Showing posts with label CPR. Show all posts
Showing posts with label CPR. Show all posts

Wednesday, January 22, 2014

The Iditarod on 12,000 calories a day

Extreme cold in Alaska makes the race even more challenging – and dangerous

Rick Casillo dog racingGuest essay by Paul Driessen – What’s Up With That? – Cross-Posted at Just One More Pet

This winter’s record Midwestern freeze made any outdoor activity a real challenge. It also made us appreciate modern housing, heating, transportation and hydrocarbons – and what our frontline troops have endured in the Aleutians, Korea and Afghanistan. I’ve been in minus 20-50 F weather, and it is brutal. 

The nasty weather reminded me of the Iditarod racers and spirited sled dogs I met last summer in Alaska. Trekking 1,100 miles from Anchorage to Nome, across Sam McGee’s wilderness in the dead of winter in nine to twelve days, is not for faint-hearted humans or canines. It’s equivalent to jogging from Chicago to Tampa or from Washington, DC to Kansas City – with temperatures ranging from a “balmy” 10 or 20 degrees F (-7 to -12 C) above to a bone-rattling and deadly minus 50 (-46 C) or lower for the entire trip.

It helps explain why far more people have reached the summit of Mt. Everest than have finished the annual Iditarod race.

This difference: some 4,000 to Everest’s peak versus around 900 individual dogsledders, many of whom are the same hardy men and women racing year after year. About 2,550 dog teams of 16 dogs each have competed since Dorothy Page and Joe Redington, Sr. launched the Iditarod dogsled race in 1973.

Rick Swenson has entered the race 33 times and won it five times, logging more than 82,000 miles in training and racing. DeeDee Jonrowe has started 27 races and finished 25, including 2003 when she began three weeks after finishing chemotherapy for breast cancer! (Go here for still more Iditarod trivia.)

“The coldest I’ve ever been in during the Iditarod was minus 60, and I actually camped out on the trail that night with the dogs,” Rick Casillo told me. “It’s by far the coldest I have ever been. I went to sleep after taking care of the dogs, woke up two hours later and was starting to get hypothermic. I had to get out of my bag and get moving fast. When you’re dealing with temperatures like that, there is no room for error. You have to plan and execute each step perfectly.” Jack London’s “To build a fire” comes to mind.

Rick and his wife Jennifer operate Battle Dawgs Racing, Aurora Heli-Expeditions and the Knik River Lodge west of Palmer. But Battle Dawgs is not just their dog kennel. By partnering with Alaska’s Healing Hearts, they’ve made it a wounded veterans rehabilitation program that enables military personnel and their families and loved ones to experience wild Alaska, restore their souls, and meet kindred spirits through hunting, fishing, mushing, flying, hiking and snowmobiling.

James Hastings, director of operations for AHH and a retired U.S. Army veteran, says their goal with Battle Dawgs is to have a year-round camp with cabins and facilities that can accommodate warriors in wheel chairs. Adds Jennifer, an Air Force veteran and reservist, aircraft mechanic and chopper pilot: “For a wounded veteran, the true battle often begins when they get home.” That’s why the dogs are important. “The healing capabilities of canines are legendary,” Rick says. “You can’t spend time with these men and women, and not want to help out by offering them some life changing experiences.”

Some of warriors will actually be members of Rick’s “pit crew” during dog races. One will be on his sled for the “ceremonial” portion of the 2014 Iditarod, from Anchorage to Eagle River, where the teams regroup and start the actual race. Few can imagine what goes into this race.

Pre-season racing is like pre-season football, Rick says. “You use it to gauge younger dogs and give them valuable racing experience. I’m looking for attitude, recovery time, eating habits, drive and desire. These dogs are all born to run, but I need dogs that can do these runs over and over, willingly and happily.” Usually he spots these characteristics by opening day, but sometimes there are surprises.

