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Her father died. But this Valley senior brought him back with CPR learned at school.

Something didn’t sound right to Brie Salloum as she was getting ready for school one morning in early April. Weird noises echoed in the upstairs hallway. She compares the sounds to elongated snores, or deep, muffled gurgles.

 

Brie walked into her parents’ bedroom and found her father, Ray, lying in bed and gasping for breath.

“His teeth were gritted, and he grimaced,” her mother, Lisa Salloum, said. “I could see we were losing him.”

What happened next, medical professionals have told the family, was the beginning of “a miracle.”

Brie Salloum is a senior at Valley High School who is set to graduate Sunday at Drake University’s Knapp Center with 595 of her peers. She is a quiet, reserved 18-year-old who enjoys video games, hanging out with friends, and working at the movie theater at Jordan Creek Town Center.

Salloum puts up with school because “it’s obligatory,” she quips, but admits she enjoys it. She’s taken several advanced placement courses at Valley — AP chemistry, AP physics, AP psychology — you name it.

Her favorite class, Valley’s certified nursing assistant course, is a full-year program that allows students to earn CNA certification by the end of the school year. It’s led by Andrea Thompson, Salloum’s all-time favorite teacher.

“She makes the classroom calm,” Salloum said. “She’s like a mom to me. I really appreciate her. She’s a phenomenal teacher.”

During the CNA program, students — typically those interested in the medical field — are introduced to a variety of health careers.

One section lets students learn about emergency care, like attending to fractures and burns as well as cardiopulmonary resuscitation, also known as CPR. Salloum and her classmates completed the required training this year and are all CPR certified.

‘They’re calling him a miracle’

Ray was lying limp in his bed. Lisa yelled at Brie to dial 911.

She was about to until she saw that her mom was already on the phone. She also saw her mom trying to give her father CPR and realized she wasn’t doing it properly.

She jumped into action.

“I took the pillow out from under his head, had her move him down a little a bit so his head wouldn’t be on the headboard. Then I just started,” she said. “I was crying and yelling. I was scared that I was doing it wrong and he was just gone. Especially with CPR, you don’t get that instant gratification. It was just scary.”

“I just kept telling her to keep going,” her mom said.

Emergency medical services arrived about 3 minutes later, Brie said. Ray was rushed to a local hospital.

He was placed in a medically-induced coma and underwent hypothermia treatment in order to preserve brain activity, Lisa said.

Almost 24 hours after doctors had cooled him, Ray had an arrhythmia, which is the improper beating of the heart.

“They had to give him a defibrillator and shock him,” Brie said.

“He had literally died twice,” Lisa added. “Once, when EMTs (emergency medical technicians) arrived at home and shocked him after what Brie did, and once at the hospital. His doctor told him, ‘It wasn’t your time to go because you’ve died twice and you’ve come back.’

“They’re calling him a miracle.”

Ray remained in the intensive care unit for 10 days.

‘It’s just a complete blur to me’

Ray returned home weeks later, on April 28. He continues to recover and rebuild his strength.

“A lot of it … it’s just a complete blur to me,” Ray said. “I’m slowly starting to remember some of it, little by little. All I remember is waking up in the hospital with a couple of my friends being there — and that’s after I had been there a couple of weeks.”

Doctors told the Salloums that Ray’s cardiac incident was a fluke, and that the chances of it happening again are less than 1 percent.

“Basically, it was all brought on by the flu and pneumonia,” Ray said. “A combination of your body losing fluids and your blood thickening because you lost fluids. Your lungs being congested, putting pressure on the heart. I really don’t know.”

If it weren’t for Brie’s heroic efforts, Ray’s outcome could have been much different. EMTs at the scene and physicians at the hospital complimented her on how she performed CPR.

“She’s very modest and humble,” Lisa said. “How many kids give their dad their life?

“There are not many people in this world — even those that are in the medical field — who can say that they’ve saved someone’s life.”

Brie will attend the University of Iowa in the fall. She’s enrolled as pre-med. She doesn’t yet know if she wants to become a nurse practitioner who works in the emergency room, or if she wants to be a surgeon.

Brie said she is appreciative of the education she received at Valley, especially the CNA program.

