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<No.596>
New Recommendations to Improve Cardiac Arrest Survival
When someone's heart stops beating,

every second counts.


"A cardiac arrest is

where the very mechanical beating of the heart stops suddenly

and that is an emergency

that will be death producing

if it's not corrected in minutes."


Dr. Lance Becker sat on the committee

that reviewed cardiac arrest procedures

for the U.S. Institute of Medicine.


Cardiac arrest is not a heart attack,

although it can lead to one.


A heart attack is caused

by a blocked artery

that cuts off the blood supply

to the heart muscle.


It's not necessarily deadly.


Cardiac arrest occurs

when the rhythm of the heart is disrupted.


The chance of survival is less than six percent,

when it happens outside the hospital setting.


To improve the odds,

Dr. Becker says the study group issued recommendations

that involve hospitals, emergency responders and the public.


"The most important thing for America

is to have a full system

that can start right out on the street."


The recommendations include more training

so ordinary citizens can deliver cardiopulmonary resuscitation, or CPR,

to get the heart started again.


They could also learn to use an automated external defibrillator,

a machine that delivers an electrical shock to the heart

in an effort to return it to its normal rhythm.


In addition, the study group wants to establish a national registry

to monitor performance, identify problems,

and track progress

in treating cardiac arrest.


"It really includes the whole system of care

with early recognition, early CPR,

getting to the hospital,

and then the data collection

so that their end can see

how well they are doing,

and do they need to improve or strengthen their chain of response."


Right now, only about three percent of Americans get annual CPR training

and even fewer know how to use a defibrillator.


Dr. Becker says

because of increased incidents of cardiac arrest

in developing countries,

both governments and an international resuscitation group are also interested

in finding ways

to provide better care

after cardiac arrest

and save lives.


Carol Pearson, VOA News, Washington
 

東京SIM外語研究所
tokyosim@tokyo-sim.com

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