. Heart Attacks in Women: Symptoms

  12. HeartRescue Project | 3 easy steps to save a life (& Resource Page)

  13. Videos for cardiac emergencies

Cardiac Treatment Centers

Cardiac Rehabilitation


  • Cardiac Rehabilitation

    • JeffersonHealthcare: Cardiac Rehabilitation

    • Cardiac Rehabilitation at Jefferson Healthcare [Voice, June 2012 (pdf); scroll to p.9] by Michael Graham, Guest Writer "On July 13, 2011, I found myself traveling to Harrison Medical Center for a triple coronary artery bypass grafting. The surgery was an unqualified success and I was able to return home after five days in the hospital. However, part of my discharge requirements was to enroll in a Cardiac Rehab program six weeks after my discharge. The thoracic surgeon spoke highly of Harrison’s cardiac rehab program and strongly recommended I attend. Fortunately, I was aware that Jefferson Healthcare had a similar program that is also highly rated and opted to travel to Port Townsend instead of crossing the bridge to Bremerton...."



  • State & Local Cardiac and Stroke (Emergency) Protocols & Partnerships:
  • Washington State Emergency Cardiac and Stroke (ECS) System A 2010 state law created an Emergency Cardiac and Stroke (ECS) System similar to the state's Trauma System. It's intended to save lives and reduce disability for heart attack, cardiac arrest, and stroke patients. Emergency medical services (EMS) take patients directly to hospitals that meet care requirements and choose to participate in the system.

  • Heart Disease & Stroke Prevention [http://www.doh.wa.gov/cfh/heart_stroke/default.htm]



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Last updated: Oct 2015 -- Contact: plhealth.org(at)gmail.com
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