“I’m really grateful it’s part of Valley,” Brie said. “I think it’s a good stepping stone for me to get my feet wet in the medical field. Before I was iffy. Now, I know I want to do this.”

Her dad appreciates the program, too.

“I’m grateful. I’m thankful,” he said. “It’s amazing because of the timeline: When she went into the CNA program, when she learned CPR, and when this happened to me. It’s just so all relatively close together.”

 

 

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Source: https://www.desmoinesregister.com/story/news/local/community/2019/05/21/valley-high-senior-learned-crp-class-she-used-save-her-fathers-life/3754763002/

3 types of bleeding and how to control them…

 

Today is National “Stop the Bleed Day” Here are some important tips to share

External blood is when blood leaves the body through any type of wound. First aid responders should be competent at dealing with major blood loss. There are broadly three different types of bleeding: arterial, venous and capillary.

How much blood do we have?
The average adult human as anywhere between 8 and 12 pints of blood depending on their body size.

Remember that children have less blood than adults, and as such cannot afford to lose the same amount – a baby only has around 1 pint of blood.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Arterial
With this type of bleeding, the blood is typically bright red to yellowish in color, due to the high degree of oxygenation. A wound to a major artery could result in blood ‘spurting’ in time with the heartbeat, several meters and the blood volume will rapidly reduce.

Venous
This blood is flowing from a damaged vein. As a result, it is blackish in color (due to the lack of oxygen it transports) and flows in a steady manner. Caution is still indicated: while the blood loss may not be arterial, it can still be quite substantial, and can occur with surprising speed without intervention.

Capillary
Bleeding from capillaries occurs in all wounds. Although the flow may appear fast at first, blood loss is usually slight and is easily controlled. Bleeding from a capillary could be described as a ‘trickle’ of blood.

The key first aid treatment for all of these types of bleeding is direct pressure over the wound.

 

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Is your team CPR ready to save a life?

CPR/First Aid – Corporate and Group Classes

 Anyone can learn CPR, is your firm ready to save a life? #cprreadytosavealife

Green Guard offers weekly CPR classes for companies and groups, Green Guard’s CPRAED and First Aid training program will help employers meet OSHA and other federal and state regulatory requirements for training employees how to respond and care for medical emergencies at work.

This 2-year certification course conforms to the 2015 AHA Guidelines Update for CPR and ECC, and the 2015 AHA and ARC Guidelines Update for First Aid.

CPR classes are a great team building opportunity too!

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CPR at finish line saves life of 24-year-old half-marathoner who went into cardiac arrest

One minute, Kyle Woods was exchanging high-fives with his parents as he approached the end of his first half-marathon.

The next, the seemingly healthy 24-year-old was laying on the asphalt in full cardiac arrest — unconscious and unresponsive while EMTs, paramedics and a firefighter worked frantically to revive him.

For 12 minutes, they took turns performing chest compressions, holding an oxygen mask over his mouth and nose and checking the rhythm of his heartbeat on a monitor attached to a defibrillator. They sent electric shocks through the defibrillator twice in an effort to get his heart beating properly again.

“It was a nightmare,” Woods’ mother, Jennifer, said. “We just couldn’t believe it was happening.”

Woods was alive and surprisingly well Tuesday, when he met two of the six emergency workers who helped revive him following Sunday’s Colorado Half-Marathon. He was walking and talking and thrilled to be able to thank UCHealth paramedic Monique Rose and EMT Greg Harding in person.

“I owe my life to them,” Woods said. “They definitely saved my life. … If it wasn’t for them, I would not be here.”

Woods was speaking from the waiting area on the third floor of the Medical Center of the Rockies in Loveland, where he was undergoing a battery of tests to help doctors determine what caused his heart to suddenly start beating abnormally seconds after he crossed the finish line.

Woods, who was running the half-marathon with a friend he had been training with, said he started getting tired around mile 12 of the 13.1-mile race.

“We started walking a little towards the end, saw the finish line, and that kind of gave us a boost; we were there,” Woods said. “So, we pushed ourselves to the finish.

“I remember crossing the finish line, grabbing my medal (from a volunteer handing them out), and then I remember seeing my vision kind of go black. I was starting to get tunnel vision, so I sat down.

