Archive - Sep 2012 - Blog entry

Archive - Sep 2012 - Blog entry

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September 28th

professor of medicine,cardiologist

This important comment is intended to Norman S.Abramson,MD,the chairman of SCA,and Susan Koeppen-a bold survivor of SCA,but committed to reduce SCA by promoting AEDs everywhere...please reffer this comment to them-I do not have their emails.

September 22nd

Either they had an AED at the field and the reporter did not mention it, or....

Here's the logic flow: If an MD was doing CPR, it was because the student had suffered an out-of-hospital sudden cardiac arrest. If the student was in the ER, awaiting transfer to an appropriate hospital, an AED was used on him, because it's extremely rare that someone's heart will spontaneously resume beating when treated only with CPR. If an AED was used at the scene before EMS arrived, there's a really good chance that the child will survive with major brain functions intact. If they had to wait for the ambulance to arrive and use their defibrillator, the odds of a good outcome are a lot lower. There's no way to tell from the story whether or not there was an AED on scene, but the story does give us an opportunity to reflect that there should always be an AED at every athletic match or practice. The article starts below.

September 21st

So how does this example of 30% of arrests differ from the other 70%?

Longview student collapses at basketball practice
A student collapsed and briefly stopped breathing during an open basketball practice at Mark Morris High School in Longview.
The Associated Press

LONGVIEW, Wash. —
A student collapsed and briefly stopped breathing during an open basketball practice at Mark Morris High School in Longview.

A coach and parent gave CPR Sunday to 16-year-old Spencer Best of Longview until paramedics arrived and used a heart defibrillator.

His father, Rich Best, told The Daily News (http://is.gd/fRM2vn) Spencer will remain in intensive care for a couple more days this week at Randall Children's Hospital at Legacy Emmanuel Medical Center in Portland.

He says Spencer is alert and communicating. He says the men who gave him CPR saved his life.

---

Information from: The Daily News, http://www.tdn.com

How does this differ? Somebody did something before the ambulance got to the scene.

CPR + Prompt Defibrillation Really Works - at least ten times better than not doing anything!

A Tucson woman saves her husband with hands-only CPR
Posted: Sep 21, 2012 11:21 AM by Ryan Haarer
Updated: Sep 21, 2012 11:21 AM
KVOA.com

TUCSON- With over 380,000 cardiac arrests every year only about 70 percent of people know how to do CPR, according to the American Heart Association.

Recently a Tucson family had quite a scare. E.J. Marx felt chest and arm pain during a soccer game. His wife Whitney got him and their infant son Kahn into the car. On the way to the hospital, E.J. went into cardiac arrest.

Whitney handled the situation perfectly. She called 911, pulled E.J. out of the car and began chest compressions. She continued until emergency responders arrived.

E.J. spent two weeks in a coma, but is thankful his wife knew what to do, as it probably saved his life.

September 8th

From WFTV: the best SCA vs AMI explanation I've seen in the media - too often they write "heart attack" when they mean SCA.

Cardiac Concerns: Saving Kids from Sudden Death

FLORIDA — WHAT CAUSES SUDDEN CARDIAC ARREST:Sudden cardiac arrest (SCA) is a condition in which the heart suddenly and unexpectedly stops beating. If this happens, blood stops flowing to the brain and other vital organs. SCA is not the same as a heart attack. A heart attack occurs if blood flow to part of the heart muscle is blocked. During a heart attack, the heart usually doesn't suddenly stop beating. SCA, however, may happen after or during recovery from a heart attack. People who have heart disease are at higher risk for SCA. However, SCA can happen in people who appear healthy and have no known heart disease or other risk factors for SCA. Certain diseases and conditions can cause the electrical problems that lead to SCA. Examples include coronary heart disease (CHD), also called coronary artery disease; severe physical stress; certain inherited disorders; and structural changes in the heart. (Source: nhlbi.nih.gov)

September 4th

Don't stop too soon!

Prolonged CPR Holds Benefits, a Study Shows

Ashley Gilbertson for The New York Times
Staff members at Maimonides Medical Center in Brooklyn in 2010 trying to revive a patient who suffered a cardiac arrest.
By RONI CARYN RABIN
Published: September 4, 2012

When a hospital patient goes into cardiac arrest, one of the most difficult questions facing the medical team is how long to continue cardiopulmonary resuscitation. Now a new study involving hundreds of hospitals suggests that many doctors may be giving up too soon.

The study found that patients have a better chance of surviving in hospitals that persist with CPR for just nine minutes longer, on average, than hospitals where efforts are halted earlier.

There are no clear, evidence-based guidelines for how long to continue CPR efforts.

September 2nd

aaarrrrrrrrrgh!

I wish I could reach all the newspaper and television reporters. Many say or write "heart attack" when what they mean is "cardiac arrest."

Why is this a big deal? Both are true medical emergencies, and both require bystander intervention for survival, but each is treated differently.

Most people don't die of heart attacks, unless the heart attack leads to a cardiac arrest. A cardiac arrest happens when your heart stops beating and you stop breathing. You are clinically dead. Many cardiac arrests are caused by severe heart attacks, and many are not.

A cardiac arrest is an electrical problem. A heart attack is a plumbing problem. You don't do CPR for a heart attack. You don't use therapeutic hypothermia for a heart attack.

If you see someone having a heart attack, you call 911, you let the victim assume whatever position is most comfortable, you give the victim an aspirin to chew, and you do not let the victim eat or drink anything.

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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