Learn Hands Only CPR Via YouTube

From the Red Cross:

The American Red Cross and Howcast have teamed up to teach you the potentially life-saving hands-only CPR technique.

“Survival does not improve when therapeutic hypothermia is added to post-cardiac arrest care”

From Resuscitation:

Background: We investigated whether the use of therapeutic hypothermia improves the outcome after cardiac arrest (CA) under routine clinical conditions.

Method: In a retrospective study, data of CA survivors treated from 2003 to 2010 were analysed. Of these, 143 patients were treated with hypothermia at 33±0.5°C for 24h according to predefined inclusion criteria, while 67 who did not fulfill these criteria received comparable therapy without hypothermia.

Conclusion: There was no improvement in survival rates when hypothermia was added to standard therapy in this case series, as compared to standard therapy alone. The time at target temperature may be of relevance. We need better evidence in order to expand the recommendations for hypothermia after CA.

“Boozed-Up Boys Visit the ER Twice as Much on July 4th Weekend”

From WTMA:

A new study shows that alcohol-related visits to the emergency room more than doubles among underaged boys on the Fourth of July weekend compared to the rest of the month.

The Substance Abuse and Mental Health Services Administration reports that on the July 4th holiday weekend in 2009, an average of 942 people under the age of 21 visited the ER with alcohol-related issues. The majority of them, 622, were males.

Patients With Diabetes Troubled by Emergency Room Care

From PRWeb:

Wool.labs (TM), a business intelligence company driven by social cognition technology, has published “Diabetes Patients and the Emergency Room,” the next study in its diabetes research series, revealing an alarmingly high rate of missed opportunities for emergency room staff to educate and instruct newly-diagnosed and existing diabetes patients on diabetes risks and control.

“Diabetes patients are increasingly frustrated with all aspects of their experiences in the Emergency Room – diagnosis, emergency treatment, patient education, and even emergency room staff knowledge of diabetes.” says Michele Bennett, Chief Operating Officer of Wool.labs “We believe that this anger and frustration will escalate for a number of reasons. This report contains trends, a thorough review of the escalating issues, and predictions on where the issues are taking us.”

D.C. Hotel Executive Dies at Gym; Defibrillator Didn’t Work

From JEMS:

A local hotel executive died over the weekend at a Balance Gym in Thomas Circle.

Ralph Polanec, the general manager of the Hamilton Crowne Plaza in Northwest D.C., died of natural causes, specifically due to hypertension and a lack of blood flow in his arteries.

But when gym employees tried to use a defibrillator to resuscitate Polanec, they found that the batteries were dead and had been removed from the unit, WTOP reports.

Class on heart disease interrupted (briefly) for a successful resuscitation

From the Washington Examiner:

A Maine cardiologist and a team of nurses are being credited with saving the life of a heart attack victim, but it wasn’t in an emergency room.

Dr. William Phillips was giving a lecture Monday on heart disease at the Central Maine Medical Center in Lewiston when he was interrupted by a man complaining of chest pain.

Phillips asked a nurse to take the patient to the emergency room, but he collapsed. The victim wasn’t breathing and had no pulse.

One of three cardiac nurses grabbed a defibrillator to help restart the man’s heart. Meanwhile, paramedics arrived and took the patient to the emergency room.

After the interruption, Phillips continued his lecture.

Program Shrinks Time-to-Treatment for Heart Attack

From US News:

The time it takes to transfer heart attack patients to hospitals that provide emergency coronary angioplasty was greatly reduced when a statewide transfer program was launched in North Carolina, a new study finds.

Click here to find out more!

It included 436 patients with ST-elevation myocardial infarction (STEMI), the most lethal form of heart attack that occurs when a large area of the heart is deprived of blood supply. These patients generally need coronary angioplasty to open blocked coronary arteries within 90 minutes of first being assessed by emergency medical personnel.

However, only 25 percent of hospitals in the United States can perform emergency coronary angioplasty, in which a balloon-tipped tube is threaded through an artery in the heart. The balloon is then inflated to open the artery and restore blood flow.

In this study of 55 North Carolina hospitals, the researchers looked at how long it took to transfer patients from hospitals unable to perform emergency coronary angioplasty to hospitals that can do the procedure, before and one year after creation of the new patient transfer system.

They found that the median door-in-door-out time decreased from 97 minutes to 58 minutes.

“Meth Labs Create Higher Health Care Costs”

From WCYB:

When police discover a meth lab special teams are called in to handle the toxic chemicals.

Special equipment is used to make sure the meth doesn’t contaminate anything else.

These dangerous chemical reactions, often taking place in a plastic bottle, can cause serious injuries.

Dr. Garik Misenar, the Chair of Emergency Medicine at Johnson City Medical Center, says, “When there’s a fire or an explosion, those chemicals will either burn, they’ll be on a person’s skin or inhaled and can cause lung damage and skin damage.”

“How to improve an emergency room”

From the Daily Gleaner:

The hospital emergency room plays a similar role to the canary in a coal mine.

A canary was kept in a coal mine to determine if methane gas was building up. When the bird dropped dead, the miners left.

The emergency room is the catch-all for problems in the health-care system. When the ER is under stress from overuse or inappropriate use, it indicates problems elsewhere.

Changing EMS dispatcher CPR instructions to 400 compressions before mouth-to-mouth improved bystander CPR rates

From Resuscitation:

Background: To examine the impact of changing dispatcher CPR instructions (400 compressions: 2 breaths, followed by 100:2 ratio) on rates of bystander CPR and survival in adults with presumed cardiac out-of-hospital arrest (OHCA) in Melbourne, Australia.

Methods: The Victorian Ambulance Cardiac Arrest Registry (VACAR) was searched for OHCA where Emergency Medical Services (EMS) attempted CPR between August 2006 and August 2009. OHCA included were: 1) patients aged ≥18 years old; 2) presumed cardiac etiology; and 3) not witnessed by EMS.

Results: For the pre- and post- study periods, 1021 and 2101 OHCAs met inclusion criteria, respectively. Rates of bystander CPR increased overall (45% to 55%, p<0.001) and by initial rhythm (shockable 55% to 70%, p<0.001 and non-shockable 40% to 46%, p=0.01). In VF/VT OHCA, there were improvements in the number of patients arriving at hospital with a return of spontaneous circulation (ROSC) (48% to 56%, p=0.02) and in survival to hospital discharge (21% to 29%, p=0.002), with improved outcomes restricted to patients receiving bystander CPR. After adjusting for factors associated with survival, the period of time following the change in CPR instructions was a significant predictor of survival to hospital discharge in VF/VT patients (OR 1.57, 95%CI: 1.15 to 2.20, p=0.005).

Conclusion: Following changes to dispatcher CPR instructions, significant increases were seen in rates of bystander CPR and improvements were seen in survival in VF/VT patients who received bystander CPR, after adjusting for factors associated with survival.