Discover and read the best of Twitter Threads about #cardiacarrest

Most recents (20)

“Doctor why do I need to take this letter to my physician? It’s just a tooth l! Just take it out! What does my heart have to do with it?”

If you are a dentist, you have heard this line many many times!

Here’s why:

Old family friend.

Wife passed away many years ago due to
Cancer!

Son in the US!

Not much going on for him other than a job!

Over the last few years, ended up neglecting his health!

His diabetes was through the roof!

The 3 month average, HbA1C, was around 10 for years! (Even for diabetics it should be under 7)
Tried very hard to motivate him to address it! No change!

Wears an upper complete denture and has a few broken teeth in the lower jaw!

Met someone who got a full mouth implant rehabilitation done and so now wanted the same!

FINALLY got it to 7.5ish in December!

Great!
Read 8 tweets
#cardiacarrest
Sudden deaths and the fear among doctors
I was forced to post this write up for some of my students who wanted me to comment on sudden death of a few of the young and energetic people, including doctors, due to massive myocardial infarction- obviously everyone is upset about this issue now.
It is frightening, especially when we hear that at least a few of them were fitness freaks too- that further heightened the fear psychosis to newer levels in the Covid scenario.
Read 38 tweets
Exercise improves overall health and cardio vascular health in particular. Many studies have established this fact. So, when an athlete or sports person suffers a #cardiacarrest, it creates a huge doubt in the minds of people about exercise and health. #Athlete #exercise tune in
The incidence of sudden cardiac death in athletes is 1 in 40,000 to 1 in 80,000. Fortunately not very common. Most deaths happen in athletes harboring some cardiac issues which haven't been diagnosed earlier. Commonest cause is hypertrophic cardiomyopathy.
Sudden cardiac arrest in athletes is more common among men and blacks. Also varied incidence depending on type of sports.
Read 12 tweets
GoodSAM, the life saving bystander+community response CPR app from @markhwilson , facilitated in NZ with the help of StJohn Ambulance ( sign up at stjohn.org.nz/first-aid/good… ) is back up and running.
Be Covid safe, manage Covid risks through "mask, vax, ventilation" advice, plus these excellent tips from @StJohnNZ and @bridgetdicker :

"We recommend you are fully #vaccinated against #COVID19 and you wear a face mask when responding.
• Routinely pause more than two metres from the person and assess the situation.
Read 10 tweets
ముందుగా తెలుసుకోవాల్సింది:
Sudden Cardiac arrest వేరు Myocardial Infarction(Heart attack)వేరు
SCA అనేది ఏసమయంలో నైనా రావచ్చు,వస్తే బ్రతికే అవకాశాలు తక్కువ(without warning

MIఅనేది గత ఆరోగ్యసమస్యలకు దగ్గరగా ఉంటుంది,ఇది కూడా ఏసమయంలోనైనా రావచ్చు కానీHeart attackకి కాస్త సమయం ఉంటుంది
దాన్ని GOLDEN HOUR అంటారు.ఆ సమయంలో చికిత్స చేస్తే బ్రతికే అవకాశాలు ఎక్కువ.
Sudden Cardiac Arrestకి కారణాలు: Electrical malfunction of heart>irregular heart beat(arrhythmia->probably death}
Cholesterol,hereditary heart disease,heart attack,heart blood vessels blockade,big heartetc
Heart health అనేది ముఖ్యం,6నెలలకొకసారి ECG,Cholesterol etc tests చేయించుకోవడం మంచిది.GYM చేస్తున్నాం Dietచేస్తున్నామంటే ఆరోగ్యంగా ఉన్నట్టుకాదు ఎప్పటికప్పుడు ఆరోగ్యం మీద శ్రద్ధ తీసుకోవాలి,మంచి ఆహారం తినాలి,physical activity చెయ్యాలి.BP,డయాబెటిస్ etcఉంటే మందులు క్రమంతప్పకుండావాడాలి
Read 13 tweets
In #OrdinaryDying the vital organs progressively fail until heart stops last #CPR cannot work & should not be done

In #CardiacArrest heart stops first & #CPR may work before irreparable damage to brain & other vital organs

#DNACPR allows for a Calm End of Life in Ordinary Dying
#IWantAPeacefulDeath

My picture of my ideal inevitable dying definitely does not include inappropriate #CPR

Paint me a picture of your future end of life setting

If you want a Peaceful Dying you need #DNACPR & a Power of Attorney to protect yourself

dropbox.com/s/8kd2g6v6341j…
I had a great sense of relief this week agreeing and signing Scottish papers for Power of Attorney, knowing that if I lose my capacity to express and decide on my wishes, I have trusted people to act on my behalf @drkathrynmannix @KitzingerCelia @djbeckett
Read 4 tweets
A thread.. on sudden death or potential sudden death, seen in sportspersons during this pandemic period..