“The toughest situation I was ever in was easily in 2007 when I was going up the Alaska Range from Rainey Pass,” Rick recalls. “The temperature was minus 30, with 40 mph winds – making it feel like minus 71 – and we were climbing in a complete whiteout. My goggles froze up solid and were useless. I was forced to take them off. Minutes later, frostbite set in on my nose, cheeks and eyelids. Sometimes I had to walk in front of the team to find the trail. All of a sudden, an 18-month-old dog started demanding to be up front, leading. Normally I would never rely on a young dog in a situation like that, but Grisman was jumping five feet in the air, howling to go. So I gave him a chance. Once I put Gris in lead, he never balked once. Not only did he take us up and over the range. He continued to be one of best dogs in that race and went on to be the best dog I have ever run.”

That experience underscores what are perhaps the six most important factors in Iditarod racing. (1) Bond and trust. “If you don’t have the dogs’ trust, you have nothing,” Rick emphasizes. (2) Mental and physical toughness, for dogs and musher alike. By the end of the race, each musher is tired, battered and cut up – attesting to the difficulty of the trail and weather, and to the need to just keep going, no matter what. (3) Logistics. More on that in a minute. (4-6) “Dog care, dog care, dog care. As the dogs go, you go.”

For UPS and Amazon, logistics are vital. “Brown” even has a jingle about logistics, and Amazon.com hires numerous veterans because of their logistical skills. But for the military and Iditarod racers, logistics mean the difference between success and failure, life or death. “We’re on our own out there,” Rick told me. “No cell phones, no communications. Careful planning and preparation are critical.”

Each dog burns 12,000 calories a day during the Iditarod, Rick points out. That’s what Olympic swimming champion Michael Phelps reportedly consumes on racing days. Rick’s dogs eat a combination of beef, horse, fish and chicken; beef fat and turkey and chicken skins; tripe and high-grade dry dog food; salmon oil and natural supplements. They wear booties to protect their feet from the cold and bruising.

Mushers are required to carry a sleeping bag, ax, snow shoes, extra dog booties, a veterinary care book, a dog food cooker and sufficient food for the dogs, in their sleds at all times. So they are hauling about 60 pounds of food and gear in sleds similar to what Inupiaq and Yup’ik Natives used for centuries. For each musher, some 3,000 pairs of booties and 2,000 pounds of food and personal gear are divided up and airlifted by volunteer flyers two weeks before the race to each of 20 check points along the route.

“We cover 125 to 150 miles a day. Our average runs are 60 miles, followed by a four-to-five-hour break to eat, rest, massage and care for the dogs – and then we do it again, and again, until we reach Nome,” Rick explains. Mushers are also required to shut down completely for two 8-hour and one 24-hour rest periods. Tough hills, rocks, swollen creeks, high winds, frigid temperatures, storms, whiteout conditions, accidents and injuries to dogs or mushers, and other adventures can slow that pace down. But somehow they need to make it to the next check point, where volunteer veterinarians examine the dogs and they can replenish their supplies. More volunteers fly any injured dogs from the nearest checkpoint back to Eagle River, where Hiland Mountain Correctional Center inmates care for them until the mushers finish the race.

The hard training and careful preparation pay off. Rick has entered and finished four Iditarod races and is now preparing for his fifth. He’s also competed in many other dogsled races. This year he plans to run at a slower pace that requires less exertion and less rest – and results in less fatigue and healthier dogs that can chew up miles. That’s a bit different from a musher who “ran” all 188 miles to Rohn with minimal breaks in the first race of the 2013-14 season. It will be fascinating to watch all the mushers’ strategies in action.

They’re all straining, sweating and freezing for the $50,000 first place prize – and smaller cash prizes for the next 30 top finishers, plus the joys and thrills of just being in this premier race. But competing in the Iditarod costs $30,000 or more in fees, supplies, dog care, preparation, training and prelims.

So follow Rick Casillo on BattleDawgsRacing.com and all the mushers, preparations, history and thrills of this amazing race at Iditarod.com. Buy some gear and DVDs. Support your favorite mushers and dogs with donations or by volunteering. And watch the race on television. It starts March 1 – and now you know enough to really understand and appreciate “the last great race,” the Iditarod.

