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Imagine walking on the road and suddenly seeing a passerby suffering from chest pain and collapsing. Would you be able to give a lifesaving Cardio-Pulmonary Resuscitation (CPR)? Most likely, no.
A recent survey conducted by Lybrate — a domestic online doctor consultation platform — showed that nearly 98 per cent Indians are not trained in basic life-saving technique of CPR during sudden cardiac arrest.
In India, sudden cardiac arrest is a major cause of death due to cardiovascular diseases (CVD), and shockingly 60 per cent of the people who suffer a sudden cardiac arrest succumb to it even before they reach hospital, the survey, conducted in 2016, showed.
The need of the hour is to make CPR training a must in schools and colleges and even at community level, as it can triple a patient’s chance of survival, if performed in the first few minutes of cardiac arrest, health experts said. CPR consists of using chest compressions and artificial ventilation to maintain circulatory flow and oxygenation during cardiac arrests and is the cost effective way to improve survival.
“In case of sudden cardiac arrest, the mortality is very high — almost 90 per cent or more if not resuscitated within 10 minutes,” Neeraj Bhalla, Director and Senior Consultant Cardiology at BLK Super Speciality Hospital, New Delhi, told IANS.
The American Heart Association (AHA) defines CPR as an emergency procedure to restore spontaneous blood circulation and breathing in a patient and, especially, if performed immediately, it can double or triple a cardiac arrest patient’s chance of survival.
“Any process to bring back the heart beats in the first minute is very important and CPR is one very effective and time-tested process. There should be a concerted effort to make CPR training a must,” added Piyusha Majumdar, Assistant Professor, Indian Institute of Health Management Research (IIHMR) University, Jaipur.
The AHA recommends uninterrupted chest compression (100 chest compressions in a minute) to the patient until para-medical support is given, which helps in supplying oxygenated blood to the brain and preventing death. Bystander CPR, and AED (automated defibrillators), are very useful in saving lives,” Bhalla said.
“The use of AED — used to diagnose life-threatening arrhythmias or irregularity of heart rhythm — can also be used to treat a dying heart by using electric shock to revive the heart’s rhythm,” Vanita Arora of Max Super Speciality Hospital, Saket, New Delhi, told IANS.
The device is easy to use, and with some basic training, it can easily be operated by a layman. However, “it is not available at most places, unfortunately. An AED machine should be there at every place where there’s a fire extinguisher. That’s how important a role it can play in saving lives,” Arora noted.
“The government can also come out with campaigns and such training should be given to all and sundry. Government and private hospitals should also be roped in to provide training, apart from making it compulsory in schools and colleges. Besides, NGOs can also be of great help in such an initiative,” Majumdar added.
The experts also noted that most people fail to identify when a person is suffering cardiac arrest. “A person suffering cardiac arrest will show the following symptoms: pain in the chest, palpitations or shortness of breath, collapse due to loss of consciousness and, most critical, no detectable pulse. The last two are very easy to detect and are almost clear signs of cardiac arrest,” Arora emphasised.
“When you see a person faint or become unconscious gasping for breath, the first thing is to check the pulse or beating of the heart. A person suffering from sudden cardiac arrest will not have detectable pulse, which means he has only seconds to survive. The next step is to call emergency medical service immediately. Almost simultaneously, the person should begin performing CPR,” she noted.
At the same time, proper heart examination should be made part of routine health check up among the people in the country. People get heart check-ups like ECG and angiographies done only when they face problems like chest pain or any other symptom of heart attack or cardiac arrest.
One should never ignore unexplained weakness, tiredness, first onset chest burning or first onset breathlessness after the age of 40. Those with strong family history of heart disease should get themselves screened, the doctors said.
Leading a healthy lifestyle — including a daily exercise routine, eating healthy food and avoiding stress, adequate sleep — is good for maintaining a healthy heart. It must be made mandatory to teach CPR to all students, office-goers, security personal and almost every citizen of the country, the experts said. IANS
The Supreme Court on Tuesday agreed to examine a seeking direction to the Election Commission to de-register a political party, which fails to comply with the court's direction to disclose criminal antecedents of candidates fielded in polls. Advocate Ashwini Upadhyay requested a bench headed by Chief Justice N.V. Ramana and comprising Justices A.S. Bopanna and Hima Kohli to list the petition urgently, against the backdrop of the ongoing election process. He contended that nomination for the first phase of the Uttar Pradesh Assembly election has started, and the political parties and candidates are brazenly violating the top court judgments.
After briefly hearing Upadhyay, the bench said: "We will consider it... will give a date".
The plea argued that allowing criminals to stand for election threatens democracy and secularism. | Wikipedia
The plea claimed that the cause of action for filing the plea arose after the Samajwadi Party fielded alleged gangster Nahid Hasan from Kairana but neither published his criminal records in electronic, print and social media nor the reason for his selection within 48 hours. On February 13, last year, Shamli police imposed the Gangster Act on Nahid Hasan, who is a two-time MLA from Kairana. "He (Hasan) has multiple criminal cases and is the 'mastermind' behind the Hindu exodus from Kairana. There are many criminal cases including fraud and extortion, and he was declared a fugitive by Special MLA-MP Court," the plea said.