1) the late #MarkisKido .. who just passed away on 14th Jun 2021.. 1a/n
google.com/amp/s/indianex…
#MarkisKido collapsed while changing courts at the end of the 1st set of a badminton match..
Markus was 36y old .. 😔 .. 1b/n
kosmo.com.my/2021/06/15/leg…
Just 1 day back on 13th Jun 2021 in the #EURO2020 .. #ChristianEriksen collapsed on the pitch in the 42nd min while playing for #DEN vs #FIN .. 2a/n
reuters.com/lifestyle/spor…
Read 9 tweets
Timely CPR saved Chris Eriksen's life.
The match footage shows
-how immediate collapse is after #CardiacArrest
-how quickly we need to respond
In Cardiac Arrest the heart stops while other organs are healthy: rapid CPR response saves lives.
Learn CPR: see @ResusCouncilUK
1/
There has been criticism of TV companies broadcasting footage of Eriksen's on-pitch collapse. I wonder what he will say when he is ready to comment.
I hope the footage drives better public understanding of CPR & a wider uptake of CPR training.
2/
CPR training must include info on success rates, & explain when NOT to attempt it. CPR is entirely appropriate when the heart stops first: it gives brain & other organs their best chance of preserving function. Early, effective CPR by trained people may save 1 in 5.
Learn CPR!
3/
Read 14 tweets
Whilst the new #RESUS21 guidelines don’t introduce any significant changes, here are some take homes that I believe are worth highlighting. A thread....

#FOAMed #FOAMems #cardiacarrest #resuscitation
“Ambulance services should monitor staff exposure to resuscitation and low exposure should be addressed to increase experience”

It will be interesting to see if, and how, ambulance trusts follow this guidance.
“Adult patients with non-traumatic OHCA should be considered for transport to a cardiac arrest centre”

Pathways for OHCA in the U.K. have been variable. Will this stimulate more standardisation? Prehospital staff need to nail the post-ROSC care bundle. Transport times longer?
Read 8 tweets
Here is the #PedsICU #BestOf2020 collection.
Jointly chosen by
@Dr_Hari_Krishna @sgdambrauskas and myself
Pubmed collection 40 articles: bit.ly/pedsicubestof2…
Infographic (clickable PDF) in English: bit.ly/bestof2020eng
Spanish: bit.ly/bestof2020esp
#PedsCICU #NeuroPICU
This will be a bilingual tweetorial in Spanish/English!
Infographics are available in both languages in Tweet #1

El hilo será en Español/Inglés. El resumen infográfico está disponible en los dos idiomas en el primer Tweet
1/What are the outcomes that matter to children, to families and to #researchers/clinicians? @ericka_fink et al & @PostPICU_PALISI investigators identified COS using a delphi process. @CritCareMed bit.ly/381cfq8. Developmental and functional outcomes were important.
Read 44 tweets
BREAKING: Data analysts found a THIRTY PERCENT (30%) overall excess death mortality in 25-44 yro's in Tennessee. It hints STRONGLY That they died of #coronavirus #CardiacArrest like what we saw in this age group in Italy and China & the deaths were covered up. Just like in China!
@Trinitydraco1 This has legs. I bet the same bump is in Florida and Texas, too.
These are YEAR TO DATE, too... if we extend it another 5 months, you're looking at 70%+ excess mortality...
Read 3 tweets
(1/3) Timeline of a #covidiot.

37 yro Richard Rose of Ohio said he thought #coronavirus was "a hoax" and was very pro-Trump and very strong anti-masker, like @SarahConner39.

April 28th: he said this: Image
(2/3) July 1st he became symptomatic and got tested with a rapid test. Confirmed #coronavirus positive.

On 2 July 2020, he posted this: Image
(3/3) The next day, July 3rd he posted this.

But by July 4th, he was *DEAD*! #CardiacArrest, probably from #CytokineStorm.

