CPR School
Miraculous Medical Supplies CPR Classes
CPR Knowledge Saves Lives
As an authorized American Heart Training site in the state of Florida, Miraculous Medical Supplies is proud to offer the course Basic Life Support (BLS-CPR) For Healthcare Providers with a certified American Heart instructor. This video-based, instructor-led course is designed to provide a wide variety of healthcare professionals the ability to recognize several life-threatening emergencies, provide high quality CPR, use an AED, and relieve choking in adults, Children and infants in a safe, timely and effective manner.
For more information or to register, please call us today at 786-701-8843. Please note: classes are also available in Spanish.
CPR CLASSES
CPR CLASS: BLS HCS 2015 New Science 2 Year Certification
Basic Life Support (BLS) For Healthcare Providers is a classroom, video-based, instructor-led course designed to provide a wide variety of healthcare professionals the ability to recognize several life-threatening emergencies, provide CPR, use an AED, and relieve choking in a safe, timely and effective manner.
This course is for healthcare professionals who need to know how to perform CPR, as well as other lifesaving skills, in a wide variety of in-hospital and out-of-hospital settings.
This course Provides high quality training BLS-CPR, guided by the American Heart guide lines. This Course does not include first aid training.
AUDIENCE: The course is intended for certified or non-certified, licensed or non-licensed healthcare professionals, for employment, middle school and high-school student, and anyone who would like to learn.
CPR. Classes are offered to those who live locally, and are able to come to store location for classroom training. The course generally is 4 To 5 hours depending on class size, and enough time for the individual to process information, take the exam, and if their needs remediation time. Quick learners are able to complete the course with in 4 hours without excessive breaks.
Please call for individual rates and group rates at 786-701-8843.
First Time Full Course for Certification
BLS. CPR is the recommended course for healthcare providers, teachers, schools, daycares, and for anyone who wants to learn how to save someone's life. This course is taught by the American Heart standard guide lines. This Course does not include first aid training. We offer classes in English and Spanish. We offer private classes with one on one individual instructions and group classes. We offer classes on most days of the week and are flexible with class scheduling.
Re-Certification Course
We offer a reduced rate for individuals with an active BLS certification card. This class lasts from 3 to 4 hours, and will refresh you on these essential skills
CPR Facts
A person suffering cardiac arrest is 2 to 3 times more likely to survive if effective CPR is provided in the first few minutes of an attack.
Despite its capability to save lives, less than 20% of Americans are equipped to perform CPR during a medical emergency – get certified today!
CPR makes the electric shock of the defibrillator even more effective by maintaining bloodflow to the brain and heart. It is important to do both if possible.
For every minute a victim does not receive CPR, their chances of survival decrease by 7%.
Why Choose Miraculous Medical Supplies For CPR Certification?
In addition to hands on training, we also offer one-on-one classes to make sure you have an absolute mastery of the technique. Our professional instructor brings 17 years of nursing experience and a love for teaching to this course, with the main goal of giving you confidence in emergency situations. In our stress-free learning environment you will learn everything through example for total preparedness when you need CPR the most.
Miraculous Medical Supplies INc. offers BLS. CPR. Classes 6 days of the Week, flexible time scheduling, and offers competitive class rates. Miraculous Medical supplies INC. teaches middle school age students, health care professionals, day care, adult day cares, businesses, physician's, nurses, Emergency Medical Services, and anyone who would like to learn.
Miraculous Medical Supplies INC. BLS. CPR. Classes are taught and a 2 year certification is rewarded by the American Heart Association.
Miraculous Medical supplies INC. is an authorized training site of the American Heart Association.
Miraculous Medical Supplies
BLS. CPR Classes Preview
Stay Tuned for our Series of Classes
Interested in learning more about CPR?
Stay Tuned for our in-depth Series on BLS. CPR Classes. We are excited for you to check it out!
Are you interested in getting BLS. CPR Certified and learn how to save Lives?
Miraculous Medical Supplies BLS. CPR Supplies
Interested in learning more about what supplies are used during CPR?
Watch this video!
Learn how to save lives! Become a BLS. CPR. Provider by getting a two year certification through the American Heart Association. Miraculous Medical Supplies INC. is an authorized training site through the American Heart association.
Anatomy of The Heart And Heart Rhythms
Continuation of BLS. CPR. Class Series By Miraculous Medical Supplies
Want to learn more about the Anatomy of the Heart or Different Heart Rhythms? Watch this video to learn about Arrhythmia and why it is important to get the AED or Defibrillator to the patient as soon as possible.