_______________

Paul Driessen is senior policy analyst for the Committee For A Constructive Tomorrow, author of Eco-Imperialism: Green Power Black Death (Kindle), and a huge fan of Rick Casillo, Battle Dawgs and all they do.

Related: 

Iditarod Trail Race Headquarters, Palin and Alaskan Tourism 

Iditarod Dog Found 7-Days After Disappearing From Team 

Pet Detectives Capture Iditarod Dog on the Lam in East King Co. for 6 Weeks 

Iditarod Dog Saved With Mouth-To-Snout CPR 

Alaskan Breeds Only True American Breeds Study Shows…

Monday, March 4, 2013

Unreal 9-1-1 nightmare: Nurse refuses to save dying woman by doing CPR

'Is there anybody that's willing to help this lady and not let her die?'

911-dispatcher-600-340x205[1]WND: It’s nothing short of a 9-1-1 nightmare, as an emergency dispatcher begs a nurse to perform CPR on a woman who wasn’t breathing and eventually died.

What’s shocking is the nurse not only refused to perform the CPR, she also refused to hand the cell phone to anyone else to help the dying woman.

Authorities have just released the chilling audiotape of the 9-1-1 call, where the 87-year-old woman at the Glenwood Gardens Retirement Facility in Bakersfield, Calif., was passed out on the dining-room floor.

When the dispatcher asks, “Is she breathing?” the caller replies, “‘Is she breathing?’ Barely.”

When asked to perform CPR, the nurse can be heard saying, “Yeah, we can’t do CPR at this facility.”

The dispatcher then says, “OK, then hand the phone to the passerby. If you can’t do it, I need, hand it to the passerby, I’ll have her do it. Or if you’ve got any citizens there, I’ll have them do it.”

“No, no, it’s not,” the nurse says. 

Complete audio of the 9-1-1 call can be heard here:

Raw Audio:  911 Call of Dying Woman Refused CPR…

The dispatcher said, “Anybody there can do CPR. Give them the phone, please. … This woman’s not breathing enough. She’s going to die if we don’t get this started.”

With time a crucial factor, the female dispatcher tries desperately to convince the nurse to take action, lamenting, “I don’t understand why you’re not willing to help this patient. Is there anybody that works there that’s willing to do it?”

“We can’t do that,” the nurse says. “That’s what I’m trying to say.”

“Are we just going to let this lady die?” the dispatcher says.

“Well, that’s why we’re calling 9-1-1,” the nurse replies.

“Is there a gardener … any staff? Anybody that doesn’t work for you, anywhere?” the dispatcher asks.”Can we flag someone down in the street and get them to help this lady? As a human being, I don’t, you know, is there anybody that’s willing to help this lady and not let her die?”

The nurse replies, “Um, not at this time.”

It was too late to save the woman by the time paramedics arrived.

“Our practice is to immediately call emergency medical personnel for assistance and to wait with the individual needing attention until such personnel arrives,” Jeffrey Toomer, executive director of Glenwood Gardens, said in a statement to NBC’s “Today” show. “That is the protocol we followed.”

Maribeth Bersani, of the Assisted Living Federation of America, told CBS News: “There’s no requirement that the people in the building be trained to perform CPR, so a company could state in a policy they don’t want anyone to initiate CPR.”

Jack Ford, a legal analyst for CBS, called the scenario “morally reprehensible,” and said the question involves, “a legal responsibility and legal liability.”

Raw Video: 911 Recording:  Did Liability Fears Lead to Woman’s Death?

Ford said: “What’s the agreement that this woman and her family had with this home, and … it was a residential facility, not a nursing home, assisted living. Very different if it was that. So if in their agreement they say specifically, ‘We do not provide emergency medical care. We will get somebody for you,’ then that could shield them from some problems. Then other question is, what are your reasonable expectations. When they sold this as a sales pitch, did they say, ‘Look, we have wonderful workout facilities, wonderful dining facilities and we have medical people on site here.’ Well, you know then, despite what might be in the agreement there, you have a reasonable expectation.”

