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Dr K K Aggarwal

Why can the body be revived even after hours of death in hypothermia?

By Dr K K Aggarwal
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  • It is a well–known phenomenon that cardiopulmonary resuscitation (CPR) is not successful if the body temperature is less than 35°C.
  • In hypothermic deaths, a person can be revived even after hours of cardiac arrest. Only when the body temperature is brought back to normal, will CPR be effective. This would mean that consciousness gets frozen and does not leave the body when the temperature is below 35°C. This forms the basis for induced hypothermia after death to revive the brain.
  • Modern science is silent about this mechanism but ancient Indian literature talks about it in great detail. As per Chandogya Upanishad (6.15.1), the process of death takes time and is a sequential process.
  • First, the motor indriyas organs (Karma Indriyas) stop functioning then the sensory indriya organs (Gnanaindriyas) followed by cessation of prana or respiration.
  • Once this happens, the frozen sensory organs, motor organs, manas (mind, body, memory and ego) and prana have to get dissolved in Tej and then leave the body, which means presence of Tej is the most important factor for consciousness to leave the body.
  • In modern science, Tej would be governed by the body temperature. That means if the body temperature is low, the motor and sensory indriyas and manas product (Vritti) will find no heat or Tej to dissolve and come out of the body.
  • Therefore, till the body temperature (Tej) is brought back to normal, the indriyas will cease to function but still be revivable.
  • This process may take up to 48 minutes in presence of Tej and there is no time limit if Tej is absent.
  • A clinically dead person with cardiac arrest therefore will have absent functioning of Manas organs, Sensory organs, mind, intellect, memory and ego with no respiration but yet revivable back to life.

Duration of CPR may be a factor in kids’ survival

By Dr K K Aggarwal
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Some children with in–hospital cardiac arrest can benefit from longer duration of cardiopulmonary resuscitation (CPR), a study has found. In the study among survivors, neurological outcome was favorable for the majority of patients.

Of the 3,419 children included in the study, 28% survived to hospital discharge, and 16.6% of these survivors had CPR longer than 35 minutes, according to Renée Matos, MD, MPH, of the University of Pittsburgh School of Medicine, and colleagues. A total of 60% of these survivors with longer–duration CPR achieved a favorable neurologic outcome, they reported in the study published Jan. 21 in Circulation: Journal of the American Heart Association.

In the mid–1990s, authorities considered pediatric CPR futile beyond 20 minutes’ duration or when more than two doses of epinephrine were provided.

Even though longer–duration CPR can benefit some children, the reality is that after the first 15 minutes of CPR, survival rate declines rapidly. Survival decreased by 2.1% for every minute of chest compressions over 15 minutes.

When CPR was longer than 35 minutes, those in the Surgical Cardiac category had the best survival to hospital discharge rate (25%), followed by, Medical Cardiac –– 21%; General Surgical –– 13%; General Medical –– 10% and Trauma –– 8%. ([Medpage today)

Duration of CPR May Be a Factor in Kids’ Survival

By Dr K K Aggarwal
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Some children with in–hospital cardiac arrest can benefit from longer duration of cardiopulmonary resuscitation (CPR), a study has found. In the study among survivors, neurological outcome was favorable for the majority of patients. Of the 3,419 children included in the study, 28% survived to hospital dischar

ge, and 16.6% of these survivors had CPR longer than 35 minutes, according to Renée Matos, MD, MPH, of the University of Pittsburgh School of Medicine, and colleagues. A total of 60% of these survivors with longer–duration CPR achieved a favorable neurologic outcome, they reported in the study published Jan. 21 in Circulation: Journal of the American Heart Association.

In the mid–1990s, authorities considered pediatric CPR futile beyond 20 minutes’ duration or when more than two doses of epinephrine were provided.

Even though longer–duration CPR can benefit some children, the reality is that after the first 15 minutes of CPR, survival rate declines rapidly. Survival decreased by 2.1% for every minute of chest compressions over 15 minutes.

When CPR was longer than 35 minutes, those in the Surgical Cardiac category had the best survival to hospital discharge rate (25%), followed by, Medical Cardiac –– 21%; General Surgical –– 13%; General Medical –– 10% and Trauma –– 8%. ([Medpage today)

Duration of CPR may be a factor in kids’ survival

By Dr K K Aggarwal
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Some children with in–hospital cardiac arrest can benefit from longer duration of cardiopulmonary resuscitation (CPR), a study has found. In the study among survivors, neurological outcome was favorable for the majority of patients.

Of the 3,419 children included in the study, 28% survived to hospital discharge, and 16.6% of these survivors had CPR longer than 35 minutes, according to Renée Matos, MD, MPH, of the University of Pittsburgh School of Medicine, and colleagues. A total of 60% of these survivors with longer–duration CPR achieved a favorable neurologic outcome, they reported in the study published Jan. 21 in Circulation: Journal of the American Heart Association.

In the mid–1990s, authorities considered pediatric CPR futile beyond 20 minutes’ duration or when more than two doses of epinephrine were provided.

