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What Does CPR Stand For?</span><br> <br clear="ALL"> Cardio = HEART<br> Pulmonary = LUNGS<br> Resuscitate = REVIVE<br> Cardio-Pulmonary Resuscitation = Reviving the Heart and Lungs<br> <br> <table width="594" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="20" rowspan="5">&nbsp;</td> <td align="left"><table width="585" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="118" align="left" valign="top"><table width="87" border="0" cellspacing="0" cellpadding="1"> <tr> <td width="85" bgcolor="#A7A7A7"><img src="images/h.jpg" width="85" height="109" border="0"></td> </tr> </table></td> <td width="467" class="subtitle"><table width="467" border="0" cellspacing="0" cellpadding="1"> <tr> <td width="465" class="subsubtitle">Cardio = HEART</td> </tr> <tr> <td class="style1">Your heart is a big, strong muscle that expands and contracts more than 60 times a minute without you even thinking about it. It is automatically driven by electrical impulses and runs 24 hours a day, 7 days a week, with no vacation time. That's around 33 million beats a year! Your heart has a simple, but important job. It pumps oxygen-rich blood from the lungs out to the rest of your body. If your heart stops pumping, oxygen does not reach vital organs and they stop working. That's when you get in trouble.</td> </tr> </table> </td> </tr> </table></td> </tr> <tr> <td>&nbsp;</td> </tr> <tr> <td valign="top"><table width="589" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="118" valign="top"><table width="64" border="0" cellspacing="0" cellpadding="1"> <tr> <td width="62" bgcolor="#A7A7A7"><img src="images/h2.jpg" width="85" height="109" border="0"></td> </tr> </table></td> <td width="471" align="right" valign="top" class="subtitle"><table width="471" border="0" cellspacing="0" cellpadding="1"> <tr> <td width="532" class="subsubtitle">Pulmonary = LUNGS</td> </tr> <tr> <td class="style1">You breathe about 15 to 25 times each minute and every breath you take brings oxygen into your lungs and gets rid of carbon dioxide. Your lungs function automatically just like your heart - you don't have to think about breathing, it just happens. <br> <br> Oxygen is important to your body because it gets combined with sugar to burn as fuel. There is very little oxygen stored in your body's tissues so it needs to be replenished often. (There is a big supply of sugar so you can go a long time without eating.) <br> <br> If your body stops bringing air with oxygen in it into your lungs or your heart stops circulating the oxygen-rich blood to your organs, then bad things start to have real fast. When the oxygen runs out, the body only has a few minutes in an anaerobic state before cells start to die and brain damage results. <br> <br> Typically, cells last 4 to 6 minutes before they begin to die and, after 10 minutes, the body is unrevivable. <br> <br> Some things that might prevent oxygen from reaching the cells of your body:<br> <br> <table width="469" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="19" rowspan="6">&nbsp;</td> <td width="18" valign="top" class="style1">&bull;</td> <td width="432" class="style1"><strong>Choking</strong><br> - something blocks the path for air to reach the lungs. &bull; Poisoning - some other gas takes the place of oxygen, such as carbon monoxide.</td> </tr> <tr> <td valign="top" class="style1">&bull;</td> <td class="style1"> <strong>Drowning or suffocation</strong><br> - there is no air available to breathe in.</td> </tr> <tr> <td valign="top" class="style1">&bull;</td> <td class="style1"><strong>Electric shock</strong><br> - an electric impulse disrupts the normal heart pattern and causes it to stop.</td> </tr> <tr> <td valign="top" class="style1">&bull;</td> <td class="style1"><strong>Heart attack</strong><br> - the heart stops beating. Oxygen is available in the blood in the lungs, but the heart is not moving it around.</td> </tr> <tr> <td valign="top" class="style1">&bull;</td> <td class="style1"><strong>Ventricular Fibrillation (VF)</strong><br> - the heart gets out of synch and quivers instead of pumps, causing cardiac arrest. This is the most common cause of sudden cardiac arrest and is what Automated External Defibrillators (AEDs) are for.</td> </tr> </table> </td> </tr> </table> </td> </tr> </table></td> </tr> <tr> <td>&nbsp;</td> </tr> </table> <span class="subsubtitle">CardioPulmonary Resuscitation (CPR)</span><br></td> </tr> <tr> <td class="style1">is a combination of simulating the breathing of the lungs and the pumping of the heart. You should know that CPR is effective less than 30% of the time. Does that mean it is futile? No way! The types of victims you will probably run into will most likely be on the high end of the probability scale. Recovery rates for people already in the hospital are about half that and less than 5% for elderly people with other medical problems. So, even though there's a good chance your efforts will fail, that person has a 0% chance if you do nothing. Let's talk about what CPR is and how it works. <br> <br> CPR is made up of two parts: Rescue Breathing and Chest Compresssions </td> </tr> <tr> <td class="style1">&nbsp;</td> </tr> <tr> <td class="subsubtitle">Rescue Breathing</td> </tr> <tr> <td class="style1">You exhale air from your lungs into the victim's lungs so they can absorb oxygen. This assumes that there is adequate oxygen in your exhaled air.