Navigation Links
Gasping Is Good When It Comes to Cardiac Arrest
Date:11/24/2008

Those who do have better survival odds, but swift action is needed

MONDAY, Nov. 24 (HealthDay News) -- Call it what you will -- gasping, gurgling, moaning -- but noisy breathing increases the chances for survival when someone is suffering sudden cardiac arrest, a new study shows.

The recipe for action calls for swiftness; Call 911 to get emergency medical help and start compressing the chest, 100 times a minute.

The study of 1,218 cases reported in the Phoenix area showed better survival when abnormal breathing -- gasping -- was noted, said Dr. Gordon A. Ewy, chief of cardiology at the University of Arizona, and a member of the team reporting the findings in the Nov. 25 issue of Circulation.

Many bystanders don't recognize abnormal breathing as a danger sign, Ewy said. "They call 911 and say that someone has fainted," he said. "When they are asked, 'Are they breathing,' they say, 'Oh yeah, they are breathing,' so no one is dispatched. Four or five minutes later, the person stops breathing and they call 911 again. That four or five minutes probably cost the patient his life."

One problem is the difficulty in finding the word to describe the abnormal breathing pattern, Ewy said. "The most common description is snoring," he said. "A wife will say, 'My husband was snoring at night,' and she woke up to find him dead."

The Arizona study found gasping in 39 percent of the cases of sudden cardiac arrest. Bystanders performed emergency cardiac measures, such as cardiopulmonary resuscitation (CPR), about 40 percent of the time for gaspers and non-gaspers. Among those who got emergency help from bystanders, 39 percent of the gaspers survived, compared to just 9.4 percent of the non-gaspers.

For those who didn't get bystander help, the survival rate was 21.1 percent for gaspers and 6.7 percent for non-gaspers, the study said.

The odds of gasping -- and of survival -- decreased steadily the later that emergency medical service was administered.

Bystander action is vital, Ewy said. "If you call 911 and just stand there, you might as well sign their death certificate," he said.

Action can help even if no abnormal breathing is evident, Ewy said. "If you start early enough and do a good job, some of these people will start gasping," he said.

Dr. Vinay Nadkarni is an associate professor of anesthesia and critical care medicine at the University of Pennsylvania, and a spokesman for the American Heart Association. "The big message to the lay public is that you can make a difference and save a life," he said. "If they can recognize this breathing pattern as abnormal, all they have to do is call 911 and push hard on the chest."

Gasping is a sign that there's still blood flow to the brain, and the person can be saved even though the heart has stopped, Nadkarni said.

"More and more people now are willing to do CPR," he said. "But there is information that they might not be starting it soon enough. An abnormal, gasping breathing pattern is consistent with cardiac arrest and calls for immediate action."

More information

The American Heart Association describes the signs of cardiac arrest and what should be done when it occurs.



SOURCES: Gordon A. Ewy, M.D., chief, cardiology, University of Arizona, Phoenix; Vinay Nadkarni, M.D., associate professor, anesthesia and critical care medicine, University of Pennsylvania, Philadelphia; Nov. 25, 2008, Circulation


'/>"/>
Copyright©2008 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. New Data: Advanced Pharmacy Model Significantly Reduces Gaps in Care for Patients with Chronic and Complex Conditions; Improves Clinical and Financial Outcomes
2. Allsup Finds Healthcare Costs Consuming Larger Part of Fixed Incomes
3. Type of breast reconstruction impacts radiation therapy outcomes
4. When the Caregiver Becomes the Patient
5. Primary care provides patients with better outcomes at lower cost
6. Psychological Counseling Boosts Breast Cancer Outcomes
7. Exercise is safe, improves outcomes for patients with heart failure
8. Phase II Trial of Experimental Anti-Coagulant Reports Safety and Outcomes Data
9. Exercise is Safe, Improves Outcomes for Heart Failure Patients
10. Global AIDS Alliance Welcomes Election of Barack Obama
11. Four Medical Centers Awarded Funds to Improve Outcomes Research for Heart Disease and Stroke
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/26/2017)... ... May 26, 2017 , ... Somnoware, a leading provider ... monitor with its Somnoware Sleep Device Interface (SDI). Somnoware SDI is a sleep ... With this platform, initializing devices and importing studies are just one-click operations. This ...
(Date:5/26/2017)... ... May 26, 2017 , ... After raising nearly $30,000 on ... continue to be available at a discounted crowdfunding price on Indiegogo . , ... are, I also wanted to bring a fidget toy to the market that was ...
(Date:5/26/2017)... ... ... “When the Stars Lead Home”: a poignant story of loss, determination, and perseverance. “When ... avid reader who lives in the Pacific Northwest with her husband, daughter, two dogs, ... She couldn’t be more grateful. , Twelve-year old Tizzy could not believe how quickly ...
(Date:5/26/2017)... (PRWEB) , ... May 26, 2017 , ... Water damage ... Lee, New Jersey School District had left education officials with a number of critical ... replacement of the flooring had to be accomplished with little or no disruption to ...
(Date:5/24/2017)... Diego, California (PRWEB) , ... May 24, 2017 ... ... care through innovative medical image management and interpretation, has received U.S. Food and ... , Nucleus.io is a web-based, scalable and secure cloud platform for medical ...
Breaking Medicine News(10 mins):
(Date:5/18/2017)... , May 18, 2017  Two Bayer U.S. Pharmaceutical ... (HBA) during its recent 28 th Woman ... The event showcases HBA,s longstanding mission of furthering the ... healthcare. Cindy Powell-Steffen , senior director ... Radiology division, and Libby Howe , a regional ...
(Date:5/12/2017)... , May 12, 2017  The China and Canada ... technology that consumes less water, energy and detergent, and features a ... product LaughingU, a shoebox-sized washing machine that washes and sanitizes women,s ... ... LaughingU, is compact, and does not require an external water inlet. ...
(Date:5/10/2017)... -- The Corporate Whistleblower Center says, "We are urging ... to call us anytime at 866-714-6466 if they possess ... a substantial scheme to overbill Medicare. We are ... of a medical equipment company if their employer ... practice groups with extra generous incentives to use, or ...
Breaking Medicine Technology: