Uncategorized


By AP Oct 18th 2010 1:07PM

person performing CPRNew guidelines out Monday switch up the steps for CPR, telling rescuers to start with hard, fast chest presses before giving mouth-to-mouth.

The change puts “the simplest step first” for traditional CPR, said Dr. Michael Sayre, co-author of the guidelines issued by theAmerican Heart Association.

In recent years, CPR guidance has been revised to put more emphasis on chest pushes for sudden cardiac arrest. In 2008, the heart group said untrained bystanders or those unwilling to do rescue breaths could do hands-only CPR until paramedics arrive or a defibrillator is used to restore a normal heart beat.

Now, the group says everyone from professionals to bystanders who use standard CPR should begin with chest compressions instead of opening the victim’s airway and breathing into their mouth first.

The change ditches the old ABC training — airway-breathing-compressions. That called for rescuers to give two breaths first, then alternate with 30 presses.

Sayre said that approach took time and delayed chest presses, which keep the blood circulating.

“When the rescuer pushes hard and fast on the victim’s chest, they’re really acting like an artificial heart. That blood carries oxygen that helps keep the organs alive till help arrives,” said Sayre, an emergency doctor at Ohio State University Medical Center.

“Put one hand on top of the other and push really hard,” he said.

Sudden cardiac arrest — when the heart suddenly stops beating — can occur after a heart attack or as a result of electrocution or near-drowning. The person collapses, stops breathing normally and is unresponsive. Survival rates from cardiac arrest outside the hospital vary across the country — from 3 percent to 15 percent, according to Sayre.

Under the revised guidelines, rescuers using traditional CPR, or cardiopulmonary resuscitation, should start chest compressions immediately — 30 chest presses, then two breaths. The change applies to adults and children, but not newborns.

One CPR researcher, though, expressed disappointment with the new guidelines. Dr. Gordon Ewy of the University of Arizona Sarver Heart Center thinks everyone should be doing hands-only CPR for sudden cardiac arrest, and skipping mouth-to-mouth. He said the guidelines could note the cases where breaths should still be given, like near-drownings and drug overdoses, when breathing problems likely led to the cardiac arrest.

Ewy is one of the authors of a recently published U.S. study that showed more people survived cardiac arrest when a bystander gave them hands-only CPR, compared to CPR with breaths.

The guidelines issued Monday also say that rescuers should be pushing deeper, at least 2 inches in adults. Rescuers should pump the chest of the victim at a rate of at least 100 compressions a minute — some say a good guide is the beat of the old disco song “Stayin’ Alive.”

Dr. Ahamed Idris, of the University of Texas Southwestern in Dallas, said people are sometimes afraid that they’ll hurt the patient. Others have a hard time judging how hard they are pressing, he said.

“We want to make sure people understand they’re not going to hurt the person they’re doing CPR on by pressing as hard as they can,” he said.

Idris, who directs the Dallas-Fort Worth Center for Resuscitation Research, said that for the last two years, they’ve been advising local paramedics to start with chest compressions and keep them up with minimal interruptions. That, along with intensive training, has helped improve survival rates, he said.

He said they found paramedics hadn’t been starting compressions until the patient was in the ambulance and lost time getting airway equipment together.

“The best chance was to start chest compressions in the house, immediately,” he said.

Copyright 2010 The Associated Press. The information contained in the AP news report may not be published, broadcast, rewritten or otherwise distributed without the prior written authority of The Associated Press. All active hyperlinks have been inserted by AOL.

 

Advertisements

(Oct. 10) – Soul singer Solomon Burke has died at Amsterdam’s Schiphol Airport. He was 70  This is my favorite song….Ain’t Got You or you can watch this very cool video and think of how you heard it covered by the Blues Brothers 🙂  

The Press release Aug. 31, 2010

At VMworld 2010 in San Francisco, VMware will preview a cloud-based management service – codenamed Project Horizon – that will securely extend enterprise identities into the cloud and provide new methods for provisioning and managing applications and data based on the user, not the device or underlying operating system.

Project Horizon will establish a user’s “Cloud Identity,” securely extending on-premise directory services between private and public clouds and enabling customers to take advantage of the flexibility and new services in the public cloud while maintaining the security and control from their private clouds.

“A cohesive desktop strategy should provide secure, direct access to many types of applications, including SaaS and legacy and mobile applications, regardless of device type or location,” said Mark Bowker, senior analyst, Enterprise Strategy Group. “Project Horizon is an example of how VMware has the potential to help dramatically transform desktop and application delivery services, maintain IT control, and ensure a productive, personalized experience for the end user.”

The Buzz

By turning the normal assumptions of IT around to make an abstract storage and provisioning service that’s able to identify and deliver applications, VMware turns the cloud into a central source for IT resources, Chris Wolf, analyst with the Burton Group, says. This also goes a long way toward making the cloud an enforcement agent for corporate IT policies allowing or limiting use of data, hardware audited security and usage reporting, and other critical functions, Wolf says.

This approach also almost eliminates the difference between internal resources and external, allowing customers to make more efficient use of the resources they have available, according to James Staten, analyst at Forrester Research.

The Wrapup

So the buzz is that Project Horizon aims to put all the things employees use up online, allowing them to pick and choose the applications that they want and allowing IT to create lifecycle plans that limit the amount of time a particular VM can function, what kind of employees get privileges for which apps, and a whole host of other conditions critical to companies trying to save money and stay compliant with federal regulations.

The Benefits?

What are the benefits here?

Will costs to corporations go down, I think VMware believes licensing costs will.

Will it be easier for the end user?

Will it cost less or be easier to administer for the IT departments?

I do not know any of the answers, but I hope VMware is successful because it sounds exciting.