<br> <br> Air contains approximately 20% oxygen at sea level, 16% at 5000 feet elevation, and 13% at 10000 feet. When we breathe in air, our lungs absorb about 25% of whatever is available. So, at sea level, we exhale air with about 15% oxygen which is more than exists at 5000 feet and is adequate. When you breathe into a victim's mouth and have their nose closed, the air is forced into their lungs and you can see the chest rise. You have successfully gotten some amount of oxygen into the system.</td> </tr> <tr> <td class="style1">&nbsp;</td> </tr> <tr> <td class="subsubtitle">Chest Compressions</td> </tr> <tr> <td class="style1">You manually compress the heart by pressing down on the chest. When you let up on the chest, the heart expands. The hope is that by compressing and expanding the heart, the blood flows through it as designed. Unfortunately, you don't have an easy way to tell if blood is flowing. You can't feel for a pulse or see results. You just need to believe in your efforts. </td> </tr> <tr> <td class="style1">&nbsp;</td> </tr> <tr> <td class="subsubtitle">CPR Effectiveness</td> </tr> <tr> <td class="style1">When properly performed, CPR simulates from 20 to 40% of normal circulation. That is not enough to sustain life indefinitely, but will be sufficient to put off the start of cell death in the hope that revival tools arrive soon. You should not expect CPR to restart a heart and have the victim pop back to life like is shown on TV. Your job is to keep oxygenated blood flowing until life support services arrive. <br> <br> In communities with a thorough CPR training program and fast access to ACLS through an efficient Emergency Medical Services program, CPR can be effective up to half the time. Other places where CPR training is not promoted or where little ACLS support is available, the results are much less. Remember, your goal of administering CPR is to buy a little time for an emergency rescue team to arrive and revive. <br> <br> So, what does CPR stand for? <br> It stands for saving a life.</td> </tr> <tr> <td class="style1">&nbsp;</td> </tr> <tr> <td class="subtitle">2. Self CPR</td> </tr> <tr> <td class="style1"><span class="subsubtitle">Cough CPR </span><br> The American Heart Association does not endorse "cough CPR," a coughing procedure widely publicized on the Internet. As noted in the 2005 American Heart Association <em>Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care</em>, the American Heart Association DOES NOT TEACH THIS AS PART OF THE CORE CURRICULUM IN ANY COURSE.<br> <br> During a sudden arrhythmia (abnormal heart rhythm), it <strong>may</strong> be possible for a conscious, responsive person to cough forcefully and maintain enough blood flow to the brain to remain conscious <strong>for a few seconds</strong> until the arrhythmia disappears or is treated. Blood flow is maintained by increased pressure in the chest that occurs during forceful coughs. This has been mislabeled "cough CPR," although it's not a form of traditional resuscitation. <br> <br> <span class="subsubtitle">Why isn't "cough CPR" appropriate in CPR training courses? </span><br> "Cough CPR" should <strong>not</strong> be routinely taught in lay-rescuer CPR courses, because it would complicate teaching traditional CPR. It would add information that's not generally useful in the prehospital setting. In virtually all lay-rescuer CPR courses, the finding that signals an emergency is the victim's <strong>unresponsiveness</strong>. This signals the rescuer to begin the "A, B, C's" of CPR. Unresponsive victims will <strong>not</strong> be able to perform "cough CPR." <br> <br> <span class="subsubtitle">Are there situations when "cough CPR" is appropriate? </span><br> This coughing technique to maintain blood flow during brief arrhythmias has been useful in the hospital, particularly during cardiac catheterization. In such cases the patient's ECG is monitored continuously, and a physician is present.During cardiac catheterization, patients may develop sudden arrhythmias. If a life-threatening arrhythmia is detected within the first 10 to 15 seconds and before the patient loses consciousness, a physician or nurse may tell the patient to cough. Repeated, forceful coughing can help the person stay conscious until the arrhythmia disappears or is treated. <br> <br> Therefore, the usefulness of "cough CPR" is generally limited to monitored patients with a witnessed arrest in the hospital setting. <br></td> </tr> <tr> <td class="style1">&nbsp;</td> </tr> <tr> <td class="subtitle">3. Heart Attack Warning Signs</td> </tr> <tr> <td class="style1">Some heart attacks are sudden and intense  the "movie heart attack," where no one doubts what's happening. But most heart attacks start slowly, with mild pain or discomfort. Often people affected aren't sure what's wrong and wait too long before getting help. Here are signs that can mean a heart attack is happening: <br> <br> <table width="589" border="0" cellspacing="0" cellpadding="1"> <tr> <td width="18" rowspan="5">&nbsp;</td> <td width="18" valign="top" class="style1">&bull;</td> <td width="570" class="style1"><strong>Chest discomfort.