Smarter than 5th Grader? Please Prove by Learning CPR/AED use

Sudden Cardiac Collapse (SCC) can occur almost anywhere, and far too often, it takes place at athletic events and facilities. Our local community was painfully reminded of this a few weeks ago with the tragic collapse and ultimate death of a high school student.

Once someone collapses, immediate initiation of Cardiopulmonary Resuscitation (CPR) and use of an Automated Electronic Defibrillator (AED) are the only ways to prevent death and time is indeed of the essence:

• Within 4-5 minutes of SCC, inadequate oxygen flow to the brain can lead to irreversible brain damage
• CPR alone confers less than a 25% chance of survival, but if an AED delivers an appropriate shock within 3 minutes of collapse, there is around a 90% likelihood of survival
• After that 3 minute window, the odds of successful resuscitation go down 10% with each passing minute

So before participation in any athletic activity, parents and athletes need to ask 2 key questions:

• Are there people here who know CPR?
• Is there an AED readily accessible at the field or in the gym?

Knowing how to perform CPR should be standard training for all coaches, officials, administrators, parents, and yes, even athletes. Good studies have shown that kids as young as 5th grade can appropriately perform these lifesaving skills. Low cost classes are available in almost all communities that take only a few hours to learn/review the elements of CPR and AED use.

Learning how to use an AED is rendered meaningless if there isn't an AED unit available on site in the event of a sudden collapse. While AED placement is now commonly seen at shopping malls, churches, on airplanes, and in large workplaces, it is defeating to learn how often school or athletic facilities do not have a unit in public view and available for immediate use. 

Highly recommend that upon arriving at any field, gym, or exercise facility, look around or ask about the location and availability of an AED. Just like identifying the nearest exit in event of a fire or other emergency, knowing AED placement can reduce time needed to put it into use when those seconds definitely count. Proper pre-participation preparation and emergency action plans should involve informing as many people as possible about the location and use of the AED.

If there isn't an AED, don't be afraid to make a little noise by advocating for placement. In many cases, concerns about liability, cost, maintenance, and training have been overcome by passionate community efforts emphasizing the benefits of having an AED for the greater good of athletes and spectators alike.

My wife and I just completed our CPR and AED recertification this week (thanks to Heartsavers in Fullerton, CA for such a wonderful course) and hope to have all readers of this blog join us in learning these skills that can make such a difference.

Must Plan Ahead to Turn Down Heat Illness Issues

Hot summer months combined with intense summer training camps present the greatest risk of exertional heat illness, especially in the first week of practices.

So athletes shouldn't be the only ones making preparations, according to the National Athletic Trainers Association which released an Executive Summary of the updated 2014 Position Statement providing revised recommendations and key insights on the management of Exertional Heat Illness:

• Death from exertional heat stroke is 100 percent preventable when proper recognition and treatment protocols are implemented.
• A pre-season heat acclimatization policy should be implemented to allow athletes to be acclimatized to the heat gradually over a period of 7 to 14 days. This is optimal for full heat acclimatization. 
• Plan rest breaks and modify the work-to-rest ratio to match environmental conditions and the intensity of the activity. 
• When environmental conditions warrant, ensure that a cold water immersion tub and ice towels are available to quickly manage an athlete with a suspected heat illness. 
• An athlete suffering from exertional heat stroke should always be cooled first (via cold water immersion) before being transported by EMS to an emergency facility. 
• An athlete recovering from exertional heat stroke should be closely monitored by a physician or athletic trainer and return to gradual activity. 
• The current document now states that a patient suspected of having exertional heat stroke must be cooled via cold water immersion for the full treatment time prior to being transported to a hospital. Additionally, the document states that this must be stated in the school’s Emergency Action Plan.

Any individual or organization holding training or competition sessions in hot conditions should review these recommendations and have appropriate on-field access to equipment and trained personnel as part of a well-constructed Emergency Action Plan. 

As a parent or athlete, do you know if your team or organization has preparations in place for prevention of Heat Illness?