A deadly respiratory virus
You’ve been up all night. Your sweet baby girl, 5 months old, is suffering from her first cold. Her stuffy nose and congested cry just breaks your heart. Sitting in the steamy bathroom, listening to the shower, you hope the steam will help your baby to breathe better, but it hasn’t helped yet. Your wife is sleeping in the bedroom on the other side of the door. She was up all night last night trying to soothe your fussy daughter. Her crying stops and you sigh with relief. She needs rest. You both do. Something doesn’t feel right, though. Seconds ago, you could feel her head bob up and down with each breath. Now, she’s still. Too still. You turn on the light and realize your baby is blue around the lips and isn’t moving. “Claire! Claire, baby, are you ok? Wake up, sweet girl!” She doesn’t respond. You scream, “Kim! Kim, wake up! Something’s wrong with Claire! Call 9-1-1!” Thankfully, your employer offered CPR classes a year ago. You’re exhausted, but you know you must start compressions immediately. You remember from your CPR class that you must place your first two fingers over the bottom of her breastbone; you start compressions. “One and two and three and…” Thirty compressions later, you lift her chin slightly, cover her nose and mouth with your mouth, and blow twice into her mouth for one second each; her chest rises, so you know you did it correctly. Your wife puts EMS on speaker and comes to your side. This time, you stop at 15 compressions and your wife gives your baby two rescue breaths. After a few rounds of CPR, the dispatcher breaks in to say the ambulance is pulling into your driveway. Your wife runs downstairs to meet them, and you return to the 30 compressions/2 breath cycle until the paramedics run in and take over. You watch while they put a breathing tube in her windpipe and put EKG leads on her chest and a pulse oximeter. Her heart rate is 62 beats per minute. Not high enough, but she doesn’t need CPR anymore. After a half a minute or so, her heart rate begins to climb slowly. 70, 80, 90, 100 beats per minute. Her oxygen saturation, low at first, begins to rise. The paramedics sigh with relief and turn to you, “Great job, sir. Performing CPR like you did kept your baby alive. We’re going to take her to the hospital where they will keep treating her. You can meet us there.” They place her gently on the stretcher, strap her in, and take her to the ambulance. Babies and CPR While the heart is the cause of cardiac arrest in adults, babies’ and children’s hearts stop most frequently because they stop breathing, also known as acute respiratory failure. This is usually caused by a respiratory virus like that which causes the common cold. The baby in this story was struggling to breathe until she just couldn’t breathe anymore, so her heart stopped. Thankfully, her parents had taken a CPR class sponsored by his employer so he knew what to do. His quick thinking kept blood and oxygen going to her brain until the paramedics could provide a stable airway and give her oxygen. Without his CPR, they may never have gotten their baby back. Occasionally, babies are born with heart defects that are not diagnosed by ultrasounds before birth. It is recommended that a simple, noninvasive test is performed before the baby is discharged after birth to determine if there is a problem with the baby’s heart that needs further evaluation. Sometimes, though, the test isn’t performed or, if it is performed, it can’t detect the problem with the heart. This can also sometimes lead to sudden cardiac arrest after a few weeks. Prevalence of Sudden Cardiac Arrest in Children The CDC estimates that sudden cardiac arrest will take the lives of 2000 individuals less than 25 years of age each year¹. Bystander CPR, that is CPR performed by laypersons who witness the individual’s collapse, increase the chance of survival of children whose hearts stop. The more civilians who are trained in how to perform CPR on children who have collapsed, the higher the likelihood that someone near the child who collapses knows CPR and can start CPR right away. This will lead to better outcomes for all children. Can you get a CPR certification online? CPR certifications are now readily available online. These certification classes teach both adult and pediatric cardiopulmonary resuscitation. You can spend a little time, not much money, learn how to save adults and children whose hearts have stopped, and earn your CPR certification online, all in the comfort of your own home! This is a great option for new parents and the whole family. Teenagers who babysit their siblings or other children are excellent candidates for online CPR certification. If your employer requires a provider BLS/CPR, you can do part of your certification online, but you will have to meet with an instructor to perform the return demonstration part of provider certification. Get your family together and earn your CPR certifications online! While no one ever wants to use this certification, earning your CPR certification online might just save the life of someone you love. Reference Pediatric Sudden Cardiac Arrest (2012). American Academy of Pediatrics, 129. Retrieved from http://pediatrics.aappublications.org/content/129/4/e1094 Not the time to choke
