 Good morning. I really hope you're still enjoying the time that we are spending together My name is Valentine or at ColourMeVal that is a valuama colors because I like bright colorful things I just like it. It's just the weakness. Yeah, I can't help it But meanwhile we are starting the health segment for the day and today we're talking about Cardiovascular diseases. Those are C. D. V. Skin and heart attack Etc. Etc. We'll be learning a bit more about what the other ones are and maybe preventive measures and how One can be prone to such situations But please do remember your comments are very valuable to us. So at Y-5-4 on Facebook at Y-254 channel On Twitter. Hashtag is 1 in the morning where you can send us a text using our SMS 920154 Start with Y-254. Now in the meantime, please help me give a very very very welcome to our guest of the day, Sasa. My name is Pitambugan Jiraga. I am an emergency medical technician by profession. I work with Facets. I'm also a teacher. I teach first aid, fire, occupational health and safety, and safety at large. Okay. All right. That one about the fire caught me off guard. I didn't imagine you doing something like that. What does that, you said EM? Emergency medical technician. EMT. What does an EMT do? An EMT are the guys that roll with the ambulance. We say we work under pre-hospital care. We manage the patient on scene before transferring to a hospital. So our work is, for example, we found a patient who has collapsed maybe because of heart attack. Somebody raises an ambulance. We respond. So our work is to maybe the person is not breathing. We can start CPR, initiate oxygen. We also give lines where we give fluids. So that's what we do. So we're the ones who are called in terms of accidents. So what to say about the ambulance, but they don't know what they're called. We are called emergency medical technicians. We are trained by different schools such as St. John. Avenue Rescue, ICT, Find Rescue, Gertrude's ETC. That's our work. Our work is just to manage patients on the ground. We eat air. We eat anything else. I forgot to say I'm also an aeromedic. What does that even mean? So an aeromedic is a medic that can operate on air. So the work of an aeromedic maybe is, for example, I can have a patient from Somalia who wants to come to Kenya. So you cannot just send anybody because you have a lot of things that come with air, a lot of sickness that comes with air. The compressional also have altitude sickness. So you need somebody who can manage the patient well on air. So what happens? Different is just mode of transportation, but I am an EMT by profession and also an aeromedic. So my work is I can manage any patient anywhere, regardless of the terrain. So we work differently. There are people who work in sites. There are people who work in Turkana. There are people who work in the waters. Where do you work? I work in Nairobi. Yes. Just at Parklands. Okay. I have so many questions. Among them being intermutable, if Kirambur lands, they can go to jail at the time of traffic. A lot of people may say that, but I always say, if you hear us even, don't assume, oh, these guys are not carrying anybody. They just want to run away. Just imagine there is somebody who needs help. And traffic in Nairobi is not very good to us because we tend to take a lot of time before they respond to the scene. Because some of the drivers, some of the people who drive these vehicles are like, why should I give this to you? Imagine I'm responding to your house. I'm responding to your house. And then later on, you're like, damn, what have I just done? I was just coming to save somebody from you. You never know who I'm saving. It may be your friend. It may be your family or somebody close to you. So any time you hear us, Irene, don't be quick to judge. Just give away. What is the number of ambulances? The number of ambulances, it depends on who you're calling. You can call Red Cross. You can call other private hospitals. If you want to call, maybe you need help. Maybe you don't have the St. John ambulance. You can call 999. The police will respond. You know what we're going to do? We're going to do a practice run. Just before the show ends, but what we're going to do is now zoom in to the topic of the day, which is cardiovascular disease. What is cardiovascular? So what does that really mean? So cardiovascular is more about the heart system. So we have different types of cardiovascular emergencies. We have heart attack. We have cardiac arrest. Yes, those are the types that we have. And at times we also have heart failure. So people don't differentiate. A lot of people may not be able to differentiate between the three. Cardiac arrest, heart failure, and heart attack. I honestly thought cardiac arrest and heart attack are the same thing. They're not the same thing. That's the difference. Okay. Cardiac arrest. I'll