“That’s the last memory I have. The next thing I remember is seeing them putting me in the back of an ambulance, being strapped down with a bunch of things here and there like sensors. I really had no idea what was happening. I was scared.”

Two days later, doctors were still trying to solve the mystery of how a seemingly healthy and fit 24-year-old and member of the Colorado Air National Guard with no history of heart trouble could go into sudden cardiac arrest.

But they were also celebrating the fact that he had survived the experience. Had he been two or three miles from the finish line, it would have taken emergency workers several minutes, rather than seconds, to get to him and start performing chest compressions, Rose and Harding said.

They were part of a UCHealth medical team stationed at the finish line to handle just such a medical emergency throughout the race, which also included a full 26.2-mile marathon and both 5- and 10-kilometer runs.

As soon as they saw Woods go down, they jumped into action, along with paramedic George Solomon, EMT Adam Colclough, reserve EMT Tim Gaines and Kevin Waters, a Poudre Fire Authority battalion chief and firefighter.

Dr. J. Bradley Oldemeyer, a cardiology specialist at UCHealth who had just finished running the half-marathon, pitched in to help and called ahead to Dr. Eric Riles, a another UCHealth cardiologist who was working that day at Poudre Valley Hospital, to share what he knew about the patient’s condition while the ambulance was transporting Woods to the emergency room.

“His success is 100% related to the fact that he got CPR immediately,” Riles said. “We see that over and over again. People that get resuscitated after a cardiac arrest early do amazingly well, and people that wait even several minutes don’t have the same outcome.”

Rose, who has been a paramedic for 12 years, said she is involved in about 15 calls a month in which a patient has gone into cardiac arrest and requires CPR. Many of them ultimately survive the ordeal, she said, but they usually remain unconscious until after they arrive at the hospital. Woods is the first patient she has performed CPR on who has regained consciousness at the scene.

“I’m fairly humbled by the situation,” Rose said. “It doesn’t happen very often. We’re grateful to be able to see him and talk to him.”

Woods was transferred Monday from PVH to UCHealth’s Medical Center of the Rockies in Loveland, where he remained under Riles’ care. He underwent an echocardiogram Monday and a 90-minute MRI and hourlong CT scan Tuesday.

“People in his age group, it’s obviously more unusual than it would be someone who’s in an older age group, and so the common things like coronary artery disease and things like that are just not applicable for him,” Riles said. “So, we really start to look for any kind of congenital abnormality or genetic defects that could be the cause of this.

“… We had all these tests done today, and we just have to wait for the results to come in.”

Woods has no obvious lingering effects from the experience other than soreness from the chest compressions he received. He walked to and from his hospital room on the third floor to his tests Tuesday and was wearing gym shorts and a hoodie when he and his family met with Rose, Harding and three reporters in the waiting area.

Woods still doesn’t know why his heart started beating abnormally, preventing oxygenated blood from reaching his brain, lungs and other organs and causing him to lose consciousness. He just feels “extremely fortunate, extremely blessed” to have survived the ordeal.

“I never would have thought, in a thousand years, this would ever happen to me, and here I am on the other side, fortunate enough to speak about it,” he said. “It’s something that I’ll always remember for the rest of my life.”

 

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Source: https://www.coloradoan.com/story/sports/running/2019/05/08/cpr-finish-line-saves-life-24-year-old-colorado-half-marathon-runner/1138771001/


Why Employees Need First Aid Training

 

Whether the workplace is an office or a construction site, it has two common traits — valuable employees who may be injured or become ill and the need to protect them with adequate first aid procedures.

The good health and resulting productivity of employees is one area that is often overlooked as a means of improving a company’s profitability. The size of this opportunity is indicated by a National Safety Council estimate that in 1997, there were more than 80 million lost workdays due to unintentional injuries. The astounding cost to American businesses was $127 billion, or an average of $980 per worker.

Whether employees work in a high-hazard or low-hazard environment, they face a variety of risks. Shock, bleeding, poisonings, burns, temperature extremes, musculoskeletal injuries, bites and stings, medical emergencies and distressed employees in confined spaces are just a sampling of the first aid emergencies which might be encountered in your business. These risks are compounded when employees don’t feel well. Their lack of concentration can result in costly injuries.