As for the woman who refused to help, Ford said she was apparently told something as an employee.

“She may well be in a tough position,” he noted . “If she was told by her employers, ‘You cannot do this, if you do, you’re in violation, and you’ll lose your job.’ Now you have a woman being told, do I try to save someone’s life and by doing so, do I risk my own job for doing it. That’s why you have to look to the employers. The reality is, some states, you are starting to pass Good Samaritan laws that say you can’t be sued if you try to stop and help somebody, the reason is people sue you sometimes if you try to stop and help somebody. You have to look at the culture of society here, the litigious nature of society. It just – it’s a terrible tragedy.”

Monday, June 29, 2009

How Painkillers can cause Cardiac Arrest

The death of pop icon Michael Jackson is raising questions over what might have caused it.

The death of pop icon Michael Jackson is raising questions over what might have caused it.

Photograph by: handout, morguefile.com

CHICAGO — The death of pop music icon Michael Jackson from cardiac arrest on Thursday has raised a host of questions about what might have caused it.

It may take weeks before an autopsy can reveal the true circumstances that led the singer’s heart to stop.

One possible cause reported by celebrity website TMZ.com is that he was injected with the potent painkiller Demerol before he went into cardiac arrest.

Others speculate it was a combination of Demerol and Oxycontin, another powerful painkiller that is among the most commonly abused prescription drugs.

Here are some facts about cardiac arrest and both these drugs.

HOW COULD DEMEROL CAUSE CARDIAC ARREST?

Cardiac arrest occurs when the heart stops circulating blood. In 80 percent of cases, the cause is heart disease, but narcotic painkillers like Demerol can cause cardiac arrest.

Dr. Daniel Simon, chief of cardiology at University Hospitals Case Medical Center in Cleveland, said if Jackson had been injected with too much Demerol, it might have caused him to stop breathing, a condition called respiratory arrest.

"The most likely scenario with Demerol would be that it caused a respiratory arrest because it takes away the drive to ventilate (breathe)," Simon said in a telephone interview.

He said low blood oxygen can trigger a deadly heart rhythm known as ventricular fibrillation in which the heart quivers but does not circulate blood. "Without CPR and a defibrillator, you have no chance," Simon said.

DEMEROL AND OXYCONTIN?

ABC News has reported that Jackson was addicted to prescription painkillers, and may have used Demerol in combination with Oxycontin.

Cleveland Clinic cardiologist Dr. Bruce Lindsay, past president of the Heart Rhythm Society, said the two drugs in combination could cause respiratory arrest.

"As with any of these painkillers, if you get too much on board, it really depresses the central nervous system so the patient could lapse into a deep sleep or even a coma. And if their respiratory capacity was too depressed, they would just stop breathing," Lindsay said.

"If they stop breathing, eventually of course the heart will go into cardiac arrest, but not because of some primary heart problem. It is simply because the final mode of death is that the heart stops beating."

COULD IT HAVE BEEN HEART DISEASE?

Simon said many media outlets are looking for exotic reasons to explain the singer’s death because it occurred in a relatively young man, but age 50 is not too young for sudden cardiac arrest.

"A lot of people are saying it’s a surprise a 50-year-old has cardiac arrest. Thirty percent of cardiac arrests are in people for whom it is their first symptom of heart disease," Simon said.

"When they do an autopsy, the first thing the medical examiner will look for is a scar in the heart muscle suggesting an old heart attack," Simon said.

He said 25 percent of patients who have cardiac arrest have had a prior heart attack without knowing it. "That is what the scar will tell them."

Big Pharma and doctors under the AMA push drugs, drugs, drugs and surgery rather than prevention, natural remedies and alternative treatments. Once nationalized healthcare takes over that trend away from natural and alternative cures will continue while their pattern of treatment will go unchanged except that it will be rationed.

BY JULIE STEENHUYSEN, REUTERSJUNE 26, 2009

(Editing by Mary Milliken; Editing by Will Dunham)

Source: The Vancouver Sun

Posted: True Health Is True Wealth

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