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What is Sudden Cardiac Arrest (SCA)?
Sudden Cardiac Arrest (SCA) is the condition in which the heart is
no longer able to pump blood to the brain and the rest of the
body. This is usually caused when the electrical impulses in the
affected heart become rapid (ventricular tachycardia, or “VT”)
or chaotic (ventricular fibrillation, or “VF”), or both. In most
cases, there are no warning signs or symptoms.
Facts About SCA
- This costs up to 22 billion € in combined healthcare
spending in the major European countries only. (Frost &
Sullivan, 2007)
- 95% of SCA victims die before reaching the hospital.
- Most of the SCA victims die since no immediate
assistance is available.
- Chance of surviving decreases %7-10 every minute
without treatment.
- The average response time of an ambulance is 8 to 13
minutes minimum.
- In 80% of the cases, SCA is caused by a chaotic fast
heart rhythm (Ventricular Fibrillation - VF), better known
as chamber fibrillation.
- This fast rhythm can only be stopped by an external or
internal electroshock (defibrillation). Sometimes more than
one shock is needed.
- In 2020 up to 40% of all deaths will be related to heart
diseases.
(World Health Organization)
Who is at Risk?
SCA can strike persons of any age, gender, race, and even those who seem in good health, as evidenced by world class professional athletes. Many patients who may be at risk are not being identified, screened and given options for medical treatment.
What Causes SCA?
SCA may be caused by certain incidents like:
- Respiratory Arrest
- Drowning
- Trauma
- Electric Shock
- Stress
- Drugs
- Sudden Emotional Changes
- Excessive Physical Activity
Diagnosis & Treatment: Automated External Defibrillators
SCA is a treatable condition that does not have to lead to
sudden death. When someone suffers SCA, he or she may be fine one
minute and then collapse without warning the next. Without immediate
intervention, the victim almost always dies. When someone is in SCA,
he or she suddenly loses consciousness, normal breathing stops, and
there are no signs of life.
When someone collapses from SCA, use of an Automated External Defibrillator (AED) and immediate cardiopulmonary resuscitation (CPR) are essential for any chance of recovery.
Early defibrillation with an AED is a critical link in the chain-of-survival because the time between collapse and defibrillation is a key indicator of survival from SCA. For patients in ventricular fibrillation, previous studies have shown if early defibrillation is provided within the first minute, the odds are 90 percent that the victim’s life can be saved. After that, the rate of survival drops 7-10 % with every minute.
Automated External Defibrillator (AED) is a portable electronic device which automatically diagnoses the potentially life threatening cardiac arrhythmias of ventricular fibrillation and ventricular tachycardia in a patient. It is able to treat the patient through defibrillation, which is the application of electrical therapy that stops the arrhythmia, allowing the heart to reestablish an effective rhythm.
One of the most common reasons SCA victims do not survive is that bystanders hesitate to call the emergency number, start CPR and use AEDs right away. If you want to save a life, get involved. Your actions can only help.
Doing nothing is the worst option.
Stories of SCA Survivors
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65-year-old golfer collapsed while
finishing the 13th hole at Hornby Glen Golf Course on
Friday July 25. Fortunately for McEwan, Dr. Dan
Honsinger, a McMaster Medical School resident, currently
working in the Emergency Room at Credit Valley Hospital,
was standing on the 13th tee and witnessed the collapse.
He and his playing partner, Kyle Stumpf, a volunteer
firefighter from Holland Landing, ran up to the green
and immediately initiated CPR. They placed the emergency
call and also called the pro shop to have the AED
brought out to the 13th hole, they estimated it was
there in about three minutes. Two shocks were delivered
with the AED. When the ambulance arrived after second
shock, the patient had a pulse and was breathing on his
own.
http://www.independentfreepress.com/news/article/53851
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It has happened for the 20th time at
Phoenix Sky Harbor Airport (PHX). An Automated External
Defibrillator (AED) - in the hands of someone who knew
what they were doing - has saved a life. It happened on
July 18 when a 73-year old man en route to California
collapsed in a restroom. A couple of passengers
performed CPR, while a US Airways customer service
representative grabbed an AED. The passengers then
proceeded to shock the man five times, and were able to
restore his heartbeat. Phoenix Airport Police got the
man into an ambulance and headed to a hospital. He was
breathing on his own, alert and talking with paramedics
in the ambulance.
http://news.cheapflights.com/airlines/2008/08/in-phoenix-anot.html
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On 31’st July, an 83-year-old visiting
yachtsman suffered a heart attack aboard his yacht at
Billings Diesel & Marine in Stonington. The man’s heart
had stopped beating and for all intents and purposes, he
was dead, said Juliee Reed. The condition could be
treated, but only with a defibrillator, a device that
administers an electrical shock to a stopped heart.
http://ellsworthmaine.com/site/index.php?option=com_content&task=view&id=16130&Itemid=31
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Cassandra Pope, 33 years old, had
sudden cardiac arrest on 23’rd October 2007. An AED, a
small, easy-to-use machine that analyzes the heart
rhythm and, if necessary, delivers a shock to restart
the heart of a cardiac arrest victim, saved her life.
The device was in the trunk of Madison County Sheriff's
Deputy Matt Holloway's patrol car when Travis made a
frantic call to 911 at 1:30 a.m. on Oct. 23. Holloway
got to the Popes' home just ahead of HEMSI paramedics.
He started CPR on her and the lady at 911 told me to
just keep doing CPR, she had an ambulance on the way,"
said Travis, 31. "She was really gone when the sheriff
got here, the CPR wasn't working and he had to shock her
four times, and then she got a slight pulse back.
http://www.al.com/news/huntsvilletimes/index.ssf?/base/news/1217495719206060.xml&coll= 1 |