Search This Blog

Sunday, October 27, 2013

I love not being needed!

I also serve as a Medical First Responder in the community where I live. 

Last week I was toned out to respond to a local church where a person had passed out.

By the time I got there, two people in attendance at the church had determined non-responsiveness, called 911, determined non-normal breathing, begun CPR, retrieved the AED, applied it, and had a living, breathing Cardiac Arrest Survivor on their hands. The victim was transported and now has a pacemaker.

That, my friends, is how we solve the problem of too many dying form SCA's: Available AEDs and people who know how to recognize a Sudden Cardiac Arrest when it happens and what to do!

It's nice not being needed!

Bob

Tuesday, October 15, 2013

SLICC has once again been invited to present its research at the AHA's Resuscitation Science Symposium in Dallas on November 16th and 17th. I'll post a link to the presentation as soon as the AHA lifts the embargo.

Monday, October 14, 2013

Hey, thanks for hitting www.slicc.org/CPRsurvey.htm - we're almost there. The research got invited to AHA's ReSS in November. I'll share the presentation as soon as I'm allowed to.

Friday, August 2, 2013

CPR Details

THE SHORT FORM: 
Please go to www.slicc.org/CPRdetails.php and fill in the requested information. We need to understand the limits of chest compression capacity in more detail before we set about fixing the problem.

THE DETAILS: 
Every five years, ILCOR & AHA issue their updated CPR Guidelines. In 2005, the guidelines called for two rescue breaths, followed by cycles of thirty compressions & two rescue breaths. The compressions had to be between 1.5 and 2.0 inches deep (~38 mm to 50 mm) and delivered at a rate of 100 per minute.

When those guidelines were put in place, it was as if someone had dropped a boulder into a pond: Instructors had to demonstrate that they could perform five cycles of "30 & 2" about every two minutes. A large number of CPR instructors were unable to renew their Instructor certificates.

Then in 2010, the new guidelines called for a rate between 100 & 120 (AHA) or a rate greater than 100 (ILCOR). The initial two rescue breaths were gone, but the compression depth went to "at least two inches" for adults. With the passage of time the guidelines - established to ensure that the defined therapy meets the needs of the victim - keep on demanding more and more from those performing CPR. ...and things get messier when you realize that not all human chests have the same stiffness. It takes anywhere between forty and several hundred pounds to perform two inch deep compressions on a human, depending upon the characteristics of the specific human involved.

I must stress at the outset that "any CPR is better than no CPR." Please do not use anything in this note as an excuse to not even try!

Performing Guideline-Compliant Chest Compressions ("GC3's") requires two things: First, one must be able to compress the chest a full two inches, and second, it requires that one do so for a specified period of time: two minutes, if you are an EMT, Paramedic, Nurse, or Physician; Until someone else takes over, if you are a bystander. In the case of the bystander, this can mean anything from a few minutes to nearly twenty minutes. This is a challenge we'll discuss in a future post.

There are two forces at work when one tries to compress a chest: There is a force that comes from a portion of the rescuer's weight, and there is a component that comes from the deceleration of the rescuer's hands as they reach the bottom of the compression. These two forces add to form the total compressive force. SLICC is currently gathering data in an effort to better understand the magnitude of the problem.

You can help by going to www.slicc.org/CPRdata.php and answering a few questions. Your help will be much appreciated.

The results will be reported here when they are available.

Thank you.

Bob

Saturday, July 20, 2013

Helping Bystanders Perform CPR Until EMS Is "Hands-On"

SLICC has officially begun promoting an alternative CPR technique for those who are - for one of a variety of reasons cannot perform guideline-compliant manual chest compressions.  

THIS TECHNIQUE IS FOR BYSTANDERS ONLY. PEOPLE WHO ARE FUNCTIONING IN A ROLE REQUIRING HEALTHCARE PROVIDER STATUS MUST - AT LEAST IN THE SHORT TERM - CONTINUE TO USE MANUAL COMPRESSIONS.

Here's the announcement letter that just went out:

Thank you all very much for your comments and suggestions - and encouragement. The announcement video has been modified and can be viewed at
https://www.youtube.com/watch?v=-6yS9dwceHg
The video shows someone treating a sudden  cardiac death in a 40+ year old and highlights the dismal probability that a lone rescuer will be able to perform Guideline-Compliant Chest Compressions ("GC3's") from the time of the arrest until the "hands-on" arrival of the EMS crew.
SLICC's video recommends that Bystanders "perform manual compressions unless:
  1. They cannot get down on the floor;
  2. Their arthritis (or any other condition) prevents them from pressing on the chest forcefully enough to achieve full GC3's (two-inch compressions);
  3. They have become too tired to perform GC3's manually; or
  4. The chest on which they are pressing is too stiff for them to achieve GC3's manually.
In the presence of these inhibiting factors, they should consider an alternative method, such as pedal compressions."

This recommendation has been previewed with a number of organizations and individuals and has been given a favorable reception in the context of use by Bystanders who need to use it to perform guideline-compliant chest compressions. We have no guarantee that there will be acceptance within all organizations, but this statement needs to be made.

Thank you again for your support, and please do not hesitate to suggest, comment, criticize.


