It’s Leap Year – 29 Days to Take Part in American Heart Month

Each February, the National Heart, Lung, and Blood Institute (NHLBI) marks American Heart Month by raising awareness about heart health and urging Americans to reduce their risk for developing heart disease. Heart disease remains the No. 1 cause of death in the United States, according to 2020 data published by the American Heart Association. Taking care of your heart health has never been more important and there’s a lot you can do to prevent heart disease. You have the power to take action to protect yourself against heart disease. With your heart being the busiest organ in your body, beating over 11,000 a times a day and pumping 2,000 gallons a day, it is important to prioritize heart healthy habits.

1. Commit to a walking schedule with a friend or family member, even if you can’t walk together. Try competing with yourself, or a friend, by participating in a “steps” contest. Use activity trackers to see which who takes the most steps.

2. Rock the Red. National Wear Red Day® is the first Friday in February. Wear red and encourage others to do the same. Help raise awareness that heart disease is the leading cause of death in the U.S. and largely preventable. The observance urges women to protect themselves from heart disease, the No. 1 killer of women.

3. Create a Pinterest board with heart-healthy recipes and share it with friends and family. Make it a public board and encourage others to add their favorite recipes.

4. Calculate your Body Mass Index (BMI). BMI is an estimate of body fat and a good gauge of your risk for diseases that can occur with more body fat. Calculation of BMI is based on your height and weight. 

5. Focus on getting 8 hours of sleep. Consistently getting a good night’s sleep is one of the most beneficial things you can do for the health of your mind and body. It’s particularly important for your heart, as during normal sleep, your blood pressure goes down. Having sleep problems means your blood pressure stays higher for a longer period of time.

6. Stress less by practicing mindful meditation. A study published in the Journal of American Heart Association, shows regular daily meditation can reduce your risk of heart attack and stroke. The study found people who meditate regularly have lower cholesterol, better blood pressure and less chance of stroke and heart disease than those who did not have a regular relaxation routine.

7. Fill half of your lunch and dinner with vegetables.

8. Choose the farthest space in the parking lot and get a few extra steps into your schedule.

9. Laughter is the best medicine. Research shows that laughing can strengthen your immune system, boost your energy, alleviate pain and protect you from the damaging effects of stress. How? Laughter relaxes the whole body, boosts the immune system, triggers the release of endorphins, and protects the heart by improving the function of blood vessels and increasing blood flow. So go ahead watch a comedy, or play charades with the family.

10. Increase your fiber intake.  Eating fiber rich foods is an excellent way to keep cholesterol levels low and blood pressure under control. Look for foods with at least 6 grams of fiber per serving. 

11. It’s Super Bowl Sunday – find a couple of healthier food options for the big game.

12. Turn up the music and dance to your favorite tunes!

13. Learn your family’s heart history. Call a family member to understand what genetic health risks may run in your family.

14. It’s Valentine’s Day - plan a date to go on a hike or cook a heart-healthy meal with your loved one.

15. Kick the habit. Take the first step to quit smoking.

16. Schedule your annual physical. Playing an active role in your preventive health is a key factor in preventing heart disease and managing your risk factors for heart problems. One of the best preventive health measures is your annual check-up with your primary care provider. Even if you don’t have a heart condition, it’s essential to schedule and keep annual exams.

17. Increase your flexibility by taking 10 minutes each day to stretch or better yet, sit on the floor and stretch during your favorite show. Although flexibility doesn’t contribute directly to heart health, it’s nevertheless important because it provides a good foundation for performing aerobic and strength exercises more effectively.

18. Keep your water glass full. Eight glasses, approximately 2 quarts, is the daily recommendation. Studies have shown consuming sufficient amounts of fluids not only supports essential body functioning, but may also reduce the risk of severe heart problems in the future.

19. Be kind. Research shows losing your temper can trigger a heart attack for up to two hours after the anger has subsided. Being kind can achieve the opposite effect: It releases a hormone called oxytocin, which decreases blood pressure, boosts your heart health, and lowers harmful inflammation in your body.

20. Minutes matter. Quickly knowing the signs of a heart attack can save a life. When a heart attack strikes, minutes matter. Those first few minutes following a heart attack are critical in determining the short-term and long-term outcome for the patient in the days to come. According to the National Institutes of Health, about half of those who die from heart attacks will die within an hour of their first symptom. Being able to quickly recognize what’s happening and act can help ensure that the victim gets proper medical treatment as soon as possible.

21. Take a break from salt. Put away the salt shaker and choose the low salt option of grocery store items or substitute herbs for salt to flavor dishes.

22. Know you blood pressure numbers and what they mean.

23. Take as Directed. An important step in taking charge of your health is speaking with your healthcare provider about medications you are taking, including its favorable results and any potential side effects. Certain medications prescribed to treat a number of physical and mental health conditions can increase your risk of heart attack and heart failure. As you age and experience life changes finding the right medications for you is a crucial conversation to have with your providers. 

24. Choose minimally processed foods. Highly processed foods are usually high in salt and sugar and may contain additives and preservatives. Often, the foods are low in fiber and lacking the nutrients present in fresh or minimally processed foods.

25. Get your teeth cleaned. Dentists recommend a cleaning every 6 months. Taking care of your teeth can impact heart health by reducing your chances of having a heart attack by 50%. The bacteria that infect the gums and cause gingivitis and periodontitis also travel to blood vessels elsewhere in the body where they cause blood vessel inflammation and damage; tiny blood clots, heart attack and stroke may follow.

26. Make a swap – trade high fat and calorie desserts with a piece of fruit.

27. Create new habits at work. Spending long spans of time sitting is bad for your health. Make small modifications like standing up to take phone calls, hold standing meetings, hold walking meetings and set a timer to remind you to stand up and stretch or take a walk every hour.

28. A healthy weight promotes heart health. Weight can be a critical indicator of our risk level for heart problems. More specifically, where that weight is located can also elevate risk. A thicker waistline can increase your risk for heart attack. Stomach fat is linked to high blood sugar, increased blood pressure and higher levels of triglycerides (fat used to store excess energy from the foods you eat). Belly fat is more dangerous for your heart as it is closer to your internal organs.

29. Know your cholesterol numbers and what they mean for your heart health. 

ACLS Academy is an authorized American Heart Associate (AHA) Aligned Training Center. We have three convenient locations in Massachusetts – Quincy, Bridgewater, and Newton Center with most of our classes including an online training component. We provide high-quality courses taught by instructors practicing in the medical profession for ACLS, TNCC, BLS, ENPC, NRP, PALS, Bloodborne Pathogen, Heart Saver CPR/AED, First Aid, and Instructor Courses. Browse our catalogue of courses.

Cold Weather Chest Pain: Angina or a Heart Attack?

Winter has arrived. If you’re not one of the fortunate snowbirds escaping to warmer climates, you may be dreading short, dark days and bitter temperatures. For some people who have cardiovascular issues, the cold winter air can trigger chest pain. A change in barometric pressure, low humidity, wind, and cold temperatures, these wintry conditions may trigger our bodies to respond negatively by narrowing our blood vessels in the skin, fingers, and toes, so less heat is lost. But this narrowing, called vasoconstriction, creates more pressure in the rest of the circulation, meaning the heart must work harder to pump blood around the body, increasing heart rate and blood pressure and may result in heaviness or pain in the chest. Besides cold temperatures, high winds, snow, and rain also can steal body heat. Wind is especially dangerous because it removes the layer of heated air around your body.

Studies show that more cardiovascular issues occur during the colder months and it’s natural to think the pressure or pain in your chest could be a sign of an impending heart attack, when in fact it may be a less serious cardiovascular condition called angina.

What is Angina?

Angina is a symptom of a heart condition such as coronary artery disease or coronary microvascular disease, not a disease in and of itself. Coronary artery disease (CAD) occurs when the heart does not receive enough oxygen due to a blockage or narrowing in the coronary arteries. Angina is the medical term for tightening, squeezing, or pressure in the chest caused by coronary artery disease. This tightness can be aggravated not only by cold weather, but also by stress, intense emotions, physical activity, or even a heavy meal. The discomfort usually begins behind the breastbone. Pain/discomfort you feel in your chest may spread to other parts of the upper body, including the neck, jaw, shoulders, arms, back, or belly.

Lack of oxygen to the heart can cause other symptoms, known as “angina equivalents.” These are symptoms that won’t be felt in the chest including fatigue, nausea or vomiting, shortness of breath, or intense sweating.

Angina can be classified as either stable or unstable. Angina typically begins in a stable state and progresses to an unstable state.

• Stable angina: People with stable angina usually experience pain after performing physical activities or another trigger. This type of angina is generally easy to predict and fades away after a brief period of rest.

• Unstable angina: Unstable angina is much less predictable and more challenging to manage. This type of pain typically lasts longer, is more intense, and does not appear to be caused by physical activity.

How to Detect a Heart Attack?

A heart attack occurs when blood flow to the heart is restricted or blocked. A heart attack’s primary symptom is chest pain, which can feel like stiffness, pressure, fullness, or burning around the heart. In addition to stomach pain or nausea, heart attacks can lead to shortness of breath, dizziness, and shooting pains in the left arm. Men and women have different warning signs, and while some people have immediate, obvious symptoms, most heart attacks start moderately and gradually aggravate.

Differences between Angina and a Heart Attack

Both angina and a heart attack are consequences of coronary artery disease. But angina doesn’t cause permanent damage to your heart. A heart attack does. That’s because angina signals a temporary reduction in blood flow to your heart. A heart attack causes a longer reduction in blood flow. During that time, part of your heart muscle begins to die. A heart attack can cause permanent damage to the heart muscle, leading to complications such as heart failure or arrhythmias.

Another key difference is what makes the pain go away. Rest or medication (nitroglycerin) causes stable angina to go away within a few minutes. Nitroglycerin relaxes the coronary arteries and other blood vessels, reducing the amount of blood that returns to the heart and easing the heart’s workload. Relaxing the coronary arteries increases the heart’s blood supply. However, if you’re having a heart attack, rest or medication won’t ease your symptoms.

Angina is not usually life-threatening, but it's a warning sign that you could be at risk of a heart attack or stroke. Stable angina doesn’t require emergency care unless your pain suddenly gets worse or doesn’t go away with rest or medication. A heart attack is a life-threatening emergency that needs immediate medical attention. There’s nothing you can do on your own to make it better.

ANGINA HEART ATTACK

Pain in the chest area Heaviness in the chest Deep pain in the chest

Pain radiates to the jaw and neck Yes Yes

Duration It lasts for 5- 10 minutes Lasts for longer (> 30 minutes)

Triggers Exertion, stress, temperature extremes None

Relief With Rest Very little relief with rest

Both angina and heart attacks involve chest pain or discomfort, but the key differences lie in the duration, severity, and consequences. A heart attack is a more critical condition that requires immediate medical attention, while angina may serve as a warning sign of potential heart problems. Both conditions are serious and should be addressed promptly by a healthcare professional. It's crucial for individuals experiencing symptoms to seek medical help to determine the cause and appropriate treatment. Regular check-ups and lifestyle modifications are important for managing cardiovascular health and reducing the risk of these conditions.

Surprising Culprits Contributing to Higher Blood Pressure

Elevated blood pressure contributes more to cardiovascular disease (CVD) and premature death than any other known and modifiable risk factor. Hypertension, or high blood pressure, is a condition where the pressure in your blood vessels is too high. It is a blood pressure reading of 140/90 mmHg or higher. People who watch their blood pressure are generally familiar with the more common factors that can cause their numbers to spike — salt and stress, for example. Here are several surprising things that can add to your short-term blood pressure numbers:

Cell Phone Usage

Talking on mobile for 30 minutes or more per week is linked with a 12% increased risk of high blood pressure compared with less than 30 minutes, according to research published in May 2023 in Digital Health, a journal of the European Society of Cardiology (ESC). Mobile phones emit low levels of radiofrequency energy, which has been linked with rises in blood pressure after short-term exposure. Researchers analyzed the relationship between mobile phone usage and new-onset hypertension after adjusting for age, sex, body mass index, race, deprivation, family history of hypertension, education, smoking status, blood pressure, blood lipids, inflammation, blood glucose, kidney function and use of medications to lower cholesterol or blood glucose levels. Mobile phone users had a 7% higher risk of hypertension compared with non-users. Those who talked on their mobile for 30 minutes or more per week had a 12% greater likelihood of new-onset high blood pressure than participants who spent less than 30 minutes on phone calls. The results were similar for women and men.

The study also examined the relationship between usage time (less than 30 minutes vs. 30 minutes or more) and new-onset hypertension according to whether participants had a low, intermediate, or high genetic risk of developing hypertension. Genetic risk was determined using data from the UK Biobank. The analysis showed that the likelihood of developing high blood pressure was greatest in those with high genetic risk who spent at least 30 minutes a week talking on a mobile – they had a 33% higher likelihood of hypertension compared to those with low genetic risk who spent less than 30 minutes a week on the phone.

Road Noise

Wailing sirens, aggressive horns, the roaring engines of giant diesel trucks — most of us would agree road noise is annoying, but is it harmful to your health? A new study published in March 2023 in the journal JACC: Advances found that busy road noise was linked to an increased risk of having high blood pressure.