If your employees aren’t prepared to handle these types of injuries on all shifts and their coworkers are left untreated until an ambulance arrives, a victim’s condition may worsen and injuries can become far more debilitating, which leads to greater medical costs and lost productivity.

It makes good business sense to provide first aid and appropriate training to all your employees. By making such a minimal investment in keeping your employees safe and well-trained, you could net big returns, along with a competitive advantage. Moreover, it’s the law.

The Occupational Safety and Health Administration (OSHA) requires businesses to provide first aid and CPR training to employees in the absence of a nearby clinic or hospital. While safety always begins with prevention, not every work-related injury can be prevented. Your primary first aid training goal should be to give employees the necessary tools and information they need to care for an ill or injured person, if necessary, until advanced help arrives.

“The outcome of occupational injuries depends not only on the severity of the injury, but also on the rendering of first aid care,” writes OSHA in its 1991 Guidelines for Basic First Aid Training Programs. “Prompt, properly administered first aid care can mean the difference between life and death, rapid vs. prolonged recovery, and temporary vs. permanent disability.” Since each site is so different, OSHA requires first aid training to be specific to the needs of the workplace. Proper training varies with the industry, number of employees and proximity to emergency care.

Although OSHA’s 1991 guidelines specify the requirements for a first aid program, OSHA does not teach or certify programs. Therefore, employers are faced with numerous programs to choose from, and the choice can be difficult. Because of this, a consensus group comprised of a panel of government and private experts developed the National Guidelines for First Aid in Occupational Settings in 1997.

This new and detailed curriculum identifies the skill training that makes a workplace first aid responder competent to provide care. Responding to OSHA’s requirement that every employer provide first aid assistance in the workplace, these guidelines document the minimum knowledge and skills necessary for an individual to provide basic life support care to an ill or injured person until professional emergency response arrives.

While starting a first aid program can be simple and inexpensive, it involves several essential steps:

Recognize that it is your responsibility as an employer to determine the requirements for your first aid program. As you assess your workplace, be mindful of the jobsite or work process that could cause illness or injury to employees. What types of accidents could reasonably occur in your workplace? Consider such things as falls, hazardous machinery and exposure to harmful substances. Be sure to put your evaluation in writing for reference purposes. Remember that, while OSHA does not recommend nor approve programs, it may evaluate your program’s adequacy during an inspection.

Powered Industrial Truck Safety

Assess the location and availability of a medical facility to your workplace. If a hospital, clinic or other such emergency response is not readily available, for instance, within three to four minutes, you must have at least one employee trained in first aid and CPR per shift. There is no recommended number of trained employees to have on staff; it largely depends on your facility’s size and type of operations. Responding in a timely manner can mean the difference between life and death, so it is crucial that you have an appropriate number of employees trained.

For organizations in multiple sites, such as construction operations, a larger number of employees must be trained. Many experts believe all employees should know how to provide first aid and CPR to ensure that help is always at hand. At a minimum, each department or location should have a responder available on each shift.

Make sure you have suitable first aid supplies readily available at all times. Effective Aug. 17, 1998, OSHA added an Appendix A to its very basic First Aid and Medical standard found in 29 CFR 1910.151. It requires the employer to reference ANSI Z308.1-1978, Minimum Requirements for Industrial Unit-Type First Aid Kits.

According to OSHA, the contents of the kit listed in the ANSI standard should be adequate for small worksites. However, larger or multiple operations should consider the need for additional first aid kits and additional types of first aid equipment and supplies in larger quantities. OSHA suggests consulting a local fire and rescue department appropriate medical professional or first aid supplier for assistance in these circumstances.

FA Cabinet

OSHA recommends you periodically assess your kit and increase your supplies as needed. Place your first aid supplies in an easily accessible area, and inform all your employees of its location. Along with a well-stocked, workplace-specific first aid kit, other basic supplies normally include emergency oxygen, blankets, stretchers, directional signs, eyewash stations and burn stations.

