Archive - Sep 2011

Archive - Sep 2011

September 6th

Toddler brought back after drowning.

associated press
VANCOUVER, Wash. —
Clark County firefighters say a 4-year-old girl nearly drowned at a popular swimming beach at Vancouver.

Fire District 6 says a bystander spotted the girl face down in the water Monday evening at Klineline Pond in Salmon Creek Park.

Witnesses started CPR until medics arrived.

The girl was airlifted to Legacy Emmanuel Medical Center in Portland in critical condition but later upgraded to serious condition.

September 5th

NEJM: Using an Impedance Device During CPR Does Not Improve Survival

Use of an impedance threshold device (ITD) has been shown to enhance cardiac output during cardiopulmonary resuscitation (CPR); however, a study published Sept. 1 in the New England Journal of Medicine showed that use of these devices may not improve survival among patients with out-of-hospital cardiac arrest who received standard CPR.

“One proposed strategy to augment cardiac output during CPR is the use of an impedance threshold device (ITD),” Tom P. Aufderheide, MD, of the Medical College of Wisconsin in Milwaukee, and colleagues wrote. “The ITD is designed to enhance venous return and cardiac output during CPR by increasing the degree of negative intrathoracic pressure."

We should all be ashamed that this sort of thing is still news, not the norm.

AMERICAN FALLS, Idaho — Quick-thinking coaches and a school's new defibrillator helped save the life of an American Falls High School athlete after the boy collapsed at practice.

Superintendent Ron Bolinger said 17-year-old Ross Palmer, a star on the football team, collapsed near the end of practice Tuesday night. The coaching staff couldn't find a pulse and started CPR.

Bolinger said another coach ran inside to get a defibrillator that the school had recently acquired. The second shock from the machine to the young athlete's heart started it beating again.

THERE IS NO REASONABLE EXCUSE FOR NOT HAVING AN AED AT EVERY ATHLETIC COMPETITION AND PRACTICE.

Bob

Nothing like evidence to set things straight.

The 2005 revisions to the BLS protocols stated that two minutes of CPR should precede defibrillation. A study published this week in the New England Journal of Medicine showed that there was no difference in outcomes between two large groups: (a) those that had 30-60 seconds of CPR before defibrillation and (b) those that had 180 seconds of CPR before defibrillation.

It will be interesting to see the letters to the editor published in subsequent issues.

The disappointing aspect of the study is that it showed a 5.9% survival rate, where survival means discharge from the hospital in a condition that permits the victim to perform the acts of daily living - i.e., with minor neurological deficits.

This does not mean that it doesn't matter how soon you defibrillate doesn't matter. Other studies have shown that defibrillating early helps. It does mean that during the 1-3 minute time-frame it doesn't make a lot of difference.

September 3rd

People Just Like You Are Saving Lives. Get Trained!

Seriously, folks. Ordinary people can keep a cardiac arrest victim's heart and brain alive long enough for a defibrillator to re-start the heart. It doesn't happen all the time, but why is it that 27 % of cardiac arrest survivors had their arrest in an airport? It's because there are lots of AED's and lots of trained people in airports. Why is it that 66 % of all cardiac arrests occur in the home, yet only 15% of the survivors had their arrest in the home? There aren't very many AED's in the home.

The only complaint I have with what happened in the save below is that there is no valid reason I can imagine why there shouldn't be an AED on the sidelines at any athletic competition or practice. You shouldn't have to run into the school to get the AED.

Here's the story.

BY PATTY HENETZ
The Salt Lake Tribune

First published Sep 02 2011 03:20PM
Updated Sep 3, 2011 07:39AM

If not for his coaches’ quick action, 17-year-old Ross Palmer would be dead.

September 2nd

Defibrillator Used, Teen Saved.

OK, folks, this is the way it's supposed to work. You have a defibrillator at every sporting event and practice, and when someone dies of sudden cardiac arrest, you use it.

It's not high tech. Do it.

AMERICAN FALLS — Quick-thinking coaches and a school's new defibrillator helped save the life of an American Falls High School athlete after the boy collapsed at practice. Superintendent Ron Bolinger said 17-year-old Ross Palmer, a star on the football team, collapsed near the end of practice Tuesday night. The coaching staff couldn't find a pulse and started CPR.

August 31st

North Olmstead, Ohio, Police Receive Grant for AEDs

NORTH OLMSTED, OHIO--Lifesaving technology could soon be riding along with the city’s police cruisers.

North Olmsted police have received a $10,500 grant from Fairview Hospital and the Cleveland Clinic Foundation to purchase and install automated external defibrillators in seven police cruisers.

Safety Director Scott Thomas, who spearheaded the effort to obtain the grant, said he hopes to have officers trained in using the devices by Oct. 1. Thomas wants the AEDs installed and on the road by early October. 

"It’s a good idea because out on the street, police are often the first to respond to a situation,” he said. “With training, it could save a life.”

He said the city approached Fairview Hospital and asked if officials there would be willing to support the AED program.

“They jumped at the chance.”

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