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A silent danger does not show any warning signs, and can lead to serious complications that are necessary to be careful.
What we are talking here? About sudden heart stops, or sudden heart muscle stops; And for those who do not know, the heart muscle is the muscle that forms the wall of the heart, and is responsible for pumping blood to all parts of the body. They consist of special heart muscle cells linked to each other, and operate involuntarily; The heart muscle can be subjected to an illness or damage for several reasons, which affects its function in pumping blood and reaching the inevitable end: sudden heart and death stopped.
There is no doubt that caring for the health of our bodies, foremost of which is the health of the heart, falls into the priority of everyone’s priorities without exception; It is an urgent need that health experts and doctors insist, to avoid any diseases or health problems (such as sudden heart stop) from occurring and exposure to unimaginable complications. So we saw in today’s article, and in the interest of us on the site “He” on high and reliable health education, talking to one of the specialists in concentrated care and rapid aid for sudden and serious health conditions such as heart stopping.
We had this interesting meeting with Dr. Mahmoud Medhat Abu Musa, a specialist in the center of concentrated care medicine at the Modern International Hospital in Dubai; He gave us a detailed explanation of the reasons for the sudden heart muscle stops, rescue steps, how to protect ourselves and those we love from this problem.
What is the heart muscle stop?
According to Dr. Mahmoud, the heart muscle stop is medically known as “a full mechanical electrical cessation of the heart, as the heart cells fail to generate or transmit the electrical signals that control the heartbeat, which leads to the heart stopping to pump the blood permanently into the brain, lungs and other vital organs.”
In concentrated care rooms, the 60 second minute is not equal as usual; Every second is decisive between life and death. In this context, Dr. Mahmoud explains that the sudden stop of the heart muscle is what is more medically known as the sudden heart attack (Sudden Cardiac Arrest); At this critical moment, oxygen -rich blood flow is cut off to the brain and vital organs, and the countdown that needs an accurate and rapid response that exceeds the limits of normal time.
Dr. Mahmoud explains these moments: “In the science of recovery, we do not say that the patient died unless the heart stops with the absence of any immediate recovery attempt. The body can return to life, but on the condition that we not waste the golden minutes.”
It is natural for us to look for the reasons for the sudden heart muscle stop, to raise awareness about it, and ensure that our health is preserved in order to ward off this serious problem and others. This is what Dr. Mahmoud informed us in the following lines.
What are the most common medical causes for sudden heart muscle stop?
The heart stops in all cases is the result of a direct heart problem. Rather, there may be respiratory causes that lead to cardiac stop; Here lies the essential teams that the medical team must deal with accurately and quickly. A precise understanding of the difference between the different causes of the sudden heart stops is not just theoretical information, but rather the key to the success of recovery and saving life. As focused care doctors, Dr. Mahmoud says, “We take responsibility for making the right decision at the right moment.”
First: The heart causes of sudden heart stopping
• Excessive fibrillation (Ventricular Fibrillation): It is the most common reasons
A messy heart rhythm that does not allow any effective pulse, and is the first reason for most cases of heart attack; It is an electrical disorder that makes the heart tremble without actual pumping. Here there is no room for delay, every minute is a delay in the start of cardiac resuscitation (CPRIt reduces the patient’s survival chances by 7-10%. We dealt with patients their heart suddenly stopped as a result of a ventricular reinforcement, and it was the immediate electric shock that brought the heart to life within seconds.
• Exclusive acceleration without a pulse (Pulseless VT) Where the heart beats very quickly, but it is ineffective to pump blood.
• Acute heart attack (Acute Myocardial InfarctionIt is the sudden obstruction of the arteries, which stops the ability of the heart to pump.
Second: The respiratory causes of sudden heart stopping
Some patients, especially children, respiratory patients, or critical conditions in care units; The main cause of heart stopping is a lack of oxygen (HypoxiaThe result of severe respiratory failure, and these cases include:
Severe respiratory failure as a result of severe pulmonary inflammation, or a life -threatening usurious crisis.
Airway blockage (such as a foreign body, or severe narrowing in the trachea).
• Breathing stop as a result of an overdose of the central nervous system.
• Carbon monoxide poisoning or drowning cases.
In these cases, the heart stop is secondary for a lack of oxygen, and the support of ventilation and the provision of oxygen is a top priority, with the start of cardiac resuscitation. In some of these cases, there may not be an immediate need for the shock system, but rather the need for other procedures, such as cardiovascular resuscitation or medications, before using the device or instead of it. This depends on the reason for stopping the heart and time since it stops, in addition to the patient’s condition.
