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Monthly Archives: May 2013

CPR Statistics

CPR & Sudden Cardiac Arrest (SCA)
Fact Sheet

Anyone can learn CPR – and everyone should! Sadly, 70 percent of Americans may feel helpless to act during a cardiac emergency because they either do not know how to administer CPR or their training has significantly lapsed. This alarming statistic could hit close to home, because home is exactly where 88 percent of cardiac arrests occur. Put very simply: The life you save with CPR is mostly likely to be someone you love.
The American Heart Association is calling on all Americans to learn how to give Hands-Only® CPR by watching a simple one-minute video at heart.org/cpr. Once you have learned CPR, give 5 people you care about the power to save lives by equipping them to act quickly in a crisis.
Don’t be afraid; your actions can only help. If you see an unresponsive adult who is not breathing or not breathing normally, call 911 and push hard and fast on the center of the chest.
WHY LEARN CPR?
Cardiac arrests are more common than you think, and they can happen to anyone at any time.

Nearly 383,000 out-of-hospital sudden cardiac arrests occur annually, and 88 percent of cardiac arrests occur at home.

Many victims appear healthy with no known heart disease or other risk factors.

Sudden cardiac arrest is not the same as a heart attack.

Sudden cardiac arrest occurs when electrical impulses in the heart become rapid or chaotic, which causes the heart to suddenly stop beating.

A heart attack occurs when the blood supply to part of the heart muscle is blocked. A heart attack may cause cardiac arrest.

WHO CAN YOU SAVE WITH CPR?
The life you save with CPR is mostly likely to be a loved one.

Four out of five cardiac arrests happen at home.

Statistically speaking, if […]

History of CPR

Highlights of the History of Cardiopulmonary Resuscitation (CPR)

1740
   The Paris Academy of Sciences officially recommended mouth-to-mouth resuscitation for drowning victims.
1767   The Society for the Recovery of Drowned Persons became the first organized effort to deal with sudden and unexpected death.
1891   Dr. Friedrich Maass performed the first equivocally documented chest compression in humans.
1900’s
1903   Dr. George Crile reported the first successful use of external chest compressions in human resuscitation.
1904   The first American case of closed-chest cardiac massage was performed by Dr. George Crile.
1954   James Elam was the first to prove that expired air was sufficient to maintain adequate oxygenation.
1956   Peter Safar and James Elam invented mouth-to-mouth resuscitation.
1957   The United States military adopted the mouth-to-mouth resuscitation method to revive unresponsive victims.
1960   Cardiopulmonary resuscitation (CPR) was developed. The American Heart Association started a program to acquaint physicians with close-chest cardiac resuscitation and became the forerunner of CPR training for the general public.
1963   Cardiologist Leonard Scherlis started the American Heart Association’s CPR Committee, and the same year, the American Heart Association formally endorsed CPR.
1966   The National Research Council of the National Academy of Sciences convened an ad hoc conference on cardiopulmonary resuscitation.  The conference was the direct result of requests from the American National Red Cross and other agencies to establish standardized training and performance standards for CPR.1972   Leonard Cobb held the world’s first mass citizen training in CPR in Seattle, Washington called Medic 2.  He helped train over 100,000 people the first two years of the programs.

1973 Second National Conference on CPR and ECC.
1979 Advanced Cardiovascular Life Support (ACLS) is developed after discussions held at the Third National Conference on CPR.
1981 A program to provide telephone instructions in CPR began in King County, Washington.  The program used emergency dispatchers to give […]

Chain of Survival

The term Chain of Survival provides a useful metaphor for the elements of the ECC systems concept.
The 5 links in the adult Chain of Survival are
• Immediate recognition of cardiac arrest and activation of the emergency response system
• Early cardiopulmonary resuscitation (CPR) with an emphasis on chest compressions
• Rapid defibrillation

• Effective advanced life support

• Integrated post-cardiac arrest care

A strong Chain of Survival can improve chances of survival and recovery for victims of heart attack, stroke and other emergencies.
(ECC- Emergency Cardiovascular Care)
American Heart Association

About Cardiopulmonary Resuscitation (CPR)

CPR has origins dating back to the 1700’s. In 1741, The Paris Academy of Sciences officially recommended mouth-to-mouth resuscitation for drowning victims. More than 100 years later in 1891, Dr. Friedrich Maass performed the first equivocally documented chest compression in humans. In 1960, a group of resuscitation pioneers, Drs Peter Safar, James Jude, and William Bennett Kouwenhoven, combined mouth-to-mouth breathing with chest compressions to create Cardiopulmonary Resuscitation, the lifesaving action we now call “CPR.”
In the 1960s, with the formal endorsement of CPR and the start of a program to acquaint physicians with closed-chest cardiac resuscitation, the American Heart Association became the forerunner of CPR training for the general public. Today, through its global Training Network of close to 300,000 Instructors and more than 3500 authorized Training Centers, the AHA trains more than 12 million people annually in CPR, first aid and advanced cardiovascular life support.
Throughout the years, CPR has evolved from a technique performed almost exclusively by physicians and healthcare professionals. Today it’s a lifesaving skill that is simple enough for anyone to learn. However, research has shown that several factors prevent bystanders from taking action, including fear that they will perform CPR incorrectly, fear of legal liability, and fear of infection from performing mouth-to-mouth.
Recommendations outlined in the 2010 AHA Guidelines for CPR & ECC (Emergency Cardiovascular Care) continue to simplify CPR for rescuers, so that more people can and will act in the event of an emergency. However, to get CPR and first aid training into the hands of every person, from healthcare providers to bystanders, the way that the AHA delivers training and information also has evolved.
Through scientific research, the AHA has been able not only to create specialized training for professionals, […]

