The heart failureThe heart failure

The death is not a fatalityThe death is not a fatality

VocabularyVocabulary SecouristeSecouriste RescuerRescuer SecourismeSecourisme First aidFirst aid Crise cardiaqueCrise cardiaque Heart attackHeart attack Arrêt cardiaqueArrêt cardiaque Arrest heartArrest heart Infarctus du myocardeInfarctus du myocarde Myocardial infarctionMyocardial infarction Réanimation cardiopulmonaire (RCP)Réanimation cardiopulmonaire (RCP) Cardio-pulmonary resuscitation (CPR)Cardio-pulmonary resuscitation (CPR) Le ranimateur (secouriste isolé)Le ranimateur (secouriste isolé) Bystander CPRBystander CPR SymptômeSymptôme SymptomSymptom DSA (défibrillateur semi-automatique)DSA (défibrillateur semi-automatique) Semi-automatique defibrillatorSemi-automatique defibrillator CelluleCellule CellCell NécroseNécrose NecroseNecrose SouffrirSouffrir to sufferto suffer DouleurDouleur painpain MâchoireMâchoire JawJaw PoitrinePoitrine ChestChest RespirationRespiration BreathingBreathing

Heart attackHeart attack

Generality : Generality : – Some figuresSome figures– Some statistiquesSome statistiques

Myocardial infarction Myocardial infarction – mechanisms mechanisms – symptomssymptoms

Technics of interventionTechnics of intervention conclusionconclusion

Some figuresSome figures

Some figures (1/2)Some figures (1/2)

70 000 to 100 000 unexpected deaths during a year,

50 % outside the hospital (residence),

80 % of cardiac origin.

Some figures (2/2)Some figures (2/2)survival without CPRsurvival without CPR

Mechanisms of occuredMechanisms of occured

Mechanism of occured Mechanism of occured (1/3)(1/3)

Normal heartNormal heart

Electric activity is normal Electric activity is normal

The heart beats normallyThe heart beats normally

Mechanism of occured Mechanism of occured (2/3)(2/3)

The cardiac muscle suffer !!!The cardiac muscle suffer !!!

Necrose area

desynchronization of the electric desynchronization of the electric activityactivity

the heart beats abnormallythe heart beats abnormally

Mechanism of occured Mechanism of occured (3/3)(3/3)

The cardiac muscle is deadThe cardiac muscle is deadThe heart stops beatingThe heart stops beating

SymptomsSymptoms

Symptoms (1/2)Symptoms (1/2)

Physicals symptoms : Physicals symptoms : – Chest pain (feeling of compression)Chest pain (feeling of compression)– Left arm pain(sometimes in the right)Left arm pain(sometimes in the right)– Jaw paint (sometimes)Jaw paint (sometimes)– Abdomen pain (sometimes)Abdomen pain (sometimes)

Symptoms (1/2)Symptoms (1/2)

Others symptoms : Others symptoms : – Cardiac activity (high and irregular)Cardiac activity (high and irregular)– Breathing activity (high and difficult)Breathing activity (high and difficult)– Sweat, paleness, arterial Sweat, paleness, arterial

pression(down)pression(down)

The evolution must to be overseeThe evolution must to be oversee

Pulse and breath could disappearedPulse and breath could disappeared

Technics of interventionTechnics of intervention(how and why)(how and why)

Technics of intervention Technics of intervention (1/6)(1/6)

position sitted half

ONLY if breathing difficulties

reclining position

Technics of intervention Technics of intervention (2/6)(2/6)

external cardiac massage

Technics of intervention Technics of intervention (3/6)(3/6)

Semi-automatique Semi-automatique defibrillatordefibrillator

Technics of intervention Technics of intervention (5/6)(5/6)

The two methods are The two methods are complementary complementary

The DSA can’t be use when the The DSA can’t be use when the heart no beats (it’s unitile), only heart no beats (it’s unitile), only when he beat abnormally when he beat abnormally (Ventricular Fibrillation)(Ventricular Fibrillation)

Technics of intervention Technics of intervention (6/6)(6/6)

Technics of intervention Technics of intervention (5/5)(5/5)

Technics of intervention Technics of intervention (5/..)(5/..)

1 lost minute 1 lost minute

= = 10 % of survival in less10 % of survival in less

ConclusionConclusion

ConclusionConclusion

It’s important to do something very It’s important to do something very quickly quickly

This technics must be learned This technics must be learned before practisebefore practise

You must to learn first aid technics You must to learn first aid technics (AFPS). It’s for everybody and so (AFPS). It’s for everybody and so indispensableindispensable

Question ?Question ?