American Heart Association’s Pocket First Aid & CPR App Now Updated

The Pocket First Aid & CPR Smartphone App, updated to reflect 2010 AHA Guidelines for CPR & ECC, is now available for the Apple iPhone and Google Android.

This downloadable app provides quick, concise and clear first aid and CPR instructions from a user’s smartphone that can help a user save a life in the event of an emergency. The 2011 app has been updated to include:

• 34 videos and 46 high-resolution illustrations added
• Reorganized content to make it easier to find help in an emergency
• Redesigned, easier user experience
• Search functionality

This is the same app that helped save a life in Haiti after the 2010 earthquake. Read the incredible story of Dan Woolley, who survived 65 hours under rubble by using this application, as featured on CNN, NBC Nightly News, Fox News, London Daily Mail, NPR and many more news sources.

The role of the medical emergency team in end-of-life care

From Critical Care Medicine:

Objective: To investigate the role of medical emergency teams in end-of-life care planning.

Design: One month prospective audit of medical emergency team calls.

Setting: Seven university-affiliated hospitals in Australia, Canada, and Sweden.

Patients: Five hundred eighteen patients who received a medical emergency team call over 1 month.

Interventions: None.

Measurements and Main Results: There were 652 medical emergency team calls in 518 patients, with multiple calls in 99 (19.1%) patients. There were 161 (31.1%) patients with limitations of medical therapy during the study period. The limitation of medical therapy was instituted in 105 (20.3%) and 56 (10.8%) patients before and after the medical emergency team call, respectively. In 78 patients who died with a limitation of medical therapy in place, the last medical emergency team review was on the day of death in 29.5% of patients, and within 2 days in another 28.2%.

Compared with patients who did not have a limitation of medical therapy, those with a limitation of medical therapy were older (80 vs. 66 yrs; p < .001), less likely to be male (44.1% vs. 55.7%; p = .014), more likely to be medical admissions (70.8% vs. 51.3%; p < .001), and less likely to be admitted from home (74.5% vs. 92.2%, p < .001). In addition, those with a limitation of medical therapy were less likely to be discharged home (22.4% vs. 63.6%; p < .001) and more likely to die in hospital (48.4% vs. 12.3%; p < .001). There was a trend for increased likelihood of calls associated with limitations of medical therapy to occur out of hours (51.0% vs. 43.8%, p = .089).

Conclusions: Issues around end-of-life care and limitations of medical therapy arose in approximately one-third of calls, suggesting a mismatch between patient needs for end-of-life care and resources at participating hospitals. These calls frequently occur in elderly medical patients and out of hours. Many such patients do not return home, and half die in hospital. There is a need for improved advanced care planning in our hospitals, and to confirm our findings in other organizations.

American CPR Video: Ken Jeong Brittain: Vinnie Jones

From the Brittish Heart Foundation, via Dr. Wes:

Hard and Fast

Vinnie Jones shows how hard and fast Hands-only CPR to Stayin’ Alive by the Bee Gees can help save the life of someone who has had a cardiac arrest.