Previous studies have found a connection between loud road noise and hypertension, but because noise pollution often comes with air pollution, the impact of noise alone was unclear. This new study was able to control for the health effects of air pollution and the risk for hypertension remained, according to the authors.

Traffic noise has emerged as an important environmental risk factor for CVD since 2010, with road traffic noise being mostly investigated for the associated health effects. Epidemiological and animal studies indicate that traffic noise can trigger annoyance and disturb sleep, thus activating autonomic systems and overproducing stress hormones, with subsequent activation of the renin-angiotensin-aldosterone system. Chronic exposure to traffic noise may cause several pathophysiological adaptations, such as an increase in heart rate and cardiac output and a rise in blood pressure. It could also lead to the development of other cardiovascular risk factors such as hyperglycemia, hypercholesterolemia, and blood clotting factor activation. These changes would ultimately manifest as CVD.

Holding a Full Bladder

When you have a full bladder but wait to urinate until the next rest stop or commercial break, your body increases your blood pressure. A full bladder raises blood pressure by about 10 to 15 points. When the bladder is full of urine, it puts pressure on the kidneys. This can lead to higher blood pressure. High blood pressure can indicate that your bladder isn't emptying well, even if you haven't noticed problems yet. If you’ve been instructed to monitor your blood pressure at home while taking certain medications, it is recommended you empty your bladder first. 

Air Pollution

Exposure to both fine particulate matter air pollution (what you’d find from car exhaust and fuel burning, as an example) and coarse particulate matter air pollution (like dust from roads and construction sites) can boost blood pressure in adults and children.

One study led by researchers at the University of Michigan found that even short-term exposure to high levels of air pollution can impact the blood pressure of healthy adults. The change was typical of what a person might see if his weight increased by about 5 or 10 pounds. The greatest portion of adverse health effects from air pollution is cardiovascular diseases, however, both short and long-term exposures are associated with increased risks for myocardial infarctions, strokes, and heart failure.

Black Licorice

Black licorice contains the compound glycyrrhizin, derived from the licorice root, which can cause the body to hold on to lots of salt and water, thereby driving blood pressure up. Glycyrrhizic acid can also deplete potassium and other electrolytes that may cause a cardiac arrhythmia or arrest. Glycyrrhizic acid can be found in other foods, such as jellybeans and beverages for flavor. People with high blood pressure or heart or kidney disease should avoid black licorice. The FDA says that more than two ounces of black licorice a day for two weeks may be problematic for people over 40 and may cause an irregular heart rhythm. People who are on medications or supplements that may be affected by licorice consumption should consult their doctor.  

50 years of Advanced Cardiovascular Life Support (ACLS)

How time flies. It’s been 50 years since Advanced Cardiovascular Life Support (ACLS) guidelines were established by the American Heart Association (AHA) in 1974. ACLS is a set of guidelines and protocols that healthcare professionals use to manage and treat patients with life-threatening cardiac emergencies. It is an essential component of the healthcare industry as it plays a vital role in saving lives and improving patient outcomes. Here are some interesting facts and historical points related to the establishment and evolution of ACLS training.

A Collaborative Effort 

ACLS was developed as a response to the need for standardized and advanced training in cardiac life support. In addition to the AHA playing a central role in the creation and publication of ACLS guidelines, several key organizations and stakeholders in the medical field have been part of its evolution and the continuous improvement of this training:

• American College of Cardiology (ACC): The ACC, a professional organization for cardiovascular specialists, has been involved in developing and disseminating guidelines related to cardiac care. While the ACC has broader objectives, its expertise in cardiology contributes to the formulation of ACLS protocols.

• American Academy of Pediatrics (AAP): The AAP, representing pediatricians and healthcare providers, collaborates with the AHA to develop pediatric components of ACLS training. Pediatric Advanced Life Support (PALS) is a related program focusing on pediatric resuscitation.

• American College of Emergency Physicians (ACEP): ACEP, as a professional organization for emergency physicians, has been involved in the development of ACLS guidelines, particularly in the context of emergency care and resuscitation.

• American College of Surgeons (ACS): The ACS, representing surgeons, has also played a role in the development of guidelines related to advanced cardiac life support, especially in the context of surgical and critical care settings.

• International Liaison Committee on Resuscitation (ILCOR): ILCOR is a collaborative effort involving multiple international organizations focused on resuscitation science and guidelines. Though ILCOR was not part of the original ACLS guidelines as the organization wasn’t established until 1992, the committee brings together experts from organizations worldwide to review and develop consensus on resuscitation-related topics, including ACLS guidelines.

Initial Emphasis on Physicians

Initially, ACLS training primarily targeted physicians and healthcare professionals working in critical care areas. This initial emphasis can be attributed to several considerations:

• Hospital-Based Care: In the early stages of ACLS development, most advanced cardiac life support interventions were delivered in hospital settings, particularly in critical care units and emergency departments. Physicians were often the primary healthcare providers responsible for managing patients in these environments.

• Physicians as Team Leaders: Physicians were typically considered the leaders of medical teams in hospital settings. ACLS scenarios involve complex decision-making and care coordination, and physicians were deemed best positioned to take on leadership roles in these high-stakes situations.

• Medical Expertise and Training: Physicians undergo extensive medical training, including residency programs, which equip them with a deep understanding of anatomy, physiology, pharmacology, and medical procedures. ACLS training builds upon this foundation, assuming a baseline level of medical knowledge.

• Historical Division of Roles: Traditionally, there has been a hierarchical structure in healthcare, with physicians at the top. The division of roles often placed physicians in charge of critical medical interventions, including advanced cardiac life support. Over time, the scope of ACLS training has expanded to include a broader range of healthcare providers, including nurses and paramedics.

• Development by Physician Organizations: The development of ACLS guidelines and training materials was often led by physician organizations, such as the American Heart Association (AHA). As such, the initial focus naturally centered on the needs and expertise of physicians.

Team Dynamics

In the late 1980s and 1990s, there was a growing recognition of the importance of a team-based approach to resuscitation. Studies and experiences from actual clinical settings highlighted the need for effective communication, coordination, and leadership during cardiac emergencies. ACLS training emphasizes effective communication and teamwork in high-stress situations. Providers are taught to work together efficiently during resuscitation efforts, reflecting that cardiac emergencies often require coordinated efforts from a multidisciplinary team of healthcare providers. ACLS team dynamics are vital for these reasons:

• Complexity of Cardiac Emergencies: Cardiac emergencies, such as cardiac arrest and other life-threatening conditions, are complex and dynamic situations. They require rapid and coordinated interventions from healthcare providers with diverse skills and expertise.

• Effective Communication: Clear and effective communication is essential during a cardiac emergency. Team members must communicate efficiently to share critical information, delegate tasks, and coordinate their actions. Miscommunication can lead to errors and delays in patient care.

• Role Clarity: In a resuscitation scenario, each team member has a specific role and responsibilities. Team dynamics training helps clarify these roles, ensuring that each healthcare provider knows their tasks and functions within the team. This reduces confusion and enhances overall efficiency.

• Shared Mental Model: Team dynamics training encourages the development of a shared mental model among team members. This means that all team members have a common understanding of the situation, the plan of action, and the expected sequence of interventions. A shared mental model promotes unity of purpose and coordination.

• Adaptability and Flexibility: Resuscitation scenarios can be unpredictable, and team members must be able to adapt to changing circumstances. Team dynamics training teaches providers to be flexible, adjust their strategies based on evolving conditions, and work together seamlessly to address challenges.

• Leadership Skills: ACLS scenarios often involve the need for effective leadership. Training in team dynamics helps healthcare providers develop leadership skills, empowering them to take charge, make decisions, and guide the team through the resuscitation process.

• Reduction of Errors: Effective teamwork can help reduce errors during cardiac emergencies. When team members communicate, understand their roles, and collaborate well, the likelihood of mistakes is diminished, contributing to improved patient outcomes.

• Efficient Resource Utilization: Team dynamics training emphasizes the efficient use of available resources. This includes optimizing the skills and expertise of each team member, as well as effectively utilizing equipment and medications. Efficient resource utilization is critical in time-sensitive situations.

• Stress Management: Cardiac emergencies are high-stress situations. Team dynamics training prepares healthcare providers to manage stress effectively, maintain composure, and support each other emotionally during challenging moments.

• Continuous Quality Improvement: Team debriefing is a common practice in ACLS training after the resuscitation effort. This allows the team to reflect on their performance, identify areas for improvement, and enhance their future response to similar situations.

Simulation Training

Simulation is crucial in ACLS training, but that wasn’t always the case. As we know it today, simulation training was not part of the original ACLS curriculum. The early ACLS courses were primarily didactic and focused on theoretical knowledge and skill acquisition through lectures, demonstrations, and hands-on practice with essential equipment.

Incorporating simulation training into ACLS courses became more prevalent in the following decades as technology advanced and educational methodologies evolved. Using high-fidelity manikins, computer-based simulations, and realistic scenarios became integral components of ACLS training. Simulation allows healthcare providers to practice and refine their skills in a controlled environment that closely mirrors real-life situations.

Today, simulation is widely recognized as an essential component of ACLS training. This shift reflects a broader trend in medical education, where simulation is increasingly recognized as a valuable tool for improving clinical skills and promoting patient safety.

Global Impacts

ACLS training has a global reach, with collaboration and standardization efforts spanning international borders. ACLS training has been adopted internationally, and many countries have organizations or institutions that provide ACLS courses based on the AHA guidelines or other recognized standards. The shared goal is to equip healthcare professionals with the skills and knowledge to provide adequate advanced cardiac life support globally in diverse healthcare settings. Several factors contribute to the global nature of ACLS training:

• International Guidelines: ACLS guidelines are often developed collaboratively on an international level. Organizations like the International Liaison Committee on Resuscitation (ILCOR) bring together experts from various countries to review and build consensus on resuscitation science, including ACLS protocols. These guidelines serve as a foundation for ACLS training worldwide.

• Standardization: ACLS training programs aim for standardization to ensure consistency in care delivery. Many countries adopt or adapt the guidelines established by international organizations, such as the American Heart Association (AHA) or the European Resuscitation Council (ERC), to create national standards.

• Global Organizations and Partnerships: International organizations, including the AHA, ERC, and others, collaborate with healthcare organizations, governments, and training institutions worldwide. This collaboration facilitates the exchange of knowledge, resources, and best practices in ACLS training.

• Cross-Border Recognition: ACLS certifications and training credentials are often recognized across borders. Healthcare professionals who receive ACLS training in one country may find their skills and certifications accepted in other countries, especially when the training adheres to widely recognized guidelines.

• International Training Providers: Many organizations and institutions offer ACLS training on a global scale. These training providers often adapt their courses to meet different countries' specific needs and regulations while maintaining alignment with international guidelines.

• Multinational Healthcare Workforce: The healthcare workforce is increasingly multinational, with healthcare professionals in different countries and regions. ACLS training provides a standardized skill set that can be applied globally, making it relevant for healthcare professionals regardless of their geographic location.

• Global Health Initiatives: Global health initiatives and partnerships often include components related to emergency and cardiac care. ACLS training is integrated into these initiatives to enhance the capacity of healthcare systems worldwide to respond to cardiac emergencies.

• Local Adaptations: While there is an international framework for ACLS training, individual countries may adapt to suit their specific healthcare contexts, regulatory requirements, and available resources. This flexibility makes ACLS training applicable and relevant in diverse healthcare settings.

• Online and Blended Learning: The availability of online and blended learning options has facilitated the global accessibility of ACLS training. Healthcare professionals from different parts of the world can access courses, resources, and certifications through online platforms.

• Research Collaboration: Resuscitation science is a field where researchers worldwide collaborate to advance knowledge and improve outcomes. This global collaboration contributes to the continuous refinement of ACLS guidelines and training practices.

ACLS Training at ACLS Academy

ACLS Academy is an authorized American Heart Association (AHA) Aligned Training Center with three convenient locations in Massachusetts – Quincy, Bridgewater, and Newton Center. Our ACLS course can be taken fully in person or in a blended learning format, which includes an online portion and a hands-on skills session. The online portion provides the flexibility of completing training at your own pace, either at work, at home, or wherever you have Internet access. The hands-on portion includes a skills practice and testing session conducted in person with an AHA Instructor. Our instructors are medical professionals or highly trained individuals who will coach you through each step of the life-saving process. Upon completing any of the courses, you will receive a course completion card valid for two years. 

Sign up here for our ACLS course.  If you require additional guidance, feel free to reach out to us, and we’ll be happy to assist.

Medical Conditions That May Affect Your Cholesterol Levels

As you know from some of our previous ACLS Academy blogs, cholesterol levels are influenced by a combination of genetic and lifestyle factors. What you may not know is there is a correlation between some medical conditions and cholesterol levels in the body. 

What is Cholesterol?

Cholesterol is a type of lipid (fat) present in our bodies and is essential for various physiological functions. The body does not need cholesterol from food and can naturally manufacture it. The liver naturally produces cholesterol, a fatty substance that helps the body make hormones and digest fatty foods. However, there is also cholesterol in animal-based foods, such as the bacon, cheese, butter, and eggs we all love and consume, and may impact our cholesterol numbers.