Interested in becoming a BLS. CPR. Provider? Get Certified Today! It is a Great time to learn CPR. and Save Lives.
Signs and Symptoms of a Heart Attack
One And 2 Persons BLS CPR Instructions
Sign up Today to take a BLS. CPR Class to learn more in-depth CPR on an Adult, Pediatrics, learn how to use the AED, and Relieve Chocking. Get a 2 year BLS. Certification.
What is an AED?
(Automated External Defibrillator)
What is an AED? It stands for Automated External Defibrillator. Learn more about how and when to use it. Sign up for our BLS. CPR Class today!
How To Use The Pocket Mask And The Bag-Valve Mask IN BLS. CPR
Child and Infant BLS CPR / Miraculous Medical Supplies
Do you have a child and are wondering how to respond in a Cardiac Arrest Emergency? Learn how to give 1 & 2 Person child and infant BLS. CPR. Sign up and get BLS. CPR Certified with us today.
Give us a call at (786) 701-8843 or visit us at 15411 SW. 137th Ave Miami FL. 33177
What Is A Heart Attack?
A heart attack (also known as a myocardial infarction or MI) is the damage and death of heart muscle from the sudden blockage of a coronary artery by a blood clot. Coronary arteries are blood vessels that supply the heart muscle with blood and oxygen. Blockage of a coronary artery deprives the heart muscle of blood and oxygen, causing injury to the heart muscle. Injury to the heart muscle causes chest pain and chest pressure sensation. If blood flow is not restored to the heart muscle within 20 to 40 minutes, irreversible death of the heart muscle will begin to occur. Muscle continues to die for six to eight hours at which time the heart attack usually is "complete." The dead heart muscle is eventually replaced by scar tissue.
A heart attack (also known as a myocardial infarction or MI) is the damage and death of heart muscle from the sudden blockage of a coronary artery by a blood clot. Coronary arteries are blood vessels that supply the heart muscle with blood and oxygen. Blockage of a coronary artery deprives the heart muscle of blood and oxygen, causing injury to the heart muscle. Injury to the heart muscle causes chest pain and chest pressure sensation. If blood flow is not restored to the heart muscle within 20 to 40 minutes, irreversible death of the heart muscle will begin to occur. Muscle continues to die for six to eight hours at which time the heart attack usually is "complete." The dead heart muscle is eventually replaced by scar tissue.
What causes a Heart Attack?
Atherosclerosis is a gradual process by which plaques (collections) of cholesterol are deposited in the walls of arteries. Cholesterol plaques cause hardening of the arterial walls and narrowing of the inner channel (lumen) of the artery. Arteries that are narrowed by atherosclerosis cannot deliver enough blood to maintain normal function of the parts of the body they supply. For example, atherosclerosis of the arteries in the legs causes reduced blood flow to the legs. Reduced blood flow to the legs can lead to pain in the legs while walking or exercising, leg ulcers, or a delay in the healing of wounds to the legs. Atherosclerosis of the arteries that furnish blood to the brain can lead to vascular dementia(mental deterioration due to gradual death of brain tissue over many years) or stroke(sudden damage and death of brain tissue).
In many people, atherosclerosis can remain silent (causing no symptoms or health problems) for years or decades. Atherosclerosis can begin as early as the teenage years, but symptoms or health problems usually do not arise until later in adulthood when the arterial narrowing becomes severe. Smoking cigarettes, high blood pressure, elevated cholesterol, and diabetes mellitus can accelerate atherosclerosis and lead to the earlier onset of symptoms and complications, particularly in those people who have a family history of early atherosclerosis.
Coronary atherosclerosis (or coronary artery disease) refers to the atherosclerosis that causes hardening and narrowing of the coronary arteries. Diseases caused by the reduced blood supply to the heart muscle from coronary atherosclerosis are called coronary heart diseases (CHD). Coronary heart diseases include heart attacks, sudden unexpected death, chest pain (angina), abnormal heart rhythms, and heart failure due to weakening of the heart muscle.
Atherosclerosis
Atherosclerosis
and Angina Pectoris
Atherosclerosis and
Angina Pectoris
Angina Pectoris also referred to as angina) is chest pain or pressure that occurs when the blood and oxygen supply to the heart muscle cannot keep up with the needs of the muscle. When coronary arteries are narrowed by more than 50 to 70 percent, the arteries may not be able to increase the supply of blood to the heart muscle during exercise or other periods of high demand for oxygen. An insufficient supply of oxygen to the heart muscle causes angina. Angina that occurs with exercise or exertion is called exertional angina. In some patients, especially in people with diabetes, the progressive decrease in blood flow to the heart may occur without any pain or with just shortness of breath or unusually early fatigue.
Exertional angina usually feels like a pressure, heaviness, squeezing, or aching across the chest. This pain may travel to the neck, jaw, arms, back, or even the teeth, and may be accompanied by shortness of breath, nausea, or a cold sweat. Exertional angina typically lasts from one to 15 minutes and usually is relieved by rest or by placing a tablet of nitroglycerin under the tongue. Both resting and nitroglycerin decrease the heart muscle's demand for oxygen, thus relieving angina. Exertional angina may be the first warning sign of advanced coronary artery disease. Chest pains that just last a few seconds rarely are due to coronary artery disease.
Angina also can occur at rest. Angina at rest more commonly indicates that a coronary artery has narrowed to such a critical degree that the heart is not receiving enough oxygen even at rest. Angina at rest infrequently may be due to spasm of a coronary artery (a condition called Prinzmetal's or variant angina). Unlike a heart attack, there is no permanent muscle damage with either exertional or rest angina although the angina is a warning sign that there is an increased chance of a heart attack in the future.
Atherosclerosis and Heart Attack
Occasionally the surface of a cholesterol plaque in a coronary artery may rupture, and a blood clot forms on the surface of the plaque. The clot blocks the flow of blood through the artery and results in a heart attack (see picture below). The cause of rupture that leads to the formation of a clot is largely unknown, but contributing factors may include cigarette smoking or other nicotine exposure, elevated low-density lipoprotein (LDL) cholesterol, elevated levels of blood catecholamines (adrenaline), high blood pressure, and other mechanical and biochemical stimuli.
Unlike exertional or rest angina, heart muscle dies during a heart attack and loss of the muscle is permanent, unless blood flow can be promptly restored, usually within one to six hours.
Heart Attack illustration - Myocardial Infarction
While heart attacks can occur at any time, more heart attacks occur between 4 A.M. and 10 A.M. because of the higher blood levels of adrenaline released from the adrenal glands during the morning hours. Increased adrenaline, as previously discussed, may contribute to rupture of cholesterol plaques.
Only half of patients who develop heart attacks have warning signs such as exertional angina or rest angina prior to their heart attacks, but these signs may be mild and ignored as unimportant.
What Are The Symptoms of a Heart Attack?
Although chest pain or pressure is the most common symptom of a heart attack, heart attack victims may experience a variety of conditions including:
- Pain, fullness, and/or squeezing sensation of the chest
- Jaw pain, toothache, headache
- Shortness of breath
- Nausea, vomiting, and/or general epigastric (upper middle abdomen) discomfort
- Sweating
- Heartburn and/or indigestion
- Arm pain (more commonly the left arm, but may be either arm)
- Upper back pain
- General malaise (vague feeling of illness)
- No symptoms (Approximately one quarter of all heart attacks are silent, without chest pain or new symptoms. Silent heart attacks are especially common among patients with diabetes mellitus.)
Even though the symptoms of a heart attack at times can be vague and mild, it is important to remember that heart attacks producing no symptoms or only mild symptoms can be just as serious and life-threatening as heart attacks that cause severe chest pain. Too often patients attribute heart attack symptoms to "indigestion," "fatigue," or "stress," and consequently delay seeking prompt medical attention. One cannot overemphasize the importance of seeking prompt medical attention in the presence of new symptoms that suggest a heart attack. Early diagnosis and treatment saves lives, and delays in reaching medical assistance can be fatal. A delay in treatment can lead to permanently reduced function of the heart due to more extensive damage to the heart muscle. Death also may occur as a result of the sudden onset of arrhythmias such as ventricular fibrillation.
12 Heart Attack Symptoms and Early Signs
- Chest discomfort, manifest as pain, fullness, and/or squeezing sensation of the chest
- Jaw pain, toothache, headache
- Shortness of breath
- Nausea
- Vomiting
- General epigastric (upper middle abdomen) discomfort
- Sweating
- Heartburn and/or indigestion
- Arm pain (more commonly the left arm, but may be either arm)
- Upper back pain
- General malaise (vague feeling of illness)
- No symptoms
What Are The Risk Factors For Atherosclerosis and Heart Attack
The risk factors for atherosclerosis and heart attack include elevated cholesterol levels, increased blood pressure, tobacco use, diabetes, male gender, and a family history of heart attacks at an early age.