</strong> Most heart attacks involve discomfort in the center of the chest that lasts more than a few minutes, or that goes away and comes back. It can feel like uncomfortable pressure, squeezing, fullness or pain.</td> </tr> <tr> <td valign="top" class="style1">&bull;</td> <td class="style1"><strong>Discomfort in other areas of the upper body.</strong> Symptoms can include pain or discomfort in one or both arms, the back, neck, jaw or stomach</td> </tr> <tr> <td valign="top" class="style1">&bull;</td> <td class="style1"><strong>Shortness of breath</strong> with or without chest discomfort.</td> </tr> <tr> <td valign="top" class="style1">&bull;</td> <td class="style1"><strong>Other signs</strong> may include breaking out in a cold sweat, nausea or lightheadedness</td> </tr> </table></td> </tr> <tr> <td class="style1">&nbsp;</td> </tr> <tr> <td class="style1"><em>As with men, women's most common heart attack symptom is chest pain or discomfort. But women are somewhat more likely than men to experience some of the other common symptoms, particularly shortness of breath, nausea/vomiting, and back or jaw pain.</em></td> </tr> <tr> <td class="style1">&nbsp;</td> </tr> <tr> <td class="style1">Learn the signs, but remember this: Even if you're not sure it's a heart attack, have it checked out (tell a doctor about your symptoms). <br> <br> Minutes matter! Fast action can save lives  maybe your own. Don t wait more than five minutes to call 9-9-5 or your emergency response number. Calling 9-9-5 is almost always the fastest way to get lifesaving treatment. <br> <br> Paramedics from the SCDF can begin treatment when they arrive  up to an hour sooner than if someone gets to the hospital by car. Paramedics are also trained to revive someone whose heart has stopped. Patients with chest pain who arrive by ambulance usually receive faster treatment at the hospital, too. It is best to call SCDF for rapid transport to the emergency room.</td> </tr> <tr> <td class="style1">&nbsp;</td> </tr> <tr> <td class="subtitle">4. Stroke Warning Signs</td> </tr> <tr> <td class="style1">If you or someone with you has one or more of these signs, don't delay!<br> <br></td> </tr> <tr> <td class="style1"><table width="589" border="0" cellspacing="0" cellpadding="1"> <tr> <td width="18" rowspan="6">&nbsp;</td> <td width="18" valign="top" class="style1">&bull;</td> <td width="570" class="style1">Sudden numbness or weakness of the face, arm or leg, especially on one side of the body </td> </tr> <tr> <td valign="top" class="style1">&bull;</td> <td class="style1">Sudden confusion, trouble speaking or understanding </td> </tr> <tr> <td valign="top" class="style1">&bull;</td> <td class="style1">Sudden trouble seeing in one or both eyes</td> </tr> <tr> <td valign="top" class="style1">&bull;</td> <td class="style1">Sudden trouble walking, dizziness, loss of balance or coordination</td> </tr> <tr> <td valign="top" class="style1">&bull;</td> <td class="style1">Sudden, severe headache with no known cause</td> </tr> </table> <br></td> </tr> <tr> <td class="style1">Immediately call 9-9-5 or your emergency response number so an ambulance (ideally with advanced life support) can be sent for you. Also, check the time so you'll know when the first symptoms appeared. It's very important to take immediate action. If given within three hours of the start of symptoms, a clot-busting drug called tissue plasminogen activator (tPA) can reduce long-term disability for the most common type of stroke. tPA is the only FDA-approved medication for the treatment of stroke within three hours of stroke symptom onset. <br> <br> A TIA, or transient ischemic attack, is a "warning stroke" or "mini-stroke" that produces stroke-like symptoms but no lasting damage. Recognizing and treating TIAs can reduce your risk of a major stroke. The usual TIA symptoms are the same as those of stroke, only temporary. The short duration of these symptoms and lack of permanent brain injury is the main difference between TIA and stroke.</td> </tr> <tr> <td class="style1">&nbsp;</td> </tr> <tr> <td class="subtitle">5. Cardiac arrest strikes immediately and without warning.