Archive - 2013

Archive - 2013

November 21st

PA Senate Passes Dinniman's AEDs in Schools Bill

WEST CHESTER, PA--The Pennsylvania Senate on Wednesday unanimously approved Aidan’s Law, the bill introduced by state Sen. Andy Dinniman to help ensure all Pennsylvania schools have automated external defibrillators (AEDs) on hand in case of sudden cardiac arrest.

The legislation–named in memory of Aidan Silva, the seven-year-old Brandywine Wallace Elementary School student who died on September 4, 2010, from unexplained sudden cardiac arrest–now goes to the Pennsylvania House of Representatives for consideration.

Dinniman credited the parents of the late Aidan Silva, Christy Marshall Silva and Steve Silva of East Brandywine, for Wednesday’s key vote.

Taking Steps to Improve CPR Quality

R. Trenkamp describes studyDALLAS, TX--Robert H. Trenkamp, Jr.< EMT-P, and Fernando J. Perez, MD, of Saving Lives in Chatham County, Georgia, have calculated the gap between the requirements of the AHA chest compression guidelines and the physical capability of 50 individuals. Using chest stiffness data from P.

AEDs on the Sidelines

BALTIMORE, MD--Water? Check. Playbook? Check. AED? Check.

When Baltimore area middle school coaches take their teams to a sporting event, they are increasingly adding some new equipment to the list of necessary supplies: automated external defibrillators.

November 20th

Schools With AED on Campus May Save Lives

Emergency defibrillator programs at schools linked to better cardiac arrest survival rates

Sudden heart failure is the most common cause of death among young athletes during exercise. There's something schools can do that may reduce these cases.
 

When a person is having sudden cardiac arrest (SCA), an automated external defibrillator (AED) can be used to bring back a regular heart rhythm.

Stress Test Chemicals Could Cause Heart Attacks And Death, FDA Warns

Nov 20 (Reuters) - The U.S. Food and Drug Administration warned physicians on Wednesday that two chemicals used to conduct cardiovascular stress tests can cause heart attacks and death, and it suggested resuscitation equipment and trained staff be available when the tests are conducted.

The injectable products, Lexiscan and Adenoscan, are marketed by Astellas Pharma US Inc. They work by stressing the heart, allowing physicians to take images that can show areas of low blood flow and damaged heart muscle. The tests are given to patients who are physically unable to exercise.

The FDA said heart attacks may be triggered by the tests because the chemicals dilate the heart's arteries and increase blood flow to help identify obstructions. Blood flows more easily to unblocked arteries, which can reduce blood flow to an obstructed artery. In some cases, that can lead to a heart attack, the agency said.

Should Student Athletes Undergo Cardiac Screening?

The New England Journal of Medicine has posted a poll regarding cardiac screening before participation in high school sports. It poses the question whether athletes should undergo cardiac screening, and if so whether that should include not only a history and physical, but also an electrocardiogram (ECG). What do you think? 

Excerpt from NEJM 

This interactive feature addresses the approach to a clinical issue. A case vignette is followed by specific options, none of which can be considered correct or incorrect. In short essays, experts in the field then argue for each of the options. Readers can participate in forming community opinion by choosing one of the options and, if they like, providing their reasons.

November 19th

Rural and Southern Regions Lack Annual Training in CPR

DURHAM, NC--Annual rates of CPR training in the United States are low and vary widely across the country, but the communities most in need of training are the least likely to be trained, according to a new study from the Duke Clinical Research Institute. The findings, published Nov. 18, 2013, in JAMA Internal Medicine, add to known geographic disparities in cardiac arrest survival and offer a rationale to increase access to training for the life-saving intervention.

Each year, more than 350,000 Americans experience cardiac arrest outside of a hospital. On average, 7 to 9 percent of people survive, but these figures vary by geographic location.

Many Sudden Cardiac Arrests Preceded by Warning Signs

DALLAS, TX--Sudden cardiac arrest isn’t always so sudden, according to research presented at the American Heart Association’s Scientific Sessions 2013.

In a study of middle-age men in Portland, Oregon, more than half had possible warning signs up to a month before their hearts stopped abruptly.

Cardiac arrest occurs when the heart stops due to a failure in its electrical system. Patients can sometimes survive if they receive CPR immediately and a defibrillator is used quickly to shock the heart into a normal rhythm.

About 360,000 out-of-hospital cardiac arrests are reported each year in the United States, according to the American Heart Association. Only 9.5 percent of people who suffer a cardiac arrest outside the hospital survive.

November 18th

Heart of the Matter: Keeping High School Athletes Healthy

Marcus Warren walked off the court and toward his seat on the bench. He plopped down and slouched onto a teammate. The frantic yells by his Camden High coach that came next overpowered the cheers, the squeaking shoes and the sound of a basketball bouncing that had been filling the gym.

When a trainer tried to get Marcus to sit up, his body slumped forward, and he collapsed onto to the court.

Marcus’ heart had stopped four days before Christmas in 2002. He was dead at 16 years old.

He was a seemingly healthy high school basketball player, until he wasn’t.

Marcus’ unknown congenital heart condition could have caused sudden cardiac arrest at any moment, and it just happened to be on the basketball court. His heart abnormality was recognized for the first time in his autopsy.

Lowering Temperature on Way to Hospital Does Not Improve Outcome

DALLAS, TX— Lowering cardiac arrest patients’ body temperature with cold intravenous fluids right after resuscitation and on the way to the hospital didn’t help survival or neurological outcome in a late-breaking clinical trial presented at the American Heart Association’s Scientific Sessions 2013.
 

With a cardiac arrest, the heart stops beating and as a result, there is no blood flow or oxygen delivered to the brain, resulting in nerve cell death. Brain injury can continue to evolve even after the blood flow is restored, a phenomenon called reperfusion injury.

Guidelines recommend cooling resuscitated cardiac arrest patients who remain comatose soon after hospital arrival for up to 24 hours in an intervention called therapeutic hypothermia. Body temperature is then slowly raised to normal levels.

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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