Archive - Jan 2012

Archive - Jan 2012

January 29th

Student recovering after cardiac arrest

By: Sarah Gorvin, The Republican Eagle
Goodhue County.

When Red Wing School District began installing automated external defibrillators in its buildings a few years ago, high school Principal Beth Borgen said she hoped they would never need to be opened.

“I said, ‘This is the best use of taxpayers’ dollars that I hope we never have to use,’” she said.

But on Jan. 20, a student, whose name or age can’t be released due to privacy laws, sat down while running laps in the gym.

“They thought he was taking a breather,” school nurse Kris Klassen said.

Then the student collapsed unconscious into a staff member’s arms, and people knew something was seriously wrong. Klassen, who also works as an emergency room nurse, was called to the gym over walkie-talkie.

“I’ve been through this before, but not in a school setting,” she said.

January 27th

NIH Launches Trials to Evaluate CPR and Drugs After Sudden Cardiac Arrest

BETHESDA, MD--The National Institutes of Health (NIH) has launched two multi-site clinical trials to evaluate treatments for out-of-hospital cardiac arrest. One will compare continuous chest compressions (CCC) combined with pause- free rescue breathing to standard cardiopulmonary resuscitation (CPR), which includes a combination of chest compressions and pauses for rescue breathing. The other trial will compare treatment with the drug amiodarone, another drug called lidocaine, or neither medication (a salt-water placebo) in participants with shock-resistant ventricular fibrillation, a condition in which the heart beats chaotically instead of pumping blood.

This study needs to be done.

The NIH has launched two multicenter clinical trials that will evaluate treatments for sudden cardiac arrest that occurs out of the hospital.

The CCC trial will compare survival with hospital discharge rates for two CPR approaches — continuous chest compressions combined with pause-free rescue breathing vs. standard CPR — delivered by paramedics and firefighters to those experiencing cardiac arrest. Trained emergency personnel will give all participants in the CCC trial three cycles of CPR followed by heart rhythm analysis and, if needed, defibrillation.

There have been two trials in Scandanavia that showed 30%-40% improvements in outcome with compression-only CPR. There was a study in Japan that showed that, for a specific class of heart disease, compression-only CPR was not as good as 30 & 2 CPR.

January 26th

Use of Primary Prevention ICD Therapy Increases, Racial Disparities Decrease

Prior research has demonstrated there is low utilization of primary prevention implantable cardioverter defibrillators (ICDs), particularly among women and blacks. Sana Al-Khatib, MD, of Duke University and colleagues set out to determine the degree to which the overall use of ICD therapy and disparities in use have changed. 

They studied 11,880 patients with a history of heart failure and left ventricular ejection fraction of <35%, who were > 65 years old and found a significant increase in the use of ICD therapy in all sex and race groups. In addition, racial disparities were no longer present, although sex differences persisted.

More...

January 25th

High School Football Coach Dies from SCA

Ryan Daniel, 30, who also taught special education students, had the heart attack before the arrival of students, the district said.

Daniel was a Buford High graduate who returned to the school nearly five years ago to teach and coach after graduating from Catawba College in Salisbury, N.C., where he played football.

“It’s been a day of grieving,” Buford High Athletic Director Dexter Wood told the AJC. “He left a rich, rich legacy of love for this place and love for people.”

January 24th

Colorado Bill Would Make CPR-AED Training a Requirement for Graduation from High School

Colorado students would have to know CPR and how to operate automated external defibrillators in order to graduate from high school under a new bill introduced Wednesday.

Senate Bill 12-098 would require all schools with high school students to offer student training in cardiopulmonary resuscitation and the use of an automated external defibrillators.

Students would have to successfully complete the training to graduate from high school. The State Board of Education would be required to issue regulations for the program, including monitoring and compliance. The state also would establish a grant-supported fund to help districts with costs of such training.

The idea is expected to face opposition from several segments of the education lobby, primarily because it would impose a mandate without state funding and because it can been seen as imposing on local control of graduation requirements.

News Anchor and SCA Survivor Back to Work

PITTSBURGH (KDKA-TV) — A few short months ago, the odds were heavily stacked against her survival and her chances of resuming a normal life; but as KDKA-TV News Anchor Susan Koeppen returns to work at the anchor desk for the first time since November, she’s sharing her story in the hopes that it may inspire more people to learn what to do to save a life.

Susan KoeppenAfter 7 years reporting for CBS News in New York, Susan came home to Pittsburgh and joined KDKA-TV last fall.

Was it That Last Hill?

Ken Coutts, Tugun, Australia – 54 at time of event (2008)  

January 21st

It's easy to read the paper without realizing what needs to be fixed.

Tragically, a 64 y/o gentleman died in San Antonio yesterday. The cause of death has not been announced, but it's likely that it was either a sudden cardiac arrest, a ruptured aortic anurism, or asphyxia via drowning, with the most likely being a sudden cardiac arrest.


It is apparent from the article that there are a number of problems with the way public pools are staffed and managed that make it unlikely that someone could survive in the situation this gentleman encountered. Even more sadly, most of these factors are to some degree controllable by the management of the pool.

THE SHORT FORM:

My mission is not to criticize anyone. My Mission is to point out that the odds of surviving were not good for several structural reasons and to rally public support for changing the environment.

THE DETAILS:

KSAT.com published the news, and their story included the following.

    January 20th

    Survivor Reunited with his "Angels"

    Tod Streets, Philadelphia, PA--56 at the time of event (2012)

    In a touching and extraordinary reunion in mid-January, a Philadelphia man finally met the Septa manager and nurse who saved his life.

    When Tod Streets collapsed in cardiac arrest while waiting for his Septa train at the 30th Street Station two weeks ago, it was two strangers who came to his rescue.

    Only CBS 3 cameras were there as Streets met Septa Manager Garry Deans and nurse Jeanne Pundt who came to visit him at the Hospital of the University of Pennsylvania.

    During the emotional reunion, with hugs and tears, the two rescuers told Streets, who remembers nothing about the incident, how they spotted him as he collapsed on the platform.

    They said Streets fell dangerously close to the track, where his rush-hour train was approaching.

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