You clock in for your shift, put on your apron, and greet your first table. Throughout their meal, you wave at their infant, who is babbling and cooing. The restaurant gets busy and you’re running to and from the kitchen. A scream rings out from the young family at your table. You sprint to the table and see the parents leaning over the baby, who is blue and struggling to breathe, but can’t make a sound. “I think she’s choking on a piece of crayon!” The mother shouts. Thankfully, you are CPR-certified and know how to help an infant who is choking. You spring into action, use what you learned in the certification course, and after a few seconds that feel like hours, she coughs up a piece of blue crayon. As she starts breathing, her color returns to normal. Her parents, sobbing, hug her close and thank you over and over. Your manager claps you on the back and asks, “How would you like to be in charge of getting the rest of our employees trained in CPR?” The right place at the right time It’s just another day at the office: answering emails, writing reports, staying awake through meetings that could have been emails. Your mind starts to drift and you start thinking about where you will go for lunch. As you’re powering down your computer, you hear someone shout, “Dave! Dave, what’s wrong, man? He’s not breathing. Does anyone know CPR?” Last month, your wife talked you into taking a CPR class, so you run to the corner office and see your boss slumped in his chair, unresponsive to the shouts of your colleagues. “Help me get him to the floor,” you say, taking charge of the situation. “I’ll start CPR, you call 9-1-1!” Stacking your hands on his breastbone, you begin chest compressions. You continue CPR until the paramedics arrive. The paramedics use their defibrillator to shock his heart back into a normal rhythm. He’s unconscious, but breathing now. Thanks to your quick thinking and CPR training, you helped to keep your boss alive until the paramedics could arrive. Bringing CPR to the community Nurse. Doctor. Paramedic. Obviously, members of the healthcare professions are required by law to maintain certifications in cardiopulmonary resuscitation, basic life support, and others. But, did you know that many cardiac arrests occur in the community away from healthcare providers? Everyone knows to call 9-1-1 when they find someone unresponsive, but it can be ten, twenty, thirty or more minutes before trained professionals can arrive to help. Each minute, each second, that the unresponsive person’s brain goes without blood flow and oxygen is critical. The sooner blood flow is returned, either by chest compressions or spontaneous circulation, the more likely the person is to survive without brain injury. Who should have CPR certification? The short answer is, everyone. Any individual who spends time around other people may, at some point in their life, be put in a position that requires knowledge of CPR. Cardiac arrest can strike at work, at school, sporting events, shopping malls, or even walking down the street. Thanks to the wonders of the internet, you don’t have to be a healthcare professional to be CPR certified. You can learn how to save individuals with cardiac arrest, take the certification test, and receive a temporary certification card, all in an afternoon from your home computer. A permanent card, to be carried in your wallet, will be mailed to you within a few days. How a CPR course can benefit your career How to help in emergencies is a highly marketable life skill. Make sure to include your CPR certification in your resume. Regardless of the position to which you are applying, holding a CPR certification shows your future employer that you are self-motivated and value the health and safety of yourself and those around you. Many teenagers have summer jobs as babysitters and lifeguards. Lifeguards are required to be CPR certified due to the risk of drowning. Babysitters, who are in charge of the care of one or more children, are not necessarily required to know CPR. Since 2000 children die from cardiac arrest each year¹, parents should request that their babysitters and nannies be CPR certified. In this same thread, individuals who babysit can make themselves more marketable by earning a CPR certification. Cardiac arrests can be caused physical exertion. Personal trainers, coaches, gym attendants, and anyone else present while people are exercising may find themselves in situations where a knowledge of CPR may save a life. A CPR certification can benefit your career by elevating your resume and job application above your peers. As healthcare and insurance prices continue to rise, efforts to cut the cost of running a business are at the forefront of board meetings and staff meetings across the country. A significant portion of business costs are workplace injuries. Employees who are CPR-certified are more conscious of how incidents occur and thus less likely to engage in risky behavior in the workplace. This translates into lower costs of running a business. Cardiac arrests can occur at any time for a host of reasons. Having a CPR certification shows your potential employers that you are well-rounded and concerned with the well-being of your team. Reference: Pediatric Sudden Cardiac Arrest (2012). American Academy of Pediatrics, 129. http://pediatrics.aappublications.org/content/129/4/e1094 |