Cholesterol is transported in the blood in the form of lipoproteins, including low-density lipoprotein (LDL) and high-density lipoprotein (HDL). LDL cholesterol is often referred to as "bad" cholesterol because high levels of it can lead to the buildup of plaque in the arteries. This buildup can narrow and eventually block blood vessels, increasing the risk of cardiovascular diseases such as heart attacks and strokes. HDL cholesterol is often called "good" cholesterol because it helps remove LDL cholesterol from the bloodstream, reducing the risk of plaque formation.

Medical Conditions that May Impact Cholesterol Numbers

Hypothyroidism: An underactive thyroid, hypothyroidism, can lead to higher levels of LDL (bad) cholesterol and total cholesterol. Your body needs thyroid hormones to make cholesterol and to get rid of the cholesterol it doesn't need. When thyroid hormone levels are low, your body doesn't break down and remove LDL cholesterol as efficiently as usual. LDL cholesterol can then build up in your blood.

Diabetes: People with diabetes often have lower levels of HDL (good) cholesterol and higher levels of triglycerides, which can contribute to an unfavorable cholesterol profile. If you have diabetes, you will usually have lower HDL cholesterol levels and higher LDL/non-HDL (bad) cholesterol levels. This is commonly called 'dyslipidemia' and means your arteries are more likely to become narrow or blocked.

Gum disease: Periodontal disease, commonly known as gum disease, is when the gums become swollen, sore, or infected. It usually starts as gingivitis, when your gums might bleed a bit when you brush or floss. If left untreated, it can develop into a more severe form where the tissues and bones that support the teeth can become damaged. If this happens, it can lead to loose teeth or even tooth loss. Recently published research discovered that those with high total cholesterol were slightly more likely to have gum disease. While the study did find a link between high cholesterol and gum disease, it’s essential to understand that this doesn’t mean one causes the other. The relationship is there, but more research is needed to understand the exact nature of this connection. Nevertheless, this study reminds us of the intricate ties between oral health and well-being.

Lupus: Lupus is an autoimmune disease, which means that your immune system, the body system that usually fights infections, attacks healthy tissue instead. People with lupus are at an increased risk for high cholesterol and the complications of high cholesterol. The chronic inflammation caused by lupus slows your metabolism and damages your blood vessels. Combined, these factors can cause cholesterol and plaque buildup on artery walls.

Polycystic ovary syndrome: Polycystic ovary syndrome (PCOS) is a condition during a woman’s reproductive years in which the ovaries produce an abnormal amount of androgens. These male sex hormones are usually present in women in small amounts. Many women with PCOS are insulin resistant, meaning that insulin can build up in the body, making it difficult to maintain normal blood glucose levels. Because excess insulin can cause weight gain, women with PCOS also tend to be overweight or obese, particularly in the abdomen area. This belly fat, called visceral fat, can lead to higher triglycerides and lower HDL (good) cholesterol levels.

Cushing's syndrome: Cushing syndrome happens when the body has too much of the hormone cortisol for a long time. Too much cortisol can cause some of the main symptoms of Cushing syndrome, a fatty hump between the shoulders, a rounded face, and pink or purple stretch marks on the skin. Cushing syndrome also can cause high blood pressure or bone loss. Sometimes, it can cause type 2 diabetes. Excessive production of cortisol, a hormone associated with stress, in conditions like Cushing's syndrome, can lead to increased levels of cholesterol, particularly LDL (bad) cholesterol.

Psoriasis: Psoriasis is a chronic autoimmune skin condition characterized by the rapid buildup of skin cells, leading to the formation of thick, red, and scaly patches. While psoriasis primarily affects the skin, it has been associated with various systemic effects and comorbidities, including an increased risk of cardiovascular diseases. Studies have suggested a potential link between psoriasis and alterations in lipid profiles, including a reduction in HDL (good) cholesterol levels. The exact mechanisms behind the association between psoriasis and changes in lipid levels are not fully understood, but inflammation is believed to play a role. Psoriasis is an inflammatory condition, and chronic inflammation has been implicated in the development of cardiovascular diseases. Additionally, some medications used to treat psoriasis, such as certain systemic immunosuppressive drugs or corticosteroids, may also impact lipid profiles. For example, some systemic treatments for psoriasis have been associated with changes in lipid levels, including reductions in HDL (good) cholesterol.

Pregnancy: Cholesterol levels naturally increase during pregnancy. Cholesterol is needed for the growth and development of the baby, and to make the hormones estrogen and progesterone, which play an important role during pregnancy. However, high maternal cholesterol levels during pregnancy are linked with increased risks of preterm delivery and gestational diabetes.

It's important to note that while these medical conditions can influence cholesterol levels, they may vary from person to person. Of course, lifestyle factors such as diet, physical activity, and smoking also play a significant role in cholesterol levels. Even your age and gender may impact cholesterol levels. As you get older, your body can't remove cholesterol from your blood as well as it once could. That's one reason your risk for heart disease rises as you age. If you have concerns about your cholesterol levels or overall cardiovascular health, it's crucial to consult with a healthcare professional for personalized advice and appropriate management.

A New Year - Try Setting Realistic Heart Health Resolutions in 2024

It’s a new year: a clean slate and a time to begin afresh. Embarking on anything new is a time of hope and good intentions; however, being realistic with your new year's health resolutions sets you up for success. When it comes to your heart, you want to make changes to continue lifelong.

• Start small and set realistic goals. It’s a marathon, not a sprint. Lofty, highly restrictive, unsustainable health goals typically lead most people to break their resolutions within a few weeks. This is why many people make the same resolutions year after year. Instead of making significant modifications, make a few small, attainable changes at the beginning, which can be broadened if those are achieved.

• Slim down and eat healthily. Portion control is a great place to start. Not only does portion control regulate calorie intake, prevent overeating, and promote healthy eating habits, but it also allows you to eat the foods you love and crave in moderation. But don’t eat those smaller portions late at night. The last thing you do for the evening shouldn’t be food. Experts suggest that dinner should be eaten by 7 pm. Eating an early and light dinner helps to improve sleep, improve digestion, boost metabolism, and reduce blood pressure, keeping you healthy. 

• Move. Not to another neighborhood but to your body. Finding ways to exercise is the first step toward a healthier heart. Aim for 30 minutes of moderate exercise five days a week. Even small changes can make a difference. If you’re going into an office or commercial building, make it a priority to take the stairs.  At the grocery store, park farther away to get in some additional steps. Getting your heart rate up is an excellent place to start.

• Reduce stress and tame tension. Highly anxious people tend to have more heart attacks and strokes. Make time in your day to do things that help you relax. Try meditation, listening to music, talking with friends, walking outside, reading a book, or exercising.

• Get more quality sleep. We should be getting seven and a half hours of sleep every night. A lack of sleep makes your brain and body sluggish, so prioritizing sleep can go a long way. Shortening your sleep can lead to overeating, heart failure, hypertension, and atrial fibrillation. Having less sleep consistently can increase blood pressure and cause inflammation. The part of the brain activated during sleep deprivation is near the region where hunger is, so we know you eat more if you don’t sleep. Trouble getting or staying asleep? Create a sleep-friendly environment by making your bedroom easier to get a good night’s rest. Invest in blackout curtains that block light or a white noise machine that might help you sleep more efficiently and in a more relaxed room.

• Cut back on your sugar and salt habits. A place to start with sugar is to quit drinking all soda. You’ll lose weight just by quitting soda, including diet sodas. Quitting soda can be a springboard to a healthier lifestyle. To reduce salt, one tiny change is merely opting for lower salt options at the grocery store. 

• Drink More Water. Reducing salt intake, drinking enough water, and staying hydrated are ways to support our hearts and may help reduce long-term risks for heart disease. Drinking more water has many health benefits, such as keeping your skin healthy and helping your brain function at total capacity. The average adult needs between two and three liters a day, meaning we should drink about a cup of water every hour throughout the day. Drinking water will also make you feel full and assist you with that portion control goal.

• Schedule a yearly checkup. Seeing your doctor once a year is a great way to baseline your health metrics such as blood pressure, heart rate, and blood labs. Aside from ensuring that you have no major health problems, a physical allows your doctor to monitor your blood pressure and glucose levels. They will also likely discuss physical activity, drinking, smoking, and eating habits — all affecting your heart health. It is also a great time to assess your risk factors based on the health status of family members.

• Be a “cheater”. All-or-nothing goals are more likely to fail. According to Dutch researchers, abstinence and inhibition of certain behaviors or products frequently lead to 'irresistible urges' and cravings that are difficult to restrain. This may lead to the breakdown of self-regulation and snowball into a complete loss of control. The occasional indulgence feels nicer than constant self-denial and makes it more likely you'll reach your goal. Whether it’s improving your diet, exercising every day, or reducing your stress, give yourself a break and focus on doing that thing most of the time, and you may reach more of your healthy goals.

• Maintain perspective. Changing a lifestyle habit isn’t always easy. These take time, and sometimes we slip up, but we try to maintain perspective and get back on track.

• Get support. If you are struggling to make any of these health changes, even small ones, on your own or feel the need to be better informed about taking on more significant changes, consider employing the assistance of ancillary health practitioners, such as nutritionists and personal trainers. They are good resources, especially for heart patients.

Taking small steps toward your well-being can pave the way for a healthier January and beyond. All of us at ALCS Academy wish you the best possible health in the new year.

ACLS Instructor Highlight: Sheila Silva, DNP, RN, CEN, TCRN

We’re one-on-one with a staple in the Boston nursing community and a true expert in trauma care, Dr. Sheila Silva.  Dr. Silva has multiple decades of experience both practicing and teaching emergency medicine. ACLS Academy is truly lucky and proud to have Dr. Silva as part of our instructor organization teaching the very same courses she was instrumental in developing and refining over the years. We invite you to learn from a master in trauma care.  

Medical Career Experience & Current Employment:

Current employer & role: Adjunct Assistant Professor of Nursing and Chairperson of the Master of Nursing program at Emmanuel College.

Past employers & roles: My 40 year plus background is in emergency nursing including Trauma Outreach Manager at Brigham and Women's, and other hospital roles in Norwood, Quincy and other South Shore communities. I’ve also taught at a number of New England colleges, including Northeastern, and through the Emergency Nurses Association (ENA) trauma and nursing courses.

Education: 

Bachelor of Science in Nursing and Master of Science in Nursing from University of Massachusetts, Boston

Doctorate of Nursing Practice from Regis College 

Industry Roles:

Past President of the Massachusetts Emergency Nurses Association, 2013- 2014 

Current role: Trauma Chairperson since 2015 of the Massachusetts Emergency Nurses Association, a local chapter of the National Emergency Nurses Association. Each state has a chapter, though the chapter size varies. Mass ENA does a lot of education throughout the state and we recently held our annual conference on November 17, 2023 at Emmanuel College. As Trauma Chairperson, I oversee the TNCC course curriculum for the state, which I also instruct for ACLS Academy. I am also part of the National Committee for revisions to the course curriculum and participated in reviews of both the eighth and ninth editions.

You were quoted in a 2021 ENA article about how the “New ENA Delivered Model Brings Flagship Courses ‘Closer’ to Isolated Students”. Tell us more about how online training has benefited the nursing industry.

We were much more able to reach less populated geographies. Similar to what occurred across all educational institutions, the need to move online was as a result of COVID, when the ENA pivoted away from exclusively in person learning to remote learning as well. Initially in our local ENA chapter, the TNCC instructors themselves had to figure out how to facilitate the online instruction until the National ENA organization moved to formalize the online curriculum creating excellent materials and making the course more widely available to new participants and geographic areas.  The ENA has been able to branch out and reach areas such as rural Wyoming, Montana, Alaska, the uppermost part of northern California, even Aruba. These were locations where nurses didn’t have access to in-person course instruction and thus were unable to learn additional skills taught by the ENA through their courses. The online availability of this course material is now permanent, which is really fantastic for the nursing community.  The 9th edition course materials were published in July 2023 including the online version of the materials. Overall, the need to support online learning, I think, has resulted in the development of improved materials and processes and of course availability to all geographic regions requiring this expertise.

In addition to your work with the ENA, you also actively participate in the American College of Surgeons Stop the Bleed program and have taught the program to nurses, students, and laypersons. Tell us about the impact this program has made in the community since its inception after the Sandy Hook shooting.

I’ve actually been involved with the program since its inception in 2015.  As you mentioned the program concept was spurred by the Sandy Hook shootings, and the training was developed by a group of surgeons, EMS and military trauma experts to teach the public essential skills necessary to address an emergency event where individuals have been wounded. 

That same year in 2015, President Obama officially created the Stop The Bleed initiative. It is a course that's designed to teach lay people how to stop bleeding, basically. After I became aware of the program’s formation, I proposed to the Massachusetts ENA to fund the purchase of the necessary kits and we conducted the formal training throughout the state. And we still provide that training to the general public and at schools as well. ACLS Academy also has a Stop The Bleed course to provide this essential public training.  

Personal Background:  

I’ve spent the majority of my life living in Quincy, though I recently downsized and moved to Rockland on the South Shore. I love what I do and spent most of my career working multiple jobs simultaneously, so leisure time hasn’t been a focus, which is something I see in Shelley (ACLS Academy co-founder) and others in my profession. However, very recently I have downsized my work and am thrilled to be spending more time with my family, though they are a bit skeptical that this recent professional downshifting will be permanent.  I have a house in New Hampshire which is a nice getaway for myself and family.

Teaching Background:  

When did you join ACLS Academy?  

Three years ago, or so, I joined ACLS Academy as an instructor, though I have been teaching TNCC and ENPC courses in hospitals throughout the state of Massachusetts since the mid-80s.

Favorite part of teaching?

It is definitely connecting with the class participants.  I try to use the word participant as opposed to student, as I want the course and our time together to be an engagement with each class participant and myself and the co-instructor.  It’s not us standing at the front of the room lecturing, but rather an interactive learning session.

Because of my history in developing the course curriculum, I am very passionate about the material and really love teaching both TNCC and ENPC courses. It’s so rewarding seeing participants absorb the information, comprehending the details and empowering them in their work. I think my passion does come across and strengthens the connection with the material being taught.

It is also so rewarding to receive an email or call from a nurse who has taken my course and hear firsthand how they were able to remember and use the skills and course information in a patient situation. I particularly recall teaching a group of ICU nurses at a hospital who typically were not trained in these protocols and somewhat resistant to the training. However as we moved through the material they immediately saw the benefits and embraced the training and content. It’s making a difference and conveying new information and skills that can save lives.  

Why ACLS Academy?  

First off, Shelly and Chad are wonderful. Shelley and I, we were part of similar professional circles and when a colleague connected us, we immediately hit it off. Secondly, ACLS Academy was based in Quincy and I lived quite close to their offices.  In planning the next stage of my career outside of a hospital working environment, I thought ACLS Academy and working with Shelley and Chad would be a perfect fit for teaching my trauma courses especially since Shelley and I have very similar teaching styles and approaches.  They are so helpful and easy to collaborate with. The facility is great and provides a convenient location to house all the equipment needed to teach the trauma courses. It really is a great collaboration. 

Teaching Approach: 

I like a hands-on teaching approach as we know when students have to do something themselves, the information is retained. When I collaborated on the eighth edition of ENA’s TNCC and ENPC course materials, we added a lot of hands-on elements to the training.   Also utilization of practical scenarios using the equipment available in their clinical setting.

I think relating real life stories is effective but shouldn’t be overdone as the discussion can get off track. So I like to give my participants a glimpse into my experience with stories, but limit the sharing so as not to overwhelm them or make the learning all about me.  The quest isn’t about my personal experiences but about the process.

I also strongly believe the best instructors are those who really know the course material. If an instructor isn’t comfortable with the material and is focused on reading notes or referring to slides, students can tell as the interactive discussion level drops. 

Thoughts on the nursing profession, its challenges and advancements? 

I’ve been teaching for the better part of 30 years, both in academic and clinical settings, and what has evolved is the manner in which instructors and student participants interact. Many of us recall the traditional learning setting in a large lecture call with 100 students, where the professor is ratting off information and the students sat there and listened.  There wasn’t even a Powerpoint presentation utilized and everyone took notes.  Education and learning has changed to a flipped classroom or blended learning concept where students complete reading and study at home and in the classroom, they work on live-problem solving and diving into the finer details during class time.  The aim is to increase student engagement, where the student arrives with a certain level of knowledge, we have a discussion, answer questions, and exchange information, which I believe is more effective. It also puts some responsibility on the student and creates a more proactive learning approach.  

We’ve also progressed learning far beyond lectures and textbooks and now advanced simulation labs are utilized; our mannequins even talk and breathe. 

Any other last thoughts?

I would just emphasize the importance of the Stop the Bleed program which focuses on regular people being trained, prepared and willing to respond to emergencies. In fact there is a bill before the Massachusetts legislature, Senate Bill 1462, “The Massachusetts Trauma 2 Response Preparedness Act”, which would require trauma kits in public buildings. The “Trauma Kit”, would contain materials to help a general bystander provide first aid to another citizen suffering from a serious, life threatening bleed. At minimum kits must include an adequate tourniquet, gauze, gloves, and a proper training booklet as defined by the American College of Surgeons or an equivalent organization.

Tis the Season for Holiday Heart Syndrome

You polished off three helpings of the holiday meal, drank entirely too much eggnog, yelled at your kids, and squabbled with your relatives. And now there's a painful feeling in your chest: a feeling like you can’t take a deep breath. And really, come to think of it, you’re not feeling well at all. Maybe it's stress. Maybe it's heartburn. But is it possible it could be a heart attack?

No one likes to think they could be having a major medical emergency in the middle of a holiday celebration, but several studies have shown heart attack death rates spike during the holidays. 

More cardiac deaths happen on Dec. 25, Dec. 26 and Jan. 1 than on any other days of the year, research has shown. Heart disease, which includes heart attacks, is the leading cause of death in the U.S. year-round. Researchers have even come up with special holiday names for this not-so-wonderful trend as the “Merry Christmas Coronary” and “Happy New Year Heart Attack” Phenomenon.

One prominent factor contributing to the rise in heart attacks during December is the heightened emotional stress associated with the holiday season. For many individuals, the holidays can evoke a range of emotions, including joy, excitement, and nostalgia, but they can also bring about stress, loneliness, and even sadness. The pressure to meet societal expectations, such as buying gifts, hosting gatherings, and attending social events, can create emotional stress that may contribute to cardiovascular events. Moreover, for those who have experienced personal losses or face challenging family situations, the holidays can exacerbate feelings of grief and stress, potentially impacting heart health.

Dietary habits during the holiday season also play a significant role in the increased risk of heart attacks. Many people indulge in rich, high-calorie foods during festive celebrations, often consuming larger quantities of salt, sugar, and saturated fats. This dietary excess can lead to elevated blood pressure, cholesterol levels, and weight gain – all of which are risk factors for cardiovascular diseases. Additionally, alcohol consumption tends to increase during the holidays, and excessive alcohol intake can contribute to dehydration and irregular heart rhythms, further elevating the risk of heart attacks.

The colder weather during December can also influence heart health. Cold temperatures can cause blood vessels to constrict, increasing blood pressure and the workload on the heart. For individuals with existing cardiovascular conditions, these weather-related changes can be particularly challenging. Moreover, engaging in physical activities may become less appealing during colder months, leading to a sedentary lifestyle, which is a known risk factor for heart disease.

Another factor contributing to the higher incidence of heart attacks in December is the disruption of regular routines. The holidays often bring changes in sleep patterns, increased travel, and variations in daily activities. These disruptions can impact the body's internal clock, known as the circadian rhythm, which plays a crucial role in regulating cardiovascular function. Irregular sleep patterns and disturbances in circadian rhythm have been linked to an increased risk of cardiovascular events. Other disruptions to a normal routine may include forgetting to take medication doses at the right time or at all, or a failure to keep a regular exercise routine. 

Social obligations and financial pressures associated with gift-giving and holiday expenses can also contribute to heightened stress levels. Financial stress, in particular, has been linked to an increased risk of heart attacks. Concerns about meeting financial expectations and managing expenses during the holiday season can lead to anxiety and stress, which may contribute to the development of cardiovascular issues.

Don’t ignore symptoms that could signal a heart attack or heart failure

Many heart attack patients waste time trying to convince themselves they're fine. If you or a loved one mentions discomfort that sounds like a cardiovascular issue, call 911 right away. Heart attacks rarely feel the way we think they're going to feel.

Most of us expect a heart attack to be like what we've seen in the movies: a sudden, stabbing pain that causes us to clutch our chests and collapse. But heart attacks tend to come on slowly. They often start with mild symptoms that get worse over a matter of minutes or hours. Sometimes, the pain goes away and comes back again. And yes, it's often easy to mistake a heart attack for heartburn.

Chest pain is the most common heart attack symptom, but it's certainly not the only one. Some other symptoms include:

• Uncomfortable pressure or squeezing, in the center of the chest

• Sudden discomfort or pain in one or both arms

• Unexplained pain in the back, neck, or jaw

• Sudden shortness of breath

• Sweating, nausea, or light-headedness

• Women are more likely than men to experience some of the symptoms beyond chest pain -- particularly shortness of breath, nausea/vomiting, and back or jaw pain

And some people having a heart attack never feel chest pain at all. People with diabetes are less likely to describe feeling chest pain during a heart attack. The same goes for those with heart failure or high blood pressure, although the reasons for this are still not well understood. Even among those having chest pain, it's often a lot milder than many might expect.

The rise in heart attacks during the December holiday season is a multifaceted phenomenon influenced by emotional stress, dietary habits, weather-related factors, disruptions in routines, and financial pressures. Recognizing these risk factors and taking proactive steps to manage stress, maintain healthy lifestyle choices, and prioritize heart health can help individuals mitigate the heightened cardiovascular risk associated with the festive season.

ACLS Academy wishes everyone a safe and healthy holiday season with all of the joy and less of the stress.

Heart Health Holiday Tips

Maintaining heart health during the holiday season is important, as festivities often come with indulgent meals, lifestyle changes and sometimes stress. Heart and vascular experts agree the holiday season can impact cardiovascular health. To help reduce that impact, they suggest trying these tips to get through the holidays without compromising heart-healthy goals.

Mindful eating: The amount of food you eat matters. Be conscious of portion sizes and avoid overeating. Enjoy the festive foods, but in moderation. Take time to savor every bite, which will lead to better satisfaction with less food. Pay attention to your body's signals of hunger and fullness. 

Choose Heart-Healthy Foods: Include fruits, vegetables, whole grains, lean proteins, and healthy fats in your holiday meals. Opt for dishes that are baked, grilled, or steamed rather than fried. Some heart-healthy seasonal fruits and vegetables to include in your holiday meals are:   

• Brussels sprouts are high in fiber and contain antioxidants 

• Winter squash is loaded with antioxidants

• Broccoli is a great source of fiber

• Get beta-carotene and antioxidants from sweet potatoes

• Pomegranates are a great source of potassium

• For maximum vitamin C, turn to cauliflower

• Green beans are a heart health staple as they are rich in fiber, vitamins, and minerals without saturated fat.

• The nitrates in beets can lower blood pressure

• Apples can help fight cholesterol

• Pears are packed with fiber

Stay Hydrated: Drink plenty of water throughout the day. Sometimes, feelings of hunger are actually signs of dehydration. 

Limit Salt Intake: Breads, crackers, sauces, ham, and even canned goods can be high in sodium. High sodium intake can contribute to high blood pressure. Be cautious of the salt content in holiday dishes and try to choose low-sodium options when possible.

Be active: Time is often limited during the holidays, but make sure you carve out some time to exercise. Physical activity is essential for heart health and can help offset the effects of holiday indulgences. Maintain your regular exercise routine or find ways to stay active during the holidays. For optimal cardiovascular benefit, try to reach at least 150 minutes of moderate intensity exercise per week. Walking with family and friends after a holiday meal is a great option or a game of tag in the yard with the children will lift everyone’s spirits, while helping your heart. Additionally, instead of making exercise a New Year’s resolution, fit in small bits of active time throughout each day during the holiday season.

Manage Stress: The holiday season can be stressful. Find healthy ways to cope with stress, such as deep breathing, meditation, exercise, or spending time with loved ones. Chronic stress can negatively impact heart health.

Get adequate sleep:  We know the holiday season is a busy time of year but try to get as much solid sleep as you can. Lack of sleep has been linked to an increased risk of heart disease. Aim for 7-9 hours of quality sleep each night. Establish a regular sleep schedule, even during the holidays. Everything is more manageable when you're rested. Plan to wind down for the night about 30 minutes before you go to bed. You'll fall asleep sooner and sleep more soundly. Quality of sleep is also linked with how much and how often we eat.

Limit Sweets and Desserts: Sugary treats are abundant during the holidays. Many sweets and desserts are high in calories and low in essential nutrients. Regular consumption of high-calorie foods without balancing them with a nutritious diet can lead to weight gain, obesity, and an increased risk of heart disease. If you must indulge, enjoy them in moderation, try the “two spoons, one plate” method to share dessert with your significant other, or consider healthier dessert options, such as fruit-based dishes.

Pay attention to beverages:  Many holiday beverages ― such as eggnog, punch, wine, mixed drinks, and ciders ― are high in calories. Have a holiday-themed drink to toast with or have a small glass of wine with dinner.  Be mindful of alcohol consumption and if you choose to drink alcohol, do so in moderation. Excessive alcohol intake can contribute to high blood pressure and other heart-related issues.

Choose your indulgence days: Don’t make every day of the season an open game to overindulge. Choose and prepare for a few specific days to treat yourself. Doing so may prevent putting on the 1-2 pounds typically gained during the holidays.

Prioritize Mental Health: Take time for yourself and prioritize mental well-being. Connect with loved ones, practice gratitude, and engage in activities that bring you joy. Positive mental health is closely linked to heart health.

Laying the Foundation: Basic Life Support Training

Basic Life Support training (BLS) is the foundation for saving lives after cardiac arrest. BLS is a set of life-saving techniques taught to healthcare providers and other individuals to respond to cardiac emergencies and other life-threatening situations. 

Establishment and Evolution of BLS

The American Heart Association (AHA) established BLS training and certification for medical professionals in 1973.  While it’s been 50 years, BLS training remains an essential component of healthcare education and emergency response.  The AHA is diligent in maintaining its training courses and continues to review and update its guidelines to reflect the latest advancements in resuscitation science. Some of the updates over the years include:

• 1973: The AHA introduced the BLS program to provide standardized training in cardiopulmonary resuscitation (CPR) for healthcare professionals.

