Hands to Heart CPR

GOOD SAMARITANS SAVE A LIFE AT THE GOLDEN NUGGET LAS VEGAS On September 23, 2020, a 71-year-old man stood in line at the Golden Nugget Casino in Las Vegas, celebrating his 42nd wedding anniversary. Little did he know, his life would soon be in the hands of a team of Good Samaritans who were trained and ready to respond during an emergency. Here’s their story as submitted by Samuel Scheller, CEO of Guardian Elite Medical Services.... Mason Van Houweling, CEO of University Medical Center, was standing behind this individual when he witnessed the man collapse to the ground. Mason recognized cardiac arrest and immediately started hands only CPR. Frank Media from table games, notified the Golden Nugget Security that there was a medical emergency. Security officers Alexis Brennan, Kevin Janson, Nicholas Romano, Ronnie Escalante, and Dominic Dorn responded to the emergency scene with an AED and their emergency bag where they found Mason doing chest compressions. The security team immediately applied the AED where one shock was delivered. Compressions were resumed and the patient was placed on oxygen. A short time later the male began to move his eyes and his arms. By the time the Fire Department and Ambulance arrived the patient was sitting up and refusing to go to the hospital. Paramedics were able to convince the male to go to the hospital where he underwent open heart surgery a few days later and is expected to make a recovery. Each of the security officers involved received ASHI CPR, AED, First Aid and Emergency Oxygen training within the last year. And security officer Brennan had taken her class just six days before the incident. Due to their extraordinary actions and willingness to provide life-sustaining care, the following individuals will receive Health & Safety Institute’s Good Samaritan Award: Mason Van Houweling Frank Medina Alexis Brennan Kevin Janson Nicholas Romano Ronnie Escalante Dominic Dorn

Bystanders can give sudden cardiac arrest (SCA) victims the best chance of survival by calling 911 and providing early CPR and AED use. Although CPR can help supply oxygen to the brain and other vital organs, it usually can’t restore a normal heart rhythm on its own making early AED use a critical step in surviving SCA. In fact, the chance of survival decreases 7-10% every minute that passes without an AED shock. And it’s most effective when given in the first three minutes... of cardiac arrest. Fortunately, businesses and communities are becoming more aware of the importance of having access to an AED during an emergency. They can now be found in large public spaces, like airports, stadiums and schools which means more lives can be saved. Even though AEDs are a lifesaving device, they’re designed to be simple and user-friendly.

AED PAD PLACEMENT FOR CHILDREN AND INFANTS Children require a lower level of energy to defibrillate the heart. Some AEDs may include pediatric pads or equipment that are designed for children and infants. In terms of using an AED, a child is younger than age 8 or weighs less than 55 pounds.... Follow these AED use guides for children and infants: Use child pads and equipment if available. If not available, use adult pads. Do not cut or fold AED pads. Do not let AED pads overlap. Use a front-back pad placement for small children and infants. If a child is showing signs of puberty, use adult pads instead. Pediatric pads won’t delivery enough energy to defibrillate the child’s heart.

AED PAD PLACEMENT 101 The AED will provide visual and auditory cues to help direct bystanders. This means that anyone can use an AED, even without formal training. The basic steps of using an AED are as follows:... Turn on the AED. Apply AED pads. Follow the AED prompts. Clear the victim and shock. Resume compressions and continue to follow prompts. But how do you apply the pads? This will depend on the age and size of the victim. For adults (includes children age 8 or older or more than 55 pounds): Peel the pads off the backing. Place one pad on the right side of the chest, just below the collarbone. Place the other pad on the lower left side of the chest. Connect the pads to the AED. Some pads come pre-connected to the AED. Always apply the pads to the chest according to the pictures on the pads. And always apply them to bare skin. Expose the chest by opening or cutting the shirt (and bra if applicable) before applying the pads. If the chest is wet, wipe it dry. If the chest is hairy, use a razor or an extra set of AED pads to remove hair from the pad placement area.

