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.
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]
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....]
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.
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!
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....
What causes a Heart Attack [NIH: National Heart, Lung and Blood Institut]
A heart attack happens if the flow of oxygen-rich blood to a section of heart muscle suddenly becomes blocked. Most heart attacks occur as a result of coronary heart disease (CHD).
Hope Heart Institute
Lester R. Sauvage, MD founded the Reconstructive Cardiovascular Research Laboratory as a branch of Providence Seattle Medical Center (renamed The Bob Hope International Heart Research Institute in 1980, and later the Hope Heart Institute in 1988). The world's first successful experimental Coronary Artery Bypass Graft (CABG) operation using the patient's own vein as a bypass graft was accomplished in 1963.
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:
Emergency Cardiac & Stroke System [Washington State (DOH) 2011]
"A new state law creates an emergency cardiac and stroke 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) will take patients directly to hospitals that meet care requirements and choose to participate in
Northwest Region Hospitals (Kitsap and Olympic Penninsula):
Emergency Cardiac and Stroke System Categorization Status
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.
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