In addition to these items, if blood-related incidents are anticipated, you must provide appropriate personal protective equipment (PPE) as mandated in OSHA’s Bloodborne Pathogens standard (29 CFR 1910.1030). It lists specific PPE for this type of exposure, such as gloves, gowns, face shields, masks, and eye protection.

On-site safety inspections, review of hazards and emergency dispatch, assessment, implementation, escape and treatment should be discussed in your training program. Employees must be trained to act and think quickly to avoid delayed treatment during an emergency. Ask yourself, whether each employee knows how to report an injury or illness.

Outline the accident investigating and reporting procedures and relay that to your employees as part of your company’s policy. Early recognition and treatment of an injury or illness is essential.

Employees must be aware of emergency contact information. It is best to post emergency procedures and emergency office contact numbers with your first aid supplies or in another highly visible and accessible area. Make sure that your field personnel also have suitable supplies and office contact numbers readily available. Appoint an employee in each department to watch for hazards and evaluate its current first aid status. Set a deadline to report any hazards or first aid needs to a manager or supervisor for improvement or correction.

Since people tend to forget their first aid training over time, OSHA recommends refresher training be conducted to recharge employees’ knowledge of first aid procedures. At a minimum, employees should be certified annually to perform CPR and once every three years to perform first aid. If such training sounds burdensome, consider that it can produce safer work practices and fewer incidents among employees.

Keeping the workplace safe involves three basic elements: steps to prevent or minimize accidents, adequate first aid supplies and proper first aid training. The employer uses training to make sure its employees know what to do, how to do it and who is in charge in case a first aid or emergency situation occurs. Proper first aid training not only satisfies OSHA requirements, but fosters good will among employees, who recognize the care that their company expends to provide a safe and healthy environment for its most valuable asset: its employees.

 

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Source: https://www.ehstoday.com/news/ehs_imp_33547


‘It’s about saving lives:’ CPR training now required for all Georgia high school coaches

CPR and AED training for coaches is now required before the next school year, but it comes at a cost

 

At some Georgia high schools, if a student-athlete needs CPR, there wouldn’t be anyone around certified to help. The American Heart Association estimates less than 10 percent of students in that situation would survive.

“Brain death can start to occur within four to six minutes of the brain being denied oxygen,” said Bibb Schools’ director of risk management, David Gowan.

Gowan is a certified CPR instructor and teaches monthly classes to employees in his district, including every coach.

Other districts, like Bleckley and Monroe County, also require coaches to go through CPR and AED training.

In Houston County, the training is not required by the district, but encouraged by each school. Spokesperson Beth McLaughlin says each high school also has a certified athletic trainer at practices and games.

It’s a much different story at Crawford County High School, where coaches and employees are not required to take any first aid courses and there is no certified athletic trainer.

“We could lose somebody and I just couldn’t live with that,” said soccer and softball coach Holly Johnson. “This summer, we were playing ACE Academy and a girl, after the game, started having seizures.”

Johnson says she felt helpless. She was not trained to help, and she says in a rural area, it can take longer for emergency crews to get there.

“Thank goodness there were some parents there that were nurses and were trained and could help us,” she said. “If not, who knows what would have happened?”

The situation prompted Johnson to enroll in a CPR class and get certified on her own.

“As a head coach responsible for these young ladies,” she said, “it’s a lot of responsibility.”

In April, the Georgia High School Association approved a rule change requiring all coaches to go through CPR and AED training before their season begins next school year.

“It’s about saving lives,” said GHSA Executive Director Robin Hines.

That training, however, does cost money.

“We don’t have a lot of extra money laying around and we have 18 coaches,” said Crawford High School Principal Ed Mashburn. He says it will cost the school roughly $1,500 to $1,800 to certify all of their coaches.

The American Red Cross says it does cost roughly $70 to $80 per person to have one of their instructors come teach a course.

Mashburn says it’s a price worth paying for the safety of their students. He’s already scheduled a training session for May.

After the initial training, coaches will need to get re-certified every two years. If they do not, they will get fined by the GHSA.

 

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Source: https://www.13wmaz.com/article/news/health/its-about-saving-lives-cpr-training-now-required-for-all-georgia-high-school-coaches/93-f294534d-a5c0-45a1-a406-0181f4b766f5


UFA urges civilians to get trained in CPR after two Herriman City employees help save man’s life

After two Herriman City snow plow drivers were awarded in February for helping to save a man’s life, Unified Fire Authority wanted to stress the importance of learning CPR.