USING AN AED Anyone can use an AED to save a life. AEDs are designed to be simple and user-friendly, even for bystanders who haven’t received training. To use an AED, follow these steps:... Turn on the AED. Depending on the model, this may involve pushing a button, lifting the unit’s lid or pulling the handle. Follow the AED prompts. The AED will walk you through how to apply the pads. And direct you to stop compressions when it’s ready to run its assessment. Clear the victim and provide a shock. The AED will direct you to deliver a shock if it’s needed. Quickly look up and down the victim to ensure no one is touching him/her. Then, loudly say Clear before pressing the shock button. Resume compressions. Continue to follow the AED prompts. The AED will assess the victim’s heart rhythm every two minutes. Untrained and trained bystanders may feel nervous or reluctant to push the shock button when directed. But rest assured. The AED won’t shock a person whose heart isn’t in a shockable rhythm, even if the shock button is pushed.

HOW TO HELP IN AN SCA EMERGENCY If you recognize signs of sudden cardiac arrest (e.g. sudden collapse, loss of consciousness, no signs of breathing), you need to act quickly. Call 911. Direct bystanders to call for help and send someone to get a nearby AED.... Begin CPR. Push hard and fast on the center of the chest. Use an AED. Use the AED as soon as it arrives on scene. CPR will help supply oxygenated blood to the brain and vital organs, which will buy additional time for an AED to be used. The sooner an AED shock is administered, the better chance of surviving cardiac arrest.

October is Sudden Cardiac Arrest (SCA) Awareness Month! SCA continues to be a major public health crisis, which means each of us needs to continue to spread awareness and encourage others to learn how to respond in an emergency. Did you know that sudden cardiac arrest can happen to anyone? Infants, children, teens, adults and older adults can all experience SCA, even without having any signs of heart disease. SCA is caused by a problem with the electrical system of the heart.... When the heart isn’t receiving enough oxygen or becomes injured, it stops effectively pumping blood to the brain and other vital organs. When this happens, brain damage begins to occur after 4-6 minutes without oxygen. And brain death can occur after 10 minutes. Because most out-of-hospital cardiac arrests happen inside the home or at a public place, bystanders remain the key to survival by providing early CPR and early AED use.

So, exactly, how easy are AEDs to use? Can children use them effectively? You might think that children may not be able to use AEDs properly. They are medical devices, after all. Perhaps they’re too sophisticated or require significant specialized medical training? However, researchers have looked into these questions and generated some surprising results that suggest that, with some modest training, children can operate AEDs as well as trained adults and paramedics. ... In a study examining the performance of 15 sixth-graders responding to a mock cardiac arrest compared to 22 professional EMTs, researchers found only minor differences in the speed of AED use between the two groups. The mean time between entry to the scene and the shock delivery was 90 seconds for the children and 67 seconds for EMTs. Another study investigating children’s preparedness in general Basic Life Support (BLS) skills found that 45% of children between 12 and 14 years old knew what an AED was. 75.7% of the children could perform all seven critical AED skills asked of them, and, upon training, up to 95% of the children could perform key AED actions. Children between 6 and 7 years old were also able to use AEDs after training, showing great adeptness at identifying symptoms, and deploying the device. In another observational study, children over 13 years old were found to be able to deliver CPR compressions of adequate depth after receiving just a 20-minute BLS lesson. These studies indicate that children can quickly learn lifesaving skills and are as reliable as adults in rendering aid with an AED to patients experiencing Sudden Cardiac Arrest. Since SCA is the leading cause of death in student-athletes, school sports fields are an essential setting in the fight against SCA. Sporting facilities also attract attendees who can also fall victim to SCA. Training students in CPR and AED use increases the odds that cardiac arrest victims receive life-saving treatment. As CPR and AED awareness continue to improve over time, you never know who might come running over with an AED!