What are the rescue steps to stop the sudden heart?
A road map between death and life; Dr. Mahmoud says: “From my experience in focused care units, I see daily that the team’s response during the golden minutes is what determines the patient’s fate. The arrangement of effective recovery steps must take place quickly and without hesitation:
1. Evaluation of response and breathing: quickly verify the awareness of the injured and natural breathing.
2. Request for urgent medical support: calling the ambulance while determining the condition as a suspect for a heart stop.
3. Starting deep thoracic clicks: at a rate of 100-120 pressure per minute, 5-6 cm deep for adults.
4. Artificial ventilation if the paramedic is trained: 30 presses followed by two souls.
5. Use the electric shock device (AEDThis device automatically evaluates the heart condition and gives an electric shock in the event of ventricular fibrillation.
6. Transfer the patient quickly to the emergency unit with the continuity of resuscitation.
Dr. Mahmoud explains: “Electric shocks are the only solution that is able to reset the heart electricity in cases of ventricular fibrillation, and every minute delay in using shocks reduces the chances of survival 10%,” Dr. Mahmoud explains.
Dr. Mahmoud Medhat Abu Mosi, a specialist in the center of captain, in the modern international hospitalFortunately; In the UAE, specifically the Emirate of Dubai, is available in every call to save the lives of patients who are exposed to several health injuries, including sudden heart stopping. Dr. Mahmoud informs us about the important ambulance role in this case, in the following paragraph ..
What is the leading role of the Dubai Ambulance team (DCAS)؟
The ambulance services team in Dubai offers (DubaiDCAS) A model for dealing with heart stops. What distinguishes this team is:
1. Response in less than 8 minutes in most of the reports.
2. Training paramedics at the highest level, using global protocols (such as ACLS And BLS).
3. Use of portable heart attacks inside ambulances.
4. The immediate start of cardiac resuscitation before reaching the emergency department, maintaining blood flow to the brain and vital organs.
5. Integration with emergency centers and hospitals, to deliver the situation smoothly and without stopping in efforts.
I have seen multiple cases in which a crew succeeded DCAS In returning the pulse to patients even before arriving at the hospital, which makes them at the forefront of rescue teams at the level of the region, Dr. Mahmoud adds.
After the pulse return: What happens in concentrated care?
If the resuscitation efforts and the pulse are back, another more complicated journey begins in concentrated care, represented in the following steps:
• Continuous monitoring of heartbeat, breathing and blood pressure.
• Make an immediate cardiac catheterization to find any blockage in the arteries.
• Apply body cooling protocol (Therapeutic Hypothermia: Any reduction of body temperature to protect brain cells from the deterioration caused by lack of oxygen.
Install pressure and blood circulation with special medications.
• Conducting a comprehensive neurological assessment to see the effect of the heart stopping on the brain.
Who is the most likely to stop the sudden heart?
According to the Central Care Medicine specialist in the modern international hospital, Dr. Mahmoud Medhat Abu Musa, the sudden heart stops may be more common in certain groups of patients, including the following:
1. Coronary arterial patients.
2. Those who have a family history of sudden heart disease.
3. Electrical heart patients.
4. Athletes with hidden heart disease; The world witnessed several cases of professional athletes who suddenly collapsed while playing. These situations confirm that stopping the heart does not choose age or fitness, but rather requires a quick response without waiting.
5. Those who take medications affecting heart electricity without medical supervision.
A healthy lifestyle may protect from sudden heart stoppingHow do we protect ourselves from sudden heart stop?
We came to the stall of the Persians, as well as the famous colloquial phrase, which means “we have reached the core or the essence of the subject.”
Prevention is the main pillar to protect ourselves and those we love from several health conditions, for example the sudden heart stopped, which Dr. Mahmoud emphasizes is an extreme necessity and urgent need. It summarizes the prevention of three points:
1. Early detection of any heart problems, and periodic examinations of the heart.
2. Attention to a healthy lifestyle, while staying away from smoking and saturated fats.
3. Spreading a culture of cardiac resuscitation CPR And provide shock devices AED In public places.
Dr. Mahmoud concludes this important article, saying: “I taught me the focus of care that life may sometimes be shortened in one minute. Every second makes the difference, and awareness of the importance of immediate cardiac resuscitation may save a person, and restore it to his family.”
Our role; We join our voice to the voice of Dr. Mahmoud and other specialists, and we call from this platform to follow all precautionary and preventive steps, which enhance our health, whether at a young or old age, in order to avoid the worst, which is represented in serious complications such as sudden heart stopping and life in a moment to an inevitable death.
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