Healthy Heart Diet Plan

Healthy Heart Diet Plan
Following a healthy diet plan is essential for enabling the heart to perform at optimal levels. Just like an automobile, the body runs on the fuel we eat and drink. That’s why it’s critical that heart-healthy foods become a constant dietary fixture. If you consume food that’s detrimental to your heart’s ability to function, high-blood pressure, high-cholesterol levels, susceptibility to heart attacks, and other heart-related ailments are more likely to occur.
While it’s always a smart choice to consult a doctor regarding an eating plan that best fits individual needs, following this heart-healthy diet plan will increase your chances of avoiding chronic diseases that affect millions of Americans each year.
Heart-Healthy Foods
When it comes to a heart-healthy diet, the general rule of thumb is to stay away from processed foods as much as possible and to consume natural substances that come directly from the earth. Make the following foods the staples in your diet to keep your heart healthy, strong, and free of disease.
Fruits and Vegetables. Loaded with fiber and healthy nutrients, fruits and vegetables should be a central part of your diet. Local farmer’s markets typically sell the freshest organic produce, although purchasing the frozen variety from grocery stores is a good alternative. When buying canned vegetables, look for “low sodium” on the labels. Heart-healthy vegetables include:

spinach

carrots

broccoli

cantaloupe

apples

Proteins. Heart-healthy proteins can be found in lean meats and poultry. Fish, such as mackerel, tuna, and salmon are rich in omega-3 fatty acids that have been shown to reduce the risks of chronic heart disease. Additional protein-packed foods include:

egg whites

skim milk

legumes, such as lentils and beans

soy burgers or patties—a healthy alternative to red meats

Grains. Whole grains are rich in fiber and nutrients that are helpful for lowering blood pressure. Flaxseeds, which also […]

Fish Tacos with Chipotle Cream

Ingredients
Fish:

2 tablespoons olive oil

2 tablespoons freshly squeezed lime juice

1/4 teaspoon salt

Freshly ground black pepper

1 pound white flaky fish fillet, like tilapia or halibut

Chipotle cream:

1/2 cup plain nonfat yogurt

2 tablespoons mayonnaise

2 teaspoons chipotle pepper, in adobo sauce

8 (6-inch) corn tortillas

1 1/2 cups shredded green cabbage or lettuce

1/2 cup corn kernels (thawed if frozen)

1/4 cup fresh cilantro leaves

Lime wedges

In a small bowl, whisk together the oil, lime juice, salt and pepper. Pour over the fish fillets and let marinate for 20 minutes. Put the yogurt into a strainer lined with apaper towel and place over a bowl to drain and thicken for 20 minutes.
Remove the fish from the marinade and grill on a preheated grill or nonstick grill pan over a medium-high heat until cooked thorough, about 3 minutes per side. Set the fish aside on a plate for 5 minutes.
In a small bowl combine the thickened yogurt, mayonnaise, and chipotle pepper.
Heat the tortillas on the grill or grill pan for 30 seconds on each side.
Flake the fish with a fork. Top each tortilla with 1 tablespoon of the chipotle cream. Top with fish, cabbage, corn and cilantro and serve with lime wedges.
Healthy Appetite with Ellie Krieger

Money talks when it comes to losing weight

Article courtesy of Matt Sloane – CNN Medical Producer
How’d you like to get paid to lose weight? Financial incentives can help improve your odds of dropping pounds, according to a new study.
Researchers at the Mayo Clinic followed 100 Mayo employees over the course of a year as they took educational classes on how to eat healthy and lose weight.
The employees were broken up into several groups – some of which got financial incentives to shed the pounds and others that just got the classes.

“We found that people who receive financial incentives tended to stick with the healthy behaviors we all wish we would do more often,” said lead study author Dr. Stephen Driver, an internal medicine resident at Mayo Clinic.
“At 52 weeks, those in the financial arm of the study had lost an average of about 9 pounds,” he said, “as compared to those who didn’t receive financial incentives, who lost about 2 pounds.”
Each participant received $20 for every pound they lost, but they also had to pay $20 for every pound they gained. Driver says the move wasn’t just punitive; it was both an added incentive to lose weight and a way to fund the program.
“About 86% of large employers are already offering some kind of financial incentives to help employees reach their health goals,” Driver said. “But one problem employers run into with financial incentives is that they can be expensive. Part of our model was to allow the so-called ‘losers’ to fund the ‘winners,’ and I think that can help things to be more sustainable.”
This study is not the first to show the link between financial incentives and improved weight loss, but with one year of follow up, it is the […]

