Monthly Archives: June 2019

Woman CPR

Women May Receive Less CPR from Bystanders

Two recent studies confirm that bystanders are less likely to perform CPR on a woman as opposed to a man. Part of the problem stems from growing concerns about inappropriate contact. These studies were presented at the American Heart Association’s Resuscitation Science Symposium 2018, which is an international conference detailing the best in cardiovascular resuscitation research.

In the United States, more than 350,000 cardiac arrests occur outside hospitals each year. The survival rate for cardiac arrest is less than 12 percent, but timely CPR can double or triple a victim’s odds of surviving.

Previous research has shown women who suffer out-of-hospital cardiac arrest receive CPR less frequently than men, said Sarah M. Perman, M.D., M.S.C.E., assistant professor of Emergency Medicine at the University of Colorado School of Medicine in Denver and lead author on the survey study.

In a new survey (Poster Presentation 198) Colorado researchers asked 54 people online to explain, with no word limit, why women might be less likely to get CPR when they collapse in public. In the replies, the team identified four themes:

  • Potentially inappropriate touching or exposure;
  • Fear of being accused of sexual assault;
  • Fear of causing physical injury;
  • Poor recognition of women in cardiac arrest — specifically a perception that women are less likely to have heart problems, or may be overdramatizing or “faking” an incident; or
  • The misconception that breasts make CPR more challenging.

“The consequences of all of these major themes is that women will potentially receive no CPR or delays in initiation of CPR,” Perman said. “While these are actual fears the public holds, it is important to realize that CPR is lifesaving and should be rendered to collapsed individuals regardless of gender, race or ethnicity.”

Worries about accusations of sexual assault or inappropriate touching were cited twice as many times by men as by women, while more women mentioned fear of causing injury. Although the study was too small to discern definite trends, these concerns may represent an important challenge in public health messaging, Perman said.

“Bystander CPR has been linked to better survival and neurologic recovery after out-of-hospital cardiac arrest. Quality chest compressions require that rescuers put their hands on the chest and push hard — regardless of (recipient’s) gender, the act of CPR is no different,” she said.

Regardless of the victim’s sex, “if you see someone collapse, call 911, begin CPR, and if there is an AED around, use it,” Leary said. “Doing something is better than doing nothing. You have the power to help save someone’s life.”

For more details on either of the research cases, please view this article’s source.

Source: www.sciencedaily.com/releases/2018/11/181105105453.htm

woman cpr speech

A LIVING DEAD WOMAN

Melanie Baldwin was hanging a picture of her with Jeff of their Las Vegas home in the dining room then suddenly Melanie collapsed.

Without wasting time, Jeff called 911 and unlocked the front door for preparation of ambulance. He also closed the bedroom doors because of their four cats. Jeff had his CPR training and he also talked to the dispatcher while giving Melanie CPR.

Melanie had this disease from the day she was born. She also had five open-heart surgeries back in 2013 at the time of her cardiac arrest.

She was born with aortic stenosis disease. A normal person has three flaps but Melanie was born with two flaps and they were very thick and stiff instead of thin and flexible. The flap was so thick that she had only one pinhole through which the blood flow.

Not only that, her heart needed to pump harder which resulted in the enlargement of the heart. She also undergoes an operation at the age of seven.

Because of this condition, she was not able to play sports. When she was 19, doctor replaced her aortic valve with mechanical. She became pregnant at 25 and she developed a blood clot. After 26 weeks of pregnancy, she went for open-heart surgery.

The mechanical valve was then replaced with a pig valve. This means that no more blood thinners. After three months, she successfully gave birth to her daughter.

After a long time, the pig valve was then replaced with a titanium valve. Titanium valve proved to be very effective and they also placed a pacemaker to help her heart.

The rescue of Melanie proved to be dramatic. Her heart became unstable and then she was eight-time defibrillated before her heart got a stable rhythm. The operation took 45 minutes and doctors had no hope.

She spends 10 days in the hospital. Furthermore, doctors decreased her body temperature for a part-time to decrease brain damage. She breathes by the help of breathing tube inserted through her throat.

On the afternoon of 2016, the defibrillator saved her life. She received an implantable cardioverter defibrillator. It gives shocks to her heart to bring back into rhythm if needed.

Melanie’s sense of humor is one of the things that has helped her persevere.

“It’s the only thing I’ve got that they can’t take away from me,” she said. “My main point of view in this is the only thing you can control is your attitude.”

It is a message the 54-year-old delivers when sharing her story, something she’s done often for the American Heart Association.

Melanie has volunteered for the AHA by handing out T-shirts or walking in Heart Walks, going to its Heart Ball, speaking at Go Red for Women events and helping post pictures on social media.

“That’s why I give back because the Heart Association is doing so much research, and so much of what they’ve done has affected my life – pacemakers, heart valves and replacements and all that stuff,” she said. “It’s my little way of giving back.”

Source: https://www.heart.org/en/news/2019/04/24/woman-almost-declared-dead-no-stranger-to-heart-trouble

hands only cpr

Television Shows and Dramas Gives a Wrong Impact of CPR

When it comes to TV shows and dramas, we watch many fictional things such as zombies, talking animals, people having superpowers and other things. What we actually forget is that they are just a source of entertainment not reality.

These shows focus on a hero very much. Let’s imagine a doctor who was passing by and saw someone having a cardiac arrest. What they show is that the doctor gives him CPR and after that, he feels totally fine. Now the question arises is that should we also react the same way as shown in these dramas?

Dr. Howie Mell who is an emergency room physician in suburban Chicago and also been a paramedic as well as firefighter talked about these shows. He said, “Movies very rarely get it right. They need to create drama and tell a story in a succinct and cohesive manner. That doesn’t always lend itself to an accurate portrayal.”

“Popular culture can play a significant role in patient empowerment,” said Dr. Neil Shulman, humorist as well as the author and associate professor of medicine at Emory University in Atlanta.

These plays show how easy and effective is CPR but in reality, it is not the same. According to the research, people are most likely to have a cardiac arrest outside the hospital. CPR should be given immediately because the probability of survival is high if CPR is immediately given.

Mell said, “In the best circumstances, maybe one or two out of 10 are going to survive. But the public believes it’s 9 out of 10. Hollywood changes the perception.”

CPR Training

One thing is for sure is that to increase the saving rate, people should widespread CPR training. These TV dramas and shows can help by encouraging people for CPR training.

Mell said, “You are far better pushing on the chest of someone who doesn’t need it than standing around trying to decide if it’s necessary.”

In 2015 the American Heart Association included Hands-Only CPR in its guidelines to allow those who don’t know how to give “rescue breaths” — or are uncomfortable doing it — the option to provide only chest compressions until qualified help arrives. (For children, both chest compressions and rescue breaths are still recommended.)

Source: https://www.usnews.com/news/health-news/articles/2019-02-15/aha-news-heart-stopping-drama-of-on-screen-cpr-doesnt-always-reflect-reality