This #covidiot learned the hard way that #coronavirus is NOT A JOKE!
dailymail.co.uk/news/article-8… Image
Read 3 tweets
Houston FD possible #coronavirus deaths log (6/28)
Staring at 1:30 PM CDT:

- 1:32 Medi-evac HEART PROBLEM CHESTPAIN - Coughing and seizure
- 13:33 CHOKING - CAN'T BREATHE, high fever.
- 13:37 Seizure - Possible #CardiacArrest [For 1:32 call]
- 13:40 Heart Problem Chest Pain - Reported covid
- 13:41 Unconscious person, collapsed in restaurant
- 13:44 Need a "decon team" because someone with confirmed coronavirus collapsed in the Italian restaurant @ Fondren and W. Belfort, less than 2 miles from me.
Read 32 tweets
If you care for #PedsCICU patients or #CHD patients in the #PedsICU & aren't engaged with PC4, the outstanding recap of the #CardiacArrestPrevention project results by @bubblesdadee is one great example of how you can change your practice & outcomes as a @pc4quality center! 1/3
Significant reduction in #cardiacarrest by this #CollaborativeQI project lead to many lives saved! It's possible to #PreventCardiacArrest! Over 110 of our PC4 family participated in today's call to review the results, which were previously presented at #AHA19 @AHAMeetings!
2/3
Thanks to @TheCHF for their generous support of PC4 & @CardiacUnited for helping us collaborate to change the paradigm in #CHD research! 3/3
Read 3 tweets
2/9
General Principles of #ProtectHealthCareWorkers have always applied to first responders in prior #resuscitation guidelines. Remember, first things first:

👉Assess the safety of the scene, make sure that victim, yourself and bystanders are safe

#GetMePPE
3/9

Minimize the number of people in the room

👉 Whenever able, mechanical CPR devices can reduce the number of rescuers required & provide consistent high-quality compressions
Read 10 tweets
THREAD.
Recent days have seen a lot of conversations about how #COVID19 is impacting upon decisions around end of life care, particularly for those of us with bodies that are more broken than most.
The majority of tweets are angry & many are verging on despair. (1/9)
The fact that such fear and misinformation exists within the disabled community is perhaps in part the fault of my own profession; though improving, we’ve historically not been very good at discussing the D word. Add the “Holby City Effect” & it becomes a very muddled topic. 2/9
So let’s forget this novel #Coronavirus for a minute and think about what #CPR is and isn’t for.
TL:DR? CPR is not a cure for natural dying. 3/9
Read 10 tweets
This is a MUST SEE video on the #Coronavirus in Italy. The #ICU intensivist explains the epidemic and treatment- Report From The Front Lines @JAMA_current - YouTube #Covid_19 #COVIDー19 #COVID
This is a good summary but somewhat inconsistent to what we have been hearing on #twitter about #italy. The question about triaging those sick and above 60 yo was NOT answered directly. He said the goal was for everyone to get an ICU bed but was that successful? 1/
There are many pictures of hazmat suits which is somewhat different and more aggressive than the reports we have been hearing about #coronavirus in Lombardy 2/
Read 19 tweets
Kicking off @CRT_meeting #CardiogenicShock sessions: Pathophysiology by @drmortkern...
Don’t forget the RV: by #DrJamesGoldstein...
Trials and evidence (presence and absence) in #Shock treatment: by @thiele_holger...
Read 25 tweets
Dear medical professionals,
Do you know how to perform high quality #cpr (cardiopulmonary resuscitation?

#Scenerio
You have been invited to speak with one of the board members of a leading telecommunications company in Nigeria about your proposal.
#THREAD
#threadstories
1)During the first 10 minutes of your conversation, you noticed that the man has been coughing and holding his chest, suddenly he falls to the ground and you discover that there is no pulse or respiration

As a medical practitioner, what is your first call of action?
#Doctors
2)Do you know the universal sign to differentiate between Cardiac arrest and heart attack?

Are you confident about what to do at this point?

Do you know how to activate emergency response system?

#Nurse #medic #Emergency #heartattack #cardiacarrest
Read 9 tweets
3 things you may not know about #CPR:
1/3: CPR saves lives – 9 out of 10 people who have cardiac arrest outside the hospital die, but if performed within in the first few mins of #CardiacArrest, CPR can double or triple survival.
2/3: Most often cardiac arrest happens at home – about 350,000 cardiac arrests happen outside hospitals and 7 in 10 of those happen at home.
3/3: It is best to have training, but you don’t need it to save a life – call 9-1-1 right away, push hard and fast in the center of the chest at a rate of 100-120 pushes/min. Push to the beat of “Stayin’ Alive” for hands only CPR. Continue until help arrives.
Read 3 tweets

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