Guest guest Posted July 26, 2005 Report Share Posted July 26, 2005 Was anyone aware that the ASPIRE trial had been interrupted as detailed in today's WSJ? Paramedics Praise CPR Alternative Device to Jump-Start Heart Saves Lives on the Street; Experts Want More Proof By KIM-MAI CUTLER Staff Reporter of THE WALL STREET JOURNAL July 26, 2005; Page D4 A device that performs cardiac resuscitation is drawing good reviews from some paramedics, even though other emergency-medicine experts say more tests are needed to prove that it works as well as proponents say it does. The AutoPulse delivers a battery-powered squeeze to a patient's entire chest. A paramedic or other rescuer slips a backboard under the patient, fastens a wide band across the patient's chest and presses a button on the device. The device automatically adjusts the force of its compressions based on the patient's weight and chest circumference. " I've been in this field since 1979. This is going to change the way we resuscitate, " said Mike Poniatowski, the director of operations for EVAC Ambulance in Daytona Beach, Fla. In San Francisco, many patients have been successfully revived with the device, reports Marshall Isaacs, director of emergency medical services for the San Francisco Fire Department. But some medical experts advise caution. In the past, many treatments and drugs heralded as magical cures didn't pan out. Even if the device saves lives, experts say they want to be sure that it doesn't inflict serious injuries and that it is measurably better than manual cardiopulmonary resuscitation, known as CPR. Health officials in Riverside County, Calif., suspended use of the AutoPulse this month after a 77-year-old man who was treated with the device later died, showing an unusual number and type of rib fractures. The death is under investigation and the device is being returned to the company to check for possible defects. " The coroner was concerned enough that we just thought it would be prudent on our part to take any precautions we could, " said Osur, director of emergency medical services in Riverside County. Bob Katz, president of the Zoll Medical Corp. division that produces the AutoPulse, said the device is often used in conjunction with manual CPR, which often causes cracked ribs. Still, there is clearly a need for something better than CPR, a technique taught to thousands of people every year. Television shows that depict patients coming back to life have helped to create overly high expectations of how effective CPR can be, said Shmerling, a professor of medicine at Harvard Medical School. Most CPR patients are elderly and for them the manual procedure works less than 10% of the time, he said. One reason for this low success rate is that a rescuer's hands often miss the right spot on the chest because CPR tends to displace the heart, said J. Fogarty, a cardiovascular physician who helped invent AutoPulse. By strapping the patient into the device, the entire chest is enveloped so compressions land on target. This is critical in CPR, where resuscitation may be interrupted as a medic moves a patient down stairs, out of bathtubs and onto gurneys. Zoll, Chelmsford, Mass., late last year bought Revivant Corp., developer of the AutoPulse. Dr. Fogarty, who is also an early developer of balloon catheters used to remove blockages from arteries, owns Zoll stock but isn't active in the company. [CPR] Zoll says it has sold about 620 AutoPulses since early 2003. The device frees up paramedics to give medicine or run intravenous lines, the company said. Besides scientific questions, Zoll must overcome resistance to the product's $15,000 price tag. There is also a $125 per-use cost for the disposable band that is placed over the patient's chest. Some cities that have purchased the device have had to hold community fund-raisers or get state or federal grants to pay for it. Zoll says the price is in line with other comparable medical equipment. The American Heart Association, a nonprofit research and information organization based in Dallas, says the AutoPulse's method of CPR is a " reasonable " alternative to manual CPR, but doesn't recommend either approach. The association's position was reached after the method was evaluated with the help of medical experts, two of whom were Revivant consultants. Eyes are now on a study being run by researchers at University of Washington in Seattle that is tracking patient outcomes for as many as three months after resuscitation. The test was temporarily suspended in late March because one of five test sites showed better outcomes with manual CPR, said Packer, Zoll's chief executive. Researchers are trying to determine if paramedics at that site used different techniques than their counterparts at other locations. Still, even without a complete body of evidence, some emergency-services departments are taking the risk that science will eventually prove the value of the AutoPulse. " When I first saw this machine four years ago, I thought it was the wackiest thing I ever saw, " said Don Lundy, an EMS director in ton County, S.C. But now, after experience with the device, he says he has just signed an order for eight more AutoPulses to outfit every truck in the county. Write to Kim-Mai Cutler at kim-mai.cutler@... URL for this article: <http://online.wsj.com/article/0,,SB112232693120395315,00.html> http://online.wsj.com/article/0,,SB112232693120395315,00.html Hyperlinks in this Article: (1) mailto:kim-mai.cutler@... Para Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 21, 2009 Report Share Posted September 21, 2009 Thank you so much for this, Akiba. Love, n of the " misery loves company " school of thought > > Subject: Fw: > To: mserslife , " The-Wolfs-Lodge " <the_wolfs_lodge >, wayofthewingedheart > Date: Monday, December 21, 2009, 12:26 PM > > > > > > > > > > > > > > > > > > > > > This from another group: > > > ************ ********* > ********* ********* ********* ********* ********* ********* > ****** Just a > heads up to everyone.... Someone has been going around to > groups and deleting or banning members!!!!! ! Another group > I am in was hit yesterday and then another one was > today. Owners or mod's, make sure you have a list > of members so that you can add them back in it this bitch > gets into you group! They are hacking into the groups, not > necessarily a member. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 13, 2009 Report Share Posted October 13, 2009 Subject: FW:To: "chopperman255@..." , "Jodi Mott" , ", Lowanda" Date: Tuesday, October 13, 2009, 9:12 AM Admissions - PA Campus Direct phone: 724/459-3231 From: Vresilovic, Debra Sent: Tuesday, October 13, 2009 9:11 AMTo: , ; 'Pete Vresilovic'; 'Vickie Magnone'; Bugala, Koury; Harsh, JeanSubject: FW: Debbie Vresilovic Admisssions Assistant WyoTech PA Campus From: , M. Sent: Monday, October 12, 2009 7:21 AMTo: 'sonja malvoisin'; Diesel Personnel - PA; DeGruttola, Diane; Fritz, Darla; s, ; Prada, ; Elliott, ; Vresilovic, Debra; Uss, ; Clawson, WalterSubject: FW: A man was driving down the road and ran out of gas. Just at that moment, a bee flew in his window.The bee said, 'What seems to be the problem?''I'm out of gas,' the man replied.The bee told the man to wait right there and flew away. Minutes later, the man watched as an entire swarm of bees flew to his car and into his gas tank. After a few minutes, the bees flew out.'Try it now,' said one bee.The man turned the ignition key and the car started right up. 'Wow!' the man exclaimed, 'what did you put in my gas tank'?The bee answered,Wait for it.wait for it..You're just gonna love this..I see you smiling Hotmail: Powerful Free email with security by Microsoft. Get it now. Your E-mail and More On-the-Go. Get Windows Live Hotmail Free. Sign up now. Hotmail: Free, trusted and rich email service. Get it now. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 21, 2009 Report Share Posted December 21, 2009 This from another group: ************ ********* ********* ********* ********* ********* ********* ********* ****** Just a heads up to everyone.... Someone has been going around to groups and deleting or banning members!!!!! ! Another group I am in was hit yesterday and then another one was today. Owners or mod's, make sure you have a list of members so that you can add them back in it this bitch gets into you group! They are hacking into the groups, not necessarily a member. Quote Link to comment Share on other sites More sharing options...
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