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Good Samaritan

Good Samaritan protection for UNTRAINED users📷§ 2A:62A-27(1) Any person or entity who, in good faith, acquires or provides a defibrillator, renders emergency care or treatment by the use of a defibrillator, assists in or supervises the emergency care or treatment by the use of a defibrillator, or attempts to use a defibrillator for the purpose of rendering emergency care or treatment, and who has complied with the requirements of this act, shall be immune from civil liability for any personal injury as a result of that care or treatment, or as a result of any acts or omissions by the person or entity in providing, rendering, assisting in, or supervising the emergency care or treatment. (2) A person or entity providing or maintaining an automated external defibrillator shall not be liable for any act or omission involving the use of a defibrillator in the rendering of emergency care by a lay person. b. The immunity provided in subsection a. of this section shall include the prescribing licensed physician and the person or entity who provided training in cardio-pulmonary resuscitation and use of the defibrillator.

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What is the difference between a heart attack and sudden cardiac arrest?

What is the difference between a heart attack and sudden cardiac arrest?

Because sudden cardiac arrest (SCA) contains the words "cardiac arrest," people automatically assume that it is the same as a heart attack. While the two conditions are similar in many ways, they are very different in others. The circulatory system inside of your body that moves blood to and from the heart is often compared to the plumbing in a house. When the "pipes" are clear, blood moves freely from the heart to the organs, muscles, and tissues where it is needed. When the arteries become blocked with excessive amounts of plaque, blood does not move as efficiently. Eventually, the reduced blood supply to the heart causes parts of the heart muscle to die. Someone who is having a heart attack might complain of chest pain, numbness down one arm, shortness of breath, nausea, or dizziness.

On the other hand, when sudden cardiac arrest happens, the heart stops pumping blood through the body and instead begins to beat in an unorganized way. This "quivering," known as fibrillation, causes the person experiencing it to pass out or collapse and begin gasping. As the brain stops receiving blood from the heart, the person may even experience a seizure that lasts for 10 to 30 seconds. While a heart attack can certainly lead to SCA, it is possible to have a heart attack without it.

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cardiovascular disease has stabilized

If your cardiovascular disease has stabilized, it is probably safe to have sex

According to a new scientific statement issued by the American Heart Association, it is probably safe to have sex if your cardiovascular disease has stabilized.

“Sexual activity is a major quality of life issue for men and women with cardiovascular disease and their partners,” said Glenn N. Levine, M.D., lead author of the statement and a professor of medicine at Baylor College of Medicine in Houston.

Cardiovascular events — such as heart attacks or chest pain caused by heart disease — rarely occur during sexual activity, because sexual activity is usually for a short time. “Some patients will postpone sexual activity when it is actually relatively safe for them to engage in it,” said Levine, who is also director of the Cardiac Care Unit at the Michael E. DeBakey Medical Center in Houston. “On the other hand, there are some patients for whom it may be reasonable to defer sexual activity until they’re assessed and stabilized.”

If you have unstable cardiovascular disease or if your symptoms are severe, you should be treated and stabilized before having sex, said Levine, who’s also a volunteer with the American Heart Association.

Facts About Heart Disease in Women

Do you know what causes cardiovascular disease in women? What about the survival rate? Or whether women of all ethnicities share the same risk?

The fact is: cardiovascular disease is the No. 1 killer of women, causing 1 in 3 deaths each year. That’s approximately one woman every minute!

But it doesn’t affect all women alike, and the warning signs for women aren’t the same in men. What’s more: These facts only begin to scratch the surface.

There are several misconceptions about heart disease in women, and they could be putting you at risk. The American Heart Association’s Go Red For Women movement advocates for more research and swifter action for women’s heart health for this very reason. In this section, we’ll arm you with the facts and dispel some myths – because the truth can no longer be ignored.

“Stayin’ Alive”

Be the Difference for Someone You Love
If you are called on to give CPR in an emergency, you will most likely be trying to save the life of someone you love: a child, a spouse, a parent or a friend. 70 percent of out-of-hospital cardiac arrests happen in homes. Unfortunately, only about 46% of people who experience an out-of-hospital cardiac arrest get the immediate help that they need before professional help arrives.

Music Can Help Save Lives
During CPR, you should push on the chest at a rate of 100 to 120 compressions per minute. The beat of “Stayin’ Alive” is a perfect match for this.

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AEDS

In August of 2017 the AHA announced new equipment requirements in order to teach CPR certification courses starting January 31, 2019. In a nutshell, in order to be compliant, an instructor needs to use an instrumented directive feedback device. The AHA defines these devices this way:

“An instrumented directive feedback device measures compression rate, depth, hand position, recoil, and chest compression fraction and provides real-time audio or visual feedback (or both) on these critical CPR skills. A feedback device can be integrated into a manikin or serve as an accessory to a manikin.”

In another article, it was more clearly stated the devices “must, at a minimum, measure and provide real-time audio and/or visual feedback on compression rate and depth, allowing students to self-correct or validate their skill performance immediately during training.”

WHAT DOES THIS MEAN TO CPR INSTRUCTORS?

So far the AHA has not given clear direction on the number of manikins required per instructor. Questions remain about whether or not an instructor can have one feedback device to use strictly for the skills test portion of training, or whether all practice performed in the class must be done on a feedback device. It has been touched upon in an FAQ to AHA Instructors:

“Q: What is the recommended ratio of feedback devices or manikins a Training Center must have in adult CPR training courses?

A: The recommended ratio of feedback devices is one per manikin (unless the device used is a manikin itself). Please note that any change to the ratio of manikins per students or Instructors in a course agenda could increase or decrease the length of the course. Use of feedback devices may actually reduce practice time as students will be able to self-correct as feedback is provided in real time.”

As of the publication of this article, the new requirement only affects Basic Life Support (BLS), Advanced Cardiovascular Life Support (ACLS), ACLS for Experienced Providers and Heartsaver® adult CPR training courses in the US and internationally. The new requirements do not include child and infant CPR certification at this time; however, it is anticipated those requirements will also be included over time.  

WHAT KIND OF DEVICES ARE REQUIRED?

Since certification classes require rescue breath training, instructors will still need to have a manikin which allows rescue breath training. There are many manikins on the market right now which have feedback devices already and would satisfy the requirement, from full-sized full trauma manikins to torso-only manikins and everything in between. Several manufacturers also offer feedback infant and child manikins as well.

External devices which either sit on top of the manikin’s sternum or can be placed under the “skin” of the manikin are also acceptable.

The AHA does not endorse any particular brand or type of device.

REASON FOR THE CHANGE

Back in 2015, when the new AHA guidelines for quality CPR were announced, the findings from the research which went into the changes also included information on the more accessible feedback devices being used in some training classes and the impact it had on skills retention. They found students trained with these devices were able to self-correct during training, which gave them longer periods of training at the correct rate and depth. This translated into better CPR performed in an emergency situation.

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