Wednesday, July 13, 2011

Therapeutic Hypothermia now offered in Hinds County

The Hinds County Board of Supervisors approved a few weeks ago new fees charged by AMR to cover a new service provided by its EMT's. The Wall Street Journal published a story and this video on its website yesterday. Very interesting stuff and shows how much difference the new cooling technique makes in helping victims recover from cardiac arrest.



Here are some excerpts from the article:

"A new study could bolster growing interest in a technique to chill the bodies of sudden cardiac-arrest patients that has been shown to help keep victims alive.

Researchers found that of 140 patients who got the treatment, in which the body is quickly cooled after the heartbeat is restored, 56% survived to be discharged from the hospital—92% of them with most or all of their cognitive function intact.

Across the U.S., fewer than 10% of victims survive sudden cardiac arrest when it occurs outside the hospital and among those who do, only a minority recover sufficient brain function to return to a normal life....

About 300,000 people in the U.S. suffer cardiac arrest each year as a result of either a heart attack or an electrical malfunction that throws the heart wildly out of rhythm. About 125,000 are discovered too late for help. Of those whose pulses are restored, only about 1 in 5 gets treated with therapeutic hypothermia...

Therapeutic hypothermia is applied after a patient's heartbeat has been restored through cardiopulmonary resuscitation and shocking with a defibrillator. Increasingly, rescue squads are initiating cooling by placing ice packs on patients as they are being transported to the hospital. The city of New York and top medical centers in New Orleans, Tucson, Ariz., and Nashville are among places that have embraced the technique.

In the study, every hour of delay in initiating cooling was associated with a 20% increased risk of death, the researchers found.

More sophisticated cooling blankets that regulate both the temperature drop and a rewarming of the patient are used after admission.

Generally, patients are cooled to about 90 to 92 degrees Fahrenheit, or about six to eight degrees below normal temperature. They are put in a medically induced coma for 24 hours before their temperature is gradually brought back to normal. Patients may remain in a coma for a few days before being brought back to consciousness.

"It's a very robust therapy and it's simple," says Dr. Mooney. "It doesn't necessarily rely on fancy equipment. Simple measures make a huge difference."

One reason for its slow adoption, Dr. Mooney said, is that cardiologists have been skeptical that new approaches can make headway against the historically poor outcomes for victims of sudden cardiac arrest. Another concern is that a new strategy may improve survival, but not quality of life.

"Our biggest worry would be that we'd bring back folks that didn't function as Mom in the family or Dad in the family," Dr. Mooney said. But, as reflected in the 92% who were revived and able to return to normal or near-normal life, "that hasn't happened
."

Here is the abstract of the study in the journal of the American Heart Association.












10 comments:

Anonymous said...

That must be what the commercial is about which has the guy called "ice man".

Anonymous said...

You think so einstien?

Anonymous said...

ass

Anonymous said...

This is so cool.

Anonymous said...

11:08, the correct spelling is Einstein.

Anonymous said...

As a paramedic, I would like to say this is a great advancement and is just another tool for us to help. However, THE MOST IMPORTANT tool is chest compressions immediately!
If someone collapses in front of you and you see they are not breathing and you can't feel a pulse then just start pushing hard and fast on the center of their chest. Don't worry about mouth-to-mouth; there's still enough oxygen in their blood. Just push hard and fast to the beat of "Stayin' Alive". Corny, but it works.

Depending on where you live it and how taxed your ambulance provider is, it could be 10-20 minutes (or more) for an ambulance to get there. Chest compressions keep blood flowing and keep the brain alive.

It doesn't matter how many cool toys a medic may have or many vials of drugs. If the brain and other tissues are not perfused while we are on the way, our hands are pretty much tied.

I've never seen a cardiac arrest patient that didn't have chest compressions done before the ambulance or fire dept got there that walked out of the hospital.

Anonymous said...

the correct spelling is "only douche-bags correct other peoples grammer on a blog". unless you are an English teacher piss off

Anonymous said...

No, commenter was told how to spell Einstein, because he/she ridiculed the first commenter.

Anonymous said...

Wow a blog that has referees too...

Anonymous said...

"Wow a blog that has referees too..."

You don't even know how truly funny that really is.

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Trollfest '09

Trollfest '07 was such a success that Jackson Jambalaya will once again host Trollfest '09. Catch this great event which will leave NE Jackson & Fondren in flames. Othor Cain and his band, The Black Power Structure headline the night while Sonjay Poontang returns for an encore performance. Former Frank Melton bodyguard Marcus Wright makes his premier appearance at Trollfest singing "I'm a Sweet Transvestite" from "The Rocky Horror Picture Show." Kamikaze will sing his new hit, “How I sold out to da Man.” Robbie Bell again performs: “Mamas, don't let your babies grow up to be Bells” and “Any friend of Ed Peters is a friend of mine”. After the show, Ms. Bell will autograph copies of her mug shot photos. In a salute to “Dancing with the Stars”, Ms. Bell and Hinds County District Attorney Robert Smith will dance the Wango Tango.

