Archive - 2013 - SCA Article

Archive - 2013 - SCA Article

December 2nd

San Diego County to Adopt CPR Smartphone App

SAN DIEGO, CA--The San Diego County Board of Supervisors Tuesday unanimously approved a coupling of the region's emergency response system with a smartphone app that would notify people with CPR training when someone in their immediate vicinity is suffering sudden cardiac arrest.

County officials said sudden cardiac arrest can occur in outwardly healthy people, and it claims nearly 1,000 lives daily throughout the country. It can be treated with early CPR, defibrillation, advanced cardiac life support and mild therapeutic hypothermia, which is most effective when started in three to five minutes, officials said.

However, emergency response times can often be six minutes or longer, Supervisor Ron Roberts said.

"Clearly the faster first responders can get to the victim, the greater the opportunity for saving lives," Roberts said.

FDA Issues Safety Communication on HeartStart AEDs from Philips Healthcare

The FDA updated its 12-03-13 news release on 12-05-13. The update is bolded.

Certain HeartStart automated external defibrillator (AED) devices made by Philips Medical Systems, a division of Philips Healthcare, may be unable to deliver needed defibrillator shock in a cardiac emergency situation, the U.S. Food and Drug Administration said today in a new safety communication for users of these previously recalled devices.

The safety communication includes recommendations to better inspect and monitor the readiness of these devices, as well as steps to follow if someone must use a recalled device in an emergency situation.

December 1st

Earthquake Woes Include Cardiac Arrest

People who escaped the immediate destruction caused by the Great East Japan Earthquake -- and resulting tsunami -- on March 11, 2011 were not out of the woods, as illustrated by significantly elevated rates of out-of-hospital cardiac arrest in the weeks following the disaster.

The epicenter of the earthquake -- which measured 9.0 on the Richter scale -- was off the northeast coast of Japan, and the brunt of the damage from the trembling and the surge of water was sustained by three prefectures -- Iwate, Miyagi, and Fukushima. In those areas, a total of 15,814 people died and another 2,664 went missing.

Previous research has identified a relationship between earthquakes and the risk of sudden cardiac arrest, and Taku Iwami, MD, PhD, of the Kyoto University Health Service in Japan, and colleagues wanted to find out whether a similar association was seen after the Japanese disaster.

UFC Fighter Suffers Sudden Cardiac Arrest, Left Without Brain Activity

Ultimate Fighting Championship fighter Shane del Rosario was still being treated on Thursday after suffering cardiac arrest at his home two days earlier. He is 30 years old. 

The martial artists was rushed to Hoag Memorial Hospital Presbyterian in Newport Beach, Calif., after suffering from full cardiac arrest in his home. 

Though many confuse a heart attack with cardiac arrest, they are quite different.

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

    '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.

    November 25th

    MyHeartMapSeattle Scavenger Hunters Report Over 2,000 Defibrillators

    SEATTLE, WA--On Oct. 15, Dr. Graham Nichol, UW professor of medicine and director of the UW-Harborview Center for Prehospital Emergency Care, launched MyHeartMap Seattle. This was a month-long, city-wide scavenger hunt to discover all of Seattle’s automated external defibrillators, or AEDs. The winner or winning team would be awarded $10,000 provided to Nichol’s research efforts by the Food and Drug Administration and several AED companies. Thirty-two teams signed up to participate. The AED sightings started rolling in.

    On Twitter, teams posted selfies with AEDs, asked for hints, and celebrated when they found “golden AEDs,” which were worth $50 extra. The contest was extremely close.

    One month later, Nichol announced the winning team: Team HeartMarket, a group of six 20-somethings with a serious love for scavenger hunts, had found 800 AEDs.

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    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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