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T&T: RE: RE: Defibrilators

From: Murray (no email)
Date: Mon Nov 01 2004 - 23:31:54 EST

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    The rare but important situations in which an AED would useful would be
    either ventricular tachycardia or ventricular fibrillation. If the AED
    is attached correctly and one of these two conditions is present then
    the shock given might convert the heart rhythm back to normal heart
    rhythm. However, the cause of the problem may not have solved.
            In a young athlete who suffers a blow to the chest from a
    baseball or hockey puck the heart (causing v-fib) the AED might very
    well convert the heart to normal rhythm. In that case, with an
    underlying healthy young heart, little or nothing more is generally
    required except close observation. In an elderly person the cause is
    more likely to be heart disease and while the AED may initially convert
    the heart back to a healthy rhythm, chances are the heart attack (or
    other event) will either hamper this conversion or often result in a
    return to the malignant rhythm.
            This reinforces the need for other skills (CPR etc.) and the
    obvious problem with being out at sea far from immediate medical help.

    Murray Archdekin
    Kullan
    1970 42 ft ED Monk Trawler
    -----Original Message-----
    From:
    [mailto:] On Behalf Of
    Jeffrey Siegel
    Sent: Monday, November 01, 2004 4:19 PM
    To: 'ronald barr';
    Subject: T&T: RE: Defibrilators

    > The unthinkable happens, you use the defrib, the patient
    > recovers, then what?? Almost immediate medical attention is
    > needed what have you achieved?
    >

    With AED:
    1. Mayday
    2. Coast Guard response
    3. Delivery to ALS critical care

    Without AED:
    1. Watch your loved one die

    ================
    Jeffrey Siegel
    M/V aCappella
    DeFever 53PH
    W1ACA/WDB4350
    Castine, Maine
     
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