Cardiac arrest recovery broadcast on PA system.

Who doesn't remember the roar of a loyal crowd at a high school football game? Cheerleaders with their multi-colored pom pom's, parents with homemade signs, athletic directors having heart attacks over the PA system. Wait, what?

Erasmus Hall HS athletic director Marshall Tames was broadcasting the play-by-play on a playoff game in Brooklyn when he suffered a near-fatal heart attack yesterday afternoon [see original story in NY Post.]. Faster than you can pull off a blitz, Tames went from calling punt returns to lying on the ground with no heartbeat, having stopped breathing. Speechless spectators listened as Tames was defibrillated on the spot, with everything overheard on the loudspeaker. Chris Miccio, who was keeping time for the game and first began CPR when Tames collapsed, said the people in the stands of the 2,000-seat at Midwood High's field were relieved when he responded quickly. "Somebody asked you what you did today. 'Oh, I worked a scoreboard at a football game and saved somebody's life,' " Miccio said. It's probably the craziest PA announcement we've heard of since Kenny Powers' curse-laden high school job acceptance speech.

Systems Approach Improves Survival

Abstract 51: Implementation of the American Heart Association Guidelines With a Systems-Based Approach Improves Survival to Hospital Discharge Following Prehospital Cardiac Arrest

Michael Dailey; Jonathan Politis; Terry A Provo

Albany Med Cntr, Albany, NY; Town of Colonie EMS Dept, Latham, NY; Advanced Circulatory Systems, Roseville, MN

Intro: A systems-based approach to out-of-hospital cardiac arrest (OHCA) involves optimizing the care continuum beginning with public recognition and bystander CPR, and continuing through specialized post-resuscitation care at Level One Cardiac Arrest Centers (L1CACs).

Hypothesis: Implementing a systems-based approach to resuscitation care that includes the most highly recommended AHA resuscitation guidelines will improve survival.

Methods: Beginning in 2006, the Town of Colonie (NY) (population 80,000) EMS system began phasing in multiple recommended therapies from the 2005 AHA CPR guidelines including: 2006) new CPR guidelines and expanded bystander CPR Anytime training; 2007) use of an impedance threshold device and emphasis on, and more rapid deployment of, mechanical CPR; 2008) improvements in dispatch to reduce response times, two minutes of CPR prior to defibrillation, and delaying advanced airway placement and IV access in favor of a period of high quality CPR;and 2009) hospital therapeutic hypothermia for comatose resuscitated arrests. EMS shift commanders respond to all cardiac arrests to assure strict protocol compliance. Resuscitated arrests are transported to L1CACs capable of continuing therapeutic hypothermia. A Standard Chi-Square analysis was performed.

Results: Since 2005 200 people/year were trained in CPR, dispatch improvements reduced response times by one minute, and three L1CACs were established. Survival following OHCAimproved from 4% (3/75; 2005 historical control) to 22% (14/64) (p=0.0013) in 2009. Survivors from 2009 were neurologically intact.

Conclusion: When OHCA patients were treated with a systems-based approach intended to improve bystander CPR rates, rapidly defibrillate, optimize circulation during CPR, and preserve vital organ function following cardiac arrest, survival rates quadrupled compared to historical controls. This approach had dramatic effects on survival in this mid-size community.

Author Disclosures: M. Dailey: None. J. Politis: None. T.A. Provo: Employment; Significant; ACSI.

From Circulation, a peer-reviewed journal of the AHA

15-year-old Winsted girl saves choking victim

By MICHAEL MARCIANO - Editor
November, 12, 2010

WINSTED — A 15-year-old Laurel City girl has been credited with saving the life of a family friend by using CPR techniques she learned at school.

Morgan Campbell, a sophomore in the Vo-Ag program at Northwestern Regional High School, was home in the kitchen with her mother, Alicia Campbell, and a family friend, Laura Liebenow of Greenfield, Mass., when the three of them received a scare. Liebenow was choking on a piece of a brownie she had just bitten into, and she couldn’t breathe.

“It was pretty scary,” said Liebenow, 25, a nighttime drug store manager who travels to the Campbell residence regularly to participate in dog shows. “We were just laughing and joking around, eating brownies, and I started to choke on one of them. No one realized what was happening at first.”

Morgan’s mother asked Liebenow if she was okay, and Liebenow shook her head. “Alicia grabbed her phone and started to call 911. She said, ‘Stand up — we need to get to you,’ and I couldn’t stand up. Morgan came around from behind the couch and just pushed me forward, so she could get to me. We were freaking out and Morgan was the calmest out of all of us. Had she not been there, I don’t know what would have happened.”

