Navigation Links
Study prompts new mandate for N.C. high schools
Date:3/9/2009

WINSTON-SALEM, N.C. A new study at Wake Forest University School of Medicine reveals that many N.C. high schools are not adequately prepared to handle the immediate medical needs of a student or employee who suffers a sudden cardiac arrest on campus. The findings were used to support a new statewide program to place automated external defibrillators (AEDs) in high schools.

The study, scheduled to appear in the May/June 2009 issue of the North Carolina Medical Journal, evaluated how prepared N.C. high schools were for sudden cardiac arrests (SCA). It found that they lacked concise emergency action plans, needed to increase use of AEDs and coordinate more with local emergency medical services (EMS).

"Since screening for SCA remains mostly ineffective, focusing efforts towards emergency planning offers a concrete way to impact the health of student athletes," said Anna Monroe, M.D., an emergency medicine resident and lead investigator for the study. "With this study, I hope to bring to light the importance of increased preparedness in response to SCA in North Carolina."

During SCA, heart function stops abruptly and without warning. It is usually the result of electrical impulses in the heart becoming rapid or chaotic. These irregular heart rhythms are called arrhythmias, which prevent the heart from pumping blood to the brain and vital organs. In most cases, there are no warning signs or symptoms for SCA, even with the correct pre-participation screenings that athletes must go through.

It is estimated that about one out of every 200,000 high school athletes experiences SCA. However, there is no standardized or mandatory reporting system for SCA incidents in high school athletes. The National Center for Catastrophic Sports Injury Research mentions eight football fatalities from the 2006 season and two in 2007 that were attributed to cardiac causes. While statistics show that SCA is relatively rare in high school athletics, the death of a seemingly healthy young athlete can be devastating to an entire community.

More than 500,000 deaths result from SCA in the United States each year. SCA is fatal if immediate cardiopulmonary resuscitation (CPR) followed by defibrillation is not administered. Survival rates decrease between 7 and 10 percent for each minute the patient does not receive defibrillation. In instances when CPR is started immediately, however, that survival rate decrease drops to 3 to 4 percent per minute. Because of this fact, it is crucial that emergency action plans are in place and well practiced to ensure the quickest and most effective response to SCA, researchers say.

For the October 2007 study, researchers analyzed survey responses submitted by athletic directors from 138 North Carolina high schools, representing 37 percent of the 376 schools contacted to participate.

Survey questions were designed to assess vital and easily calculated aspects of emergency planning using the 2007 National Athletic Trainers Association guidelines as a standard. According to the guidelines, elements of emergency planning for SCA include ensuring an efficient system for communication both within a school and between the school and local EMS system, providing access to an AED and other necessary equipment to be used by trained responders, and perfecting and practicing a written action plan.

While most of the responding schools 72.5 percent reported having an AED, fewer than 56 percent reported having an emergency action plan to follow in the event that they would need to use the device. The survey also revealed that division 1 schools were least likely to report owning an AED and, together with division 2 schools, were less likely to report having action plans than larger division 3 and division 4 schools.

Researchers noted in their report that "the majority of responding schools did not know if EMS could arrive and defibrillate within five minutes, and that the most commonly reported barrier to obtaining an AED was cost."

At the time of the survey, N.C. schools were not yet required by the N.C. High School Athletic Association (NCHSAA) to have an emergency action plan.

"This study contributed to the NCHSAA's decision to mandate that all of its schools have an appropriate EAP in place, which went into effect January 2009," said Daryl A. Rosenbaum, M.D., an assistant professor of family and community medicine and co-author of the study. Rosenbaum also serves on a task force convened by the NCHSAA that is aimed at making high school sports safer. "The NCHSAA AED program has so far paid for the placement of AEDs in 98 schools that needed them and required those schools to develop an EAP and train three staff members in AED use." There are at least nine more schools currently working on the project, according to the NCHSAA.


'/>"/>

Contact: Jessica Guenzel
jguenzel@wfubmc.edu
336-716-3487
Wake Forest University Baptist Medical Center
Source:Eurekalert

Related medicine news :

1. UCF study: Hyperactivity enables children with ADHD to stay alert
2. Study Links Internal Source of Aging and Skin Damage
3. Drug combination may be effective against deadly melanoma, pilot study shows
4. New Study Finds Text-Messaging Reminders Effective in Improving Adherence to Sunscreen Use
5. McMaster study sheds light on how stem cells develop into blood cells
6. United Spinal Association Report Reveals the Importance of Studying Multiple Sclerosis in Children: Developing New Insights into MS in Adults
7. Penile extender increased flaccid length by almost a third says independent clinical study
8. UPDATE: NewCardio Leadership to Present Clinical Data of Fully Automated QTinno(TM) Study at American College of Cardiology Annual Meeting
9. Study finds injectable birth control causes significant weight gain and changes in body mass
10. Kidney Disease Increases the Risk of Stroke in Patients With the Most Common Type of Heart Arrhythmia, According to Kaiser Permanente Study
11. Is one diet as good as another? U of I study says no and tells you why
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/25/2016)... ... June 25, 2016 , ... ... and applications at AcademyHealth’s Annual Research Meeting June 26-28, 2016, at the Hynes ... important health care topics including advance care planning, healthcare costs and patient and ...
(Date:6/25/2016)... ... , ... As a lifelong Southern Californian, Dr. Omkar Marathe earned his Bachelors ... Geffen School of Medicine at UCLA. He trained in Internal Medicine at Scripps Green ... hematology/oncology at the UCLA-Olive View-Cedars Sinai program where he had the opportunity to train ...
(Date:6/24/2016)... ... ... Those who have experienced traumatic events may suffer from a complex set of ... or alcohol abuse, as a coping mechanism. To avoid this pain and suffering, Serenity ... event. , Trauma sufferers tend to feel a range of emotions, from depression, guilt, ...
(Date:6/24/2016)... (PRWEB) , ... June 24, 2016 , ... ... now offering micro-osteoperforation for accelerated orthodontic treatment. Dr. Cheng has extensive experience with ... Damon brackets , AcceleDent, and accelerated osteogenic orthodontics. , Micro-osteoperforation is a ...
(Date:6/24/2016)... ... 24, 2016 , ... The Haute Beauty Network, affiliated with ... as a prominent plastic surgeon and the network’s newest partner. , Dr. ... handsome men, look naturally attractive. Plastic surgery should be invisible.” He stands by ...
Breaking Medicine News(10 mins):
(Date:6/26/2016)... -- One of Australia,s successful biotechnology scientists, ... new biotechnology company, Noxopharm Limited [ABN 50 608 966 123] ("Noxopharm"). ... list on the ASX. Noxopharm is a clinic-ready company ... Phase 1 clinical study later this year. ... biggest problems facing cancer patients - the ability of cancers to ...
(Date:6/26/2016)... 2016 Jazz Pharmaceuticals plc (Nasdaq: ... Hart-Scott-Rodino Antitrust Improvements Act of 1976, as amended ("HSR"), ... Inc. ("Celator"; Nasdaq: CPXX ) expired effective ... As previously announced on May 31, 2016, ... agreement under which Jazz Pharmaceuticals has commenced a tender ...
(Date:6/26/2016)... Ontario , June 27, 2016  VMS Rehab ... Company,s Board will take whatever measures required to build ... Company,s stock which is currently listed on the OTC ... Wexler, Company Chairman and CEO, "We are seeing an ... difficult to understand, not only by the Company, but ...
Breaking Medicine Technology: