Bob Trenkamp's blog

Bob Trenkamp's blog

SLICC's Annual Report

SLICC's annual report for the fiscal year ending 3/31/13 is available on the web at...

http://www.slicc.org/AR2013/

Please let me know if you have any questions.

Bob

And the Sleep Apnea list just keeps on growing.

Extracting from El-Ad, Baruch; Lavie, Peretz (2005). "Effect of sleep apnea on cognition and mood". International Review of Psychiatry 17 (4): 577–582. "patients complain about excessive daytime sleepiness (EDS) and impaired alertness. In other words, common effects of sleep apnea include daytime fatigue, a slower reaction time, and vision problems. Moreover, patients are examined using standard test batteries in order to further identify parts of the brain that are affected by sleep apnea. Tests have shown that certain parts of the brain cause different effects. The executive functioning part of the brain affects the way the patient plans and initiates tasks. Second, the part of the brain that deals with attention causes difficulty in paying attention, working effectively and processing information when in a waking state.

OK, Gov. LePage, Perhaps we shouldn't tell the schools that they need to have fire extinguishers, either?

Veto of Bill on CPR Training in Schools Holds
06/07/2013 10:27 AM ET

The bill sought to train high school students in life-saving techniques including CPR and the use of automatic external defibrillators.

AUGUSTA, Maine (AP) _ Gov. Paul LePage's veto of a bill calling for cardiopulmonary resuscitation training in Maine schools will stand.

A 22-13 Senate vote Thursday fell two short of the number needed to override the governor's veto. The bill sought to train high school students in life-saving techniques including CPR and the use of automatic external defibrillators. The House had voted to override the governor's veto Wednesday.

Supporters said the bill will save lives. But Republicans supporting the governor's veto said that while school districts should implement CPR training, the state shouldn't order them to do so through laws.

It was the ninth veto this session lawmakers have failed to override.

[From the Maine Public Broadcasting Network.]

How to have a better chance of surviving a cardiac arrest.

Make a list of the people most likely to be present when / if you have a cardiac arrest. Make sure they get trained in CPR.

Make sure those people know how they are going to get you from the recliner onto the floor...or out of bed and onto the floor. If they are strong enough to pick you up and lay you down on your back on the floor, that's super - but most likely, they are not. In that case...If you're in a recliner, they should use the handle to make the recliner as level as possible, throw a cushion onto the floor where your head will hit the floor, grab your ankles and pull until you are on the floor. If you're in bed, they should un-tuck the bottom sheet on the far side of the bed, toss it over you, return to the side of the bed where you are, throw a pillow on the floor where your head will hit the floor, and pull on the sheet until you roll out of bed.

That's the way it's supposed to work.

Eight year-old boy is struck in chest, suffers a cardiac arrest,while playing baseball. Bystanders help, EMS arrives, one shock brings him back.

That's the way it's supposed to work.

Get AED's everywhere people compete in or practice for athletic events - including cheer leading!

Seriously.

Bob

Down and dirty, it's really simple.

When you have a sudden cardiac arrest, you are dead: you are not responsive, your heart is not pumping blood, and you are not breathing - at least not normally, (You might be gasping a few times a minute for a while, but you are not breathing normally.)

There are three possible outcomes:

  1. You will remain dead, no matter how fast or well you are treated.
  2. Your heart will be persuaded to start beating spontaneously, and you will be discharged from the hospital with major brain functions intact.
  3. Your heart will be restarted, but your brain will have suffered so much insult from the oxygen deprivation during the whole process that you will either be unable to perform the activities of daily living without assistance, you will be in a coma, or you will be brain dead.

My preference, in order, is #2, #1, #3.

But what is different about the type 3 outcome victims? Why are they type 3, not type 1 or 2?

Someday this will be too commonplace to print...

The city of Costa Mesa, CA, will honor members of the staff of a 24 Hour Fitness who helped save the life of a 67-year-old man who collapsed at the club but was revived with the aid of an automated external defibrillator (AED).

The ceremony to honor the staff will take place at an upcoming city council meeting, the date of which has yet to be determined.

The incident took place during the afternoon of Feb. 21 at the 24 Hour Costa Mesa Newport Super Sport club. The man, whose name was not released, collapsed while working out on a stationary bike.

Staff member Shayne Fleming-Travers was alerted and immediately called 911. At the same time, service manager Barbara Davis alerted other staff of the medical emergency, and they rushed to the cardio area where the man had collapsed.

Compression-only CPR is better!

CPR: Compression-Only Wins the Long Race

Bystanders, forget about the breaths — pump that chest!

While rescue breathing might be important in certain situations, emergency medical service (EMS) dispatchers have a difficult time quickly establishing whether it's appropriate for individual victims. Compression-only cardiopulmonary resuscitation (CPR) obviates the need for this determination, but there have been no definitive long-term data supporting a shift to compression-only CPR.

Researchers combined data from two randomized trials comparing standard CPR with compression-only CPR and measured outcomes up to 5 years after the event. The aggregate group included 2500 patients. Overall survival was 11% at one year, 10.6% at 3 years, and 9.4% at 5 years. Compression-only CPR was associated with a lower risk for death (adjusted hazard ratio, 0.91).

Make different kind of list for the new year!

It's going to be a list of names. Here's how you build it and what you're going to do about it:

  1. Start with your name. If you have not refreshed your CPR skills in the past 12-18 months, put a star before your name.
  2. Now start adding the names of your family members, friends, acquaintances, etc. If they have been trained or refreshed within the past 12-18 months, you can skip the star before their name on the list.
  3. Spend a moment realizing that your CPR training doesn't make you any safer - it makes the people around you safer. Similarly, their training makes you safer.
  4. Now look at the list, asking yourself if any of the people with stars are people you spend any appreciable time with - alone. It might be your spouse. It might be someone you go fishing with, or play golf or tennis with.

Don't miss the point...

San Francisco, CA (updated) - What doesn't kill you is supposed to make you stronger, an adage that many a long-distance runner has clung to, but intriguing findings from a new study presented last week suggest the mortality benefits of running are best accumulated in shorter distances, specifically at less than 20 miles per week [1].

In fact, at longer distances, the researchers observed a U-shape relationship between all-cause mortality and running, with longer weekly distances trending back in the wrong direction, toward less mortality benefit.

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