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CPR and AEDs   -   11/11/2009

     The world of medicine is full of sometimes confusing acronyms, and these are two more of them.  You may be very familiar with CPR, which stands for cardiopulmonary resuscitation.  You may or may not know what an AED is.  It is an Automatic External Defibrillator.  An AED delivers an electrical shock that will eliminate some fatal heart arrhythmias and allow a normal rhythm to resume.

 

     Although many of us may know what the letters stand for, you may still wonder “Why should I learn CPR?”  “Aren’t medical professionals the only ones who need to know how to do that, or who are capable of doing it properly?”  Let me answer those questions for you.

 

     Cardiopulmonary Resuscitation is the application of an emergency medical procedure for a person who has stopped breathing, or whose heart has stopped or gone into a deadly heart rhythm.  CPR is the combination of rescue breathing and heart compressions that manually pumps a small amount of blood through the heart and oxygen into the lungs to keep heart and brain tissues alive until advanced life support help arrives.  This requires some training, but can be learned by anyone who is willing.  It can be performed in hospitals, or in the community by laypersons or emergency response personnel.  While there are no reliable national statistics on CPR because no single agency collects information about it, many studies have examined the effect of CPR.  While they show varying rates of success, all are consistent in showing benefits from early CPR.  In cities such as Seattle, which has taken on a definitive effort to teach CPR to lay people, and EMS response time is short, survival from cardiac arrest is around 30%.  In cities such as New York, where few victims receive bystander CPR and EMS response time is long, survival rate averages 1-2%.  That is a huge difference. 

 

     On to AEDs...Several years ago, the father of Judy Everly, Warren Hamburg, at age 77, was playing tennis at his club.  His heart went into an irregular rhythm, one that cannot sustain life.  Help was called, the tennis pro brought the club’s AED to the court and used it.  Warren’s heart arrhythmia was interrupted, normal rhythm restored, and Warren lived to get to the hospital and have a pacemaker implanted.  He lived many more years, bringing joy and laughter to his family and those of us who were lucky enough to know him.

 

     An Automatic External Defibrillator is a computerized device about the size of a laptop computer, weighing about 8 pounds.  It can be used by lay people and healthcare professionals alike.  It is easily attached to a person who has collapsed, and in its weird automated voice will lead rescuers through the steps of its use.  The AED will analyze the heart rhythm and determine if a shock is needed, then prompt the rescuer to deliver the shock.  AEDs are found in many places now – on airplanes, in the mall, in churches and schools.  One more story – one of my co-workers was at her son’s lacrosse game in Raleigh a few years ago.  A player was hit in the chest is just such a way that it threw his heart into ventricular fibrillation, a rhythm that does not allow the heart to pump blood.  The school had just purchased an AED, it was brought to the field where my co worker applied it, a shock was delivered, and the young man’s heart was restored to a normal rhythm and function.

 

     Years ago, our former pastor, Paul Ransford, arranged for Westminster to purchase an AED.  It is hanging in a case in the Mission Center, just to the left of the reception desk as you enter the building.  We are fortunate there has not been the need to use it yet, but it is important that as many of us as possible know it is there, and how to use it.

 

     On Saturday, November 14, the Health Ministry is sponsoring a CPR class.  This is a basic class, meant for all laypeople who care to learn basic life saving techniques.  It will only take 2 hours of your time, costs only $25, and will provide you with knowledge to last a lifetime.  Anyone over the age of 7 is encouraged to attend.  We will have instruction in the American Heart Association recommended method of CPR, and have a chance to practice on dummies. There will also be an opportunity to see an AED and how it functions.  Please come and join us.

 

     If I may add a personal note, I am writing this on the first anniversary of our dear friend Bert Loro’s death.  Bert suffered a heart attack after playing racquetball in the gym on Duke’s campus.  Immediate emergency care was given, fast EMS response occurred, yet still Bert died.  CPR and excellent medical care do not preclude a tragic outcome.  Yet nearly a year ago, CPR and excellent medical care kept Heath Tuttle alive long enough to get a life saving heart transplant. Only God knows who will survive and who will die, but He has given us abilities I believe we are expected to use to help one another.  In this season of stewardship, learning how to potentially keep someone alive long enough for expert help to arrive is another way we can serve one another.  Please consider being part of this effort.  You will not regret it if you are ever faced with this terrible situation as you go about living your life.

Kay