With best regards,

Bob Trenkamp

Tuesday, June 18, 2013

SLICC's Annual Report for the 12 months ending 3/31/13

You can view our annual report for the fiscal year ended 3/31/13 at...

http://www.slicc.org/AR2013/

Enjoy?

Bob

Saturday, June 8, 2013

Don't count on luck. Get the people most likely to see you arrest trained in CPR!

Merrifield man survives cardiac arrest

Posted: June 7, 2013 - 9:05pm
Brainerd Dispatch/Steve Kohls Joyce and Greg Ranweiler talk Thursday at their Merrifield home about Greg's brush with death after suffering cardiac arrest in a Janesville, Wisconsin hotel. He was gone for ten minutes before being revived with the efforts of his wife Joyce's CPR and EMT resuscitation with a defibrillator.
Brainerd Dispatch/
Steve Kohls Joyce and Greg Ranweiler talk Thursday at their Merrifield home about Greg's brush with death after suffering cardiac arrest in a Janesville, Wisconsin hotel. He was gone for ten minutes before being revived with the efforts of his wife Joyce's CPR and EMT resuscitation with a defibrillator. 
 
If just one small aspect in this series of events had been different, Greg Ranweiler would most likely be dead.
But somehow everything fell into place April 27 — the day Greg’s heart stopped beating.
“I was dead for 11 minutes,” he said. “I don’t say that lightly.”

“The circumstances orchestrated so beautifully to allow him to survive,” said Greg’s wife, Joyce Ranweiler.
Had the couple chosen a different hotel or been placed on another floor, Greg may not have made it. Or if the Ranweilers stayed home that weekend.

Joyce, who is notorious for misplacing her cellphone, for some reason had the device in hand when she found her husband collapsed face down on the floor not breathing, his heart still.

She dropped to her knees in their Janesville, Wis., hotel room and dialed 911.

The petite woman mustered up the strength to flip Greg’s lifeless body over, one hand on his belt, the other on his shirt.
The 911 dispatcher walked her through the steps of CPR. Though Joyce had only seen the procedure done on TV, she followed the beat the dispatcher sounded out to her. Three minutes in, a nurse staying down the hall of the hotel walked by the Ranweiler’s fifth-floor room. The nurse had run out of coffee cups and decided to take the long way downstairs to the front desk. That’s when she heard Joyce counting. It was a familiar rhythm. She knew it was the beat of CPR.

“Can I help?” the nurse asked, peeking her head inside the door. For the next six minutes, the nurse performed CPR until paramedics arrived.

It took five shocks with an automated external defibrillator (AED) before Greg took his first breath. More than 11 minutes had gone by.

“The paramedics told me it takes one or two times for most people,” Greg said of the AED. “They didn’t think I would come back.”

At 64, Greg has never had any major health problems. His heart has very little plaque buildup and he didn’t feel any signs that day that something was coming.

Doctors still aren’t quite sure why Greg suffered a sudden cardiac arrest.

His chance of survival from the episode was no greater than 10 percent. At the hospital, staff dubbed him “the miracle man.”

Looking back, Greg and Joyce know the situation was more than just a series of coincidences. There are just far too many.
“It is clear God was so involved in the situation,” Greg said.

The couple was in Janesville to watch their grandson’s soccer tournament. They chose this tournament out of the four they could have gone to. The hotel in Rockford, Ill., where the game was, was full, so the pair ended up in Janesville.
Should they have chosen a different game and been home that Saturday in Merrifield, Greg and Joyce thought he would have had a different outcome.

“The emergency response time is a lot longer out here,” Joyce said. “There’s no way I could have done CPR that long.”
As Greg was being loaded into the ambulance April 27, a doctor, who was staying at the same hotel, jumped in to help stabilize him.

“Not many people are lucky enough to have an actual doctor in the ambulance with them,” he said.

Greg doesn’t remember the episode, or most of the day Saturday until Wednesday when the hospital drugs started to wear off.

Greg cried when he was told what happened.

“It was pretty emotional,” he said. “It was tough to realize.”

He’s still trying to work through what happened that day, how things could have been different.

“Just one thing,” Joyce said. “Just one thing could have changed the whole situation for the worse.”

A quick glance at Greg today, and one couldn’t tell he’s suffered such a life-altering event.

There are no physical limitations or memory loss. The only evidence is a chipped tooth from the fall and a sore chest from CPR.

He embraces the trauma as a wake-up call to take life a bit slower.

He’s been retired for two years, but never really slowed down much. Now, he’s spending more time at home with his wife.

He’s trying not to feel guilty for taking a few minutes to sit down and do nothing.

And every morning after he wakes up, Greg thanks God he’s alive for another day, though he still thinks about why he was spared.

One thing for sure, though, is that Greg must tell his story.

“Things can happen so quick in life,” he said. “Make sure you have everything figured out in regard to your salvation. If you’re 15, 20 or 64, you don’t know how much time you have left...If through this, one person accepts God or realizes something is off in their life, it’s all worth it.”

JESSICA LARSEN may be reached at jessica.larsen@brainerddispatch.com or 855-5859. Follow me on Twitter at www.twitter.com/brainerdnews.