Navigation Links
Anyone can save a life: Penn researchers lead national efforts to improve CPR quality
Date:1/14/2008

PHILADELPHIA Anyone can save a life. Thats the message from physicians at the University of Pennsylvania School of Medicine.

Benjamin S. Abella, MD, MPhil, Clinical Research Director of Penns Center for Resuscitation Science and Assistant Professor of Emergency Medicine, says bystanders can play a critical role in saving lives by performing cardiopulmonary resuscitation during the 150,000 cardiac arrests that occur each year outside of hospitals in the United States. Abella served as lead author of a statement released today by the American Heart Association in the journal Circulation that outlines the ways in which communities can encourage better bystander CPR.

Too often, even people whove been trained in cardiopulmonary resuscitation are afraid to perform it because they worry theyll harm the patient by not following the right steps. Others say theyre concerned about legal liability, despite Good Samaritan laws that protect bystanders who step in to help.

Studies show that only 15 to 30 percent of sudden cardiac arrest victims receive bystander CPR before emergency personnel arrive, Abella says. But chances for survival plummet as minutes tick by without any blood circulating through the body. Early bystander CPR, however, doubles to triples survival rates.

You have to get on that chest immediately theres no time to lose, Abella says. In cardiac arrest, waiting is always more harmful than not waiting.

Penn doctors are using a multi-pronged approach, combining new technology with best clinical practices, to boost CPR quality in the community and across the nation. Among their efforts: development of innovative CPR coaching technologies for both health care professionals and lay people in the community, and creation of community-wide initiatives to train more people in CPR.

The Hospital of the University of Pennsylvania, for instance, is among only a few hospitals in the United States using a defibrillator called the MRX Q-CPR (made by Philips Medical Systems, Andover, MA), which uses a device about the size of a computer mouse to monitor CPR performance. Abella helped designed this sensor pack, which is placed on a patients chest during CPR and attached to a small defibrillator box, allowing health care workers to perform CPR over the sensor and receive instruction from the machine about how effective their chest compressions are at circulating blood through the body. The machine coaches physicians through the process, urging them to use harder or softer compressions, or compress faster or slower. In a hectic hospital environment, doctors say this automated coaching can be invaluable.

The MRX Q-CPR technology also provides a detailed transcript of CPR performance that can be used to debrief health care workers after the crisis, to better prepare them for future emergencies in the hospital.

Penn researchers have also partnered with Cardiac Science Corporation (Bothell, WA) to develop AEDs that not only administer shocks to hearts caught in dangerous rhythms, but also speak to untrained bystanders to coach them through CPR. That help is crucial to boosting cardiac arrest survival, since only half of victims can be helped by an AED, while CPR can be lifesaving for anyone. Recent Penn research shows that among untrained volunteers ages 18 to 64, the verbal coaching helped them perform compressions nearly as well and quickly as AHA guidelines recommend. Most study participants rated the prompts as very easy to understand.

This new technology is expected to hit the market within the next two years. Abella envisions that AEDs will eventually be sold as a comprehensive bundle for saving lives during cardiac emergencies, packed with the new CPR coaching technology and a kit containing gloves and a pocket mask for administering rescue breaths. Those supplies could be essential to helping bystanders fearful of infection jump into action.

If we can get ten percent of people to do CPR just because they can put on some gloves and a mask, thats ten percent more lives saved, Abella says. Defibrillators arent the only answer. Theyre not the silver bullet.

Doctors at Penn are also working with the American Heart Association to develop community-wide initiatives like Heart Safe Philadelphia, which pulls in partners from the Childrens Hospital of Philadelphia, city EMS, police and fire departments, school systems and other groups to beef up training for community members. One idea: To require that all high school seniors receive CPR training before graduation, or one day, to link training to the process of applying for a drivers license, in the model of so-called motor-voter laws that register people to vote at the Department of Motor Vehicles.

CPR training is also reaching into the home of at-risk patients once they check out of the hospital. Penn physicians have pioneered in-hospital use of the AHAs Family and Friends CPR Anytime kit, which includes a short video and an inflatable manikin for practice, to train family members when patients at risk of a cardiac event.


'/>"/>

Contact: Holly Auer
holly.auer@uphs.upenn.edu
215-349-5659
University of Pennsylvania School of Medicine
Source:Eurekalert

Related medicine news :

1. Hepatitis C Testing Recommended for Anyone with a Tattoo
2. NEWSWEEK: Cover: Health for Life: Fertility & Diet
3. Quality of life: most important predictor of survival for advanced NSCLC patients
4. Living Your Best Life: Adjusting Mind, Body and Spirit
5. The Fight for His Life: Author, Family Battle Disease and Challenge Politics in the Face of Survival
6. Cleveland Clinic Press Releases Journal-Writing Book Write for Life: Healing Body, Mind, and Spirit Through Journal Writing by Sheppard B. Kominars, Ph.D.
7. Researchers find new way to block destructive rush of immune cells
8. U of M researchers create beating heart in laboratory
9. Researchers challenge previous findings regarding widely used asthma treatment
10. UT Health Science Center researchers decoding saliva to detect breast cancer
11. Protein power: Researchers trigger insulin production in diabetic mice
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/11/2016)... ... February 11, 2016 , ... Atlantic Information Services, Inc. ... Model: A Case Study for Plans and Purchasers.” Executives from Intel Corp. and ... Intel on value-based health benefits program Connected Care, will discuss the challenges they ...
(Date:2/11/2016)... (PRWEB) , ... February 11, 2016 , ... ... of J.R. Garrett Esq. as General Counsel. Garrett will focus on contract negotiations, ... and audits, privacy and security law, and best practices in data breaches for ...
(Date:2/11/2016)... ... February 11, 2016 , ... AccuVein Inc. announces ... Therapy Standards of Practice, to include vascular visualization as a standard practice. AccuVein ... share of the market, facilitates adherence to this standard with its easy to ...
(Date:2/11/2016)... ... February 11, 2016 , ... The annual list showcases the 20 Most Promising ... team dedication and commitment to the SharePoint ecosystem. A panel of experts and ... goal is to recognize and promote technology entrepreneurship. , The survey was made ...
(Date:2/11/2016)... Utah (PRWEB) , ... February 11, 2016 , ... ... microFET medical dynamometers and ergoFET force gauges used in physical therapy, occupational therapy ... Strength Indicator sensor for resistance cord exercise and therapy, introduces its new microFET ...
Breaking Medicine News(10 mins):
(Date:2/11/2016)... Feb. 11, 2016  Kindred Biosciences, Inc. (NASDAQ: ... improving the lives of pets, today announced the submission ... New Animal Drug Application (NADA) for Zimeta™ (dipyrone injection, ... (KB0120) of Zimeta for the control of pyrexia (fever) ... --> --> The Chemistry, ...
(Date:2/11/2016)... Potrero Medical, Inc., the developer of the Accuryn™ ... of George M. Rapier, III , MD, to its ... , WellMed is one of the nation,s largest physician owned ... in Texas and Florida ... own internal medicine practice, he has been instrumental to the ...
(Date:2/11/2016)... Feb. 11, 2016  AfterPill.com is reporting that this ... abstinence for all women who are at risk of ... each year and raises the risks of unprotected sex ... --> According to the Guttmacher Institute, there are ... of child-bearing age, who have sex without the intention ...
Breaking Medicine Technology: