Archive - Jan 2011

Archive - Jan 2011

January 30th

There's an opportunity to misunderstand...

and it appears that many people are taking it.
The wonderful piece in the New England Journal of Medicine a few days ago makes the point that the heart rhythms "shockable" by an AED (ventricular fibrillation and pulseless ventricular tachycardia) are more commonly observed in public places than in the home.
That doesn't mean that more people who arrest in public are more likely to have those rhythms. It means that BY THE TIME SOMEONE GETS A DEVICE LIKE AN AED OR A DEFIBRILLATOR ONTO A CARDIAC ARREST VICTIM, MORE PEOPLE IN PUBLIC PLACES ARE IN A SHOCKABLE RHYTHM THAN ARE PEOPLE AT HOME. THIS IS BECAUSE IT TAKES LONGER TO GET AN AED OR A DEFIBRILLATOR ONTO A PERSON WHO ARRESTS AT HOME..

January 27th

Another Argument for more Public Access AED's

Cardiac Arrest in Homes vs.

January 26th

Study: AED Placement in Public Settings More Beneficial than in Homes

The frequency of shockable heart rhythms (ventricular fibrillation or pulseless ventricular tachycardia) as the initial recorded rhythm is lower among patients with witnessed cardiac arrests in the home than among those with witnessed arrests in a public setting, according to a study by the Research Outcomes Consortium recently published in the New England Journal of Medicine.

The frequency of shockable arrhythmias was higher for bystander-witnessed cardiac arrests in a public location (60%), particularly those in which an AED was applied by a bystander in a public location (79%). Therefore, as might be expected, the rate of survival to hospital discharge was significantly higher when an AED was applied by a bystander after a cardiac arrest in a public location (34%, vs. 12% for arrests at home; adjusted model P=0.04).

FDA Panel Considers Classification of AEDs as High-Risk Devices

Action could reduce access to lifesaving devices

GAITHERSBURG, Md - The Food and Drug Administration (FDA) Circulatory System Devices Panel met Tuesday to discuss and make recommendations regarding the regulatory classification of automated external defibrillators (AEDs). AEDs are used to resuscitate people who suffer sudden cardiac arrest (SCA) and are clinically dead.

The panel considered whether to reconfirm that AEDs should remain Class III high-risk medical devices or be reclassified as Class II moderate-risk devices. Class II devices are subject to a pre-market “510(k)” notification process, whereas Class III devices are subject to a more rigorous pre-market approval (PMA) application process.

AEDs currently are considered Class III devices, but due to a grandfathering clause, they have been regulated as Class II devices.

High School Referee Saved at High School Basketball Game

With about three minutes left to go in a tie game between the Raymond and Epping junior varsity girls' basketball game on Monday night, a referee collapsed on the gymnasium floor, unconscious and not breathing.

What happened next was nothing short of a miracle.

January 25th

Study Shows Inappropriate ICD Shocks Increase Mortality

Leiden, the Netherlands - A retrospective, single-center experience supports post hoc analyses of two major randomized trials in finding that inappropriate implantable cardioverter defibrillator (ICD) shocks increase all cause mortality. Moreover, the risk increased the more inappropriate shocks patients experienced, according to the analysis of 1544 patients with ICDs featuring electrogram storyage, from different manufacturers, implanted for either primary or secondary prevention from 1996-2006.
	
  

Chest Compression-Decompression Devices Boost Survival in Trial

Roseville, MN - A pair of devices for assisting paramedics performing cardiopulmonary resuscitation (CPR) for out-of-hospital cardiac arrest can raise the patient's chances of discharge with good neurologic function, suggests a randomized trial published this week [1].

January 24th

San Ramon Fire Department Launches App to Help Save Lives

 

SAN RAMON, CA – In the spirit of “Gov 2.0” the San Ramon Valley Fire Protection District (SRVFPD) announced the release of an innovative new location-aware iPhone application today. The new app empowers everyday citizens to provide life-saving assistance to victims of Sudden Cardiac Arrest (SCA). Application users who have indicated they are trained in cardiopulmonary resuscitation (CPR) can now be notified if someone nearby is having a cardiac emergency and may require CPR.

If the cardiac emergency is in a public place, the application, using sophisticated GPS technology, will alert citizens in the vicinity of the need for CPR. The application also directs these citizen rescuers to the exact location of the closest public access Automated External Defibrillator (AED).

January 21st

My Life Has Changed a Lot

Raymond White, Kearney, NE – 45 at time of event (2009)

[Raymond has no recollection of his SCA event and is reliant upon his wife for the following details]

On November 6th, 2009 my husband suffered a sudden cardiac arrest.

We got up as usual, had coffee, and planned to go out to eat breakfast. We had gone upstairs to get dressed when I heard him breathing deeply and moaning.

I found him laying on the bed sweating profusely, short of breath and severe chest discomfort radiating down his right arm. I immediately got him downstairs and had my son sit with him while I finished getting dressed. I knew calling EMS would take longer than me driving him into town.

AED Access for All

Mary Tappe, West Des Moines, IA – 43 at time of event (2004)

Mary Tappe

On Monday, May 17, 2004 I was running late to a meeting at work. As I was sitting down, my friend Rick made a smart-alec comment about my being late, I gripped my pen, and BAM, my head hit the desk. My co-workers waited for me to sit up with a retort, but I didn’t. I was not breathing. I had no pulse.

Mission & Vision

The mission of the Sudden Cardiac Arrest (SCA) Foundation is to prevent death and disability from sudden cardiac arrest. The vision of the SCA Foundation is to increase awareness about sudden cardiac arrest and influence attitudinal and behavioral changes that will reduce mortality and morbidity from SCA.

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