Bangkok: How to deal with the silent killer! Chest tightness and sweating... 3 golden minutes to save a life in case of "sudden cardiac arrest." This article delves into the reasons why young people, or even those who exercise regularly, can collapse, revealing warning signs and three steps for emergency cardiopulmonary resuscitation (CPR) combined with the use of an automated external defibrillator (AED) to increase the chances of survival.According to Thai News Agency, sudden cardiac arrest can occur in various demographics for distinct reasons. In the elderly, underlying conditions like high blood pressure, high cholesterol, and obesity, along with inconsistent medication use, often cause a sudden narrowing of blood vessels, leading to blockages by fatty deposits. Meanwhile, children and adolescents might suffer from congenital heart abnormalities or genetic disorders affecting the heart's electrical conduction, which can go unnoticed during medical examinations. Even during exercise, if one pushes their body too hard, the heart may demand more oxygen than what the blood supply can provide, resulting in an irregular heartbeat or cardiac arrest.Early warning signs of cardiac distress include chest tightness, a sensation akin to a heavy object pressing on the chest, pain radiating to the arms, palpitations, sweating, or dizziness. Experiencing any of these symptoms, especially during physical exertion, necessitates an immediate cessation of activity to prevent further risk.The "golden minute" concept underscores the critical nature of the first three minutes following a cardiac arrest. Without blood circulation to the brain, irreversible damage or death can occur, emphasizing the need for prompt medical intervention.Basic first aid procedures, such as CPR, play a crucial role in these situations. Assessing the patient involves checking for a response by tapping their shoulder. If there's no response or abnormal breathing, immediate assistance is required, and emergency services should be contacted. Perfor ming chest compressions helps maintain blood flow to essential organs, and it is vital to act swiftly since any action is better than inaction.Furthermore, AEDs (Automated External Defibrillators) are life-saving devices that can analyze heart rhythms and deliver shocks when necessary. These devices are designed for public use, with clear voice instructions to guide users. The survival chances with CPR alone are limited to 3-5%, but when combined with an AED, survival rates can soar to 60-70%. It is recommended that AEDs be installed in communities and public areas to ensure timely intervention and save lives.