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AED Units: so simple that children can use them? When a teacher at Georges-Vanier high school in Montreal suddenly lost consciousness, it was not the school nurse or other staff members who responded. Rather, three students immediately jumped into action by performing CPR and using an AED to save the teacher’s life. When the school’s vice-principal heard that students were in the room during the emergency, his first thought was to get them away from the scene. However, upon a...rrival, he saw the students were administering lifesaving treatment. Adults are not the only ones who can and will respond to a cardiac arrest emergency! While coordinated systems involving both out-of-hospital and in-hospital measures offer the most exciting opportunities to save lives, the success of PAD programs relies almost exclusively on lay responders. By placing AEDs in public settings, PAD programs aim to equip everyone, regardless of medical training or age, with the tools to assist patients experiencing SCA. AEDs are made with ease-of-use in mind. They offer clear instructions and labeling to help almost anyone save a life. AED units are designed to be simple and easy to operate, requiring that the user only need to do the following: Turn the device on Correctly apply the electrodes to the person’s chest according to the pictures provided Stand back and let the AED analyze the person’s heart rhythm to determine whether or not they would benefit from a shock (Of course, check your AED user manual for specific instructions as to the use of your particular AED for more information). Many imagine that adults will always be the ones to deliver treatment from an AED. After all, that’s what we see in the movies, right? But there are scenarios in which only a child or minor is present when the SCA occurs. For example, a parent might experience SCA when alone with their child, or a student may go into SCA when playing with their peers.

CPR can help keep the brain and other vital organs alive during cardiac arrest by pushing oxygen-filled blood throughout the body. High-quality chest compressions are the most important part of CPR and have the biggest impact on survival of cardiac arrest. So, it’s crucial that you practice proper hand placement when performing chest compressions. CPR HAND PLACEMENT FOR ADULTS... For adults, position your hands in the center of the chest between the nipples. Follow these chest compression steps to ensure you are positioned correctly: Place the heel of one hand in the center of the chest on the breastbone. Place the heel of the other hand directly on top of the first. Lift or interlace your fingers. Position your shoulders directly over your hands. Keep your arms straight. Push straight down (aim for a compression depth of at least 2 inches). Allow the chest to fully rise between compressions. And avoid lifting your hands completely off the chest. Push hard and fast until you see obvious signs of life or until EMS arrives and takes over. CPR HAND PLACEMENT FOR CHILDREN AND INFANTS While the overall goal of compressions is the same, there are a few key differences to note when performing CPR on a child or infant. For children age 1 year to puberty, continue to position your hands in the center of the chest between the nipples. Use 1 or 2 hands for compressions, depending on the size of the child. If you become fatigued during compressions, use both hands to ensure you continue to reach the desired depth (about 2 inches or 1/3 the depth of the child’s chest). For children younger than 1 year, position 2 fingers in the center of the chest just below the nipple line. An infant’s body is much smaller, so you only need to use 2 fingers for compressions instead of your hands. Aim for a compression depth about 1.5 inches or 1/3 the depth of the child’s chest.

Are you most comfortable wearing #UGGs, even in the spring? Does your partner complain about your ice-cold toes brushing up against their shins during the night? If your feet are always cold, there's an explanation. #Poorcirculation is one of the most common causes of cold feet. #Diabetes and #hypothyroidism can also cause #coldfeet. Lastly, #irondeficiency can lead to freezing feet.... Warming up your toes is possible wearing thick socks or slippers while indoors and not walking around with bare feet. And since poor circulation can lead to cold feet, daily exercise is a must! Doing ankle circles and wiggling your toes is a good start. Also, getting a #massage is a great way to increase blood flow to your feet and keep them nice and warm. https://www.msn.com//yep-theres-a-reason-your-/ar-BB19f230

It’s never too early to take your heart health seriously as the habits and behaviors you have when you're young will affect you decades down the road. One of the most important things to be aware of are the warning signs of a heart attack. Not everyone experiences the symptom of severe chest pain that many associate with a heart attack. And heart attack symptoms can look different in women than in men. Here are the pre-heart attack warning signs to look for. https://www.msn.c...om//the-pre-heart-attack-symp/ar-BB198XG7 *Uncomfortable pressure, squeezing, fullness or pain in the center of your chest that lasts more than a few minutes. *Pain or discomfort in other areas of the upper body, such as one or both arms, the back, neck, jaw or stomach. *Shortness of breath can be a sign of a heart attack. This could also feel like indigestion, heartburn or abdominal pain. Other possible symptoms include breaking out in a cold sweat, nausea or lightheadedness.