Get your Health question answered in 3 easy steps

137 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What are the emergency cardio procedures to be done for stroke?

Answered by
Dr.
Dr. Benard Shehu

Cardiologist

Practicing since :2004

Answered : 2254 Questions

default
Posted on Mon, 18 Aug 2014 in Hypertension and Heart Disease
Question: This is just a general question about emergency procedures when a person is suffering from a stroke, aneurism and extreme blood pressure ranges (too high and too low) and perhaps other cardio emergencies that you may think of

I want to learn about this in the event I encounter someone whom I suspect is suffering from one of these conditions.

After calling for a paramedic what types of procedures should a person follow to help prevent longterm damage and or death

what kind of sitting or laying position would be most conductive for survival

are there any other things that I should be doing while waiting for emergency crew to arrive?

thanks
doctor
Answered by Dr. Benard Shehu 5 hours later
Brief Answer:
Following answers to your queries!

Detailed Answer:
Hi,

If you meet someone and you suspect is suffering of any heart problems, then, most probably, you might find him/her:
- laid down
- difficulty breathing

The very first thing is to put him/her at a safe place. Measure blood pressure (bp) to see if it is too high or too low.

In cases of stroke, should place the patient at the position "decubitus lateralis" (on the left or on the right) to prevent aspiration. The head should be raised. Make sure the airways are free, so the patient can breath.

In cases of hypotension, the legs should be raised higher than the head level to increase blood flow in the brain mechanically.

Should give coffee or energetic drink to increase bp.

Always make sure the airways are open, no obstruction.

In cases of hypertension, should give the patient the anti-hypertensive drugs. If he/she does not have any, then, give garlic with lemon.

In cases of shortness of breath, advise patient to stay at the "orthopnea" position (legs going down the bed/half sit).

Hope it answered to your queries! Can ask other query if anything unclear!
Dr.Benard
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  

Recent questions on  Hypotension

doctor1 MD

I'm 33 years old with low blood pressure every time I get it checked. The low blood pressure has been going on for years. I just thought I normally have low blood pressure. It was 92/50 las time it was checked. I am 5'2" 165lbs. I gained 15lbs with my pregnancy. My delivery lasted 33 hours and was very stressful. I have loridosis, back pain, heat sensations in my left leg, chest pain and shortness of breath. I just recently went to get checked out by the doctor about dizzy spells and my heart stopping and rapidly starting back. I was diagnosed with RBBB. I'm really scared, because I can feel that my heart is not working like it should. I have a lot of stress with family matters and I would say since I was 13 I've had ongoing high anxiety. I know that is not healthy. What would you say are the reasons that I have RBBB.

doctor1 MD

I am a 20 year old female, 5"4 and 125 pounds, and lately my heart has been palpetating immediately after eating certain foods. I have a heart murmur and regular dizziness and fatigue and low blood pressure. At times my heart will feel like its beating out of my chest and im not emotionally upset or exerting myself. I work out regularly. what should I do?

doctor1 MD

Hello
My mom has lung cancer and she is 46 years old.
Here's her medical history:
Left breast cancer (03.11.09); T1c(1-2cm) N0 (0/4nodes) Grade II IDC ER+/PR=HER2 (2+on IHC). She completed 6 cycles of adjuvant FAC chemotherapy followed by 60Gy/30fr adjuvant RT completed 05.0810. She was also started on Tamoxifen.
She developed rectal bleeding in February 2010. Colonoscopy in July 2010 showed a stenosing tumour extending from 10-18cm from the anal verge. Biopsy revealed a moderately differentiated adenocarcinoma and pelvic MRI suggested this to be a T3N2 lesion. She was started on Oxaliplatin, capecitabine , bevacizumab. She was admitted in the hospital due to complains of weakness, hypotension and bloody diarrhoea. After it was treated she underwent surgery and palliative colostomy without resection of the colonic primary because it was very adherent to the intra abdominal structures and the surgeon did not want to risk major exploration and dissection in the presence of peritonitis secondary to a colonic perforation. After post operative recovery she had been suffering from peripheral neuropathy and still is. However, she has found relief with TENS.
PET/CT scan showed bilateral pleural based metastatic lesions and a possible left lower lung parenchymal deposit also. the primary lesion did not show increased FDG uptake, possibly secondary to having its blood supply cut off by the surgeon. She was also diagnosed with multiple filling defects in the right lung on CTPA and received therapeutic low molecular weight heparin. She has a clot in her lung vessel for which she gets clexane injections everyday. She had pleural effusions aspirated three times since the start of May 2011, from the right and left side. She got a Groshong central venous catheter and started her chemotherapy (Ondansetron, dexamethasone, atropine, irinotecan). She completed 1 cycle of her chemotherapy. The chemotherapy was discontinued because of a severe infection due to the Groshong line. She was started on antibiotics but the catheter was ultimately removed. After the infection settled and she recovered a little of her strength, she was misdiagnosed with passive pneumonia and was given Tazocin. It was just recently diagnosed as loculated pleural effusion. She also has a collapsed lower right lobe. She had the effusions aspirated 3 times, one time every day.The lobe has shown improvement. She is now complaining of chest pain, pressure on the chest and extreme shortness of breath. She has been on oxygen for about a week now and finds it difficult and tiring to breath without the oxygen mask. The lung saturation however is within acceptable parameters so i dont understand why she finds it difficult to breath without the oxygen. It has gotten so bad that she's unable to talk properly and can hardly complete a sentence without taking breaks. Yesterday night her chest pain got so bad they had to give her morphine which took quite a lot of time to wear off and she felt extremely lethargic. She is complaining of palpitations and says her heart skips beats(for which she was given Metoprolol Tartrate) but no significant improvement is noted. But the doctor says her heart is doing fine, so im really confused. She also feels a tingling sensation around her lips, head and limbs quite frequently and keeps getting these tiny jolts every now and then. What do you suggest we do about that? Overall, she feels extremely weak and is drowsy and lethargic most of the times and im getting really worried because she is showing no signs of improvement. Should she start getting her chemotherapy even though she's really weak? and can you please tell me what to do about her breathing and lethargy?

doctor1 MD

I have high blood pressure(165/110) and was put on Lisinoprin 3 weeks ago and it has come down about 30 points...however i have head aches and have shortness of breath . I wake up at night and feel like i'm not getting enough oxygen . I weigh 260...

doctor1 MD

I have copd . My blood pressure is usually around 126/70. The past couple of days it has been around 118/64. I also take benazapril . Should I be concerned? I've started a mild exercise program with a physical therapist for the past month. I am 70...

doctor1 MD

I may a rash from Epsom salt. I used it for my sore knee. The rash is all over my body. I have felt nausea in the stomach and weakness.