Morgan was able to get her arms around Liebenow and use the Heimlich maneuver to force air out of her windpipe. A chunk of brownie popped out and Liebenow was able to breathe again. She told her mother that she had learned the technique during a demonstration when she was an eighth-grader at St. Anthony School.

“I don’t think she realize realizes how big a deal it was,” said Liebenow. “I didn’t know what to say afterward. This was the first time this has ever happened to me.”

Alicia Campbell, who works as Winsted’s animal control officer and as a dispatcher with the Winchester Police Department, said her daughter acted quickly and maturely.

“She’s 15 years old and she was quicker than I was,” she said. “By the time I was on the 9 she had already dislodged the obstruction.”

Campbell said the short span of time that elapsed may have contributed to her daughter’s sense that the choking episode was a minor event.

“I don’t think she really comprehends that she saved a life,” she said. “She just got up from her chair and went over and did it. It amazed me. People congratulate her and she gets embarrassed.”

Still, friends and family members have been able to see the light side of the situation, asking Campbell when they will be offered a taste of her “killer brownies.”

© Copyright 2010 by TCExtra.com

Coach starting second life in Hamilton

Leon Schepers says it flatly.

“I shouldn’t be alive.”

Schepers knows flat. In 2008 at the Beijing Olympics he collapsed and had no heart activity for up to five minutes.

A little more than two years later, Schepers and his family are putting down roots as he takes on the head coaching job at the National Cycling Centre Hamilton (NCCH) in Ancaster.

He just finished testing about 2,000 middle and high school students at Hamilton schools as the NCCH identifies young people to recruit for competition leading to the 2015 Pan Am Games. (See story, page SP8)

But only determined CPR and defibrillator shock over a 30-minute period brought him back from the dead Aug. 19, 2008.

The South African coach was eating a piece of watermelon in a dressing room, recalls only that conditions were “superhot,” and then remembers nothing.

“At first they thought I’d choked on a seed and that led to the heart problem,” he said.

Accounts related to him later noted that he flatlined for up to five minutes before he received CPR and electric stimulus to get his heart pumping again.

He still has difficulty believing it.

“I was in excellent shape as a triathlete and had great results in testing before the Olympics.”

Schepers required three hours of emergency treatment after he was transported to hospital, the news service china.org.cn reported. Then he spent two weeks in hospital.

After extensive testing, Chinese doctors concluded he must have contracted a vascular infection.

He lost some short-term memory from the episode but gained a new perspective on how precious life is.

“My life has changed. I view things differently.”

But he said the crisis was not the motivating factor in moving to Canada. That grew from trips to Vancouver in the past and a chance to see more of this country.

“We’re really enjoying it and the best thing is our kids love their school.”

jkernaghan@thespec.com

905-526-3422

Teacher saves dying student with CPR

By Nikki Dowling

A Riverdale resident and former John F. Kennedy teacher and coach saved a student’s life at Lincoln High School in Yonkers, N.Y. on Oct. 27.

Charles Hill, an earth science teacher at the school who coached basketball, soccer and baseball at Kennedy until about four years ago, said he entered the gym where students were playing basketball after school to see an 11th-grade male student lying on the floor.

“I went over and checked his vitals. He continued to breathe but it was still a labored breathing and he passed out and he stopped breathing. I shook him and spoke to him and then he came back,” Mr. Hill, 51, said in a phone interview on Oct. 29.

Then, the teacher said the student stopped breathing again. And this time, he had no pulse.

Mr. Hill said he called for a defibrillator and immediately began CPR. He was able to partially revive the student but said his eyes were still unfocused and he was not fully conscious. To keep him from choking, Mr. Hill said he rolled the student onto his side.

An ambulance arrived several minutes later and it was only then that Mr. Hill said he fully grasped what had happened.

“It wasn’t until afterwards — when the ETS workers had come in and they took over — that I … got nervous. I realized I was the difference between him living and maybe dying,” Mr. Hill said.

Mr. Hill said he has been a coach since 1971, and had never dealt with a situation where someone’s heart stopped. He said there were about 40 to 50 students in the gym, plus a coach and another teacher.

“People react differently under pressure and I’m the one that responded,” he said.

When he returned to school, Mr. Hill said the administrators at the school did not thank him but teachers, as well as the boy’s girlfriend, expressed their gratitude.

“The nicest thing was today [Oct. 29] the boy’s girlfriend came up to me and grabbed me by the hand with tears in her eyes and thanked me,” Mr. Hill recalled.

Although the student was still in the hospital on Oct. 29, Mr. Hill said he was recovering and undergoing tests to determine the cause of the incident.

Ottawa student saves father’s life with CPR

When Scott Blostein recognized that his father needed CPR, he knew how to react...