• 1981: The AHA released the first set of CPR guidelines, including BLS recommendations. These guidelines are regularly updated to reflect the latest scientific evidence and advancements in resuscitation.

• 1992: A significant shift occurred when the AHA moved from a skills-based training approach to an outcomes-based approach. The focus was on achieving specific performance objectives during training.

• 2001: The AHA introduced the concept of the Chain of Survival, emphasizing the importance of a coordinated and timely response to cardiac emergencies.

• 2010: The AHA implemented significant changes in the BLS guidelines, including the emphasis on high-quality chest compressions, the simplification of CPR sequences, and the inclusion of automated external defibrillator (AED) training.

• 2015: The AHA continued to refine and update BLS guidelines, emphasizing the importance of early recognition of cardiac arrest, high-quality CPR, and the use of AEDs. There was also an increased focus on team dynamics during resuscitation efforts.

• 2020: The AHA released updated BLS guidelines, incorporating the latest evidence-based recommendations for CPR and emergency cardiovascular care. These guidelines often address specific populations, such as infants, children, and pregnant women.

Throughout this history, the AHA has worked to make BLS training more accessible to healthcare professionals and the public.

A Collaborative Effort

While the AHA established BLS training, it collaborates with various organizations and experts in emergency cardiovascular care to ensure that the training reflects the latest scientific research and best practices in resuscitation. Some of the crucial collaborators include:

• International Liaison Committee on Resuscitation (ILCOR): The AHA is a founding member of ILCOR, an international organization that brings together resuscitation councils worldwide. ILCOR reviews and analyzes the latest resuscitation science, and its consensus on treatment recommendations forms the basis for guidelines developed by organizations like the AHA.

• National Association of EMS Physicians (NAEMSP): Collaboration with organizations like NAEMSP helps ensure that BLS guidelines align with the needs and practices of emergency medical services (EMS) professionals.

• American College of Emergency Physicians (ACEP): Collaboration with ACEP helps incorporate the perspectives and expertise of emergency physicians into the development of BLS guidelines.

• American Academy of Pediatrics (AAP): The AHA collaborates with the AAP to develop guidelines that address the unique needs of infants and children in BLS training.

• American Nurses Association (ANA): Collaboration with nursing organizations, including the ANA, ensures that BLS training is relevant and effective for healthcare professionals in various roles.

• Healthcare Providers and Training Centers: The AHA collaborates with hospitals, healthcare institutions, and training centers to disseminate BLS guidelines and facilitate training for healthcare professionals.

Additionally, the AHA's collaboration extends beyond specific organizations to involve input from healthcare professionals, researchers, educators, and other stakeholders. The AHA regularly reviews and updates its guidelines based on the latest scientific evidence and expert consensus, and these collaborations play a crucial role in maintaining the quality and relevance of BLS training.

BLS Curriculum

The training and certification focus on basic life-saving techniques that are essential for the immediate management of cardiac arrest, choking, or other life-threatening situations. It is designed for healthcare providers and individuals who are not healthcare professionals but may need to respond to emergencies in their workplace or community. Techniques covered in the course include:

• Cardiopulmonary Resuscitation (CPR): CPR maintains blood flow and oxygenation to vital organs when someone's heartbeat and breathing have stopped. The basic steps of CPR involve chest compressions and rescue breaths (mouth-to-mouth or mouth-to-mask ventilation).

• Use of Automated External Defibrillators (AEDs): AEDs are portable devices that can analyze a person's heart rhythm and deliver an electric shock, if necessary, to restore a normal heartbeat in case of sudden cardiac arrest.

• Airway Management: Ensuring a clear airway is crucial in providing proper ventilation. Techniques for clearing airway obstructions, such as the head-tilt/chin-lift or jaw thrust maneuver, are taught in BLS courses.

• Rescue Breaths: BLS training covers techniques for delivering rescue breaths, which provide oxygen to a non-breathing or inadequately breathing individual.

• Choking Management: BLS courses include techniques to help choking individuals who cannot breathe effectively. This includes abdominal thrusts (Heimlich maneuver) for conscious choking victims and CPR with chest compressions for unconscious choking victims.

BLS Training at ACLS Academy

ACLS Academy is an authorized American Heart Association (AHA) Aligned Training Center with three convenient locations in Massachusetts – Quincy, Bridgewater, and Newton Center.  Our BLS training is a blended learning course, including an online portion and a hands-on skills session. The online portion provides the flexibility of completing training at your own pace, either at work, home, or wherever you have Internet access. The hands-on portion includes a skills practice and testing session conducted in person with an AHA Instructor. The instructors are medical professionals or highly trained individuals who will coach you through each step of the lifesaving process. The skills session can take approximately 1-2 hours. As with any learning environment, BLS provider classes have the equipment to teach you the basics, from AED training devices to CPR manikins. BLS certification courses require hands-on activity, so prepare to get down on the floor and practice chest compressions and breaths. This means you should wear comfortable clothes that you can easily move around in.

Sign up here for ACLS Academy's BLS courses, or contact us for questions or additional information.  Upon successful completion of the course, you will receive a course completion card which is valid for two years.

American Heart Association Updates: 2023 Scientific Sessions and the Atlas Conversion

As healthcare professionals, the American Heart Association (AHA) is crucial in advancing cardiovascular health through research, education, advocacy, and community engagement. Healthcare professionals rely on its guidelines and certifications to provide high-quality care and contribute to efforts to reduce the prevalence of cardiovascular diseases.

In 1925, the AHA held its first Scientific Sessions meeting, where scientists and healthcare professionals learned about the latest developments. The meeting, held every year since, except for during World War II, has grown to become the largest annual cardiovascular meeting in the United States and a leading international destination for the cardiovascular health community. The conference is a global event for advancements in cardiovascular science and medicine and features scientific discovery and practice-changing educational content.

Scientific Sessions 2023 was held November 11-13 in Philadelphia, Pennsylvania and focused on the latest innovations in cardiovascular disease. Specialty areas for the conference included: 

• Arteriosclerosis, Thrombosis, Vascular Biology

• Cardiac Development, Structure and Function

• Cellular Biology

• Early Innovators Spotlight

• Genetics and Genomics

• Late-Breaking Basic Science abstracts

• Metabolism & Physiology

The full Scientific Sessions 2023 program can be accessed here, with the below sampling of conference highlights:  

• Late-breaking science: AI at the bedside - AI-powered stethoscope, speech analysis for HF, interpreting ECGs with AI and prognostic tool for predicting MACE.

• AI and Scientific Publications- Perspective of Journal Editors: Joint Session of JAMA and Circulation Journals 

• Acoramidis - New data from the ATTRibute - CM study provided insight into the effects of acoramidis in patients with transthyretin amyloidosis cardiomyopathy (ATTR-CM)

• Lowering blood pressure reduces the risk of dementia, American Heart Association Scientific Sessions 2023, Late-Breaking Science Abstract 

• ATVB Journal Highlights: A focus on drug opportunities, research, and discovery in thrombosis

• Circulation: Cardiovascular Quality and Outcomes Quality Improvement 2.0: An AHA Journal Session

• Circulation Research: COVID-19 and the Cardiovascular System - An AHA Journal Session

• Moving Towards Social Justice in Cardiovascular Health: A JAHA Journal Session 

• Circulation: Innovation in Cardiovascular Science and Medicine: An AHA Journal Session 

• Stiff Competition – Inflammation and Fibrosis as Therapeutic Targets in Heart Failure: Circulation: Heart Failure and Circulation: Cardiovascular Imaging Journals 

• New Challenges in the Cardiovascular Imaging: Diagnosis, Risk Stratification and Patient Management (AHA Joint Session with Japanese Circulation Society) 

• Henning Lecture Session: Atrial Fibrillation: Novel Mechanisms Unveil Future Therapeutic Approaches (featuring ATVB and Circulation Research; CS.ME.1037)

• What is the Future for Blood Pressure Clinical Practice Guidelines? - A Hypertension Journal Session 

The latest publications from the AHA Scientific Sessions 2023 will be available in the AHA Journals. 

Abstracts from Scientific Sessions Conference are published in Circulation and can be found here.

Scientific Sessions on Demand

Weren’t you able to attend the conference in person? No problem. The AHA Scientific Sessions 2023 is now available for purchase on demand.  AHA Members and non-members can access the latest cardiovascular and brain health science anytime, anywhere, and earn CE. Access to online sessions lets you stay current digitally with educational content matching your interests. Learn whenever, wherever – virtually.

#AHA23 offers its global audience a wealth of new cardiovascular clinical and scientific updates through Late-Breaking Science and Featured Science sessions, debates, and hot-topic discussions. Access all the education, data, and expert perspectives from the meeting — online availability starts late November 2023 and through October 2024!

You may have noticed a new look and feel when accessing the AHA website to find or sign up for a class. That’s because Atlas, the AHA’s training and education platform, was launched earlier this year in May. Atlas is a global, digital solution that supports the AHA Training Network, including training centers, training sites, instructors, and students worldwide. The AHA Atlas digital platform will serve as students and instructors' resuscitation training resource hub. Atlas replaced AHA’s previous CPRverify.org and the Global Connector platforms. 

Atlas centralizes all training needs in one location. Students can use Atlas to: 

• Search for classes

• Claim course completion

• Download AHA certificates (BLS, ACLS, PALS)

Instructors and Training Centers can verify completed training, manage class rosters, and access course information and tools. Atlas also added information fields to the Class Management portion to help manage training and the student experience. The AHA has a network of 400,000 instructors delivering lifesaving training worldwide.

Celebrating the Anniversary of the Artificial Heart

It was on Dec. 2, 1982, in the darkest hours of the morning at the University of Utah Medical Center in Salt Lake City, where cardiothoracic surgeon William DeVries, MD, carefully removed the ravaged heart of Dr. Barney Clark—a heart that tore like tissue paper due to years of treatment with steroids—and replaced it with the world’s first permanent artificial heart, known as the Jarvik-7.

Dr. Robert Jarvik, a bioengineer, developed the Jarvik-7, and it was intended as a bridge to transplant for patients with end-stage heart failure who were not eligible for a heart transplant. The device took over the pumping function of Clark's failing heart, allowing him to survive while waiting for a donor's heart.

Barney Clark, a retired dentist, lived for 112 days with the artificial heart before succumbing to complications related to the device. While the first permanent artificial heart implantation was a significant medical milestone, it also highlighted the challenges and limitations of early artificial heart technology. Over the years, advancements in ventricular assist devices (VADs) and heart transplantation techniques have provided more effective options for treating end-stage heart failure.

The development of the artificial heart has a rich history that spans several decades. Here are some of the critical milestones in the history of the artificial heart:

• 1930s-1950s: The idea of creating an artificial heart gained traction in the 1930s and 1940s. Scientists and researchers began experimenting with mechanical devices to support or replace the heart.

• 1952: Dr. Paul Zoll, an American cardiologist, developed the first external pacemaker, a significant step toward developing artificial heart devices.

• 1960: Dr. Willem Kolff, a Dutch physician, built the first artificial heart, the "Kolff-Brigham" heart. It was a pneumatic pump designed for temporary use.

• 1969: Denton Cooley, an American heart surgeon, implanted the first artificial heart into a human patient. The heart, known as the "Haskell-Karp" heart, was designed for short-term use and served as a bridge to transplant.

• 1982: The Jarvik-7 artificial heart, developed by Dr. Robert Jarvik, gained widespread attention after being implanted into Dr. Clark. 

• 1984: The first successful heart transplant using a donor’s heart took place in 1967, performed by Dr. Christiaan Barnard in South Africa. This marked a significant breakthrough in cardiac surgery and provided an alternative to artificial hearts for certain patients.

• 1990s-Present: Advances in medical technology, materials science, and engineering have led to the development of more sophisticated ventricular assist devices (VADs) that can be used as a bridge to transplant or as destination therapy for patients ineligible for a heart transplant.

Long Lasting Impact

The development and use of artificial heart devices, particularly ventricular assist devices (VADs), have resulted in several benefits to society and the healthcare profession:

• Bridge to Transplant: Artificial hearts and ventricular assist devices have served as a bridge to transplant for patients awaiting heart transplantation, allowing them to survive while waiting for a suitable donor heart.

• Destination Therapy: Some artificial heart devices are used as destination therapy for patients not eligible for heart transplantation. These devices can significantly improve the quality of life for individuals with end-stage heart failure.

• Advancements in Cardiac Surgery: Artificial heart development has contributed to advancements in cardiac surgery and the understanding of cardiovascular diseases.

• Research and Innovation: The pursuit of creating artificial hearts has driven research and innovation in bioengineering, materials science, and medical technology, benefiting cardiology and various medical disciplines.

While the artificial heart has not replaced heart transplantation as the primary treatment for end-stage heart failure, it has played a crucial role in advancing medical knowledge and providing life-saving support for certain patients. Ongoing research and technological advancements continue to shape the landscape of artificial heart development and its applications in healthcare.

At ACLS Academy, we train healthcare professionals on cardiac-related life-saving skills certifications. At the same time, we may not be making the innovative inroads of Drs. Zoll, Kolff, Cooley, Jarvik, or DeVries, we are training first responders and healthcare professionals in procedures that save lives. In fact, we’ve trained over 25,000 students in life-saving skills certifications like:

BASIC LIFE SUPPORT (BLS)

Basic Life Support teaches those in the healthcare industry or healthcare students CPR & AED use. The course teaches single-rescuer and team basic life support skills for application in pre-hospital and in-facility environments. 

