what happen in Sudden Cardiac Arrest .ppt

good for students

1. Sudden Cardiac Arrest
in Intercollegiate Athletics

2. Sudden Cardiac Arrest
in Intercollegiate Athletics
Are you prepared?

3. Sudden cardiac arrest is the leading cause of death in
exercising young athletes
•Sudden cardiac death occurs in 1:43,000 NCAA
student-athletes per year
•The chance of survival decreases by 10% every
minute after collapse
•The average EMS response time is 6-8 minutes
•The single greatest factor affecting survival is the
time from cardiac arrest to defibrillation (shock)
•AEDs improve survival through early defibrillation

4. Screening
•Student-athletes are required to have a pre-
participation physical examination.
•The traditional screen includes:
oHistory (chest pain or passing out with exercise)
oPhysical exam (blood pressure, heart sounds)
•Some schools perform EKG (electrocardiogram)
to increase detection of athletes with at-risk
conditions
oAppropriate experience and resources are important
for EKG screening to be utilized effectively
•Insert institutional screening policy here if applicable

5. Emergency Planning
Written Emergency Action Plan for SCA
Emergency communication system
Trained responders in CPR/AED
AED locations –all staff awareness
Access to early defibrillation (<3-5 min
collapse to shock)
Practice and review of the response
plan at least annually
Integrate AEDS into local EMS system

6. Emergency Action Plan
Essential elements of an emergency action
plan include:
•(insert specific institutional plans for all of
the following)
•Methods of communication
•Personnel requiring CPR and AED training
•Locations of AEDs for early defibrillation
•Practice and review of the response plan

7. Early
Recognition
Early
CPR
Early
AED
Chain of Survival
Improved
Survival

8. Recognition of SCA
•SCA should be suspected in any athlete who is
collapsed and unresponsive
•SCA should be suspected in any non-traumatic
collapse
•Brief seizure-like activity is common after collapse
from SCA
•Seizure = SCA until proven otherwise
•Occasional gasping is not normal breathing…
think SCA

9. Early CPR
•CPR can double or triple the
chance of survival
•< 1/3 of SCA victims receive
bystander CPR
•2010 AHA guidelines
oHands-only CPR
oChest compressions
Push hard, push fast (100 per
minute)

10. AEDs in Sport
•AEDs provide a means of early defibrillation and the
potential for effective management of SCA
oAthletes
oStudents
oStaff
oSpectators
oCoaches
oOfficials
oVisitors
2007

11. The Collapsed and Unresponsive Athlete
Management of SCA
•Suspect SCA in any
collapsed and
unresponsive athlete
•An AED should be
applied as soon as
possible for rhythm
analysis and shock if
indicated
Drezner; Heart Rhythm2007

12. Steps in the Management of SCA
1.Recognize SCA
2.Call for help / Call 9-1-1
3.Begin chest compressions (CPR)
4.Retrieve the AED
5.Apply and use the AED as soon as possible
6.Continue CPR until EMS arrives

13. Resources
Inter-Association Task Force Recommendations on Emergency
Preparedness and Management of Sudden Cardiac Arrest in High
School and College Athletic Programs: A Consensus Statement.
Journal of Athletic Training 2007;42(1):143–158
NCAA Health and Safety
•http://www.ncaa.org/wps/portal/ncaahome?WCM_GLOBAL_CONTEX
T=/ncaa/ncaa/academics+and+athletes/personal+welfare/health+and
+safety/raising+awareness+of+sudden+cardiac+collapse+in+sports