Installation of automatic external defibrillators and training in cardio pulmonary resuscitation mandatory for saving lives

Health Care, Heart Care Foundation of India, Medicine Comments Off

Delhi High Court accepts a PIL by the Heart Care Foundation of India on the issue

New Delhi, 25 August 2018: The Hon’ble Chief Justice of Delhi High Court recently accepted and converted a representation filed by the Heart Care Foundation of India (HCFI) into Public Interest Litigation (PIL) on the issue of Cardiopulmonary Resuscitation (CPR) and Automated External Defibrillator (AED) machine in public places such as courts, railways and metro. The move comes after various applications were filed by the HCFI to several bodies indicating the absence of AED machines in public places and lack of training in CPR technique.

The WHO estimates that about 5.8 lakh and 1.15 lakh die of stroke and cardiac arrest every year around the world. Sudden cardiac arrest (SCA) is the number one killer in India. As per the Delhi Economic Survey, about 25 to 45 deaths occur in Delhi every day due to this condition. HCFI, since its inception, has been regularly conducting programmes to train people in essential life saving techniques such as CPR. It has also been creating awareness on the need to install AEDs in public places.

Speaking about this, Padma Shri Awardee, Dr KK Aggarwal, President, HCFI, said, “HCFI has been working for the benefit of public at large and to save the lives of thousands of people who die because of sudden cardiac arrest (SCA) in the absence of cardiac first aid including CPR and the non-availability of AED.  About 50% of the patients can be saved if proper CPR is given on time. However, about 98% of the country’s population is not trained this technique. In case an ambulance reaches the patient very late or if there is an acute shortage of cardiac ambulances, an AED installed at public places can help save lives in a timely manner.”

Defibrillation within 3 to 5 min of collapse can produce survival rates as high as 50% to 70%. Early defibrillation can be achieved through CPR providers using public access and on-site AEDs. Public access AED programmes should be actively implemented in public places that have a high density of citizens.

Adding further, Advocate Ira Gupta Legal advisor HCFI said, “Learning CPR amounts to real voluntary work. The CPR 10 Mantra is as follows: Within 10 minutes of cardiac arrest (earlier the better) for the next 10 minutes at least, compress the centre of the chest with a speed of 100 compressions per minute (10×10)”. CPR 10 is easy to learn and easy to do and one does not need to be a doctor or be certified in this technique to do CPR.”

Some salient points from the PIL include the following.

·         To open a dispensary in all courts, metro and railway stations which should function properly.

  • To train all staff / employees / security personnel in Cardiac First Aid including CPR
  • To install AED machines at all relevant and conspicuous places
  • First Aid medicines for SCA should be available in all courts, metro and railway stations, and in trains.
  • All courts, metro and railway stations should have a tie-up with ambulance services for any emergencies.
  • Doctor should be available during working hours at all places.
  • Atleast one pharmacy / chemist shop should be available in all courts, metro and railway stations
  • All courts, metro and railway stations should maintain a data w.r.t deaths taking place due to SCA.

Importance of CPR in saving lives cannot be underscored, Dr K K Aggarwal

Health Care, Heart Care Foundation of India, Medicine Comments Off

About 4000 students from an institution in Delhi to participate in the MTNL Perfect Health Mela this year

New Delhi, 26th March 2018: Dr K K Aggarwal delivered a lecture today at the Fairfield Institute of Management Technology (FIMT) Group of Institutions inMahipalpur, New Delhi. Demonstration of CPR and information about the Formula of 80 for living up to 80 years devised by Dr Aggarwal were also included as a part of this lecture. Among the other dignitaries at the lecture included Mr V K Nangaliya, Chairman of FIMT Group of Institutions.

The lecture was attended by about 300 paramedics and other youth professionals.

Speaking about this, Padma Shri Awardee Dr KK Aggarwal, President Heart Care Foundation of India (HCFI) and Immediate Past National President Indian Medical Association (IMA), said, “Learning CPR amounts to real voluntary work. All paramedics and youth should be appropriately trained in this technique as doctors may not be able to reach the victim within the first 10 minutes at all times. It, therefore, becomes the duty and responsibility of bystanders to save lives. Learning the basics of CPR is community service at its best as it can help avert mortality through timely assistance, before medical help arrives. Apart from this, one should also follow certain basic rules of living, which are entailed in the Formula of 80. These are mantras that will not only help lead a healthy life but also ensure that you stay away from lifestyle disorders.”

About 98% of the country’s population is not trained in the basic life-saving technique of CPR. It is the most crucial and basic procedure to save a life in the event of a sudden cardiac arrest.

