How To

How to Respond to a Heart Attack in the Wilderness

Contributor
By eHow Contributing Writer
(2 Ratings)

Wilderness treatment of a heart attack involves stabilizing the patient, administering medication, administering oxygen and evacuating as soon as the patient is transportable.

Difficulty: Moderately challenging
Instructions

Things You'll Need:

  • Nitroglycerin
  • Advanced First Aid Certification
  • Evacuation Plan
  • First Aid Books
  • Wilderness First Aid Classes
  • First Aid Kits
  • CPR Certification
  • Evacuation Insurance
  • First Aid Classes
  • Prescribed Medications
  • Pretrip Medical Exams

    Prevention and Preparation

  1. Step 1

    Get a thorough checkup before participating in wilderness activities if you are over age 50 or if you have a family history of early heart disease. Participation in wilderness activities without a physician's clearance not only puts your own life at risk but may also jeopardize the lives of your companions if evacuation becomes necessary.

  2. Step 2

    Obtain all of the prescribed medications your physician recommends, even if some are restricted for special circumstances that you do not anticipate encountering on your outing.

  3. Step 3

    Carry all prescribed medications and instructions for use at all times, and make certain that trip leaders are informed of where these medications are kept and of missed doses.

  4. Step 4

    Follow all of your physician's instructions concerning limitations of activities.

  5. Step 5

    Supply your trip leader or guide with the following from your physician: a description of your condition; limitations and clearances for participation in particular activities; descriptions of all the medications you will be taking and their indications; contact information for your physician; signs and symptoms that could signal the need for alternative treatments or evacuation.

  6. Assessment and Treatment

  7. Step 1

    Learn to identify the signs and symptoms of a heart attack: discomfort or pain in the center of the chest, nausea, sweating, shortness of breath, and pain radiating down the shoulder, arm or into the jaw, usually on the left side.

  8. Step 2

    Have the person rest in the position of greatest comfort - preferably lying down - and keep the person warm and calm. Complete rest is essential for at least six to eight hours before attempting to evacuate the person with any effort on his or her part.

  9. Step 3

    Administer nitroglycerine if available.

  10. Step 4

    Administer oxygen using a facemask at a flow rate of 4 to 6 liters per minute.

  11. Step 5

    Have the person sit up with a backrest if he or she has difficulty breathing or is coughing while lying down.

  12. Step 6

    Evacuate immediately by helicopter, making certain someone trained in cardiac resuscitation is part of the evacuation team. If a helicopter evacuation is impossible, transport with as little effort by the patient as possible, and only after the patient has been allowed six to eight hours of complete rest.

Tips & Warnings
  • This information is not intended to be a substitute for professional medical advice or treatment.

Comments  

Kepi said

Flag This Comment

on 10/15/2007 Very informative, but unless you are carrying the entire contents of a hospital Emergency Room I think you would be hard pressed to do anything...

Kepi said

Flag This Comment

on 10/14/2007 Very informative, but unless you are carrying the entire contents of a hospital Emergency Room I think you would be hard pressed to do anything...

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