Wrestling returns, except this time it will be a Battle Royal with Othor Cain, Ben Allen, Kim Wade, Haley Fisackerly, Alan Lange, and “Big Cat” Donna Ladd all in the ring at the same time. The Battle Royal will be in a steel cage, no time limit, no referee, and the losers must leave town. Marshand Crisler will be the honorary referee (as it gives him a title without actually having to do anything).


Meet KIM Waaaaaade at the Entergy Tent. For five pesos, Kim will sell you a chance to win a deed to a crack house on Ridgeway Street stuffed in the Howard Industries pinata. Don't worry if the pinata is beaten to shreds, as Mr. Wade has Jose, Emmanuel, and Carlos, all illegal immigrants, available as replacements for the it. Upon leaving the Entergy tent, fig leaves will be available in case Entergy literally takes everything you have as part of its Trollfest ticket price adjustment charge.

Donna Ladd of The Jackson Free Press will give several classes on learning how to write. Smearing, writing without factchecking, and reporting only one side of a story will be covered. A donation to pay their taxes will be accepted and she will be signing copies of their former federal tax liens. Ms. Ladd will give a dramatic reading of her two award-winning essays (They received The Jackson Free Press "Best Of" awards.) "Why everything is always about me" and "Why I cover murders better than anyone else in Jackson".

In the spirit of helping those who are less fortunate, Trollfest '09 adopts a cause for which a portion of the proceeds and donations will be donated: Keeping Frank Melton in his home. The “Keep Frank Melton From Being Homeless” booth will sell chances for five dollars to pin the tail on the jackass. John Reeves has graciously volunteered to be the jackass for this honorable excursion into saving Frank's ass. What's an ass between two friends after all? If Mr. Reeves is unable to um, perform, Speaker Billy McCoy has also volunteered as when the word “jackass” was mentioned he immediately ran as fast as he could to sign up.


In order to help clean up the legal profession, Adam Kilgore of the Mississippi Bar will be giving away free, round-trip plane tickets to the North Pole where they keep their bar complaint forms (which are NOT available online). If you don't want to go to the North Pole, you can enjoy Brant Brantley's (of the Mississippi Commission on Judicial Performance) free guided tours of the quicksand field over by High Street where all complaints against judges disappear. If for some reason you are unable to control yourself, never fear; Judge Houston Patton will operate his jail where no lawyers are needed or allowed as you just sit there for minutes... hours.... months...years until he decides he is tired of you sitting in his jail. Do not think Judge Patton is a bad judge however as he plans to serve free Mad Dog 20/20 to all inmates.

Trollfest '09 is a pet-friendly event as well. Feel free to bring your dog with you and do not worry if your pet gets hungry, as employees of the Jackson Zoo will be on hand to provide some of their animals as food when it gets to be feeding time for your little loved one.

Relax at the Fox News Tent. Since there are only three blonde reporters in Jackson (being blonde is a requirement for working at Fox News), Megan and Kathryn from WAPT and Wendy from WLBT will be on loan to Fox. To gain admittance to the VIP section, bring either your Republican Party ID card or a Rebel Flag. Bringing both and a torn-up Obama yard sign will entitle you to free drinks served by Megan, Wendy, and Kathryn. Get your tickets now. Since this is an event for trolls, no ID is required. Just bring the hate. Bring the family, Trollfest '09 is for EVERYONE!!!

This is definitely a Beaver production.


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Trollfest '07

Jackson Jambalaya is the home of Trollfest '07. Catch this great event which promises to leave NE Jackson & Fondren in flames. Sonjay Poontang and his band headline the night with a special steel cage, no time limit "loser must leave town" bout between Alan Lange and "Big Cat"Donna Ladd following afterwards. Kamikaze will perform his new song F*** Bush, he's still a _____. Did I mention there was no referee? Dr. Heddy Matthias and Lori Gregory will face off in the undercard dueling with dangling participles and other um, devices. Robbie Bell will perform Her two latest songs: My Best Friends are in the Media and Mama's, Don't Let Your Babies Grow up to be George Bell. Sid Salter of The Clarion-Ledger will host "Pin the Tail on the Trial Lawyer", sponsored by State Farm.

There will be a hugging booth where in exchange for your young son, Frank Melton will give you a loooong hug. Trollfest will have a dunking booth where Muhammed the terrorist will curse you to Allah as you try to hit a target that will drop him into a vat of pig grease. However, in the true spirit of Separate But Equal, Don Imus and someone from NE Jackson will also sit in the dunking booth for an equal amount of time. Tom Head will give a reading for two hours on why he can't figure out who the hell he is. Cliff Cargill will give lessons with his .80 caliber desert eagle, using Frank Melton photos as targets. Tackleberry will be on hand for an autograph session. KIM Waaaaaade will be passing out free titles and deeds to crackhouses formerly owned by The Wood Street Players.

If you get tired come relax at the Fox News Tent. To gain admittance to the VIP section, bring either your Republican Party ID card or a Rebel Flag. Bringing both will entitle you to free drinks.Get your tickets now. Since this is an event for trolls, no ID is required, just bring the hate. Bring the family, Trollfest '07 is for EVERYONE!!!

This is definitely a Beaver production.

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