Travis Dinger and Gunner Kelsch, both 19, took a CPR and AED (defibrillator) class through Herriman City just a month before encountering a distress situation as they were driving around a Herriman neighborhood.

“I was being trained by Gunner, so I was driving, and he pointed out that he thought some people were doing CPR on a guy,” said Dinger. “When we pulled over and got out to help as we could see the man’s face was purple and the those helping him were performing mouth to mouth but not chest compressions.”

Dinger said both he and Kelsch jumped in to take over, and it felt more like instinct as they didn’t really have time to think about the training they had received.

“I feel like it just kicked in, to know what to do,” said Kelsch. “I have my Eagle Scout, and I also learned CPR then, so I just knew what to do.”

It would be several minutes before emergency personnel would arrive.

Matt McFarland with Unified Fire Authority who taught that class at Herriman City said the men took the initiative to do everything to help try to keep the man alive.

“They were doing such highly efficient CPR that our crews who arrived about 5 minutes later could identify as they pulled up that it was best to have them continue what they were doing, while medical personnel set up and prepared advanced maneuvers,” said McFarland. “By doing compressions it made the difference between him surviving and losing his life.”

On March 13, Dinger and Kelsch, along with the man’ wife, and neighbors were awarded with the Unified Fire’s Civilian Lifesaving Award.

Also awarded were crews from Unified Station 103, ambulance 221 and Herriman City Police officers.

McFarland said very rarely is CPR not effective if it’s done right and that it is simple to learn and extremely effective.

“If more people knew CPR, more lives could be saved,” said McFarland. “In that 5-7 minutes before we get there, the compressions could help by keeping the blood pumping through the body and oxygen to their brains.”

If you are interested in the training or are considering having your employee’s trained in life-saving measures click here

If you cannot attend a class, McFarland recommends watching a short video and learning CPR at home with your family.

 

According to The American Heart Association, some 350,000 cases occur each year outside of a hospital, and the survival rate is less than 12 percent.

They say CPR can double or triple the chances of survival.

“Seventy-percent of cardiac arrests happen in homes, but for those that happen in a workplace, a recent American Heart Association survey found that most U.S. employees are not prepared for a cardiac emergency,” said their website.

 

 

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Source: https://www.abc4.com/news/local-news/ufa-urges-civilians-to-get-trained-in-cpr-after-two-herriman-city-employees-help-save-man-s-life/1930571215


Recent CPR Certification Helps Save Life

On Friday, April 19, Albert Lea resident Ronald Laite was invited to work on a dock at Fountain Lake with friends. Just a regular days work, for a normally healthy 43-year-old, that almost turned deadly.

“A buddy called me up and asked if I wanted to help with a dock, and so I said sure and went down there. I felt something weird going on so I tried to pull myself towards the center and then next thing you know I’m in the hospital,” said Laite.

Officials said that Laite went into cardiac arrest which is commonly associated with a heart attack, yet the two are very different.

Cardiac arrest or sudden cardiac death is an electrical problem of the heart. Basically where there is no effective heartbeat and no blood flow to the vital organs of the body. A heart attack is a circulation problem effectively where there is a blockage in one of the arteries that supply blood to the heart. So two different problems,” said Dr. Ammar Killu, who is a Cardiac Electrophysiologist at Mayo Clinic.

Dr. Killu said even though most of the people who learn how to perform CPR may never end up using it, just knowing what to do raises that persons’ chance of survival.

“Doing CPR which is basically chest compressions in this situation, helps get whatever oxygen is still in the body around to those organs. The quicker you can perform CPR the more effective the CPR is and the higher chances of survival, ” said Dr. Killu.

For chest compressions, you want to remember 30/2. 30 compressions to the chest about 2 inches in depth. You also want to administer about 120 compressions per minute.

Laite’s friend was just CPR certified two months ago, and he said that he never thought he’d have to use.

“I’m very thankful he got trained in CPR. he saved my life,” said Laite.

