12/18/2007

Cardiac pause

Inside the heart diseases, we find the box of the cardiac pause among other. With this denomination the unexpected and sharp cessation of the cardiac activity is indicated. The heart ceases of working, with that which stops to arrive blood to the diverse organs. The most sensitive organ to the ullage of blood is the brain. The cells of the nervous system only tolerate from 3 to 5 minutes without blood, that is to say, without the oxygen that the blood contributes. If the hard oxygen ullage more than 5 minutes, cerebral non-recoverable injuries take place. Therefore, when he/she shows up a cardiac pause he/she only has 5 minutes to undelete the sick person. The first step is to diagnose with the maximum speed the existence of cardiac pause. The arterial pressure absence and an impalpable creosote bush are the conventional signs.

Without losing more time, since the speed is main, it is necessary to reinstate an appropriate oxygenation and the flow. For the first, the barest method is the respiration mouth to mouth that will be practiced the precise time until he/she recovers the respiratory activity. To reinstate the flow he/she will be practiced the cardiac extraneous massage. For it is located it to the sick person in horizontal position, have more than enough their shoulder, on a surface it signs. The person's left hand is arranged that practices the resuscitation on the breastbone, with the right hand above the left. They are practiced strong rhythmic compressions from the breastbone to a frequency from 60 to 80 per minute. I is palpated a good pulse in the peripheral arteries it is the best indication that an appropriate flow has been procured.

He/she will stay the flow and the respiration until having the appropriate material to register an electrocardiogram that will allow to clear up the mechanism of the cardiac pause. If this indicates that electric activity doesn't exist some in the heart and that he/she doesn't recover in spite of the cardiac massage, an electric pacemaker, apparatus will be applied that it downloads stimuli to a preset frequency that it starts the cardiac muscle. If the electrocardiogram shows the existence of a ventricular fibrillation, cardiac disorganized electric activity and that he/she doesn't give place to a cardiac adjusted contraction, an electric download will be applied by means of a defibrillator.

Applying these measures with the enough speed is possible to save many lives.

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