Our Basic Life Support (BLS) course covers the following:

• CPR for adults, children, and infants. 

• The importance of early use of AED.

• Ventilation using a barrier device. 

• The importance of teams in multi-rescuer resuscitation and the importance of an influential team member. 

• Relief of foreign body airway obstruction for adults and children.

ADVANCED CARDIOVASCULAR LIFE SUPPORT (ACLS)

The initial course focuses on the importance of high-performance team dynamics and communication, systems of care, recognition, and intervention of cardiopulmonary arrest, immediate post-cardiac arrest, acute dysrhythmia, stroke, and acute coronary syndromes (ACS).  The course focuses on the review of materials, core competency, and hands-on demonstration.

Our Advanced Cardiovascular Life Support (ACLS) course covers the following:

• Define systems of care. 

• How can a rapid response team (RRT) or medical emergency team (MET) improve patient outcomes?

• Recognize and manage Acute Coronary Syndrome (ACS), stroke, respiratory arrest, and cardiac arrest.

• Recognize bradycardia and tachycardias that may result in cardiac arrest.

• Perform early management of cardiac arrest until termination of resuscitation or transfer of care. 

• Evaluate resuscitative efforts.

PEDIATRIC ADVANCED LIFE SUPPORT (PALS)

This course is for healthcare providers responding to infant and child emergencies. The goal of PALS is to improve the quality of care provided to seriously ill or injured children, resulting in improved outcomes.

Our Pediatric Advanced Life Support (PALS) course covers the following:

• Perform CPR on pediatric patients. 

• Recognize cardiopulmonary arrest and begin CPR within 10 seconds. 

• Differentiate between respiratory distress and failure, as well as unstable and stable patients with arrhythmias.

• Perform early interventions for respiratory distress and failure and the treatment of shock.

• Implement post-cardiac arrest management. 

NEONATAL RESUSCITATION PROGRAM (NRP)

The Neonatal Resuscitation Program® (NRP®) course conveys an evidence-based approach to the care of the newborn at birth. It facilitates effective team-based care for healthcare professionals who care for newborns during delivery. NRP utilizes a blended learning approach, including online testing, case-based simulations, and hands-on case-based simulation/debriefing that focus on critical leadership, communication, and teamwork skills.

ESSENTIAL NRP VERSUS ADVANCED NRP

There are two versions of the online portion: Essentials and Advanced. Essentials are for those providers who may have to initiate resuscitation but wouldn’t be involved in a full-resuscitation (ex., OBs, midwives, lactation consultants, EMTs) – Advanced is for RNs, RTs, and pediatricians who would need to fully resuscitate a newborn including intubation, chest compressions, and medications.

The classroom portion is the same for all learners - so the only difference is in the online curriculum they choose to purchase. If you are unsure which version you should take, I recommend the Advanced Provider curriculum since the cost is the same for both.

HEARTSAVER - CPR/FIRST AID/AED (for non-healthcare providers)

Heartsaver courses prepare non-healthcare providers to effectively administer CPR, including using AEDs for adult, child, and infant responses. These courses are typically required for lifeguards, physical trainers, restaurant workers, coaches, and similar groups. In addition to CPR & AED use, the Heartsaver course offers an additional, supplemental First Aid training component, which can be done as a stand-alone course or as an add-on to the CPR & AED training.

Our Heartsaver course covers the following:

• Responding to and managing illnesses and injuries in adults, children, and infants.

• First aid basics for common first aid emergencies.

• How to perform life-saving skills. 

• How to recognize cardiac arrest and what to do until EMS arrives.

Sign up here for ACLS Academy's courses, or contact us for questions or additional information.

Can You Ace Our Heart Health Quiz?

So, we all have read and heard heart health recommendations about eating nutritiously, exercising, not smoking, and weight management. Then there is also your familial history of heart disease, which impacts your heart health. However, research has uncovered additional variables affecting our hearts, which may surprise some. 

1. Can an annual flu shot benefit your heart?

Yes. For people with heart disease, getting a flu shot is particularly important. Heart disease can lower your body’s ability to fight the flu and increase your likelihood of developing severe complications such as heart attack, pneumonia, and respiratory failure. A yearly flu shot can help prevent complications from the infection and prevent your heart disease symptoms from worsening.

2. Does socializing with others lower your risk of heart attack?

Yes. Studies have found that people who live by themselves are two times more likely to have a heart attack than people who live with a roommate or partner.

Research has long suggested that regular social interaction and connectedness play a significant role in overall health and heart health. One hypothesis explaining this effect is that spending time with friends and family can mitigate stress and fend off depression—both of which are risk factors for heart disease.

Another study found that laughing can protect heart health, as it causes blood vessels to relax and expand, pointing to the health benefits of spending time with close friends.

3. Does one day of the week have a higher heart attack incident rate than the other six days?

Yes, it is Monday. According to research by the British Cardiovascular Society (BCS), serious heart attacks are more likely to occur on a Monday compared to other days of the week. Findings published in the June 2023 research did not identify the reason behind this “Blue Monday” effect. However, past studies showing a greater likelihood of heart attacks at the start of the week have suggested a link with the body's circadian rhythm, which governs our sleep and wake cycles.

4. Can chewing an aspirin as soon as heart attack symptoms help limit heart damage?

Yes. After calling 911, the first thing you should do if you start experiencing heart attack symptoms is chew —rather than swallow whole— a 325-milligram aspirin pill. Aspirin helps break up clots in the bloodstream that may block blood flow to the heart and cause heart muscle cells to die. Breaking up these clots can prevent more heart muscle cells from dying. Chewing the pill is recommended as it causes quicker results than swallowing it.

5. Are women under age 50 more likely than men of the same age to die from a heart attack?

Yes, they are two times more likely. Once thought to be an issue affecting primarily men, heart disease is now recognized as a leading cause of death for women. While men are more likely than women to experience a heart attack—and at younger ages— women who do have heart attacks are more likely to die from them.

One reason women have lower survival rates may be that many women may not recognize lesser-known heart attack symptoms such as fatigue, nausea, and dizziness. Researchers have also found that women may tend to downplay or ignore heart attack symptoms and delay seeking treatment as a result.

6. Do migraines increase your risk of stroke and heart attack?

Yes, in some cases. Some people who get these intense, throbbing headaches may face a heightened risk of stroke and heart attack, according to a recent article published by Harvard Medical School. Women over 45 years old who experienced a migraine with aura had an annual rate of heart attack, stroke, or death from cardiovascular disease slightly higher (3.4 per 1,000 women) than the rate among women who had migraines without aura or no migraines (2.1 per 1,000 women).

Experts still determine what is behind this observation, but one theory points to a shared underlying mechanism. Migraines are thought to result from unusual patterns of electrical activity in the brain caused by sweeping waves of neurons firing and then turning off. A migraine aura may be a manifestation of this phenomenon, which doctors refer to as cortical spreading depression, which may reflect some blood vessel instability that also makes people more prone to cardiovascular issues.

7. Can height affect the health of your heart?

Yes, unfortunately, being short can have an indirect impact on your heart. For every 2.5 inches less than average height, the chance of heart disease increases by about 8%. Shorter people tend to have higher cholesterol and triglyceride levels. How your body controls your height and your "bad" LDL cholesterol and triglycerides may overlap.

8. Mouth hygiene and gum health do not affect your heart health.

False. Mouth hygiene and gum health do affect your heart health. Bacteria from your mouth, including periodontal disease, can get into your blood and set off inflammation in the lining of your arteries, leading to fatty buildup (atherosclerosis). Research shows that treating gum disease can lower the level of an inflammation marker called C-reactive protein in your blood. Doctors use this measurement, along with your cholesterol levels, to predict "cardiac events" like a heart attack.

While many other factors like nutrition, smoking, exercise, obesity, unhealthy cholesterol numbers, and uncontrolled high blood pressure are certainly more impactful than the factors listed above, when it comes to your heart health, understanding all potential risk factors, even the marginal ones, keeps you informed.

Commonly asked questions about CPR

CPR (Cardiopulmonary Resuscitation) is a critical life-saving skill, and many people have questions about who should take CPR, how to perform it effectively, and when it is necessary. Here are some commonly asked questions about CPR:

1.     What is CPR, and what does it stand for?

CPR, or Cardiopulmonary Resuscitation, is a technique used to manually restore the circulation of oxygenated blood to the brain and other vital organs when the heart stops beating. It involves a combination of chest compressions and rescue breaths to maintain blood flow and oxygenation to a person experiencing cardiac arrest, and it can be used to treat various types of cardiac arrest.

 2.     Do I Need Training to Perform CPR?

To perform CPR properly and be prepared for an emergency, you should become certified in CPR training. CPR is an invaluable skill to have that could very well save the life of a loved one someday. Performing it incorrectly, however, could prove ineffective or, worse, result in further injury to the person. 

3.     Who should take CPR?

Those responsible for children, older adults, or anyone not capable of taking care of themselves should consider CPR training, and anyone in a position requiring them to be around the water, live electrical lines, or undertake other dangerous activities regularly. It is often mandated or sometimes highly recommended for:  

·       Firefighters

·       Coaches and athletic trainers

·       Volunteers

·       Construction workers

·       Childcare providers

·       Electricians

·       Flight attendants

·       Jail and prison personnel

·       Nursing home employees

·       Daycare staff

·       Lifeguards

·       Corrections officers

·       Social workers

·       Fitness instructors

·       Parents!

4. Why should you take CPR?

CPR saves lives. Immediate bystander response by the general public is often the first link in the chain of cardiac arrest survival. Bystanders are needed to call 911 and provide immediate CPR if more cardiac arrest victims are to survive. With bystander action, more can be done to improve survival. Being CPR trained means you know how to administer CPR quickly and adequately. This can mean life or death for someone in medical distress. Learning CPR gives people the confidence to know what to do if they encounter a cardiac arrest. 

5.     How do I know if someone needs CPR?

Signs and symptoms indicating the need for CPR include:

·       The individual is not breathing - If the person is not breathing, it is time to perform CPR to circulate oxygenated blood through the body. Without blood flow and oxygen, the heart stops beating, and the brain dies. The average person can only go without oxygen between four and six minutes before irreversible damage is done to the brain. If you start CPR within that time after cardiac arrest, there is hope that a person will survive without much brain damage.

·       The individual takes occasional gasping breaths- When someone goes into cardiac arrest, they may continue to breathe for a while. CPR compressions should be started immediately if they occasionally gasp for breath.

·       The heart has stopped beating -If you cannot feel a pulse, begin performing CPR. If the heart is not pumping, oxygen is not getting to the rest of the body. Chest compressions keep blood flowing to the heart and brain until emergency responders can take over and try other methods of resuscitation. 

·       The individual is unconscious/unresponsive -It is recommended that you begin CPR if the person is unconscious or unresponsive and they are not breathing. Studies show that doing CPR when not needed is less risky than not doing CPR when it is needed.

6. Can You Restart Someone’s Heart with CPR?

If someone’s heartbeat has stopped or becomes inconsistent, CPR will most likely not restore it to proper function. By providing chest compressions, you can keep the heart beating manually, ensuring blood flows through the veins. While it is possible that someone’s heart could resume beating regularly through CPR, it generally requires the assistance of a defibrillator to “jump-start” it.

7. Thinking of mouth to mouth on a stranger makes me uncomfortable.  When should I do hands-on CPR?

The American Heart Association recommends hands-on CPR in the following circumstances: If a bystander, not trained in standard CPR, sees an adult suddenly collapse or comes upon a collapsed person, they should call 911 and provide chest compressions by pushing hard and fast in the center of the chest. Interruptions should be kept to a minimum until trained rescuers arrive. For bystanders previously trained in standard CPR, hand-only CPR may be performed if the bystander is not confident or is unwilling to perform mouth-to-mouth ventilation.

8.     When performing CPR, how do I know if it is working?

You can tell if the chest rises with ventilation. It is hard to determine if chest compression results in a pulse. Do the best you can, and do not stop. It is better to perform CPR imperfectly than not at all. 

9.     When should I stop CPR?

When help arrives to take over or the victim starts to move.

10.  Can I kill someone if I do CPR incorrectly?

No. Remember, the person in cardiac arrest is already clinically dead. CPR can only help. Even if it has not been “letter perfect," it will benefit the victim.

11.  Does the Good Samaritan law protect me?

Yes, if you assist, including CPR, for medical emergencies, Good Samaritan laws cover you.

At ACLS Academy, we have three different variations of Heartsaver CPR courses available to non-medical professionals:  1) HEARTSAVER CPR/AED/FIRST AID, 2) HEARTSAVER CPR/AED, OR 3) PEDIATRIC CPR/AED/FIRST AID.

American Heart Association Heartsaver courses are designed to prepare non-healthcare providers for the ability to effectively administer CPR, including the use of AEDs for adult, child, and/ or infant responses. These courses are typically required for lifeguards, physical trainers, restaurant workers, coaches, and similar groups. In addition to CPR & AED use, the Heartsaver course offers an additional, supplemental First Aid training component, which can be done as a stand-alone course or as an add-on to the CPR & AED training.

Our Heartsaver course covers the following:

• Responding to and managing illnesses and injuries in adults, children, and infants.

• First aid basics for common first aid emergencies.