The plea argued that the consequences of permitting criminals to contest and become legislators are extremely serious for democracy and secularism. The plea sought a direction to the Election Commission to take steps to ensure that every political party publishes the details regarding criminal cases of each candidate along with the reason for such selection on the homepage of its official website in bold letters within 48 hours in the spirit of top court orders passed on September 25, 2018, and February 2, 2020. (IANS/ MBI)
(Keywords: uttar pradesh assembly election, hima kohli, justices a.s. bopanna, chief justice n.v. ramana, political party, election commission, the supreme court, tainted candidates, action, plea)
There will be no chief guest at the Republic Day parade this year also as the plan to host state heads of five Central Asian countries -- Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan and Uzbekistan -- seems to have been cancelled due to the Covid situation in India as well as in the respective nations. Though the Ministry of External Affairs is yet to confirm this officially.
If the guests arrive, then this would be the second time when India hosts a group of state heads as the chief guests on the Republic Day. In 2018, state heads of ASEAN countries graced the occasion with their presence. Apart from Kazakhstan, none of these countries' state heads had been invited as the chief guests on the Republic Day. In 2009, Kazakhstan's then president Nursultan Nazarbayev was the Chief Guest.
The Government of India is in no mood to take any risk to invite any foreign guest.Unsplash
As per sources, due to the corona situation, the Government of India is in no mood to take any risk to invite any foreign guest, so the plan seems to have been cancelled. Last year, British Prime minister Boris Johnson was invited for the same, but later cancelled due to rising corona cases in the UK.
In the past, there have been occasions when the Republic Day ceremony was celebrated without any foreign guest. In 1966, there was no foreign chief guest in the Republic Day parade ceremony as the then Prime Minister Lal Bahadur Shastri had passed away in Tashkent in January, and Indira Gandhi took oath as Prime Minister on January 24. (IANS/SP)
(Keywords : chief, guest, Republic Day, parade, India, January, pandemic, 2022, host, nation, guest, invite, foreign, occasion, presence, celebrate.)
A team of scientists from the Banaras Hindu University (BHU) have found a cure for those suffering from chronic wounds, particularly with diabetic foot ulcers. The team led by Prof Gopal Nath of the department of Microbiology, Institute of Medical Sciences, said that wounds that took months and years to heal, could now be cured in days or months. The findings of study have been published in the National Centre for Biotechnology Information, National Institutes of Health, US.
Prof Nath said that a wound is defined as a breach in the skin or body tissues due to injury. An acute wound is defined as a "recent break that is yet to progress through sequential stages of healing". The wounds where normal healing process is stalled due to underlying pathology (vascular and diabetes) or infection beyond three months is defined as chronic wound. While chronic wounds always get infected, the contaminated wounds are reasonably susceptible to infection.
A significant improvement could be achieved in the form of complete wound epithelization within a few weeks.Towfiqu barbhuiya / Unsplash
Infection with antibiotic-resistant bacteria and biofilm formation halt healing progress. These wounds cause significant psychological and physical morbidity. The traditional treatment strategies often succeed in healing wounds, he said adding that many wounds have been observed recalcitrant to them, leading to persistence and recurrent infections. Search for alternatives to antibiotics has now become a compulsion. Fortunately, bacteriophage therapy is a re-emerging solution to antibiotic-resistant bacteria.
Prof Nath's team carried out phage therapy of acute and chronic infected wounds in animals and clinical studies. It showed efficacy against Pseudomonas aeruginosa in a mice wound model. Furthermore, they evaluated the efficacy of phage cocktails in animal models' acute and chronic osteomyelitis caused by methicillin-resistant Staphylococcus aureus. They also observed biofilm eradication from K wire in rabbits' wound infection model. Clinical trials of phage therapy initiated by the BHU have reported the efficacy of topical phage in healing chronic wounds in three prospective exploratory studies and no adverse events mimicking the results in vivo animal models.
Scientists have found a cure for those suffering from diabetic foot ulcers. Unsplash
A clinical study by Gupta demonstrated the significant role of bacteriophage therapy in the chronic wounds associated with antibiotic-resistant bacteria. The study employed a total of twenty patients with chronic non-healing ulcers for more than six weeks duration. A significant improvement could be achieved in the form of complete wound epithelization within a few weeks. Another study, employing 48 patients having a minimum of one eligible full-thickness wound that did not heal in six weeks with convention wound management, showed the promising result, and significant improvement was observed in the wound healing.
The study projected that specific phage therapy is equally effective regardless of the diabetic or non-diabetic status of the patient though the healing was relatively delayed in diabetic patients. Another successful study has shown encouraging results on healing process of infected acute traumatic wounds. The average number of days required for complete granulation of wounds and attaining sterility and healing was half compared to conventional therapy. (IANS/SP)
(Keywords : scientists, cure, chronic, wound, suffer, ulcer, diabetes, healing, pathology, health, infection, bacteria, study, patient, therapy, successful.)
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