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Treatment for Heart Attack

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Treatment for a Heart Attack

First aid
First aid treatment of cardiac arrest varies from country to country, but the general principles of the guidelines in all locales are to summon help (in the form of an ambulance) and then begin CPR.

Other prehospital care
In many situations in the UK and USA, lay people are trained in the use of an automated external defibrillator, which analyzes the heart rhythm and delivers a controlled electric shock to the heart if indicated.
 

Treatment for a Heart Attack

Jurisdictions are beginning to purchase automated CPR machines, such as AutoPulse, to assist first responders. Such machines are proving superior in cardiac arrest support over manual CPR, providing for greater circulation and, thus, lower rates of morbidity and mortality when used in a timely fashion. The ASPIRE Trial - a multicenter investigational trial of the AutoPulse - published its results and stated that the AutoPulse resulted in worse neurological outcome than manual compression CPR.

Hospital treatment

Treatment within a hospital usually follows advanced life support protocols. Depending on the diagnosis, various treatments are offered, ranging from defibrillation (for ventricular fibrillation or ventricular tachycardia) to surgery (for cardiac arrest which can be reversed by surgery - see causes of arrest, above) to medication (for asystole and PEA). All will include CPR.

Peri-arrest period

The period (either before or after) surrounding a cardiac arrest is known as the peri-arrest period. During this period the patient is in a highly unstable condition and must be constantly monitered in order to halt the progression or repeat of a full cardiac arrest. The preventative treatment used during the peri-arrest period depends on the causes of the impending arrest and the likelihood such an event occurring.

Sources: Wikipedia, FCIC, SEC and other public sources.

 

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