Avera Medical Minute AHH: Cooling Protocol for Cardiac Arrest - KSFY News - Sioux Falls, SD News, Weather, Sports

Avera Medical Minute AHH: Cooling Protocol for Cardiac Arrest

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Avera Heart Hospital Resource Nurse Marcia Jorgensen demonstrates how the insulated cooling blanket works. Avera Heart Hospital Resource Nurse Marcia Jorgensen demonstrates how the insulated cooling blanket works.

Earlier in October, Nancy Naeve Brown introduced you the team of people in Dell Rapids that helped save the life of a man who went into cardiac arrest at the vet clinic there.  Now she shows us what happened at the Avera Heart Hospital in Sioux Falls after that man was brought back to life 7 times.

When Randy Rosales, his wife Cooee and their dog Laya walked back in to Dells Veterinary Services 2 weeks after Randy collapsed there, he was shocked to see all the people who helped bring him back to life. 

Randy says, "I don't remember anything. Not a thing. I don't remember telling her I felt faint."

Randy had brought Laya in for a checkup on September 13th when he suddenly fell to the ground in cardiac arrest.  The staff jumped into action starting CPR within a minute. For 20 minutes paramedics and Dells Volunteer Fire Fighters would work on Randy, shocking his heart and doing CPR before getting him stable enough for transport to the Avera Heart Hospital in Sioux Falls.

Cardiologist Dr. David Nagelhout with North Central Heart says, "The critical thing is to get it started and get the blood circulating because there is plenty of oxygen in there that will last a few minutes."

Because CPR was started immediately, Randy is alive today. Because of its importance I wanted to get a lesson in it. First of all call 911. Make sure the person is on a hard surface. I'm right handed, so I extend by right arm interlock my left hand on top and start pushing as hard and as fast as I can in the middle of the nipple line. Arms must be kept straight. If you sing "Staying Alive" that's how fast you have to go.

CPR kept Randy's heart pumping, but this hypothermia cooling blanket kept him from having brain damage. As soon as Randy was brought in to the Avera Heart Hospital ER they started the cooling protocol.
 
Dr. Nagelhout says, "The longer you prolong it, the less successful it will be."

Resource Nurse Marcie Jorgenson demonstrates on intern Alyssa Koens how bags of ice are first placed in the patients arm pits and groin. The cooling blankets go under and on top of the patient. The machine circulates freezing cold water through the blankets to get the patient's body temperature down to 91 degrees.

 Dr.  Nagelhout says, "If the heart has stopped for any length of time it seems to protect the brain. When you have cardiac arrest and CPR for a prolonged period of time there appears to be some substances created that cause damage to the brain by cooling it, it seems to prevent that. We don't quite understand why, but it seems to make a tremendous difference."

 Randy says, "Oh God yes. They were great with my wife. Wonderful, wonderful people but I don't want to go back anytime soon. I would go back to say thank you."

Randy says it's by the grace of God he is alive today after flat lining 7 times. But his cognition may be even more remarkable considering. That miracle doctors directly correspond to being cooled down. 

Randy had 3 stents put in his coronary arteries and will be getting an implantable defibrillator very soon.

Call 877-AT-AVERA to make an appointment for Planet Heart or artery screenings.
http://www.avera.org/heart-hospital/index.aspx

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