 

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#cprreadytosavealife 

 

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Source: https://www.kaaltv.com/news/recent-cpr-certification-helps-save-life—albert-lea/5327525/


More lives could be saved after cardiac arrest, are you CPR Certified?

Anyone can learn CPR, are you or your employees trained to save a life? 

Green Guard offers weekly CPR classes for companies and groups, Green Guard’s CPRAED and First Aid training program will help employers meet OSHA and other federal and state regulatory requirements for training employees how to respond and care for medical emergencies at work.

This 2-year certification course conforms to the 2015 AHA Guidelines Update for CPR and ECC, and the 2015 AHA and ARC Guidelines Update for First Aid.

CPR classes are a great team building opportunity!

 

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#cprreadytosavealife #cprteambuilding

 

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More people might survive cardiac arrest if more bystanders tried hands-only CPR

More lives could be saved after cardiac arrest if bystanders applied cardiopulmonary resuscitation (CPR), even if it’s just the hands-only version, a new study suggests.

With hands-only CPR emerging as an alternative to the traditional method – chest compressions coupled with mouth-to-mouth rescue breaths – Swedish researchers decided to investigate the impact of the simpler method.

They found that when rates of either type of CPR increased, the chances of surviving a sudden cardiac arrest doubled.

“In this nationwide study (we saw) an almost six-fold higher proportion of patients receiving compression-only CPR,” said co-author Dr. Jacob Hollenberg, director of the Centre for Resuscitation Science at the Karolinska Institutet. “Any type of CPR was associated with doubled survival rates in comparison with cases not receiving CPR before EMS arrival.”

It’s currently unknown whether CPR including mouth-to-mouth rescue breaths when performed by bystanders is superior to the simpler hands-only method, Hollenberg said in an email. There is an ongoing large randomized controlled trial to answer that question, he added.

Hollenberg suspects more people would be willing to learn hands-only CPR than the traditional method.

For the study published in Circulation, Hollenberg and his colleagues analyzed all out-of-hospital bystander-witnessed cardiac arrests reported to the Swedish Register for Cardiopulmonary Resuscitation between 2000 and 2017. Altogether the researchers had data on 30,445 patients.

The proportion of patients receiving CPR from bystanders grew from 40.8 percent in 2000-2005 to 68.2 percent in 2011-2017. The proportion who got standard CPR was 35.4 percent in the earlier period and 38.1 percent in the later period. But over the same time, the proportion who got hands-only CPR rose from 5.4 percent to 30.1 percent.

 

During the nearly two decades covered by the study, survival rates improved for both groups of patients. Thirty-day survival after standard CPR rose from 9.4 percent to 16.2 percent, and after hands-only CPR it rose from 8.0 percent to 14.3 percent.

Overall, compared to patients who didn’t get any kind of CPR from bystanders, those who got standard CPR before first responders arrived were 2.6 times as likely to survive to 30 days and those who got hands-only CPR were twice as likely to survive 30 days.

The study shows that any kind of CPR is better than no CPR, said Dr. Clifton Callaway, vice chair of emergency medicine at the University of Pittsburgh Medical Center. “This is a tremendously robust data set,” Callaway said. “They’ve been able to track this for many, many years.”

The American Heart Association has been popularizing hands-only CPR, Callaway said. “The message they’re trying to convey is that if you don’t choose to give mouth-to-mouth resuscitation, you can still do chest compressions and help somebody with cardiac arrest,” he said, noting that mouth-to-mouth is still required for other conditions, such as drowning.

The reason hands-only can work is that when people experience a cardiac arrest, they still have oxygen in their lungs, Callaway said. “Chest compressions will buy you some time until someone comes to get the heart started again,” he said.

The other advantage to hands-only CPR is that 911 operators can talk you through it even if you haven’t had any training, Callaway said. “Dispatchers should be able to coach anybody to do chest compressions and provide this potential to sustain life until professional help arrives,” he added. “In my mind, there’s no reason we can’t have 60 to 80 percent of Americans who have had a cardiac arrest receiving assistance from bystanders.”

 

 

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Source: https://www.reuters.com/article/us-health-cpr/more-people-might-survive-cardiac-arrest-if-more-bystanders-tried-hands-only-cpr-idUSKCN1RD37U