________________________________
From: Sankar B <[EMAIL PROTECTED]>
To: [email protected]
Sent: Thursday, 9 October, 2008 4:24:09 PM
Subject: Heart attack - how can you handle it?

Slide show attached!

________________________________
Response to the above mail:

Some time back after receiving the same presentation on Coughing procedure to 
treat Heart Attack, I sent a mail informing that it is one of the Email rumours 
in circulation for many years and not accepted by medical experts as a proved 
treatment. I give below the 
details:(source:http://urbanlegends.about.com/library/blcpr.htm)

S.V.SAI BABA

 
Can 'Cough CPR' Save Your Life During a Heart Attack?   
Netlore Archive:  Self-CPR? According to this 1999 email rumor, you can save 
your own life during a heart attack ... by coughing   


Description:  Email rumor
Circulating since:  1999
Status:  Disputed by experts
Analysis:  See below    

Email text as circulated in 1999: 
This one is serious... 
Let's say it's 4:17 p.m. and you're driving home, (alone of course) after
an unusually hard day on the job. Not only was the work load
extraordinarily heavy, you also had a disagreement with your boss, and
no matter how hard you tried he just wouldn't see your side of the
situation. You're really upset and the more you think about it the
more up tight you become. 
All of a sudden you start experiencing severe pain in your chest that
starts to radiate out into your arm and up into your jaw. You are only
about five miles from the hospital nearest you home, unfortunately you
don't know if you'll be able to make it that far. 
What can you do? You've been trained in CPR but the guy that taught
the course neglected to tell you how to perform it on yourself. 
HOW TO SURVIVE A HEART ATTACK WHEN ALONE 
Since many people are alone when they suffer a heart attack, this
article seemed in order.) Without help the person whose heart stops
beating properly and who begins to feel Faint, has only about 10
seconds left before losing consciousness. However, these victims can
help themselves by coughing repeatedly and very vigorously. A deep
breath should be taken before each cough, and the cough must be deep
and prolonged, as when producing sputum from deep inside the chest. A
breath and a cough must be repeated about every two seconds without
let up until help arrives, or until the heart is felt to be beating
normally again. Deep breaths get oxygen into the lungs and coughing
movements squeeze the heart and keep the blood circulating. 
The squeezing pressure on the heart also helps it regain normal
rhythm. In this
way, heart attack victims can get to a phone and, between breaths,
call for help. 
Tell as many other people as possible about this, it could save their
lives! 
from Health Cares, Rochester General Hospital via Chapter 240's
newsletter
AND THE BEAT GOES ON... (reprint from The Mended Hearts, Inc.
publication, Heart Response)  

Comments:   This message gives the impression that the technique described has 
the
endorsement of Rochester General Hospital and Mended Hearts, Inc., a
heart attack victims' support group. It does not. Although the text was
first published in a Mended Hearts newsletter, the organization has
since retracted it. Rochester General Hospital played no part in the
creation or dissemination of the message, nor does it endorse its
contents. 
According to the best information I can find, "cough CPR" (referred to in some 
variants as "self-CPR") is a real procedure occasionally used in emergency 
situations under professional
supervision. It is not, however, taught in standard CPR courses, nor do
most medical professionals presently recommend it as a "life-saving"
measure for people who experience the most common types of heart attack
while alone (note: see update below). 
One doctor I contacted — a heart specialist — had never even heard of the 
procedure. 
Other
doctors say they're aware of the "cough CPR" technique but would only
advise it under very specific circumstances. For example, in certain
cases where a patient has abnormal heart rhythms, coughing can help
normalize them, according to Dr. Stephen Bohan of Brigham and Women's
Hospital in Boston. However, most heart attacks are not of this type.
Dr. Bohan says the best course of action for a typical heart attack
victim is to immediately take an aspirin (which helps dissolve blood
clots) and call 911. 
This is
a case where a nugget of truth has apparently been misunderstood and
misrepresented to the public, though not intentionally. A chapter of
Mended Hearts published it without proper research.. It was then
reprinted by other chapters and eventually found its way into email
form. 
Darla Bonham, the organization's executive director, issued a statement 
afterward which read, in part: 
I've
received email from people all across the country wanting to know
if it
is a valid medically approved procedure. I contacted a scientist on
staff
with the American Heart Association Emergency Cardiac Care division,
and
he
was able to track a possible source of the information. The information
comes from a professional textbook on emergency cardiac care. This
procedure is also known as "cough CPR" and is used in emergency
situations
by professional staff. The American Heart Association does not
recommend that the public use this method in a situation where there is
no medical supervision.
As with all medical
rumors, the most prudent course of action is to verify the information
with your own doctor or other medical professional before acting upon
it or sharing it with others. 

2003 update:  In September 2003, four years after this email rumor began 
circulating, Polish physician Tadeusz Petelenz presented the results of a study 
which he said demonstrates that cough CPR can indeed save the lives of
some heart attack victims. While not immediately embraced by all the
members attending the European Society of Cardiology meeting where
Petelenz spoke, the findings were characterized by some as
"interesting." At least one heart specialist, Dr. Marten Rosenquist of
Sweden, found fault with the study, objecting that Petelenz had
presented no evidence that the subjects had actually experienced
cardiac arythmias. He called for further research. 
The
American Heart Association does not endorse "cough CPR," a coughing
procedure widely publicized on the Internet. As noted in the 2005
American Heart Association Guidelines for Cardiopulmonary Resuscitation and 
Emergency Cardiovascular Care, the American Heart Association DOES NOT TEACH 
THIS AS PART OF THE CORE CURRICULUM IN ANY COURSE. 


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