• How to perform life-saving skills. 

• How to recognize cardiac arrest and what to do until EMS arrives.

Our Heartsaver Blended Learning courses include an online portion and a hands-on skills session. The online portion provides the flexibility of completing training at your own pace, either at work, at home, or wherever you have Internet access. The hands-on portion includes a skills practice and testing session conducted in person with an AHA Instructor. The skills session can take 1-2 hours. Sign up here for ACLS Academy’s Heartsaver courses, or contact us for questions or additional information. 

We Hit a Huge Milestone: ACLS Academy has trained 25,000 students.

It is hard to believe when our founders, Shelley and Chad Lynch, established ALCS Academy in 2014, by October 2023, over 25,000 students would have passed the threshold at one of our three Boston training centers in the greater Boston metropolitan area. We are so proud to have provided life-saving skills training to so many students from a broad swath of backgrounds – from medical professionals on the front lines in hospitals, medical centers, paramedics, and caregivers to non-medically trained individuals like parents, lifeguards, fitness instructors and the average person who wants to be prepared should a medical emergency present itself.

A Deep Desire to Empower More Individuals in Lifesaving Techniques

The genesis of ACLS Academy was based on Shelley's life-changing experience in 2014. As a practicing critical care nurse at the time, Shelley was collecting her baggage at Logan Airport when she noticed an airport employee on the floor in cardiac arrest. Shelley’s nursing instincts took over, and she saved the man’s life.

After Shelley confirmed that someone had called 911, she checked the man for a pulse, called for a defibrillator, and began CPR. As she administered compressions, the man went from sheet white to pink. When the defibrillator arrived, Shelley directed and worked with the Massachusetts State Police to shock the patient, keeping him alive until paramedics arrived. As she was leaving, a police officer asked her name and where she worked.

Shelley never learned the man’s name, but her efforts earned her a nomination as a Nurse Hero by Nurse.org for the First-Pitch Nurse Hero contest sponsored by the Boston Red Sox. During the annual Nurse Appreciation Night at Fenway Park, she was among 1,400 nominees and one of ten finalists honored in the spring of 2018 as Nurse Heroes.

After this event, Shelley felt deeply that more people should know what to do in such an event. When she brought this up to her husband, Chad, who was in the United States Coast Guard, he was entirely on board with starting a company to empower others with the knowledge and ability to respond to save a life.

The Evolution of ACLS Academy

Now, nine years since the launch of ACLS Academy, Shelley and Chad’s personal and professional life has progressed spectacularly. Shelley has received her Doctor of Nursing Practice from the University of North Carolina–Chapel Hill and teaches in the Family Nurse Practitioner and Doctorate program at Salve Regina University in Newport, Rhode Island. Chad focuses full time on the management and growth of ACLS Academy, along with being a United States Coast Guard Reservist in his “spare” time.

ACLS Academy launched as an American Heart Association (AHA) training site with the motto “By Providers, For Providers.” It started with twelve experienced instructors specializing in AHA ACLS, PALS, BLS, NRP, and Heartsaver classes. Today, ACLS Academy has assembled a network of over twenty-five instructors who are passionate about educating others. These instructors are some of the leading medical professionals in their field and have won numerous awards for their service to the healthcare community. What makes ACLS Academy unique is the quality of its instructors who are still practicing at the bedside, including ED Physicians, Nurse Practitioners, Clinical Nurse Specialists in Critical Care, Critical Care Nurses, Respiratory Therapists, Paramedics, and PACU Nurses. Another ACLS Academy differentiator is their students absolutely gush about the instructors, their expert knowledge, and their ability to simplify and present the material practically and meaningfully. Students constantly repeat these words about the instructors: Professional, Friendly, Knowledgeable, and Fun. Just read some of the Google and Facebook online reviews to see the comments firsthand.

Another ACLS Academy accomplishment for which Shelley and Chad are immensely proud is their designation this year as an AHA Training Center.  There is seemingly an endless number of AHA training sites, but only a select few can use the title of AHA Training Center after passing the AHA audit and meeting all requirements. The American Heart Association has established a fleet of Training Centers to help deliver Emergency Cardiovascular Care (ECC) educational courses. This fleet of Training Centers helps strengthen the Chain of Survival by monitoring the proper administration and quality of the Emergency Cardiovascular Care Courses.

AHA Training Centers are certified businesses that work closely with the American Heart Association to provide the utmost care and education when teaching others American Heart Association courses like Heartsaver CPR, BLS, ACLS, PALS, PEARS, and more. ACLS Academy and all AHA Training Centers must adhere to rigorous guidelines and hold integrity in their business practices while facilitating quality education.

ACLS Academy prides itself on making all students feel comfortable, whether locals or out-of-towners. They are grateful to have impacted so many students and look forward to training the next 25,000 students. So, when it is time for your next recertification, take a course with ACLS Academy for a positive training experience leveraging our limitless pool of expertise. Learn more about our course offerings here!

Cardiac Arrest: Warning Signs Vary Between Men and Women

When cardiac arrest occurs, only about half the patients experience symptoms. However, when symptoms occur, they differ for males and females. This is according to a study published in The Lancet Digital Health Journal on August 26, 2023, which found that warning symptoms of cardiac arrest can appear 24 hours prior and are different in women and men.

The telltale symptoms of cardiac arrest typically included shortness of breath, chest pain, excessive sweating, nausea and/or vomiting, racing heartbeat, dizziness, and seizure-like activity. However, the researchers from the Smidt Heart Institute at Cedars-Sinai Health System conducting the study found differences in the sudden cardiac arrest warning symptoms between men and women. They found that the most prominent symptom for women 24 hours before cardiac arrest was shortness of breath. For men, chest pain was the preeminent telltale symptom.

The Smidt Heart Institute researchers are further investigating how these key sex-specific warning symptoms may present in patients with specific clinical profiles, such as whether they are diabetic, do they have a history of heart attacks, and whether high blood pressure is a variable. By combining the patient profile with the warning symptoms, will the predictor of cardiac arrest improve?

Heart Attack vs. Cardiac Arrest

People often use these terms interchangeably, but they are different.

What is a Cardiac Arrest?

Cardiac arrest is when a heart unexpectedly stops beating because of rapid, abnormal impulses that override the heart’s natural rhythm. It is often referred to as an “electrical” problem. The result is a lack of blood supply to any organs; the patient stops breathing, and everything stops. When there is a lack of blood circulation to the body’s organs, cells in the organs begin to die.

Symptoms of cardiac arrest, which may start without warning, include fainting, racing heartbeat, dizziness, or lightheadedness. Those most likely to be affected by cardiac arrest are adults, with more than 356,000 Americans experiencing it outside of a hospital each year. Unfortunately, fewer than 12 percent of people who share cardiac arrest outside a hospital survive, according to the American Heart Association.

Cardiac arrest is vastly different from the more common heart attack.

What is a Heart Attack?

A heart attack, which doctors refer to as myocardial infarction, is when the heart cannot circulate blood, which is typically due to a blockage. It is a circulation, or “plumbing,” problem usually caused by a blockage to an artery that reaches the heart, disrupting circulation and causing the muscle, or part of it, to die. Blockages causing heart attacks are mainly caused by plaque buildup in the arteries. Plaque forms when cholesterol combines with fat, calcium, and other substances in the blood. Combined, these elements harden into plaque, which can then rupture, causing a blood clot to form. Large clots can completely block the flow of blood through an artery. The damage is much more localized, and people usually feel symptoms.

Common warning signs of a heart attack are discomfort or pain in the chest; discomfort in other areas of the upper body, including pain in one or both arms, the back, neck, jaw, or stomach; and shortness of breath. Other signs include cold sweat, nausea, or lightheadedness. Symptoms usually start slowly and persist for hours, days, or weeks, though they can also be immediate.

People who are at risk for heart attacks are people who have a family history of heart attacks, have high cholesterol, high blood pressure, diabetes, lack of exercise, and cigarette smoking. About 635,000 Americans have new heart attacks each year. Almost half of them will have a second one. The risk of heart attack is greater for those over 45. Heart attacks can be fatal, but they do not automatically lead to death. Immediate emergency medical help can often prevent a serious outcome. About 1 in 7 Americans die of coronary heart disease, which includes heart attacks. Overall, heart attacks are more common than cardiac arrest in the United States, and a heart attack can cause cardiac arrest.

While cardiac arrest and a heart attack are different, these two distinct heart conditions are linked. Sudden cardiac arrest can occur after a heart attack or during recovery. Heart attacks increase the risk of sudden cardiac arrest. Many heart attacks do not immediately lead to sudden cardiac arrest, but when sudden cardiac arrest occurs, heart attack is a common cause. 

Heart-Healthy Foods: Nourishing Your Cardiovascular Health

As your trusted AHA authorized training center, we want to educate you in and outside of our courses. In this blog, we're going to explore the world of heart check foods - those delicious and nutritious options that can help you maintain a strong and healthy heart. Remember, a heart-healthy diet is not just for those who have encountered heart issues; it is for everyone who wishes to prevent them and promote overall well-being.

Heart disease remains the leading cause of death worldwide, but the good news is that many risk factors can be managed through lifestyle choices, with diet being a major player. Incorporating heart-friendly foods into your diet can go a long way in safeguarding your cardiovascular health. So, let's explore some of the foods that will nourish your heart and help you lead a healthier, happier life.

Why Focus on Heart-Healthy Foods?

Your heart is the hardest-working muscle in your body, pumping blood and oxygen to every cell, tissue, and organ. It's crucial to fuel this powerhouse with the right foods to keep it functioning at its best. A heart-healthy diet can:

Reduce the Risk of Heart Disease: Heart disease is a leading cause of death worldwide. Consuming heart-healthy foods can help reduce your risk factors, such as high blood pressure and cholesterol levels.

Maintain Healthy Weight: Maintaining a healthy weight is vital for heart health. Heart-healthy foods can assist in weight management by providing essential nutrients without excess calories.

Lower Blood Pressure: A diet rich in fruits, vegetables, whole grains, and lean proteins can help regulate blood pressure and reduce the strain on your heart.

Control Cholesterol Levels: Certain foods can help lower LDL (bad) cholesterol levels and increase HDL (good) cholesterol levels, improving your overall lipid profile.

Provide Essential Nutrients: Heart-healthy foods are loaded with vitamins, minerals, and antioxidants that support the overall health of your heart and body.

Now that we understand why heart-healthy foods are crucial, let's dive into some of the top choices:

1. Fatty Fish: Fish like salmon, mackerel, trout, and sardines are rich in omega-3 fatty acids, which have been shown to reduce the risk of heart disease. Omega-3s help lower blood pressure, reduce inflammation, and decrease triglycerides. Aim to include fish in your diet at least twice a week for maximum benefits.

2. Berries: Blueberries, strawberries, and raspberries are packed with antioxidants known as polyphenols, which have been linked to improved heart health. These antioxidants help reduce blood pressure, decrease LDL cholesterol levels, and improve the function of blood vessels.

3. Nuts: Almonds, walnuts, and pistachios are excellent sources of heart-healthy fats, fiber, and vitamins. They can help lower LDL cholesterol and reduce the risk of heart disease. However, portion control is key, as nuts are calorie dense.

4. Oats: Oats are a fantastic source of soluble fiber, which helps lower LDL cholesterol levels. Start your day with a hearty bowl of oatmeal or add oats to your smoothie for a heart-healthy boost.

5. Leafy Greens: Spinach, kale, collard greens, and Swiss chard are packed with vitamins, minerals, and antioxidants. They can help improve blood pressure and reduce the risk of heart disease. Incorporate these greens into your salads, stir-fries, or smoothies.

6. Olive Oil: Opt for extra-virgin olive oil as your primary cooking oil. It is rich in monounsaturated fats and antioxidants, which can help lower LDL cholesterol and reduce inflammation.

7. Beans and Legumes: Lentils, chickpeas, black beans, and kidney beans are high in fiber, protein, and various vitamins and minerals. They can help lower cholesterol levels and stabilize blood sugar, reducing the risk of heart disease.

8. Dark Chocolate: Yes, you read that correctly! Dark chocolate (with at least 70% cocoa content) contains flavonoids that can improve heart health by reducing blood pressure and increasing blood flow. Enjoy it in moderation as an occasional treat.

9. Tomatoes: Tomatoes are rich in lycopene, an antioxidant that may help reduce the risk of heart disease by lowering LDL cholesterol levels and improving blood vessel function.

10. Red Wine (in moderation): Some studies suggest that moderate consumption of red wine may have heart-protective benefits due to its high levels of antioxidants. However, moderation is crucial, as excessive alcohol consumption can harm your heart.

Remember, while these heart-healthy foods are essential, a balanced diet that includes a variety of nutrients is key to overall health. It is also vital to maintain a healthy lifestyle by staying physically active, managing stress, and avoiding smoking.

For more information on heart-healthy living, CPR and ACLS certification, or other related topics, be sure to explore our courses and resources. Together, we can work towards a heart-healthy future.

Not All Training Organizations Are Created Equal: Ensure You Choose an AHA Certified Training Site

When it comes to life-saving skills, the importance of quality training cannot be overstated. Whether you're a healthcare professional or a concerned citizen, knowing how to respond in emergencies like cardiac arrests can make all the difference. However, not all training organizations are created equal, and the source of your training can significantly impact your preparedness. That's where the American Heart Association (AHA) steps in, providing a gold standard for life support training. Here, we'll explore why it is crucial to ensure you're using an AHA certified training site for your CPR and first aid instruction.

