Sharing Lessons Learned for “Safer Seas”

Sharing Lessons Learned for “Safer Seas”

By Dione Lee

Most cultures use storytelling or “lessons learned” as a teaching opportunity for passing on information gained from experience that is usually intended to keep the learner out of harm’s way. “This is what you never want to do and I am going to tell you why….many years ago, when I was a young …” A good story teller can stir our emotions and activate our senses, creating a lasting memory.

One of the most memorable lessons I experienced early in my career was during a 40 hour Hazardous Waste Operations and Emergency Response (HAZWOPER) course instructed by a paramedic/firefighter. He shared his personal story of being a first responder to a crime scene, coming home after the event and taking off his blood soaked boots at the front door. Shortly afterwards, he noticed his young child sitting on the floor with his boot in hand inches away from his mouth. Fortunately, he was able to remove the boot in time before the child put his mouth to the blood soaked leather. His lesson on the importance of proper decontamination protocol still resonates with me today. If he would have said “be sure to doff and bag your gear”, it would not have had near the impact. Through his story, he helped me to feel the horror of what could have happened to that child by not using proper decontamination control measures.

In the maritime industry, sea stories, either shared during a “safety moment”, “back aft conversation”, or training session, are very powerful and impactful when communicating and transferring important information. As most of you are aware, the National Transportation Safety Board (NTSB) recently released their annual report of compiled accident investigations entitled, “Safer Seas 2014: Lessons Learned from Marine Accident Investigations”.  Part of NTSB’s mission is to determine the probable cause of accidents and issue safety recommendations aimed at preventing future accidents. In Chairman Hart’s “Message from the NTSB Chairman”, he states the following about Safer Seas, “It represents our continuing commitment to sharing the lessons that we learn through our investigations.

A great number of marine accidents can be prevented when crews know and respond to safety issues early and when crews work together effectively in the event of a crisis.”In the 2014 version, a summary of safety issues is provided from the NTSB’s investigations to help encourage the sharing of these lessons learned. Below is a snapshot of some of these real sea stories shared.

At least 1 crewmember died and the vessel sank – probable cause was a severe heel to port, followed by immediate down flooding; unfortunately, the reason why the vessel loss stability could not be determined.

2 fatalities, 3 serious injuries and the vessel sank – probable cause was inadequate decision making and safety oversight.54 million in damages in vessel/dam allision – probable cause was proceeding with the passage during significant risk and probable contributing factor was lack of effective communication between the captain and lockmaster.

By embracing sea stories as a valuable training technique it will not only motivate the learner, and enhance retention of information, but hopefully ensure “Safer Seas” as the NTSB has intended through their annual report. Do you have lessons learned to share? Please share here.This entry has been created for information and planning purposes. It is not intended to be, nor should it be substituted for, legal advice, which turns on specific facts.

Source: Sharing Lessons Learned for “Safer Seas”

Heart Surgeon For a Day

Heart Surgeon For a Day

Thomas scrubbed in as a Doc For a Day!

The event was live-tweeted by @Swedish, using the hashtag #SwedishDoc4Day.

About the event:

Dr. Glenn Barnhart and the team at the Swedish Heart & Vascular Institute in Seattle invited 15 members of the public (including students) to become a “Heart Surgeons for a Day”!

Randomly selected individuals spent time learning about the heart and its key parts. These individuals got to see how Swedish surgeons are using the latest technology to prevent, diagnose, and treat heart disease.

As part of the event, participants:

  • Received their own Swedish medical scrubs, just like a surgeon
  • Examined a human heart and video footage from a live surgery
  • Participated in interactive demonstrations using surgical tools such as the da Vinci robot.
  • Received a behind-the-scenes tour of the Swedish Heart and Vascular Institute
  • At the conclusion of the event, Dr. Barnhart and other cardiologists and cardiac surgeons hosted a lunch session to answer questions and provide more hands-on time with surgical tools and technology.

“Heart Surgeon for a Day” Tentative Schedule of Events:

9:30 AM: Scrub up with your new pair of medical scrubs
9:45AM: Breakfast and meet and greet with other participants and physicians
10 AM: Welcome
10:10 AM: Watch part of a heart surgery and prepare for hands-on demonstrations and exercises
10:30: Take part in an interactive session with all the tools and technology of cardiac surgery, including the opportunity to see a human heart.
11:30 AM: Guided behind-the-scenes tour
12:15 PM: Lunch and Q&A session
12:45-1:00 PM: Event conclusion, with additional time for hands-on demonstrations

Needless to say it was an experience Thomas will never forget; incredible!