When Scott Blostein’s younger sister woke him up at 5 a.m., one winter morning, he knew something was seriously wrong.

The eighteen-year-old Ottawa student was sound asleep when his sister Amy ran frantically into his room. “Dad isn’t waking up,” she exclaimed.

A few minutes earlier, 12-year old Amy, had woken up with a headache and gone to see her parents. Her mom, Margo, told her to go get some aspirin. While trying to get back to sleep, Margo noticed her husband, Alan, was making odd noises and something just wasn’t right.

“He was turning blue,” Margo says. “I jumped out of bed and tried to shake him, telling him to wake up.”

Nothing was working.

That’s when Margo called for Amy to get Scott, who was sleeping downstairs.

“I got up right away,” says Scott, who ran upstairs to his parents’ room where he found his father lying face down on the bed. “I rolled him over and right away I knew what I had to do,” he says.

Scott and his 15-year old brother Matt, who had woken from the commotion, moved their dad onto the floor while their mother called 9-1-1.

Scott checked for vitals - there weren’t any.

“I was kind of in shock,” he says. “I went into CPR right away.”

Scott received lifesaving training in his physical education class through the ACT High School CPR Program at Brookfield High School in Ottawa. Scott says this background prepared him well.

“When I was doing CPR on my dad, I was thinking of all the training I got,” he says. “It came naturally.”

Following arrival of the paramedics and transport to hospital, it was later confirmed that Alan had suffered a cardiac arrest. He has since made a full recovery and is forever grateful to his quick-acting son.

“When I think back to what happened, I’m so proud and grateful that my son saved my life,” says Alan, who urges everyone to learn CPR. “It could be you saving your father’s life, you just never know.”

For Scott, the lifesaving power of CPR is something he will never forget. “The biggest honour was giving life back to the man who gave me life.”

The ACT High School CPR Program was made possible in Scott Blostein’s school thanks to generous community and provincial-level support which enabled the donation of mannequins, teacher training and curriculum resources. The lead community partner in Ottawa is the Kiwanis Club of Ottawa. The print partner which donates the printing of the student manual is the Ottawa Citizen. Provincial partners of the program are the Government of Ontario, Hydro One, and The Ontario Trillium Foundation.

The Advanced Coronary Treatment (ACT) Foundation is an award-winning, national charitable organization dedicated to establishing CPR in high schools across Canada. ACT raises funds to donate mannequins, teacher training, manuals and other materials to schools, and guides schools in program set-up and long-term sustainability. Teachers teach CPR to their students as a regular part of the curriculum. More than 1,500,000 youth have been trained in CPR through this lifesaving program to date.

Core partners supporting the program in Ontario and throughout Canada are companies in the research-based pharmaceutical industry: AstraZeneca Canada, Bristol-Myers Squibb Canada, Pfizer Canada and sanofi-aventis. They provide ACT’s sustaining funding and are committed to the Foundation’s national goal of promoting health and empowering Canadians to save lives.

(Published by the ACT Foundation)

Aspirin

A recent AARP bulletin published new guidelines for daily aspirin.

Here is a section of their article:

"The aspirin-a-day controversy erupted publicly in March when a 10-year study of nearly 30,000 adults ages 50 to 75 without known heart disease found that a daily aspirin didn’t offer any discernible protection. The group taking aspirin had cardiovascular disease at the same rate as those taking a placebo. Moreover, the study—published in the Journal of the American Medical Association—reported that taking a daily aspirin (100 mg) almost doubled the risk of dangerous internal bleeding.

"The panel also recommended that people over 80 not take aspirin at all because of bleeding risk.

"For the first time, the panel also broke down its advice by gender, recommending against daily aspirin use in women under 55 and men under 45.

"Is it right for you?

"So, should you take a daily aspirin or not? The answer is not quite as simple as doctors previously thought. Aspirin, they say, can still be a lifesaving drug, but it’s not for everyone.

"For reasons researchers don’t fully understand, aspirin seems to provide different benefits for men and women.

"In men, aspirin can prevent heart attacks but seems to have no effect on strokes, says Michael LeFevre, M.D., a member of the task force that wrote the new guidelines and a professor of family medicine at the University of Missouri. Conversely, he says, aspirin appears to help women avoid strokes but not heart attacks.

"The new recommendations suggest that aspirin will be most beneficial to:

• "men between 45 and 79 who have a high risk for heart attacks;
• "women between 55 and 79 who are at high risk for strokes."

The full article can be found at http://www.aarp.org/health/drugs-supplements/info-04-2010/can_an_aspirin_do_more_harm_than_good.html?cmp=NLC-WBLTR-TEST-10810-F1-71&USEG_ID=4529196825

Bob