Archive - Nov 2013

Archive - Nov 2013

November 30th

Is it just me?

My blog is really what I just wrote for my bio. Sorry, I am new here. I’m a 52 year old white male. Not fat, not skinny. Not sedate, not athletic. Work a fairly physical job. Paranoid my ENTIRE life about having a heart attack. I was constantly nagging doctors about terrible family history of heart disease most of my adult life to no avail. (Caveat: Not that I took care of myself!) Aug. 31, 2013, getting our house ready to sell with my wife and 15 year old stepdaughter, I start realizing that "don't feel real good." My wife says I'm probably hungry because all I had for breakfast was donuts (of all things!) I also come to realize my jaw hurt really, really bad and I was trying to figure that out. I sit down on the floor, and then I lay down on the floor. My wife leaves to get us all something for lunch. I tell my stepdaughter I feel dizzy and she props my feet up with a box.

November 29th

CMS Issues New Surveyor Guidance on Initiating CPR in Nursing Homes and Facility CPR/DNR Policies

In a highly publicized recent case in California, a registered nurse working in an independent living facility refused to initiate cardiopulmonary resuscitation (CPR) on an elderly resident who was experiencing respiratory distress. The nurse refused to start CPR even when the 911 dispatcher begged her to start CPR or to find someone, even a bystander, who would do so. The nurse still refused, stating that the facility had a no-CPR policy at the time. 

See Sudden Cardiac Arrest Foundation blog.

This case caused consternation among long term care providers around the country. In our own practice, we’ve had numerous requests to review skilled nursing facility (SNF) Do Not Resuscitate (DNR) and CPR policies because of this case. 

Defibrillator Sent for More Tests

TORONTO, ON--A public access defibrillator at a downtown TTC station has been sent to the manufacturer for testing after it apparently failed earlier this month when subway riders tried to shock a fellow commuter who suffered (sudden cardiac arrest).

The automated external defibrillator at Museum Station, one of 1,400 such medical devices in the city that they are responsible for monitoring, was functioning properly Nov. 8, according to their diagnostics, Toronto EMS said Friday.

So exactly what happened that evening is a mystery.

“These AEDs are highly maintained,” EMS spokesman Kim McKinnon said. “And we are alerted immediately if there is a problem.”

On the night in question, several sources told the Toronto Sun TTC riders on a northbound train witnessed a man in his late 60s or early 70s go into arrest.

November 28th

Defibrillators May Be Hard to Find in Emergencies: CBC investigation

OTTAWA, ON--They can help increase your chance of surviving a cardiac arrest by 75 per cent, but a shocking number of Canada’s automated external defibrillators (AEDs) may be inaccessible to the public during an emergency because they are locked away or not registered with 911 personnel.

A CBC Marketplace investigation found that the potential for AEDs to save lives may be severely hampered because there are no national guidelines as to how or where the devices are kept.

    There’s also no government requirement that they be registered with 911. Registering devices helps 911 dispatchers direct people to the closest AED in case of an emergency.

    About 40,000 Canadians experience sudden cardiac arrest each year: one every 12 minutes, according to the Heart and Stroke Foundation.

    AED Failed to Charge When It Was Needed

    TORONTO, ON--It turns out defibrillators can’t miraculously save lives if they can’t be turned on.

    A man needed life-saving help earlier this month but, although there were people on scene willing to provide it, a failed battery prevented any opportunity for a happy ending.

    The good news for a man who went into cardiac arrest on the Toronto subway was that a nurse and a doctor were on the same train and a defibrillator was on the wall of the TTC station.

    The man collapsed on the northbound train Nov. 8, the AED (Automated External Defibrillator) on the wall at Museum station was deployed.

    The problem was they could not get it to turn on.

    “It didn’t work,” said one witness.

    “The battery was dead,” added a Toronto firefighter.

    In other words, the AED was useless.

    November 26th

    Notre Dame East Stroudsburg Remembers Two of Its Own

    Sean Cunningham and Greg Moyer never shared a classroom at Notre Dame.

    Both young men died tragically — Moyer in 2000 at age 15, and Cunningham this summer at age 24.

    But their parents say that the two former students shared something unique — the values they learned as students at Notre Dame.

    "Sean and Greg shared those qualities that Notre Dame seeks to instill in all its students," Greg's father, John Moyer said. "Strong character, empathy, morals and the fact that nothing good comes without lots of hard work."

    The young men were remembered Wednesday at a memorial service. The Moyer family donated Greg's No. 23 basketball jersey to the school. They also donated a defibrillator from the Greg Moyer Defibrillator Fund in Cunningham's memory.

    Cunningham's father, Steve, called the Moyers "true heroes" and thanked them for honoring his son's memory.

    Can Anyone Tell Me

    In 2011 I had SCA. I have been trying to recall the feeling I had just before I collapsed. My granddaughter was the only one in the room and she said I bent over the sink in the kitchen and said I feel weir........and collapsed. I was wondering what that weird feeling was. I guess I want to know what that feeling was so I would be able to recognize if it happened again. The majority of that day is a blur... I took my sister to lunch for her birthday, drove home and was making a dinner for my husband who was getting ready to go to work. After I collapsed I didn't awake until 7 days later. It took a while for my mind to clear, but by the 10th day I felt pretty much normal. On the 9th day I had an ICD implanted and went home the following day. It is amazing to me that I don't remember any of the treatments or procedures over those 8 days.

    Can Anyone Tell Me

    In 2011 I had SCA. I have been trying to recall the feeling I had just before I collapsed. My granddaughter was the only one in the room and she said I bent over the sink in the kitchen and said I feel weir........and collapsed. I was wondering what that weird feeling was. I guess I want to know what that feeling was so I would be able to recognize if it happened again. The majority of that day is a blur... I took my sister to lunch for her birthday, drove home and was making a dinner for my husband who was getting ready to go to work. After I collapsed I didn't awake until 7 days later. It took a while for my mind to clear, but by the 10th day I felt pretty much normal. On the 9th day I had an ICD implanted and went home the following day. It is amazing to me that I don't remember any of the treatments or procedures over those 8 days.

    Can Anyone Tell Me

    In 2011 I had SCA. I have been trying to recall the feeling I had just before I collapsed. My granddaughter was the only one in the room and she said I bent over the sink in the kitchen and said I feel weir........and collapsed. I was wondering what that weird feeling was. I guess I want to know what that feeling was so I would be able to recognize if it happened again. The majority of that day is a blur... I took my sister to lunch for her birthday, drove home and was making a dinner for my husband who was getting ready to go to work. After I collapsed I didn't awake until 7 days later. It took a while for my mind to clear, but by the 10th day I felt pretty much normal. On the 9th day I had an ICD implanted and went home the following day. It is amazing to me that I don't remember any of the treatments or procedures over those 8 days.

    'In Living Color' Actor Jay Leggett Dies at 50

    Jay Leggett, who appeared on In Living Color and had stints on NYPD Blue and Ally McBeal, died Saturday, reports The Milwaukee Journal Sentinel.

    The comic actor was 50.

    Leggett died at a family cabin in Tomahawk, Wis., where he grew up, after returning from a deer hunt on the first day of the state's gun deer season.

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