Adding his views, Mr V K NangaliaChairman of FIMT Group of Institutions said, “Lifestyle disorders have become the norm today. This is due to the increased consumption of processed food and a sedentary life. It becomes imperative therefore to make some immediate changes which can not only help prevent these lifestyle diseases but also prevent and delay their eventual complications. This event comes at the appropriate time and is targeted at the right kind of audience.”

About 4000 students from the institution are expected to take part in the MTNL Perfect Health Mela to be held this year from 24 to 28 October 2018. The highlight of the Mela this year will be the first-of-its-kind inter-paramedic competition.

Some tips from the Formula of 80 are as follows.

  • Keep your lower blood pressure, fasting sugar, abdominal circumference, resting heart rate and LDL ‘bad’ cholesterol levels all below 80.
  • Walk 80 minutes each day; brisk walk 80 minutes a week with a speed of 80 steps per minute.
  • Eat less, not more than 80 gm/80 ml of caloric food in one meal.
  • Do not eat carbohydrate-based refined cereals 80 days in a year to reduce chances of heart attack.
  • Take vitamin D through sunlight 80 days in a year.
  • Do not drink alcohol and if you drink, take less than 80 ml of whiskey in a day or less than 80 gm of whiskey in a week.
  • Do not smoke or be ready for placement of stent costing ` 80,000/-.
  • Give 80 minutes to yourself in a day.
  • When clapping, clap 80 times.
  • If you are a heart patient, ask your doctor to give 80 mg of aspirin and 80 mg of atorvastatin.
  • Donate blood 80 times in a lifetime to reduce chances of heart attack.
  • Avoid an atmosphere of more than 80 db of noise pollution.
  • While on treadmill, try to reach 80% of your heart rate

HCFI President writes to film certification board for accurate portrayal of CPR in movies

Health Care, Heart Care Foundation of India, Medicine Comments Off

It is possible to save lives in instances of a witnessed cardiac arrest provided bystanders are trained in the technique

New Delhi, 26 February 2018: Statistics indicate that in India, the deaths due to sudden cardiac arrest (SCA) are more than those from diabetes, road accidents, and dementia, combined. Many renowned personalities have passed away due to sudden cardiac arrest, former president, Dr APJ Abdul Kalam, and former union minister and TMC MP, Mr Sultan Ahmed. The most recent being actress Sridevi, who passed away on Saturday following a cardiac arrest.

A witnessed cardiac arrest is different from an unwitnessed event. The chances of survival are higher in a witnessed cardiac arrest if a hands-only CPR is done by the bystander within the first 10 minutes. There is no indication of a CPR being administered to the actress within the stipulated interval. In the case of Dr Kalam, apparently, the CPR was done after 7 minutes of his collapse. No such information is available for Mr Ahmed.

Speaking about this, Padma Shri Awardee Dr K K Aggarwal, President Heart Care Foundation of India (HCFI) and Immediate Past National President Indian Medical Association (IMA), said, “It is important for every single Indian national to be trained in the technique of hands-only CPR or compression-only CPR, as this can help in saving many lives. Apart from this, all public places and functions should be equipped with Automatic External Defibrillators (AEDs) for any such eventualities. There is also a need to equip every healthcare setting with conventional defibrillators.”

Untrained/trained lay rescuers should provide compression-only CPR, which entails compressing the chest at an adequate rate and depth, allowing complete chest recoil after each compression (avoid leaning on the chest between compressions), minimizing interruptions in compressions. For a trained lay rescuer, CPR entails adequate ventilation (rescue breaths) in addition to chest compressions for the adult in cardiac arrest.

Adding further, Dr Aggarwal, who is also the Vice President of CMAAO, said, “The premise of a successful CPR is earlier the better and longer the better. When you come across a victim of cardiac arrest, three simple rules must be followed: Call the ambulance, check if the person is breathing or has a pulse (if you can) and start chest compressions and continue till medical help arrives.”

Dr Aggarwal, as the president HCFI and an important representative of the medical community has also written to the Chief of the Film Certification Board requesting an accurate portrayal of CPR in Bollywood movies. A copy of the letter is enclosed.

Some characteristics of a high-quality CPR include:

  • The recommended chest compression rate is 100-120/ min.
  • The recommendation for chest compression depth for adults is at least 2 inches (5 cm) but not greater than 2.4 inches (6 cm).
  • Chest compression should be started first before rescue breaths (C-A-B rather than A-B-C). The single rescuer should begin CPR with 30 chest compressions followed by 2 breaths.

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