Awake During CPR?? WHAT NOW?

Awake During CPR?? WHAT NOW?

This video is from my favorite Doc, ZUBIN DAMANIA, MD.  

UCSF/Stanford trained internal medicine physician and founder of Turntable Health, an innovative primary care clinic and model for Health 3.0 that was part of an ambitious urban revitalization movement in Las Vegas spearheaded by Zappos CEO Tony Hsieh. During a decade-long career as a hospitalist at Stanford, Doctor Damania led a shadow life performing stand-up comedy for medical audiences worldwide as a way to address his own burnout. His videos and live shows have since gone epidemically viral with nearly a half a billion views on Facebook and YouTube, educating patients and providers while mercilessly satirizing our dysfunctional healthcare system. The goal of the movement is to rapidly catalyze transformation by leveraging the awesome power of our passionate, engaged tribe of healthcare professionals. Join the ZPac and help us reclaim our calling!

Whose Life Will You Save Today?  There’s an app for that!

Whose Life Will You Save Today? There’s an app for that!


Help build the most comprehensive registry of AEDs for use during emergencies.

The Pacific Northwest is one of those areas that is blessed with more trained responders than just about any other place in the country, only second to Rochester, Minnesota. We have thousands of trained CPR/AED responders in our neighborhoods and workplaces, and most, if not all, are ready, willing and able to render aid.

Surviving a cardiac event requires fast response, but often times that response comes too late. An event could be in progress next door, across the hall at work, or in the grocery store and as a trained responder you wouldn’t know.

PulsePoint Respond is the app that alerts citizen responders who know CPR to local emergencies near them and also to the location of the nearest AED.

When a cardiac emergency strikes, finding an Automated External Defibrillator (AED) can help save a life. But that takes knowing where AEDs are located. PulsePoint AED lets you report and update AED locations so that emergency responders, such as nearby citizens trained in CPR and off-duty professionals such as firefighters, police officers and nurses, can find an AED close to them when a cardiac emergency occurs.

You and PulsePoint AED can help strengthen the chain of survival for cardiac arrest victims. Download PulsePoint AED for free and use it to report AED locations wherever you see one. Describe the location, snap a picture, and the information is stored for local authorities to verify. After that, the AED location data is made available to anyone using PulsePoint Respond (also available for free in the App Store). PulsePoint Respond is the app that alerts citizen responders who know CPR to local emergencies near them and also to the location of the nearest AED.

The AEDs that you locate and report using PulsePoint AED are also made available to local dispatchers in the emergency communication center, allowing them to direct callers to the nearby life-saving devices.

PulsePoint AED also logs the identity (Facebook or Twitter account) of users adding devices to ensure accountability and to facilitate AED contest scoring.

There’s power in your community—bystanders ready to help save more lives from sudden cardiac arrest (SCA). But how can you seize that potential and activate your citizens to change patient outcomes? The answer is PulsePoint.

PulsePoint is not in service with any Pacific Northwest Agency at this time
The PulsePoint Respond app

PulsePoint Respond is an enterprise-class, software-as-a-service (SaaS) pre-arrival solution designed to support public safety agencies working to improve cardiac arrest survival rates through improved bystander performance and active citizenship. Where adopted, PulsePoint Respond empowers everyday citizens to provide life‐saving assistance to victims of sudden cardiac arrest. Application users who have indicated they are trained in cardiopulmonary resuscitation (CPR) and willing to assist in case of an emergency can now be notified if someone nearby is having a cardiac emergency and may require CPR. If the cardiac emergency is in a public place, the location-aware application will alert trained citizens in the vicinity of the need for bystander CPR simultaneous with the dispatch of advanced medical care. The application also directs these citizen rescuers to the exact location of the closest publicly accessible Automated External Defibrillator (AED).

How it can help

SCA can happen to anyone, at any time, but PulsePoint Respond empowers CPR-trained citizens to help improve patient outcomes and save lives by reducing collapse-to-CPR and collapse-to-defibrillation times. And when citizens are more aware of and engaged with the health of their community, they become better partners with your team—and a critical part of your response efforts.

