The Golden Hour Rvsd 1

surendra nehru hospitalsurendra nehru hospitalIinrcIinrcgdkgdk

Indian Institute of Indian Institute of Rural Cardiac CareRural Cardiac Caresurendra nehru hospital, gdksurendra nehru hospital, gdk

Lecture on first Lecture on first one hour”golden one hour”golden hour” of heart hour” of heart attackattack

Simple formula Simple formula to prevent heart to prevent heart attackattack

Role of people Role of people participationparticipation

surendra nehru hospitalsurendra nehru hospital

The golden hour The golden hour

Can we all join hands?Can we all join hands?


What is the Golden hour?What is the Golden hour? 11stst one hour of heart one hour of heart

attack is the most attack is the most crucial hourcrucial hour

Because death and Because death and morbidity are high morbidity are high during this 1 hourduring this 1 hour

If treated – the cure If treated – the cure rate is highest at rate is highest at this timethis time


How to diagnose heart attack?How to diagnose heart attack?

Sweating Sweating profuselyprofusely

Cold,clammy Cold,clammy skinskin

Vomiting feelingVomiting feeling Faintness,giddinFaintness,giddin

essess palpitationpalpitation


‘‘Rule of thumb’ in identifying a Rule of thumb’ in identifying a Heart attackHeart attack

When it disturbs When it disturbs your sleepyour sleep

When you feel When you feel like passing like passing stoolstool

When you feel When you feel breathlessbreathless

When pain does When pain does not subsidenot subside


What to do during heart What to do during heart attack?attack?

Time=muscle of Time=muscle of heart-don’t heart-don’t waste timewaste time

Time=life Time=life saving,the early saving,the early one reports to one reports to hospital the hospital the more the more the survivalsurvival


A FEW IMPORTANT THINGSA FEW IMPORTANT THINGS

SIT QUIETLYSIT QUIETLY STAY STAY

CONNECTEDCONNECTED???? STOP YOUR STOP YOUR

WORKWORK STOP WORRYINGSTOP WORRYING DON’T DON’T

EXPERIMENTEXPERIMENT DON’T DENYDON’T DENY


5 common mistakes 5 common mistakes

Few common Few common mistakes mistakes identifiedidentified

Common sense Common sense is impis imp

Needs a Needs a disciplined disciplined approachapproach


The penny wiseThe penny wise

Compromising Compromising too much for too much for moneymoney

Trading life for Trading life for moneymoney

Losing both Losing both finallyfinally


The ‘I-know-all’ guyThe ‘I-know-all’ guy

Too confidentToo confident Too erraticToo erratic Heart attack Heart attack

doesn’t occur to doesn’t occur to meme


The chicken headed guyThe chicken headed guy

Too frightenedToo frightened Too anxiousToo anxious Too confusedToo confused DirectionlessDirectionless


The lazy guyThe lazy guy

Doesn’t react in Doesn’t react in timetime

Doesn’t express Doesn’t express painpain

Doesn’t utilise Doesn’t utilise the resourcesthe resources

Doesn’t botherDoesn’t bother


The referral guyThe referral guy

Refers to Refers to something in the something in the pastpast

Refers to all Refers to all negative things in negative things in the pastthe past

Refers to Refers to Hyderabad doctorsHyderabad doctors

The ever-doubtfulThe ever-doubtful


Critical hours – Critical hours – Critical decisionsCritical decisions

Managing Heart Managing Heart Attack - The Attack - The Indian wayIndian way


The Trimurthi philosophy in The Trimurthi philosophy in preventing heart attackspreventing heart attacks The way life The way life

is to be lived is to be lived - in full - in full effecteffect

The The complete complete manman


The Brahma (learning) stageThe Brahma (learning) stage

The learning The learning phase of your life – phase of your life – from childhood to from childhood to early adulthood – early adulthood – up to 25 years up to 25 years

Learn the subject Learn the subject of your interest of your interest with full dedication, with full dedication, honesty & hard honesty & hard work.work.


The Vishnu (earning) stageThe Vishnu (earning) stage

The The mayamaya phase of phase of life – from 25 to life – from 25 to 40.40.

Earn, enjoy, eatEarn, enjoy, eat Attach to all the Attach to all the

materialistic things materialistic things in lifein life

Lead a married Lead a married life, raise childrenlife, raise children

Money=mayaMoney=maya


The Shiva (detachment) stageThe Shiva (detachment) stage

The detachment The detachment phase – begins phase – begins at 40.at 40.

Eat lessEat less Walk moreWalk more Free your mind, Free your mind,

body & soul from body & soul from materialistic materialistic valuesvalues


Western guidelines ~ Western guidelines ~ Indian interpretationIndian interpretation

This is the Shiva stage

Change from type A to type B personality

Dance is the best exercise

Exercise regularly

Lord Shiva is detached

Reduce stress

Lord Shiva is a walkerWalk more

Lord Shiva drinks water, takes fruits

Eat less, control cholesterol


The The slow?slow? era- “S”-ERA era- “S”-ERA

S-FOR S-FOR STATESTATE????

S-supply chain S-supply chain problemsproblems

S-for shortageS-for shortage Short of cashShort of cash Short supplyShort supply Short of Short of

distributiondistribution


The CAPITALIST-3 “C”The CAPITALIST-3 “C”

C-too much C-too much consumption (dil consumption (dil maange ‘more’)maange ‘more’)

C-too much confusionC-too much confusion C-too much for too C-too much for too

few peoplefew people C-too much C-too much

cholesterol (rich food!)cholesterol (rich food!) C-constant stressC-constant stress


The 3 “R”s - if u run forThe 3 “R”s - if u run for

RUM (RUM (pic?pic?)) RUPIYARUPIYA RAMBHARAMBHA


YOU GET THREE “C”YOU GET THREE “C”

C-cash C-cash shortageshortage

Court problemsCourt problems C-cardio C-cardio

vascular vascular problemsproblems


Brain training-T.E.M-the Brain training-T.E.M-the answeranswer

B-budget your B-budget your timetime

B-budget your B-budget your energyenergy

B-budget your B-budget your material (money)material (money)

B-be positiveB-be positive

The Golden Hour Rvsd 1

Health & Medicine

Transcript of The Golden Hour Rvsd 1