Archive - Nov 5, 2012

Archive - Nov 5, 2012

Now What? Resuscitation May Not Be the End of the Story

LOS ANGELES -- Patients who experienced the loss of pulses after the successful return of spontaneous circulation were more likely to die at hospital discharge, researchers reported here.

Based on case data from the Resuscitation Outcomes Consortium, patients who had unresolved prehospital re-arrest after an out-of-hospital cardiac arrest had greater than six-fold odds of death prior to hospital discharge (OR 6.14, 95% CI 4.32 to 8.75, P<0.001), according to David Salcido, MPH, of the University of Pittsburgh School of Medicine in Pennsylvania, and colleagues.

While the incidence of re-arrest was relatively uncommon in this study population, survival was 7.8% among cases of unresolved pre-hospital re-arrest versus 33.3% in cases without, Salcido reported at the American Heart Association meeting. The overall survival to hospital discharge was 28%.

Strangers More Likely than Family Members to Provide CPR

LOS ANGELES -- People with cardiac arrest are more likely to get cardiopulmonary resuscitation from strangers than members of their own family, especially wives, according to a study in Japan.

Friends and colleagues were twice as probable and bystanders were 1.5 times more likely to perform CPR, a procedure used on a person whose heart has stopped or is no longer breathing, the research showed. The study was presented at the American Heart Association annual meeting held in Los Angeles today.

Patients found by family members had the lowest survival rate, the study said. Wives were least likely to administer the chest compressions and rescue breathing involved in CPR, researchers said. The findings suggest a combination of cultural, emotional and demographic issues may be at play.

ASU Recognized for Its 'HEART Safe' Program

The Arizona Department of Health Services (ADHS) this week recognized Arizona State University as one of the first participants in its HEART Safe program. 

HEART Safe is part of the ADHS Save Hearts in Arizona Registry and Education (SHARE) program, administered by the Bureau of EMS and Trauma Systems.

To qualify for the two-year designation, businesses or community groups must meet the following criteria:

  • Possess a written plan for cardiac arrest response
  • Offer Cardiopulmonary Resuscitation (CPR) / Automated External Defibrillator (AED) training and have trained at least 50 percent of staff
  • Have an on-site AED that is registered with the ADHS.

“The ASU AED program is one of the oldest and the largest university AED program in the United States,” said Jim Gibbs, ASU Fire Marshall.

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