How do I deploy the app in my community?

The first step is to build consensus for the app in your community. Determine who should be involved in such a decision and assemble them to discuss the matter and ask questions. Typical attendance might include representatives from Fire, EMS, Communications, Information Technology, Public Information/Outreach, Leadership/Elected Officials, Labor, and affiliated non-governmental organizations such as the local heart association chapter, hospital board/foundation, etc., in addition to interested members of the community. You should also contact your Computer-aided Dispatch vendor at this point to begin discussing the interface requirements and any associated costs. If the vendor has already installed the interface in other accounts this should be a straightforward request. If they haven’t, contact our implementation partner, Physio-Control, and they will provide assistance in getting them the support they need to get up and running on the service.

The application also requires data on all publicly accessible AEDs in your jurisdiction. If this information is dated or incomplete, now is the time to consider fully re-validating these records. PulsePoint provides a powerful, easy-to-use visual registry to accurately place each AED at its precise location.

Once your organization has made the decision to move forward, contact Physio-Control for complete assistance along the path to a successful implementation.

High School Tennis Player Morgan Wilson, 17, Dies of Sudden Cardiac Arrest

High School Tennis Player Morgan Wilson, 17, Dies of Sudden Cardiac Arrest

This is a very sad story about a seemingly healthy young girl who died from a Sudden Cardiac Arrest. No one can say whether she would have lived or died with early CPR & Defibrillation, but at least it should have been done.  This is why learning CPR and having AEDs in schools is so important! 
                                                                                              BY MELISSA PAMER

A high school tennis player who collapsed on a warm-up run in Anaheim last week has died after eight days in the hospital, her parents announced Wednesday.

Morgan Wilson is seen at left with a friend in a photo posted on Twitter by @steffymarti.

Morgan Wilson, a 17-year-old student and varsity tennis co-captain at Esperanza High School, died at UC Irvine Medical Center after suffering cardiac arrest on June 8.

She was the subject of a prayer circle organized on the school tennis courts by a former teammate last week. Friends posted about her on Twitter under the hashtag #prayforMorgan.

Friends prayed for Morgan Wilson at Esperanza High's tennis courts on July 10, 2014. (Credit: KTLA)

“Praying that Morgan gets over this hurdle,” one girl tweeted on Tuesday. “Couldn’t think of anyone who deserves a miracle more. #prayformorgan.”

Scott and Debbie Wilson wrote in a statement sent out by a spokesman for UCI Medical Center that their daughter’s body had “decided it was time to go” on Wednesday afternoon. They called her a “strong and passionate girl who loved life” and was a role model for others.

“We want to thank everyone for their prayers. The outpouring of support from strangers and those who knew and loved Morgan is overwhelming,” the Wilsons wrote.

Morgan Wilson had registered to be an organ donor without her family’s knowledge, her parents said.

“Like so many things in her life, this reminds us what a generous and selfless soul she has,” her parents wrote, saying they were working to donate their daughter’s organs. “Our hope is that they will save other people’s lives.”

Wilson was on a warm-up run before a private tennis lesson in Anaheim when she collapsed, the Orange County Register reported.

Rescue crews were able to get Wilson’s heart started again after using a defibrillator, but Wilson did not regain consciousness, the school’s women’s tennis booster club president said last week. She had no known history of heart problems.

Wilson’s parents said they believed their daughter could have been saved had she gotten CPR “in a timely fashion.” Urging others to learn CPR was the best way to honor Morgan, they wrote.

“Parents should make sure that those entrusted with their children’s care know CPR and are prepared to administer it,” Scott and Debbie Wilson wrote. “Ask whether their schools and athletic facilities have automatic defibrillators on site. Please, do not be afraid to ask.”

Twenty-five people take turns to perform CPR for one and a half hours (1.5) hours to keep a man who collapsed after a heart attack alive.

Twenty-five people take turns to perform CPR for one and a half hours (1.5) hours to keep a man who collapsed after a heart attack alive.

Don’t give up too soon!

I have often shared this incredible story in my classes of a community that just would not give up on one of their own. Because of their efforts, a man who suffered a massive heart attack is alive and well today after being kept alive for an incredible 1.5 hours (90 minutes) by passers-by who took turns to perform CPR.

