The case for CPR class: This one was just in time

(Suzanne Kreiter/Globe staff)
Globe Staff / November 15, 2007

The room was chaotic, people were frantic, but Annemarie Kougias of Brockton tried to be cool as she approached the man suffering from sudden cardiac arrest.
He wasn't breathing, and his co-worker was on top of him, pounding his chest and urging him to hold on.
"I knew this was real," Kougias said.
Three weeks earlier, she would have been just as frantic as everyone around her. But she had, by chance, just completed a training program for parents of young athletes. And if the doctors from Brockton Hospital taught this hockey mom anything, it was to stay calm.
So she coolly guided the co-worker and a police officer through the lessons of CPR and the use of a defibrillator.
"The whole time I didn't think we'd be successful, I really didn't," Kougias said. "What we did made the difference."
The man, a custodian at Boston University, survived. And the difference that Kougias made has taught her a lesson.
The kind of training she went through, which is designed for parents and coaches, should be available in every school and at every youth sporting event in the state, she said, adding that every coach and parent should be trained.
Kougias had participated in a Youth Athletic First Responder Program run by Brockton Hospital and the Brockton Fire Department. The program was offered in Brockton and Canton, and a session is scheduled for Monday in East Bridgewater.
Doctors, nurses, and Fire Department paramedics instruct parents on how to respond to youth sports injuries. They teach cardiopulmonary resuscitation, the use of automatic external defibrillators, and they host lectures on youth sports injuries and how to prevent them. The program is for youth sports coaches and parents who could serve as first responders, said Rob Brogna, head of marketing at Brockton Hospital.
"Each year, a growing number of youth athletes suffer sudden cardiac arrest while playing sports," he said. "In such cases, immediate attention by first responders can mean the difference between life and death."
Kougias recalled doctors telling the participants in the program that they'd be more likely to treat a grandparent in the stands than one of the players. She said she still finds that, since taking the class, she looks around for a defibrillator whenever she walks into a hockey rink. She'd like to see more, at her younger daughter's soccer games, and other events.
"I'm all about getting this equipment and getting people trained," she said, adding jokingly, "Now, I just want other people in my life to be trained so that they could help me."
Brockton Hospital is proud of its student and how her training paid off. On that day at BU two weeks ago, Brogna said, "she went over, just out of nowhere, to take control of the situation."
As the stricken man lay on the floor of the university's ballroom, Kougias went through exactly what she had learned in class - explaining to the patient's co-worker how to deliver 30 pushes to the chest, then wait. Meanwhile, a police officer readied the defibrillator, then Kougias set it on the man's chest, and activated it. She listened for heartbeat, checked for pulse, and repeated the procedure. Paramedics arrived, and soon Kougias saw the man's body regaining color.
"He's alive," she told the co-worker. "He wasn't alive when you found him."
She has since been in touch with the custodian and his co-worker. Doctors have said that a minute longer without help could have left the man in a vegetative state.
"The cost of doing nothing could be that person not making it," she said. "Whatever you do, it's better than not doing anything."

