Întotdeauna m-a incantat nivelul de mare amanunt la care s-a ajuns in civilizatie(a se citi restul lumii civilizate) in raport cu diferite probleme de maxima importanta pentru umanitate. Citeam azi-dimineata un articol din care m-am gandit ca n-ar face rau sa va arat cateva randuri. Nu ca sa ma dau destept ca citesc articole medicale in lb. engleza(cum ar putea zice unii) ci ca sa fiu extrem de explicit in afirmatia mea de mai devreme despre nivelul de amanunt. Iata ca in timp ce la noi in tara exista spitale intregi fara un defibrilator(nu glumesc deloc) si in cele in care exista, probabil ca un procent de 10% de personal care sa stie cum sa-l foloseasca, ar fi generos, unii, adica americanii(sunt dati dracului americanii astia) se gandesc deja sa monteze defibrilatoare la fel de des ca telefoanele publice, tin cursuri de resuscitare pentru publicul larg si se gandesc intens la cele 2 minute in care procentul de supravietuire ramane semnificativ.
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HEART DEFIBRILLATION - The American Heart Association recommends that the stopped hearts be shocked within two minutes
"BOSTON, Jan 2 (Reuters) - Nearly 1/3 of patients with misfiring or quivering hearts in U.S. hospitals do not get the life-saving defibrillator shocks they need within the critical first two minutes of cardiac arrest, a study published on Wednesday said. The study confirming the importance of the two-minute period for survival was published in the New England Journal of Medicine, which also ran an accompanying editorial indicating a person might be better off suffering cardiac arrest in a casino than a hospital.
Researchers from 369 hospitals in the National Registry of Cardiopulmonary Resuscitation found that being black or having a cardiac arrest outside of regular weekday working hours also significantly delayed the time it took for hospital workers to shock the heart. 34% of those studied lived to be discharged from the hospital.
Survival rate is disappointingly less than the 50 percent rate among people who collapse in an airport, casino or some other location where automated external defibrillators (AEDs) are readily available for emergency use.
"It is probably fair to say that most patients assume -- unfortunately, incorrectly -- that a hospital would be the best place to survive a cardiac arrest," Saxon said. "Surely we can do better to fulfill this expectation by better using existing technology and the lessons learned from public-access defibrillation."
There are about 750,000 cardiac arrest cases in the United States a year and 2/3 of those occur in hospitals. The study of 6,789 hospital patients found that defibrillation took more than two minutes in 30 percent of patients. The Chan team found the odds of survival dropped off steadily after a delay of more than two minutes.
Saxon said that because "delays in defibrillation have been successfully overcome with AEDs, these devices could be placed in every patient's room to enable the first responder to deliver timely defibrillation."
The researchers found several reasons for the delays. Some delays, Saxon said, were predictable, such as a patient being in the hospital for a reason unrelated to a heart problem, being in a unit where hearts are not monitored or having a cardiac arrest on the weekend or between 5 p.m. and 8 a.m.
For blacks, the Chan team found, the risk of having a delay increased by 23 percent. They said further studies are needed "to determine whether such variations are due to geographical differences in access to hospitals with more resources (such as monitored beds) or whether they reflect actual differences in patterns according to race."
The American Heart Association recommends that the stopped hearts be shocked within two minutes. Their chance of surviving to leave the hospital was 22 percent, compared to a rate of 39 percent for those who received shocks quickly. "