Never Give Up! Unless you have reached the final “5”!

  • Too Exhausted to Continue
  • EMS Arrives, or Another Responder Takes Over
  • The Scene is Unsafe to Stay
  • An AED (Automated External Defibrillator) Needs to be Deployed
  • An Obvious Sign of Life

Howard Snitzer, 54, collapsed in the street when he suffered a potentially fatal cardiac arrest on his way to collect groceries. With a population of just 800 people and not a single traffic light in the town, his chances of survival looked bleak, but Snitzer was miraculously kept alive by dozens of good Samaritans who pumped his heart as he lay lifeless on the ground.

The chef has now made an almost full recovery and is relaxing at his home in the back-water town of Goodhue, Minnesota. He said: ‘I love them. I love those people. What can I say? It’s pretty overwhelming to be in a room full of people that are not going to walk away and give up on you.’ And I had nothing to do with it. It’s just one of those things. They’re all angles as far as I’m concerned. ‘I don’t remember going (for groceries), I don’t remember getting out of the car, and I don’t remember blacking out.’

Al Lodermeier, who owns the garage just across the street from where Snitzer collapsed, was one of the first people to start CPR.

Howard Snitzer. Alive today, because we did not give up on him.

He alerted his brother Roy who was joined by another passer-by who witnessed the moment Sitzer collapsed, Candace Koehn.

The Lodermeier brothers were both veteran first responders with more than three decades of experience on the volunteer Goodhue Fire Department and grabbed the rescue truck for its first aid kit. Koehn had also been trained in CPR. Other rescuers joined including police, volunteer fire fighters and rescue squads from the neighbouring towns of Zumbrota and Red Wing. 

The Mayo Clinic’s emergency helicopter, Mayo One, flew in from Rochester, Minnesota from almost 35 miles away.

Their teamwork kept blood flowing to Snitzer’s brain, making each rescuer a surrogate for his failing heart. 

‘I’ts remarkable. It’s a great example of people doing the right thing and having it work out,’ Bruce Wilkoff, a Cleveland Clinic heart rhythm specialist, told USA Today.

He added: ‘The brain survives, at best, five or six minutes when the blood flow stops.’

It is estimated that across the U.S. only five percent of those who who suffer cardiac arrest on the street are resuscitated and live.

Other rescuers joined including police, volunteer fire fighters and rescue squads from the neighbouring towns of Zumbrota and Red Wing.

Even cities with the best records of responding to out-of-hospital cardiac arrests are said to save fewer than half of all victims or just 45 percent at best if the cardiac arrest is witnessed by a bystander.

‘I don’t think the story’s about me,’ Snitzer told USA Today. ‘It’s about the guys in Goodhue and Mayo One.

‘My end of this bargain is to honour the guys who did this for me.’

During the emergency, first responders shocked Snitzer a dozen times to jolt his heart out of its abnormal rhythm, or ventricular fibrillation. 

Paramedics Bruce Goodman and Mary Svoboda also gave Snitzer intravenous drugs to try to restore his heartbeat to normal. 

When he didn’t respond, he called experts for guidance and they agreed to try a calculated overdose of a heart drug, amiodarone, which worked.

The Mayo One helicopter crew landed and  found a line of first responders taking turns pumping on Snitzer’s chest. Al Lodermeier was at Snitzer’s head, squeezing air into a mask over his mouth using a device called an ambu bag.

Doctors feared that Snitzer might have suffered a blood clot and suffer brain damage but has now been released from hospital after 10 days and is on course to make a full recovery.

When he didn’t respond, he called experts for guidance and they agreed to try a calculated overdose of a heart drug, amiodarone, which worked.

‘The number one thing in this case was that someone recognized very quickly that he had arrested and began good, hard, fast CPR,’ said Mayo One paramedic Bruce Goodman who arrived shortly after Snitzer collapsed.

‘If you’d told me that night that this guy was going to get up and walk out of the hospital I would probably have said, ”I’ll bet my house against yours he won’t ”.’