Understand Your Risks to Prevent a Heart Attack
- A heart attack results when a blood clot completely obstructs a coronary artery supplying blood to the heart muscle and heart muscle dies.
- The blood clot that causes the heart attack usually forms at the site of rupture of an atherosclerotic, cholesterol plaque on the inner wall of a coronary artery.
- The most common symptom of heart attack is chest pain.
- The most common complications of a heart attack are heart failure and ventricular fibrillation.
- The risk factors for atherosclerosis and heart attack include elevated cholesterol levels, increased blood pressure, tobacco use, diabetes, male gender, and a family history of heart attacks at an early age.
What Are The Complications of A Heart Attack?
The most common complications of a heart attack are heart failure and ventricular fibrillation.
How Are Heart Attacks Diagnosed?
Heart Attacks are diagnosed with electrocardiograms and measurement of cardiac enzymes in blood.
An Electrocardiogram — abbreviated as EKG or ECG — is a test that measures the electrical activity of the heartbeat. With each beat, an electrical impulse (or “wave”) travels through the heart. This wave causes the muscle to squeeze and pump blood from the heart.
Cardiac Enzymes
Cardiac enzymes ― also known as cardiac biomarkers ― include myoglobin, troponin and creatine kinase. Historically, lactate dehydrogenase, or LDH, was also used but is non-specific. Cardiac enzymes are released into the circulation when myocardial necrosis occurs, as seen in myocardial infarction.
A Look at A Normal Electrocardiogram ECG or EKG
Normal sinus rhythm is defined as the rhythm of a healthy heart. It means the electrical impulse from your sinus node is being properly transmitted. In adults, normal sinus rhythm usually accompanies a heart rate of 60 to 100 beats per minute.
A Normal EKG Wave Form
A Normal EKG Wave Form.
Normal EKG
Normal EKG / Acute Heart Attack Comparison
A Look At Abnormal EKGS
With STEMI Acute Heart Attack
Abnormal EKG
An abnormal EKG can mean many things. Sometimes an EKG abnormality is a normal variation of a heart's rhythm, which does not affect your health. Other times, an abnormal EKG can signal a medical emergency, such as a myocardial infarction (heart attack) or a dangerous arrhythmia.
STEMI
ST-Elevation Myocardial Infarction (STEMI) is a very serious type of heart attack during which one of the heart's major arteries (one of the arteries that supplies oxygen and nutrient-rich blood to the heart muscle) is blocked. ST-segment elevation is an abnormality detected on the 12-lead ECG.
Normal EKG Changes to Abnormal with Exercise
Abnormal EKG Ischemia To Acute Heart Attack Stemi
What Does Defibrillation and AED Mean?
Defibrillation
Defibrillation is a treatment for life-threatening cardiac dysrhythmias, specifically ventricular fibrillation and non-perfusing ventricular tachycardia. A defibrillator delivers a dose of electric current to the heart.
AED
An automated external defibrillator (AED) is a portable electronic device that automatically diagnoses the life-threatening cardiac arrhythmias of ventricular fibrillation (VF) and pulseless ventricular tachycardia,[1] and is able to treat them through defibrillation, the application of electricity which stops the arrhythmia, allowing the heart to re-establish an effective rhythm.
Dangerous Rhythms Treated With The AED or Defibrillator
Pulseless Ventricular Tachycardia
The emergency condition, pulseless VT, occurs when ventricular contraction is so rapid that there is no time for the heart to refill, resulting in undetectable pulse. In both cases, individuals are not receiving adequate blood flow to the tissues.
Ventricular Fibrillation (Shockable with ACLSMedication)
Ventricular fibrillation (V-fib or VF) is when the heart quivers instead of pumping due to disorganized electrical activity in the ventricles. It is a type of cardiac arrhythmia. Ventricular fibrillation results in cardiac arrest with loss of consciousness and no pulse.
Clinical Significance of Ventricular Fibrillation (VF)
Ventricular fibrillation (VF) is the the most important shockable cardiac arrest rhythm.
- The ventricles suddenly attempt to contract at rates of up to 500 bpm.