The HeartSine 450P with CPR Rate Advisor

The HeartSine 450P with CPR Rate Advisor

Northwest Response is a proud distributor of the The HeartSine 450P with CPR Rate Advisor

What is all the excitement about?

Real-Time CPR Rate Feedback

While some cardiac events are treatable with effective Cardiopulmonary Resuscitation (CPR) alone, others require a combination of effective CPR and the use of an automated external defibrillator (AED) to deliver a lifesaving shock within the first few minutes of sudden cardiac arrest (SCA). In both cases, effective CPR contributes to an increase of survival rates of up to 75%.

More than a simple AED, the HeartSine samaritan® PAD 450P with integrated CPR Rate Advisor™ provides real-time visible and audible feedback to the rescuer on the rate of chest compressions during an SCA resuscitation.

CPR Rate Advisor™

While some SCA victims benefit from the delivery of a shock, effective CPR with minimum interruption will maximize the chances of a positive outcome for virtually every SCA victim.  Using HeartSine’s proprietary ICG-based technology, the SAM 450P with CPR Rate Advisor provides the rescuer with continuous real-time verbal prompts of “Push faster,” “Push slower,” or “Good speed” to help achieve the optimum rate of compressions as defined by the American Heart Association (AHA) guidelines for CPR. Similarly, the SAM 450P detects if CPR has stopped, and prompts the rescuer to “Begin CPR” until CPR has resumed.

The SAM 450P also incorporates an intuitive LED-based visual feedback feature that operates in tandem with the verbal prompts enabling rescuers to operate in extra noisy environments.

Watch this video to learn more about our revolutionary CPR Rate Advisor technology:

It’s lifesaving, pure and simple.

Buy Now

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 ”.’

First Aid Training at West Sound Bremerton Red Cross

First Aid Training at West Sound Bremerton Red Cross

Health & Safety Training @ West Sound Red Cross Office; Bremerton

Information for West Sound Bremerton Red Cross Health and Safety Training for Kitsap, Pierce, Thurston, and Mason Counties

The Red Cross has been the go-to source for more than a century for information, skills and confidence to act in an emergency, at home, in school and in the workplace.

For information on scheduling Red Cross Health, Safety Training & Education for your community group, school, church, individual, or other organization; please call # 253-238-0519. Or for current class schedules, locations and times; visit the Northwest Response Calendar page.

Where is the nearest AED? (Automated External Defibrillator)

Where is the nearest AED? (Automated External Defibrillator)

Where is the AED in your neighborhood?

Citizen responders have been using AEDs (Automated External Defibrillators) combined with quality CPR to save thousands of lives each year around the globe.  Every week I read another story about ordinary people doing the extraordinary in saving the life of a loved one, friend, coworker and stranger using publicly accessible AEDs combined with CPR.

The Cardiac Chain of Survival is simple:

  1. Immediate recognition of cardiac arrest and activation of the emergency response system
  2. Early cardiopulmonary resuscitation (CPR) with an emphasis on chest compressions
  3. Rapid defibrillation
  4. Effective advanced life support
  5. Integrated post-cardiac arrest care
The problem with any chain is its weakest link, and in way too many cases of Sudden Cardiac Arrest; the weak link is the lack of access to an AED.  Surviving a Sudden Cardiac arrest depends on the Cardiac Chain of Survival.

It’s a numbers game for surviving an SCA, and for every minute that goes by, the chances of survival drop by 10%. Survival varies widely among communities, yet overall averages around 8% in the U.S.  Implementing a system of care including early recognition, 9-1-1 CPR instructions, early defibrillation, and high-quality professional CPR, along with guideline-based, post-arrest care could save as many as half of these victims.

Cardiac arrests are more common than you think, and they can happen to anyone at any time.  Rural communities especially need to address these needs as response time is critical.  How long before EMS reaches your home or office?

“Nearly 383,000 out-of-hospital sudden cardiac arrests occur annually.
88 percent of cardiac arrests occur at home.
Many victims appear healthy with no known heart disease or other risk factors.”

Automated External Defibrillators have yet to catch on with the average homeowner or small business office, but that doesn’t mean there isn’t one nearby.  Take the time to learn where there are.  Grocery stores, schools, the neighbor, the local library, many public and private homes and offices now have AEDs as part of their emergency preparedness programs.

AEDs in the home, AEDs in the office, AEDs in your neighborhood; it’s a no brainer!  The cost of ownership has been drastically reduced to less than the price of a new Flat Screen TV, and if everyone on your block, office floor, or apartment building chipped in to purchase this potentially life saving device, the cost of ownership becomes negligible, because saving a life is priceless!

Comment below if you know
where your local AED is. 
Share your knowledge; it could save a life!