start with heart failure. This is when we have the left side of the heart and the right side of the heart. One is not able to function. So it means that one side of the heart is not his. It's like it's dead. So you're using one side of the heart, which is very, very risky. We go to heart attack. Heart attack is when now a blockage is a blockage of one of your arteries. So oxygen cannot do what? Cannot pass through. Are you together? And cardiac arrest is when the heart has stopped. Are you together? And how do you recognize someone who has a heart attack? Okay. Because of the things I watch on TV, I know that it's usually the left hand. Something happens. So you feel a bit numb. You're dizzy, dizzy like this. Okay, that's about it. So heart attack comes with chest pain. See, we are crushing chest pain. It's very, very painful. I can be here. And then I'll start having difficulty in breathing. Please, please. See heart break. So it is more of you hearing some crashing. It's very, very painful actually. So for example, I may be seated here now talking. These are some of the reactions you may see or you may tend to think. And then what happens next? The person may collapse. And also that you'll feel some numbness and also some pain that goes past by your neck and also your hands. And also this person may be tired, may look tired, may sweat. That person may not become. Because he has difficulty in breathing. And at times it's not easy to know that this person may go into cardiac arrest. It's not easy. I may be talking right now and then I collapse. What happens when I collapse? What can you do? That's a good question. First I look at you. Shreya Neemba, I know you. I'm a faint, I just faint. In fact, that would be my first response if he's fainted. The next thing I know I think I have to elevate your legs or something of a sort and keep you free free in this area. So there's free flow of oxygen. But what are we supposed to actually do? Majorly, a lot of people may assume that the casualty has fainted. And remember, a person who has gotten a heart attack, the heart has stopped beating. Number two, the person may not be breathing. So mostly people will be like, Ah, I'm not fainting. At that time it's not the case. You need to ask yourself that what happened, what was the patient doing? Those are the questions that we asked before attending to the patient. What was the patient doing? Now they pass history. Where you ask what was he doing before he fell? Any signs that he saw, did he have this and this? Because at times, somebody may be like, I don't know, I don't know. I don't know. So any time you see a person who has collapsed, the first thing you should do is to call for help. Why you call him for help? We are preventing our patients from going to cardiac arrest. The earlier you call for help, the better. Because when you raise an ambulance immediately, you're helping our patient. At times people don't know how to perform CPR. Do you know what CPR is? Yes. What is CPR? There's a guy from St John who came to show us CPR. It's when you give the kiss of life, and then you do the palpitations on the chest and all these things. How many people know that? Well, hopefully they watched the show and a few more people know that. A few more people. What do you mean the society, back in where you come from? The people who are not watching the show? Do you think they... What's that ever when you see in Africa anything had to be left in a kind of strange new chow? So if someone falls and maybe even just starts conversing a little bit with chow? So, majorly, when you see somebody who has collapsed, the first thing is to call for help. Help, help, help. Somebody raise an ambulance. It's together. And then you check for pulse. If there's no pulse, start CPR. So CPR is known as cardiopulmonary. It's a station. You're helping, we call it the artificial pumping of the heart. We are assisting it to pump blood and oxygen to all parts of the brain and the body. So with that, you give that just compression. So what if it's around maybe 10 minutes? Ambulance has not come. Would you stop? Ambulance has not yet come. Will you stop? Or will you continue CPR? Would I be harming him if I continue? What do you think? Oh no, no, no. Okay, this is good because this is lame man thinking. So when I press CPR, when I press CPR, at some point I can't really understand because it's a lot of this and a lot of blowing. So if it's not coming to, I'd assume if I continue, I'm going to predict something. So I'll panic. I won't stop. I'll first panic before I actually stop. Is that something? What are we supposed to actually do? This is fun. So what I believe, you don't stop. Right together. You've done it for 10 minutes. Call back. Tell someone, if you're calling St. John, can you call St. John again? Ask them. And then you'll also tell the dispatcher, this