Too-early solid food could lead to problems for babies

Article courtesy of Miriam Falco – CNN Medical Managing Editor
At least 40% of moms are feeding their infants solid foods far too early, according a new study published in the medical journal Pediatrics, and that may lead to problems for their children later in life.
Researchers wanted to know how many babies were being fed solid foods (including cereal and baby food) sooner than recommended, whether breast-feeding or formula feeding made a difference and why solids were being introduced early. When the study began in 2005,  the American Academy of Pediatrics (AAP), which also publishes the journal Pediatrics, recommended introducing solid foods when babies were between 4 and 6 months old.
In 2012, the AAP changed those recommendations. Now it says babies shouldn’t be eating solid food until they are about 6 months old.
Study and findings
As part of the two-year study, 1,334 mothers filed out monthly questionnaires about what their babies ate during the last week, says Kelley Scanlon, an epidemiologist at the Centers for Disease Control and Prevention and one of the study authors. Scientists then analyzed the data reported by the mothers to determine at which age babies were being fed solid food.
They found 539 moms, or 40% of moms, gave their babies solid food early. Previous studies had put that estimate at 19% and 29%. Researchers believe based on this study, they may actually be underestimating how many moms introduce solids early because the study was more likely to have older, more educated and higher income moms participating. “Mothers of lower socioeconomic status are at a higher risk of early solid food introduction,” the study says.
Giving your baby solid food too soon has been linked to a higher risk of obesity and diabetes, according […]

Why Diabetes Matters

Article courtesy of American Heart Association
Diabetes can affect many major organs in your body, which can lead to an array of serious complications when left untreated. These medical problems include:

Cardiovascular disease (CVD), or heart disease, including peripheral artery disease (PAD) and stroke

Renal (kidney) disease

Unhealthy cholesterol levels, which can lead to atherosclerosis

Metabolic syndrome

Blindness

Nerve disease

Limb amputations

The good news is that diabetes is treatable and often preventable. Individuals with diabetes may avoid or delay other health complications by:

Working with their health care team to manage the disease, which may include the use of medications

Knowing their critical health numbers

Choosing a healthy lifestyle

The following statistics speak loud and clear that there is a strong correlation between cardiovascular disease (CVD) and diabetes.

Heart diseases and stroke are the No. 1 causes of death and disability among people with type 2 diabetes. In fact, at least 65 percent of people with diabetes die from some form of heart disease or stroke.

Adults with diabetes are two to four times more likely to have heart disease or a stroke than adults without diabetes.

The American Heart Association considers diabetes to be one of the seven major controllable risk factors for cardiovascular disease.

Why are people with diabetes at increased risk for CVD?
Diabetes is treatable, but even when glucose levels are under control it greatly increases the risk of heart disease and stroke. That’s because people with diabetes, particularly type 2 diabetes, often have the following conditions that contribute to their risk for developing cardiovascular disease.

High blood pressure (hypertension)
High blood pressure has long been recognized as a major risk factor for cardiovascular disease. Studies report a positive association between hypertension and insulin resistance. When patients have both hypertension and diabetes, which is a common combination, their risk for cardiovascular disease doubles.

Abnormal cholesterol and high triglycerides
Patients with diabetes often have unhealthy cholesterol levels including high […]

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    Warning Signs of Heart Attack:Recognizing symptoms of heart problems can save your life.

Warning Signs of Heart Attack:Recognizing symptoms of heart problems can save your life.

Article courtesy of www.headline.com Written by Brian Krans | Medically Reviewed by George Krucik, MD, MBA
Recognizing symptoms of heart problems can save your life.
Not All Heart Attacks are Alike
 Did you know you can have a heart attack and not feel any chest pains? Heart failure and heart disease don’t show the same signs for everyone, especially women. A heart attack—    medically known as myocardial infarction—happens when a blood clot blocks flow of blood to the heart muscle.
There are many things that can contribute to a heart attack, including age, heredity, high blood pressure, high cholesterol, obesity, poor diet, alcohol consumption, stress, and physical inactivity.
Fatigue & Shortness of Breath
 Exhaustion and shortness of breath are two ways your body tells you it needs rest, but it can also be a sign of heart trouble as a response to the extra stress on your heart. If you often feel tired or exhausted for no reason, it could be a sign that something is wrong.
Fatigue and shortness of breath are more common in women and may begin months before a heart attack (AHA, 2013).
Sweating—Day & Night
Sweating more than usual—especially if you aren’t exercising or being active—could be an early warning sign of heart problems. Pumping blood through clogged arteries takes more effort from your heart, so your body will sweat more to try to keep your body temperature down during the extra exertion. If you experience cold sweats or clammy skin, then you should consult your doctor.
Night sweats are also a common symptom for women experiencing heart troubles (IHS, 2012).
Indigestion, Nausea, & Vomiting
 Often people begin experiencing mild indigestion and other gastrointestinal problems before a heart attack. Because heart attacks usually occur in older people who typically have more indigestion problems, […]