Published: Thursday, November 29, 2007

Defibrillators sought for all U.S. schools

By MARC KOVAC

VINDICATOR CORRESPONDENT

COLUMBUS — A group that has placed thousands of publicly funded defibrillators in schools across Ohio hopes to see the lifesaving devices within reach of schoolchildren, teachers and parents across the country.
Akron General Medical Center administered the $5 million-plus initiative, buying and placing nearly 4,600 of the units in school buildings.
"One down, 49 to go," Terry Gordon, a cardiologist at Akron General who spearheaded the project, said of Ohio's effort.
Gordon spoke during a thank-you luncheon Wednesday marking the completion of the Ohio initiative, which was funded by the state Legislature to purchase automated external defibrillators.
The AEDs cost about $1,000 each.
The effort stemmed from the death of 15-year-old Josh Miller, a high school football player from Barberton who died seven years ago from cardiac arrest during a game.
Twenty children in Ohio have died of comparable causes since that time, Gordon said. Many may have been saved with an automated external defibrillator, a device that shocks an individual's heart back to its regular rhythm.
In fact, a dozen children and adults have had their lives saved thanks to devices placed in schools in recent years, Gordon said.
The luncheon provided an opportunity for participants in the program to thank state lawmakers for the funding they provided and to urge their federal counterparts to consider doing the same in other states.
"We get tight with state funding, [and] we get accused of getting real tight with it," said Senate President Bill Harris, a Republican from Ashland. "... But this is a project that we didn't have any questions" about, as to whether the funding was merited.
Congresswoman Betty Sutton of Barberton, D-13th, has officially endorsed the effort. In a released statement, she announced plans to draft legislation to expand access to defibrillators in schools nationwide.
"This proven, life-saving step should be taken in every single state," she said in her statement. "... We must not wait. We must work to enact this program nationwide to protect against the needless loss of promising young people throughout the country." "There are 110,000 schools [in the nation]," Gordon said. "We only need $129 million. ... It doesn't seem like a lot of money." He added, "Our goal is to expand this to the national arena — that every single child in the United States can be protected with an AED in the school."

School Daze: Raising awareness for 'Sudden Cardiac Arrest'

By Jeanie Corral
Reporter/Columnist

      At a recent school board meeting, trustees were given an eye-opening viewpoint into the problem of Sudden Cardiac Arrest (SCA). The father of Travis Roy of Murrieta gave trustees a massive amount of information and a father’s impassioned plea to join in with nearby school districts in getting the Automated External Defibrillators (AED) into the public schools and getting people trained in their proper use.
      Recently, Governor Arnold Schwarzenegger signed AB 254 that amends the Health and Safety Code and the Civil Code as relating to acquiring AEDs. Because more than 325,000 Americans die yearly from sudden cardiac arrest, having an AED available can protect children and adults alike because of the machine’s ability to restart the heart.
      Young Travis was three weeks away from completing his 8th grade year when he suffered SCA at his middle school. The 14-year-old spent four weeks in an ICU where an MRI showed he had gone 23 minutes without circulation, leaving him blind, completely paralyzed, unable to speak, chew or swallow. The accident happened on May 20, 2005; a month later, Travis died.
      As his father poignantly stated, the family wanted to protect other families from the trauma and pain they endured, setting up the Travis R. Roy Sudden Cardiac Arrest Fund to educate and implement the layman’s knowledge about what can be done.
      Trustees learned that SCA kills close to 1,000 people daily, or about one every two minutes; that it happens in the general population at a rate of at least one in 500, and kills more each year than AIDS, breast cancer, colon cancer, prostate cancer and motor vehicle accidents combined.
      Trustees also learned that this type of attack strikes boys four times more often than girls, and usually happens between the ages of 10 to 19, often during exercise periods such as vigorous physical education programs.
      In Travis’ case, he suffered from an undiagnosed heart condition. Had there been an AED available, he might have survived. According to his father, the application of an AED could save countless people. He notes that, because SCA is a time-critical emergency, brain death begins in four to six minutes after circulation stops; when an AED is used within three to five minutes, the overall survival rate is almost 75 percent.
      Murrieta Valley Unified District implemented AED programs in 2006, using a 3-2-1 formula: three at each high school, two at each middle school and one at each elementary site.
      This past March, Temecula Valley Unified District placed AEDs on each of its 30 campuses as well, modeling the 3-2-1 formula of Murrieta. This past month, San Jacinto Unified started placing the AEDs on its 12 campuses. Several other California school districts have AEDs on their campuses with personnel trained in their use.
      The LEUSD board of trustees will be actively exploring buying the AEDs for its campuses as well. Currently, federal law mandates their placement in every airport and on every commercial airliner and, now, California law requires them in all health clubs.
      Good Samaritan laws, at least in California, protect AED users from liability in the case of death.
      Losing one child is one too many. LEUSD trustees will be part of program to be proactive when it comes to SCA prevention.