- This rapid and irregular electrical activity renders the ventricles unable to contract in a synchronised manner, resulting in immediate loss of cardiac output.
- The heart is no longer an effective pump and is reduced to a quivering mess.
- Unless advanced life support is rapidly instituted, this rhythm is invariably fatal.
- Prolonged ventricular fibrillation results in decreasing waveform amplitude, from initial coarse VF to fine VF and ultimately degenerating into asystole due to progressive depletion of myocardial energy stores.
ECG Findings
- Chaotic irregular deflections of varying amplitude
- No identifiable P waves, QRS complexes, or T waves
- Rate 150 to 500 per minute
- Amplitude decreases with duration (coarse VF -> fine VF)
Mechanism
In the presence of ischaemic heart disease VF may be preceded by:
- Premature ventricular contractions (PVCs)
- ST changes
- R on T phenomenon
- Pauses
- QT prolongation
- Ventricular tachycardia
- Supraventricular arrhythmias
- Sinus tachycardia
Course Ventricular Fibrillation (Shockable with ACLS Medication)
Refractory Fine Ventricular Fibrillation
Torsades de pointes or torsade de pointes
Torsades de pointes or torsade de pointes (TdP) (French: [tɔʁsad də pwɛ̃t], translated as "twisting of peaks"), is a specific type of abnormal heart rhythm that can lead to sudden cardiac death. It is a polymorphic ventricular tachycardia that exhibits distinct characteristics on the electrocardiogram (ECG).( A shockable Rhythm with the treatment of ADCLS Medication)
Treatment of torsade de pointes includes: isoproterenol infusion, cardiac pacing, and intravenous atropine. Intravenous magnesium sulfate, a relatively new mode of therapy for torsade de pointes, was proven to be extremely effective and is now regarded as the treatment of choice for this arrhythmia.
What Is The Treatment For A Heart Attack?
- Treatment guidelines emphasize treatment at a hospital capable of doing PCI (percutaneous coronary intervention) also termed as stenting or stent placement.
- Early reopening of blocked coronary arteries reduces the amount of damage to the heart and improves the prognosis for a heart attack.
- Medical treatment for heart attacks may include antiplatelet, anticoagulant, and clot dissolving drugs as well as angiotensin converting enzyme (ACE) inhibitors, beta blockers, and oxygen.
- Interventional treatment for heart attacks may include coronary angiography with percutaneous transluminal coronary angioplasty (PTCA), coronary artery stents, and coronary artery bypass grafting (CABG).
- Patients suffering a heart attack are hospitalized for several days to detect heart rhythm disturbances, shortness of breath, and chest pain.
- Further heart attacks can be prevented by aspirin, beta blockers, ACE inhibitors, discontinuing smoking, weight reduction, exercise, good control of blood pressure and diabetes, following a low cholesterol and low saturated fat diet that is high in omega-3-fatty acids, taking multivitamins with an increased amount of folic acid, decreasing LDL cholesterol, and increasing HDL cholesterol.
Strokes Are Life Altering
You Can Learn How To Prevent A Stoke
Managing High Blood Pressure
High blood pressure can cause blood vessels in the brain to clog more easily or even burst.
Controlling Cholesterol
High cholesterol is one of the major controllable risk factors for coronary heart disease, heart attack and stroke.
Reducing Blood Sugar
Untreated diabetes can lead to many serious medical problems, including heart disease and stroke.
Being Active
Find forms of exercise you like and will stick with, and build more opportunities to be active into your routine.
Eating Better
Learn how to ditch the junk, give your body the nutrient-dense fuel it needs, and love every minute of it!
Losing Weight
The benefits of maintaining a healthy weight go far beyond improved energy and smaller clothing sizes.
Stopping Smoking
Smoking puts you at higher risk for heart disease and stroke. Learn the risks and quit today. We can help.
Discussing an Aspirin Regimen or Other Medications
Aspirin is not appropriate for everyone, so be sure to talk to your doctor before you begin an aspirin regimen.
How Will You Prevent a Second Stroke?
Preventing stroke can be life-changing. But the steps you take to prevent stroke don't have to be hard. They can be small, easy changes, if you start right now.
Contact Miraculous Medical Supplies
Contact Miraculous Medical Supplies
Please feel free to contact us or stop in today for all your medical solutions! Call us at (786) 701-8843 or contact us below. 15411 Sw. 137 Ave. Miami, Florida 33177