
All across America it is becoming commonplace that in most schools, sports facilities, airports, corporate offices, government buildings, etc., AEDs (Automatic External Defibrillators) are being placed within. There is also a lot of movement going on toward CPR training and training in the use of these AEDs. Why is that?
For those who may not be familiar with what an AED actually is, I will tell you that it is a life-saving tool for those who have suffered a sudden cardiac arrest. It has the ability to check a person’s heart rhythm and recognize a rhythm that requires a shock. To put it in simpler terms; it is a device that jump starts a heart back into “normal rhythms” and they have been proven to save many lives.
Sudden cardiac arrest can take place at any age. If a person is over the age of 35, the most common cause is coronary artery disease, but in our young people it is a whole different story! In over 80% of the cases of sudden cardiac arrest in young people, “death” is the first symptom that something is wrong. It then just becomes a “Tragedy”. That unto itself is a tragedy, never mind what the family of the victim goes through after such an event.
Shockingly – Each month 600 young Americans die suddenly and unexpectedly from Cardiac Arrhythmia Syndromes. Because there are usually no symptoms leading up to the death, it is probably most likely that the cause of death will remain “undetermined”, which, in my personal opinion, is the worst clinical scenario a parent can receive when just having lost a young son or young daughter. The reason for the “undetermined diagnosis”, I am told in discussions I have had across the country, is that with electrical problems of the heart, the heart can appear normal after death occurs.
Cardiac Arrhythmia Syndromes, which is a major disease state taking our youth, are electrical disorders of the heart that and are” life-threatening”. This disease state is what is taking the lives of our young people silently, suddenly and so unexpectedly. They are also genetic and hereditary and, more importantly, are “detectable and treatable” when diagnosed. How does one diagnose a Cardiac Arrhythmia? A 12-lead EKG/ ECG (electrocardiogram) is an effective medical device for detection. It is designed to measure the electrical activity of the heart. The sensitivity of the EKG/ ECG for detecting the leading cause of sudden unexpected death, known as Hypertrophic Cardiomyopath (HCM) , is 95%. Once a cardiac arrhythmia is detected, because it is genetic and hereditary, if you test 1st and 2nd degree family members, nine (9) additional cases, on average, are found.
Right now we have AEDs attempting to do the job of saving the lives of those who suffer cardiac arrest. Admittedly, there is a problem if the country is demanding AEDs be placed almost anywhere and everywhere. Are our young lost in this? I believe they are! It’s hard to imagine a young adult in the prime of their life suffering sudden cardiac arrest.
I, by no means, want to take away or diminish this life-saving device. Unfortunately, though, a person has to go into sudden cardiac arrest first and hope they survive through the use of an AED. There must be an AED within 4 minutes of someone suffering cardiac arrest in order to save their life. For every minute that passes without defibrillation, a persons’ chances of survival “decrease” by 10%. For simplicity, for every 100 people that go down, only 10 will ever get up.
Children over the age of 8 can be treated with a standard AED. For children 1 -8, the American Heart Association recommends that attenuated, or long, narrow or sometimes tapered, pads must be purchased separately. Also critical, a person attempting to use an AED must “FIRST” recognize the signs of sudden cardiac arrest and know where the AED is placed; in the best case scenario know how to use the AED and additionally, hopefully, know how to perform CPR.
Cardiac arrhythmias which are causing sudden and unexpected death in our youth has been categorized as rare in most literature that your read. However, it is not “rare”; it is common and happening at a rate of 20 young people per day in this country between the ages of 6-18, 40 per day between the ages of 0-25. That is not my figure; that comes from the Heart Rhythm Society and I believe that those statistics are underestimated because there is no reporting system that exists here in the United States. I believe, and I am not alone in my beliefs, that many deaths, including some of the ones declared “undetermined”, are wrongly attributed to dry drowning, unexplained car accidents, eating disorders, possible drug use, etc. The real tragedy here is that these arrhythmias can be “TREATED” when diagnosed. For anyone to pass off the death of our youth caused by Cardiac Arrhythmia Syndromes because they believe it is “rare” is inexcusable and shocking; especially when there is cost-effective methods and preventive heart screening programs out there for detecting such conditions.
People, including some in the medical community, are depending on the false sense of security an AED brings. Considering the statistics reported above; AGAIN, a sudden cardiac arrest episode needs to be recognized “IMMEDIATELY”, an AED has to be readily accessible along with the hope that someone close by, before medical help can arrive, be somewhat knowledgable in its use and that either that same person, or someone close by, is also knowledgable in CPR in the event of such a sudden cardiac arrest emergency. In order to prevent young people from “going down in the first place”, some are simply hiding behind the words “rare” and “not cost effective” in order to dismiss what is happening every day all across this country! Are our children’s lives not worth it? Tell that to a parent who has just lost a seemingly healthy, active young son or daughter to this insidious and pervasive disease state; remembering that in 80% of the cases the first symptom is “death”. When tragedy does strike, some just throw their hands up in the air and justify it by saying “nothing could be done” or it was an “act of God”; left out there for the family to wonder “why or how this could have happened to their child” and live with the pain and grief that comes along with such a tragedy.
We live in modern times with modern advances and if we have the ability to make a difference in this world in a cost-effective way through EKG/ ECG preventive heart screening programs which can diagnose a child with an arrhythmia and prevent that child from dying needlessly, or even going down in the first place, where is the resistance?
AEDs are a wonderful life–saving tool; more so is PREVENTIVE HEART SCREENING. Let’s “screen hearts and save lives”! Our youth deserve to live long, healthy, happy, productive lives. It’s the reason we give them LIFE; not be cut short by a “detectable and treatable” disease!