Archive - Aug 5, 2011

Archive - Aug 5, 2011


Research Demonstrates Benefits of Therapeutic Hypothermia

Underused technology holds great promise

Research continues to demonstrate the positive role of therapeutic hypothermia (TH) in treating out-of-hospital cardiac arrest (OHCA) patients.

In the July 12, 2011 issue of Circulation, Michael Mooney, et al. from Minneapolis Heart Institute and Northwestern University in Chicago published data on 140 consecutive OHCA patients who were treated and transferred to a central therapeutic hypothermia-capable hospital.

Patients were initially cooled in the ambulances or referring hospitals with ice packs and then transferred to the central hospital where they were further cooled and maintained at 33°C (92°F) for 24 hours with the Arctic Sun device (Medivance, Louisville, CO).

CARES Report Points to Need to Increase Bystander Intervention in Sudden Cardiac Arrest

Each year, approximately 295,000 persons in the United States experience an out-of-hospital cardiac arrest (OHCA). Approximately 92% of persons who experience an OHCA event die.

An OHCA is defined as cessation of cardiac mechanical activity that occurs outside of the hospital setting and is confirmed by the absence of signs of circulation. Whereas an OHCA can occur from non-cardiac causes (i.e., trauma, drowning, overdose, asphyxia, electrocution, primary respiratory arrests, and other non-cardiac etiologies), the majority (70-85%) of such events have a cardiac cause.

This landmark report is based on a review of of 31,689 OCHA cases of presumed cardiac etiology (October 1, 2005 and December 31, 2010) in the Cardiac Arrest Registry to Enhance Survival (CARES) Registry. Results indicate:

Vest Saves a Life

ST. AUGUSTINE, FL--John Whitsett strummed a guitar Monday. He works hard and he plays nicely in a band in St. Augustine, Florida In February he was diagnosed with ventricular tachycardia, a heart condition that can be fatal.

In March Whitsett was prescribed a wearable defibrillator, appropriately called a Life Vest, which could jump-start his heart if it ever stopped. The device is connected to a small box that the patient clips to his waistband. Whitsett is thankful he was wearing the vest three weeks ago when he was at a bus stop.

"I felt myself fading out and I didn't think anything of it. I grabbed something," Whitsett recalled. He passed out. The defibrillator vest went into action and gave him a shock. Whitsett didn't feel a thing. The next thing he knew he was on the ground talking to the bus driver.

"The bus driver said I can't let you get on the bus," Whitsett remembered. "I said, 'I'm fine. I just want to go home.'"

Japanese Soccer Clubs Reminded to Have AEDs on Site

Japan Football League general secretary Keizo Kato said Thursday he will remind JFL clubs to implement stricter measures in order to avoid a reoccurrence of the untimely and tragic death at 34 of former Japan defender Naoki Matsuda following a heart attack.

The third-tier JFL had told all clubs to have automated external defibrillators (AEDs), portable electronic devices that automatically diagnose the potentially life-threatening cardiac arrhythmias that lead to cardiac arrest. Matsuda lost his fight for life on Thursday, two days after he collapsed during practice with JFL team Matsumoto Yamaga, which did not have an AED at their training facility.

"I'll be reminding all the clubs. The lack of thoroughness points to poor management," said Kato.

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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