is what we're doing. I've done CPR for 10 minutes. Patient has no pulse yet. No signs of breathing, but I can feel the patient is still home. Can I still continue with CPR? If the dispatcher tells you, you can continue while it's fine. For example, a medic has come, maybe a doctor or a nurse before the ambulance. Maybe he or she was just passing by or seeing some commotion and then, let me just stop my kind, ask him. They need some help. And then he asks you, how long have you done CPR? 10 minutes. So what are you supposed to do? You hand over to him now, because he's more of a qualified personnel. He can continue. He can choose to continue. Are you together? So why are we doing CPR? You're buying time for the ambulance or the emergency services too? Come. Are you together? You cannot just say, let me just chill. If you want to come, you watch. You don't watch. That's the problem. That's the society we live in. It's not a good trend that you see somebody has fallen. It's an accident. People are just taking photos. It's not a cool thing. We need to have the urge of serving humanity. Because it's what blesses us every day. So I have seen today, we're talking about mostly heart attacks. And I've seen the various, I don't know if it's just variations of heart attacks because I've seen things like arrhythmias and all that. What is that? I mean, the purpose of the heart is to pump blood, oxygenate the rest of the body, right? So you've said there's heart failure on one side and it stops. What does that mean? And then when it actually stops altogether, that means there's no flow of blood. Yes. So when the heart stops, there's nothing that is happening in your body. Right together. So when the heart has stopped, there's nothing that arise. Nothing is happening. No blood is circulating. And also some of the signs people change. The color, people turn to blue, grayish. How would you know, for example, how would you know of turning to blue or grayish color? The lips. Yes, very good. Hey! And also, you can check there. The fingertips. The upper coil. Yeah. Yes. So it's one of the signs. And mostly people may not understand. It's what it's called synosis, changing of the color. We call it synosis. So basically the heart has stopped. Nothing else is happening in your body. And when it comes to most patients, not everybody knows if they are a cardiogenic patient or they have a cardiovascular issue. And that's why it's called, at least, you go check for your BP's. For example, when was the last time you checked your BP? A few weeks ago, actually, because I had a horrible cold. And I know that an adult BP, wait, it's heart rate, beats per minute, right? Beats per minute. Yeah. So it's supposed to be under 100. Yeah. Tell me I'm right. I want to finish. Examination. Yeah, you wanted to check. Okay. So basically for an adult, we call it, it needs to be not above 120. And here at Cheney, we have dystolic and systolic. So it needs to be on 20, 90. So come here at Cheney, go above 100. You have a problem. And if it's above 120, you have a problem. And what are the triggers? What do you think that causes cardiogenic heart issues? What do you think? The most probable causes of heart issues I've seen is blood clots. Would that be? Yeah, blood clots. And when it comes to blood clots, it's because the heart attack now. What has happened? There's a blockage of the heart vessels. So what happens when there's a blockage? Things can go through. What happens? Now there's a clot. It means that blood is not flowing. So it's one of the issues. And also our diet. A lot of people don't check on their diet. Junk, junk, every time. Monday to Sunday. Oh, I read about that. The fatty deposits. Yes, the fatty deposits. Remember that when it comes to heart attack, maybe our vessel has been blocked by a fatty tissue because of a lot of fat. Remember the more fat you take, what are you doing to your heart? Just slowing it down. It has to beat harder. Yes. So that the blood now goes fast through the clogged venues to the rest of the body. So usually we don't check on our diet. And if we don't check on our diet, we'll be prone to heart attack. And something funny, men are prone to heart attack more than the ladies. Women? How? Yes. That is surprising. I did not know that. Men are prone to heart attack more than the ladies. I guess it's more about what we eat. And because men will love them so much. Maybe men like them as well. But I didn't take a lot. Can you tell me? Shindara. Shindara. I don't know. I can't tell you Shindara. Shindara. So usually whatever we eat, so a lot of fats, too much alcohol, smoking. That's not goiter. That's not goiter. That's not goiter. That's not goiter. That's not goiter. That's not goiter. That's not goiter. That's not goiter. That's not goiter. Because it's still a look-at-goiter. You're not exactly going to like Americans. So