1. Unparalleled Expertise and Research:

The American Heart Association is a globally recognized leader in cardiovascular research and education. Their standards for training are rooted in the latest scientific findings and best practices in resuscitation and emergency cardiovascular care. AHA's commitment to research means that when you choose an AHA certified training site, you're learning techniques that are backed by rigorous scientific evidence.

2. Consistency in Training:

AHA ensures that all its training sites adhere to a uniform set of guidelines and standards. This consistency in training materials, methods, and evaluation processes guarantees that you receive a high-quality education no matter where you choose to learn. This is essential when it comes to life-saving skills, as deviations in training protocols can lead to ineffective responses during emergencies.

3. Confidence in Your Skills:

Knowing that your training is aligned with the latest guidelines and best practices instills confidence in your ability to respond effectively during a crisis. Whether it is performing CPR, using an automated external defibrillator (AED), or providing first aid, the skills you learn through AHA certified training are designed to help you save lives.

4. Recognized Certification:

AHA certifications are widely recognized and respected by employers, institutions, and healthcare providers. Having an AHA certification on your resume can open doors to job opportunities and increase your credibility as a healthcare professional or a responsible citizen.

5. Continuous Improvement:

The field of emergency cardiovascular care is constantly evolving. AHA's commitment to ongoing research means that their training materials and guidelines are regularly updated to reflect the latest advancements in the field. This ensures that you're always learning the most up-to-date techniques and information.

6. Versatile Training Options:

AHA certified training sites offer a range of courses catering to various skill levels and needs. Whether you're a healthcare provider, teacher, coach, or parent, there's a course designed to meet your specific requirements.

7. Community Impact:

By choosing an AHA certified training site, you're contributing to a culture of safety and preparedness in your community. When more individuals receive quality CPR and first aid training, the chances of survival increase significantly in emergencies.

In conclusion, not all training organizations are created equal. When it comes to learning life-saving skills, it is essential to choose an AHA certified training site. The American Heart Association's commitment to excellence, research, and consistency in training ensures that you receive the best education possible. So, whether you're looking to enhance your professional credentials or be a more responsible member of your community, remember that quality training begins with the AHA.

Don't compromise on your preparedness for emergencies. Choose AHA certified training and equip yourself with the knowledge and skills needed to make a difference when it matters most. Your choice today could be a lifesaver tomorrow.

Stay Healthy this Season: Your Guide to Flu Prevention

As we head into the upcoming months, we must focus on maintaining a healthy heart and safeguarding ourselves and our communities against seasonal illnesses like the flu. In this blog, we will explore the importance of flu prevention and provide valuable tips to stay healthy during the flu season.

Understanding the Flu:

The flu is a contagious respiratory illness caused by influenza viruses. It can lead to mild to severe symptoms, hospitalization, and even death in vulnerable populations. The flu is most common during the fall and winter, so being proactive in your prevention efforts is essential.

The Importance of Vaccination:

An annual flu vaccine is the most effective way to prevent the flu. The flu vaccine can significantly reduce your chances of contracting the virus; if you do get sick, it can make the symptoms less severe. The vaccine is essential for individuals at high risk of complications, such as the elderly, young children, pregnant women, and those with certain underlying medical conditions.

Good Hygiene Practices:

In addition to vaccination, practicing good hygiene is crucial in preventing the spread of the flu. Here are some simple yet effective hygiene tips:

1. Frequent Handwashing: Wash your hands with soap and water for at least 20 seconds, especially after coughing or sneezing and before eating.

2. Use Hand Sanitizer: When soap and water are unavailable, use an alcohol-based hand sanitizer with at least 60% alcohol content.

3. Cover Your Mouth and Nose: Always cover your mouth and nose with a tissue or your elbow when you cough or sneeze to prevent the spread of respiratory droplets.

4. Avoid Close Contact: Stay away from individuals who are sick, and if you're feeling unwell, it is best to stay home to prevent the spread of the virus.

Maintain a Healthy Lifestyle:

A robust immune system can aid in protecting you from the flu and other illnesses. To boost your immunity, consider following these lifestyle choices:

1. Eat a Balanced Diet: Do your best to consume various fruits, vegetables, and whole grains for essential nutrients. A meal plan will help you stick to your goals and maintain a balanced diet.

2. Stay Active: Regular exercise can enhance your immune system's ability to fight infections. Consider joining a local gym or fitness club to build consistency. When you can’t make it to a gym or don’t have the extra time, consider taking short walks outside to get some exercise in quickly.

3. Get Adequate Sleep: 7-9 hours of quality sleep each night will help your body recharge. This is crucial to mental and physical health, and receiving adequate sleep will help your immune system keep its defense up.

4. Manage Stress: Chronic stress can weaken your immune system, so practice stress-reduction techniques such as meditation or yoga.

Maintain a Clean Environment:

Keep your home and workplace clean and germ-free by regularly disinfecting commonly touched surfaces like doorknobs, light switches, and countertops. This can help prevent the flu virus spread among family members and coworkers.

Stay Informed:

Stay updated on the latest flu information from reputable sources like the Centers for Disease Control and Prevention (CDC). Knowledge about flu activity in your area can help you take necessary precautions.

As we approach the flu season, taking proactive steps to protect yourself and your loved ones is paramount. Remember, getting a flu vaccine, practicing good hygiene, maintaining a healthy lifestyle, and keeping your environment clean are vital strategies for flu prevention. At ACLS Academy, we prioritize health and safety, and we hope these tips will help you stay healthy during the upcoming months. If you want to learn more about life-saving techniques, don't hesitate to explore our American Heart Association-authorized training programs. Stay well and flu-free!

Heart-Healthy Foods: Nourishing Your Cardiovascular Health

As your trusted AHA-authorized training center, we want to educate you in and outside our courses. In this blog, we will explore the world of heart-check foods - those delicious and nutritious options that can help you maintain a strong and healthy heart. Remember, a heart-healthy diet is not just for those who have encountered heart issues; it is for everyone who wishes to prevent them and promote overall well-being.

Heart disease remains the leading cause of death worldwide, but the good news is that many risk factors can be managed through lifestyle choices, with diet being a major player. Incorporating heart-friendly foods into your diet can go a long way in safeguarding your cardiovascular health. So, let's explore some foods that will nourish your heart and help you lead a healthier, happier life.

Why Focus on Heart-Healthy Foods?

Your heart is the hardest-working muscle in your body, pumping blood and oxygen to every cell, tissue, and organ. Fueling this powerhouse with the right foods is crucial to keep it functioning at its best. A heart-healthy diet can:

Reduce the Risk of Heart Disease: Heart disease is a leading cause of death worldwide. Consuming heart-healthy foods can help reduce your risk factors, such as high blood pressure and cholesterol levels.

Maintain Healthy Weight: Maintaining a healthy weight is vital for heart health. Heart-healthy foods can assist in weight management by providing essential nutrients without excess calories.

Lower Blood Pressure: A diet rich in fruits, vegetables, whole grains, and lean proteins can help regulate blood pressure and reduce the strain on your heart.

Control Cholesterol Levels: Certain foods can help lower LDL (bad) cholesterol levels and increase HDL (good) cholesterol levels, improving your overall lipid profile.

Provide Essential Nutrients: Heart-healthy foods are loaded with vitamins, minerals, and antioxidants that support the overall health of your heart and body.

Now that we understand why heart-healthy foods are crucial, let's dive into some of the top choices:

1. Fatty Fish: Fish like salmon, mackerel, trout, and sardines are rich in omega-3 fatty acids, which have been shown to reduce the risk of heart disease. Omega-3s help lower blood pressure, reduce inflammation, and decrease triglycerides. Aim to include fish in your diet at least twice weekly for maximum benefits.

2. Berries: Blueberries, strawberries, and raspberries are packed with antioxidants known as polyphenols, which have been linked to improved heart health. These antioxidants help reduce blood pressure, decrease LDL cholesterol levels, and improve the function of blood vessels.

3. Nuts: Almonds, walnuts, and pistachios are excellent sources of heart-healthy fats, fiber, and vitamins. They can help lower LDL cholesterol and reduce the risk of heart disease. However, portion control is critical, as nuts are calorie-dense.

4. Oats: Oats are a fantastic source of soluble fiber, which helps lower LDL cholesterol levels. Start your day with a hearty bowl of oatmeal, oroatmeal or add oats to your smoothie for a heart-healthy boost.

5. Leafy Greens: Spinach, kale, collard greens, and Swiss chard contain vitamins, minerals, and antioxidants. They can help improve blood pressure and reduce the risk of heart disease. Incorporate these greens into your salads, stir-fries, or smoothies.

6. Olive Oil: Opt for extra-virgin olive oil as your primary cooking oil. It is rich in monounsaturated fats and antioxidants, which can help lower LDL cholesterol and reduce inflammation.

7. Beans and Legumes: Lentils, chickpeas, black beans, and kidney beans are high in fiber, protein, vitamins, and minerals. They can help lower cholesterol levels and stabilize blood sugar, reducing the risk of heart disease.

8. Dark Chocolate: Yes, you read that correctly! Dark chocolate (with at least 70% cocoa content) contains flavonoids that can improve heart health by reducing blood pressure and increasing blood flow. Enjoy it in moderation as an occasional treat.

9. Tomatoes: Tomatoes are rich in lycopene, an antioxidant that may help reduce the risk of heart disease by lowering LDL cholesterol levels and improving blood vessel function.

10. Red Wine (in moderation): Some studies suggest that moderate consumption of red wine may have heart-protective benefits due to its high levels of antioxidants. However, moderation is crucial, as excessive alcohol consumption can harm your heart.

Remember, while these heart-healthy foods are essential, a balanced diet that includes a variety of nutrients is critical to overall health. Maintaining a healthy lifestyle is vital to staying physically active, managing stress, and avoiding smoking.

Explore our courses and resources for more information on heart-healthy living, CPR and ACLS certification, or other related topics. Together, we can work towards a heart-healthy future.

Enhance Workplace Safety with Group, Corporate, and Executive On-Site Training

In today's fast-paced corporate world, ensuring the health and safety of employees is a paramount concern for organizations of all sizes. Emergencies can strike any moment, and being prepared can make the difference between life and death. That's where ACLS Academy comes in, offering comprehensive, flexible training programs designed to equip employees with life-saving skills right at your workplace. In this blog, we'll explore the significance of group, corporate, and executive on-site training, and its invaluable benefits to your organization.

Why On-Site Training Matters

On-site training is a proactive approach to safeguarding your employees and fostering a culture of preparedness within your organization. You provide a convenient and comfortable learning environment by conducting training sessions at your location, ensuring your team is well-versed in emergency response procedures tailored to your workplace.

ACLS Academy's Heartsaver Courses

ACLS Academy offers American Heart Association Heartsaver courses to prepare non-healthcare providers to respond effectively to emergencies. These courses cover crucial skills, including Cardiopulmonary Resuscitation (CPR) and Automated External Defibrillator (AED) usage for adult, child, and infant cases. They are essential for healthcare professionals and other roles, such as lifeguards, physical trainers, restaurant workers, and coaches.

What Our Heartsaver Course Covers

Our Heartsaver course goes beyond CPR and AED training, offering an additional First Aid component that can be taken as a standalone course or added to the CPR and AED training. Here's a glimpse of what our Heartsaver course covers: 

Responding to Illnesses and Injuries: Learn how to respond to and manage illnesses and injuries in adults, children, and infants. This knowledge is invaluable in critical situations. 

First Aid Basics: Acquire essential first aid skills to handle common emergencies effectively. From minor injuries to more severe incidents, your employees will be well-prepared.

Life-Saving Skills: Our course equips participants with life-saving skills, ensuring they can confidently take action during emergencies until professional help arrives.

 Recognizing Cardiac Arrest: Gain the ability to identify cardiac arrest and know precisely how to respond, increasing the chances of survival for those affected.

Variations of the Heartsaver Course

At ACLS Academy, we understand that different workplaces have different needs. That's why we offer variations of the Heartsaver course to cater to your specific requirements:

Heartsaver CPR/AED Provider: Approximately 2-3 hours. (Lesson times may vary)

Heartsaver CPR/AED/First Aid Provider: Approximately 4 hours. (Lesson times may vary)

Heartsaver First Aid Provider: Approximately 2-3 hours. (Lesson times may vary)

Our Expert Instructors

Our training sessions are conducted by experienced instructors who bring real-life knowledge to the classroom. These instructors are active practitioners at the forefront of their fields, and their passion for educating others shines through their teaching. When your employees learn from the best, they gain confidence in their abilities and can respond effectively during emergencies.

Get Started with On-Site Training

Committing to the health and safety of your employees is a wise investment in your organization's future. If you're interested in our on-site training programs, please reach out. We'll be delighted to discuss the details, customize the training to your needs, and provide pricing information.

Group, corporate, and executive on-site training is not just a regulatory requirement; it's a commitment to the well-being of your team. ACLS Academy is here to help you enhance workplace safety by providing employees with the knowledge and skills to respond effectively in emergencies. Together, we can create a safer and more prepared workplace for everyone. Sign up today to take the first step towards a safer tomorrow.