</td> </tr> <tr> <td class="style1">Here are the signs:<br> <br></td> </tr> <tr> <td class="style1"><table width="589" border="0" cellspacing="0" cellpadding="1"> <tr> <td width="18" rowspan="3">&nbsp;</td> <td width="18" valign="top" class="style1">&bull;</td> <td width="570" class="style1">Sudden loss of responsiveness (no response to tapping on shoulders).</td> </tr> <tr> <td valign="top" class="style1">&bull;</td> <td class="style1">No normal breathing (the victim does not take a normal breath when you tilt the head up and check for at least five seconds).</td> </tr> </table></td> </tr> <tr> <td class="style1">If these signs of cardiac arrest are present, tell someone to call 9-9-5 or your emergency response<br> &nbsp;number&nbsp;and get an AED (if one is available) and <em>you begin CPR immediately</em>.&nbsp;&nbsp;<br> <br> If you are alone with an adult who has these signs of cardiac arrest, call 9-9-5 and get an AED <br> (if one is available) before you begin CPR.&nbsp;<br> Use an AED as soon as it arrives.</td> </tr> <tr> <td class="style1">&nbsp;</td> </tr> <tr> <td class="subsubtitle">Dial 9-9-5 Fast</td> </tr> <tr> <td class="style1">Heart attack and stroke are life-and-death emergencies  every second counts. If you see or have any of the listed symptoms, immediately call 9-9-5 or your emergency response number. Not all these signs occur in every heart attack or stroke. Sometimes they go away and return. If some occur, get help fast! Today heart attack and stroke victims can benefit from new medications and treatments unavailable to patients in years past. For example, clot-busting drugs can stop some heart attacks and strokes in progress, reducing disability and saving lives. But to be effective, these drugs must be given relatively quickly after heart attack or stroke symptoms first appear. So again, don't delay  get help right away!</td> </tr> <tr> <td class="style1">&nbsp;</td> </tr> <tr> <td class="subsubtitle">Statistics</td> </tr> <tr> <td class="style1">Coronary heart disease is the No. 2 cause of death in Singapore. Stroke is the No. 4 cause of death in Singapore and a leading cause of serious disability. That's why it's so important to reduce your risk factors, know the warning signs, and know how to respond quickly and properly if warning signs occur. <a href="http://www.moh.gov.sg/mohcorp/statistics.aspx?id=5526">http://www.moh.gov.sg/mohcorp/statistics.aspx?id=5526</a></td> </tr> <tr> <td class="style1">&nbsp;</td> </tr> <tr> <td class="subtitle">6. CPR and AED updates from NRC</td> </tr> <tr> <td class="style1"> Waiting to be updated soon..!</td> </tr> <tr> <td align="right" class="style1"><a href="#top" class="style1">[Back to Top]</a></td> </tr> <tr> <td class="style1">&nbsp;</td> </tr> </table></td> </tr> </table></td> </tr> </table></td> </tr> </table></td> </tr> <tr> <td colspan="6"><img src="images/services_11.jpg" alt="" width="900" height="31" border="0" usemap="#Map2"> <map name="Map2"> <area shape="rect" coords="330,6,393,21" href="http://www.pixart.com.sg/web-design-website-development.html" target="_blank" alt="Web Design | http://www.firstwishsolutions.com"> <area shape="rect" coords="396,6,505,19" href="http://www.pixart.com.sg/" target="_blank" alt="Web Design | http://www.firstwishsolutions.com"> </map> <map name="Map2"> <area shape="rect" coords="719,24,782,39" href="http://www.pixart.com.sg/web-design-website-development.html" target="_blank" alt="Web Design | http://www.firstwishsolutions.com"> <area shape="rect" coords="790,26,899,39" href="http:www.firstwishsolutions.com" target="_blank" alt="Web Design | http:www.firstwishsolutions.com"> </map> <map name="Map2"> <area shape="rect" coords="330,6,393,21" href="http://www.pixart.com.sg/web-design-website-development.html" target="_blank" alt="Web Design | http://www.firstwishsolutions.com"> <area shape="rect" coords="396,6,505,19" href="http:www.firstwishsolutions.com" target="_blank" alt="Web Design | http:www.firstwishsolutions.com"> </map> <map name="Map2"> <area shape="rect" coords="719,24,782,39" href="http://www.pixart.com.sg/web-design-website-development.html" target="_blank" alt="Web Design | http://www.firstwishsolutions.com"> <area shape="rect" coords="790,26,899,39" href="http:www.firstwishsolutions.com" target="_blank" alt="Web Design | http:www.firstwishsolutions.com"> </map></td> </tr> <tr> <td> <img src="images/spacer.gif" width="40" height="1" alt=""></td> <td> <img src="images/spacer.gif" width="180" height="1" alt=""></td> <td> <img src="images/spacer.gif" width="180" height="1" alt=""></td> <td> <img src="images/spacer.gif" width="59" height="1" alt=""></td> <td> <img src="images/spacer.gif" width="121" height="1" alt=""></td> <td> <img src="images/spacer.gif" width="180" height="1" alt=""></td> <td> <img src="images/spacer.gif" width="180" height="1" alt=""></td> <td> <img src="images/spacer.gif" width="40" height="1" alt=""></td> </tr> </table> <!-- End ImageReady Slices --> </body> </html>