I just don't try so much as going out of clinic. That's not goiter. What am I trying to say is that it's diet, too much consumption of alcohol, not exercising. Fatigue, sleepless night. Depression also. Can cause a heart attack. Yes. Why? That person is not social. So whether he or she has a problem, He or she does not have any support from anyone because that person is not Speaking out what you're saying is stress because I've read the things that are Would lean on someone getting a heart attack or cardiovascular diseases stress lifestyle and diet So I put stress into maybe depression stress Unesakonari stress. These are remember these difference between stress and depression Those are two different things. What is depression to you and what is stress to you? I should know this because you did this the other day also on Health Monday, and I was told There's one that is a psychological one. It's a state of mind and there's one that's clinical. So I think depression is Psychological psychological. Yes. No pit exam guys. So let me keep your attention to my own classes So At times we tend to ignore these things when it comes to depression it can also be a course Remember you're piling a lot of things Maybe you have a lot of pressure that you don't know what actually and I Everybody as in it's not a must but The the the what is it called the analysis that has been made is that men are Prone to attack It's gather but after many boys Women are a prone me. It's not a must But why I'm not sure about why after men opposed But it's not a must Are you together as long as you're checking on your diet? You're able to sleep well Because remember what happens when you don't sleep Personally, I don't sleep I get very short tempered like natural. I don't make decisions clearly How do you feel your body do you feel if it's Like every move is an effort it's like I'm fighting again Remember your body needs to rest Right together, and if you don't have adequate sleep Maybe you'll be straining at the end of the day Oh, and we did this also on a previous show that we should sleep for at least maybe on average 7.5 That's awesome. So basically you need a lot of a lot of sleep. All right. Yeah, so maybe in conclusion we can talk about how to Prevent heart attacks, and I want us to focus on the youth because I imagine how to take in a son konjom to mse I will not send you gunjom to msa Because the lifestyle that we the young generation are undertaking It's it's a very big big big threads. Yeah, we are at risk. So how do we prevent this? So how do you prevent number one? exercise Right together you need exercise It's not a must go to the gym When we know a tumor You just exercise maybe go for morning runs go for some jokes at least 20 once in a while Go play hockey go play basketball go play rugby go for swimming Once in a while at least for your body to be You you're burning those And also as you're doing exercise you're using the rate of which you can be able to do what? Get diseases. Yes. Get diseases number two is Observing good diet On Tuesday, it is always what? Terrific Tuesday. Do you see old people are the peasants? Not really what you're going to but they're the rates It is the young generation Let's choose what? Very wisely. Let's at least balance the vitamins the carbohydrates the proteins Balanced diet literally funds us to do to your class three. I'm an again What is happening to it now? We're forgetting because you want to eat Every day you want to eat chicken, but you're doing more up to you I have something else that people don't do you need to be going for checkups Why why are you going for checkups? The country is living below the poverty line and you want us to let me ask. What do you want? Are you paying? It's a it's a I only say don't Put don't talk about money when it comes to your health. When do you want me to talk about it? We're asking for it. Don't talk about money when it comes to you Let me ask if I want you to go for Want you to go to what is it called? I want you to go for the clinic. Oh, you go to the chemist. It's just a hundred. Just to check your bp's Are you together? Okay? That makes sense. That's how I do. I know what you wait for When you when you seek I'm on it too much Yes, so good eat well go for checkups Workout sleep well avoid stress. That's it. It's good to go Translated hydrate cool a visuri and mind your business when you mind your business. You're not so stressed See you what he said I tried 5-4 Facebook at white to 5-4 channel on Twitter Hashtag is when the money. Thank you for staying with us on this segment on health We are coming up with politics with K Alex, but please do give us your social media handles before you Follow me at on Facebook On Kefa Kefa Yes, how do you spell that? K E F A H K E F a H. All right. Thank you so very much for coming. Thank you. You dear viewer. Don't go away