Saving a life

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If one of your relatives were choking, drowning, or having a heart attack, would you know what to do to help them? Would you be able to save their life?

Accidents happen. Kids fall into pools or swallow marbles. A parent may have a heart condition. A family member or friend may accidentally choke on some food at our dinner table.

I remember the first time I took first aid and CPR, I thought that it was about saving strangers, but I think the bottom line is the person we might save is far more likely to be someone we know and love.

Even in a city with good ambulance service, it is realistically going to take a minimum of 10-15 minutes for an ambulance to arrive. Considering the chance of survival for someone without a pulse goes down by about 10% each minute, the importance of early intervention is paramount.

The techniques are simple, may make the difference between life and death for someone we love, and all it takes is a short course, ranging from 3 hours to 6 hours long, depending upon which CPR course taken.

Personally, I think everyone should take at least CPR, if not first aid also, every year starting in about grade 6. I think it would be prudent for every parent of youngsters to take a baby and child CPR/First Aid course and recertify every other year just in case, particularly to be able to handle airway obstructions (choking, severe food allergic reactions).

Heart attacks are now killing more premenopausal women than any other disease, and in this demographic, the symptoms are very obscure, and not what one would typically associate with a heart attack.

For premenopausal women, the predominant symptoms are sudden overwhelming fatigue, anxiety, and stomach upset. Not chest pain or heaviness, not left arm or jaw pain which is more typical of male heart attacks.

Frequently when men have a heart attack, they tend to deny, deny, deny that there is a problem. They will often tell their spouses NOT to call an ambulance.

So women, if you think your spouse, boyfriend, son is having a heart attack, don’t listen to them. Call for that ambulance. Because if his heart should stop, what is most likely to save him will be the shock of a defibrillator, and if those paddles are not on his chest within 5 minutes, his chance of survival is remote. Better safe than sorry.

Although cardiopulmonary resuscitation (CPR) is a good thing to know how to do, the bottom line is it is a defibrillator used within 5 minutes of cardiac arrest that is more likely to save the life.

And thankfully small, portable Automated External Defibrillators (AED) are available for anyone to purchase, and are becoming more and more affordable with each passing year.

These are extremely easy to use by anyone – no medical training required CPR courses usually now include a section on how to use an AED.

Diagrams show the user where to place the electrodes, and then with a push of the button, the device assesses the heart rhythm of the patient, and applies the type of shock needed to restart the heart, only if that shock is necessary. This device will not shock a heart that does not need one.

Remember – for every minute that someone is without a pulse, the chance of survival goes down by 10%. CPR alone may save 1-2% of cardiac arrests, but with an AED, survival rates jump up to between 40 and 50%.

So, if someone in your family has a heart condition, perhaps it is worth purchasing one for the house or car, as the ambulance defibrillator will likely arrive too late. Sure, they are still expensive – about $1300US, but ask yourself if your loved one is worth it.

On a completely different topic, for you nature lovers out there, check out these eagle cams, looking into the nests of bald eagles in south-western BC. This nesting pair near White Rock on Vancouver Island has 3 eggs, soon to hatch in early to mid April.

If you want to search for other posts by title or by topic, go to www.wellnesstips.ca.

Related tips:
Cardiovascular disease
Drinking and passing out
Lowering blood pressure naturally

Take CPR / First Aid courses through:
Life Consultants (great courses in BC)
St. John Ambulance Canada
Canadian Red Cross
American Red Cross
British Red Cross
Australian Red Cross

Automated External Defibrillator (AED) Heart and Stroke Foundation

Computurk Cardiopulmonary Resuscitation (CPR) – 03 – AED defibrillation YouTube Video on how to use an AED.

Sanna T et al. Cardiopulmonary resuscitation alone vs. cardiopulmonary resuscitation plus automated external defibrillator use by non-healthcare professionals: a meta-analysis on 1583 cases of out-of-hospital cardiac arrest.
Resuscitation. 2008 Feb;76(2):226-32. Epub 2007 Sep 17.

The Public Access Defibrillation Trial Investigators. Public-access defibrillation and survival after out-of-hospital cardiac arrest. New England Journal of Medicine 2004;351(7):637-646).

Jorgenson DB et al. AED use in businesses, public facilities and homes by minimally trained first responders. Resuscitation. 2003 Nov;59(2):225-33.

Caffrey SL et al. Public use of automated external defibrillators. N Engl J Med. 2002 Oct 17;347(16):1242-7.

Marenco JP et al. Improving survival from sudden cardiac arrest: the role of the automated external defibrillator. JAMA. 2001 Mar 7;285(9):1193-200.

Woollard M. Public access defibrillation: a shocking idea? J Public Health Med. 2001 Jun;23(2):98-102.

Valenzuela TD, Roe DJ, Nichol G, et al.
Outcomes of rapid defibrillation by security officers after cardiac arrest in casinos. New England Journal of Medicine 2000;343:1206-1209.

ORourke MF, Donaldson E, Geddes JS.
An airline cardiac arrest program. Circulation 1997;96:2849-2853.

Page Rl, Joglar JA, Kowal RC, et al.
Use of automated external defibrillators by a US airline. New England Journal of Medicine 2000;343:1210-1216.

International Liaison Committee on Resuscitation (ILCOR). Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Part 4: Automated External Defibrillator: Key link in the chain of survival. Circulation 2000;108(Suppl 2):I60-I76.

9. Valenzuela TD, Roe DJ, Cretin S, Spaite DW, Larsen MP. Estimating effectiveness of cardiac arrest interventions: a logistic regression survival model. Circulation 1997;96:3308-13.

Copyright 2009 Vreni Gurd

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1 Comment

  1. myhospitalcare said,

    April 17, 2009 @ 10:25 am

    In the unfortunate case that you do need to take a loved one to the hospital, it is best to make an informed decision about which hospital you would prefer.

    The OHA officially launched a new website called myhospitalcare.ca. For the first time, this website allows members of the public to genuinely understand how their local hospital is performing, and takes what used to be complex and dense information and translates it into clear, plain language that is easy to access, read and understand.

    To learn more, please register for this free webinar.

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