Even though longer-duration CPR can benefit some children, the reality is that after the first 15 minutes of CPR, survival rate declines rapidly. Survival decreased by 2.1% for every minute of chest compressions over 15 minutes.

When CPR was longer than 35 minutes, those in the Surgical Cardiac category had the best survival to hospital discharge rate (25%), followed by, Medical Cardiac –– 21%; General Surgical –– 13%; General Medical –– 10% and Trauma –– 8%. ([Medpage today)

How to recognize cardiac arrest

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Rapid recognition of cardiac arrest is the essential first step of successful CPR 10.

As per Guidelines, the lay rescuer who witnesses a person collapse or comes across an apparently unresponsive person should confirm unresponsiveness by tapping the person on the shoulder and shouting: “are you all right?”

If the person does not respond, the rescuer calls for help or ambulance and initiates excellent chest compressions.

Lay rescuers should not attempt to assess the victim’s pulse and, unless the patient has what appear to be normal respirations, should assume the patient is apneic or without respiration.

Remember even well-trained professionals can have difficulty determining if breathing is adequate or pulses are present in unresponsive adults.

After assessing responsiveness, health care providers should quickly check the patient’s pulse.

While doing so, it is reasonable to visually assess the patient’s respirations.

 It is appropriate to assume the patient is in cardiac arrest if there is no breathing or abnormal breathing (gasping) or if a pulse cannot be readily palpated within 10 seconds.

The key point is not to delay CPR.

In a multispecialty camp organized by Heart Care Foundation of India in association with East Delhi Walkers’ Association, over 2000 people were examined by a team of medical experts led by Padmashri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and National Vice President (Elect), India Medical Association.

Addressing a gathering of over 2000 people, Dr. Aggarwal said that everybody should walk at least 80 minutes a day and brisk walk 80 minutes in a week. Brisk walking means walking 80 steps per minute.

Dr. Aggarwal also interacted with senior heart surgeons: Dr. Sujay Shad, Dr. Rajesh Kaushar, Dr. Mubeen Mohammad, Dr. Sandeep Singh and Dr. Baldev  Sekhon.

In the discussion, the experts said that sore throat in children should not be neglected, especially if it is without cough and nasal discharge. Streptococcal sore throat can bite the heart permanently. Timely antibiotic in these patients can prevent permanent heart damage.

Interacting with other experts, Dr. Chanchal Pal, Dr. Shashi Bala, Dr. Prachi Garg, Dr. Pooja Garg, Dr. Varun Arya, Dr. Mini Mathur and Dr. NK Bhatia, Dr. Aggarwal said that it is better to get a swine flu as seasonal flu as mortality and morbidity is low. He said that prevention of flu involves respiratory hygiene, cough hygiene and hand hygiene. Respiratory hygiene means staying 3 feet away from the person who is coughing or sneezing. Cough etiquettes means not to cough in hands or handkerchief but on the side sleeves of the shirt. Hand hygiene means washing hands thoroughly with a soap and water after touching nasal secretion.

Dr. Sanjay Gupta, Sr. Orthopedic, Moolchand Medcity said that people who have joint knee problems should not use Indian latrines.

Dr. Sweta Gupta, infertility expert, said that today with advance techniques, it is possible to deliver a child in every family.

Dr. NK Bhatia, Sr. Transfusion Specialist, said that everybody can donate blood from the age of 16 to 65.

Dr Mini Mehta, Dr Nischal Gupta, Dr Saloni Tomar,  Dr Rashmi Bhaskar, Dr Chetali Jain, Dr  Rohit, Dr Gyanendra, Dr  Shelja and Dr Neeraj Gupta Homeopathic Cardiologists of India said that time has come for homeopathic doctors to specialize in cardiology and practice as homeopathic cardiologists.

Over 2000 people were trained on how to revive a dead person using the technique Hands Only Cardiopulmonary Resuscitation. The Foundation has trained over 30000 people in the last four months.

Duration of CPR May Be a Factor in Kids’ Survival

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Some children with in-hospital cardiac arrest can benefit from longer duration of cardiopulmonary resuscitation (CPR), a study has found. In the study among survivors, neurological outcome was favorable for the majority of patients.

Of the 3,419 children included in the study, 28% survived to hospital discharge, and 16.6% of these survivors had CPR longer than 35 minutes, according to Renée Matos, MD, MPH, of the University of Pittsburgh School of Medicine, and colleagues. A total of 60% of these survivors with longer-duration CPR achieved a favorable neurologic outcome, they reported in the study published Jan. 21 in Circulation: Journal of the American Heart Association.

In the mid-1990s, authorities considered pediatric CPR futile beyond 20 minutes’ duration or when more than two doses of epinephrine were provided.

Even though longer-duration CPR can benefit some children, the reality is that after the first 15 minutes of CPR, survival rate declines rapidly. Survival decreased by 2.1% for every minute of chest compressions over 15 minutes.

When CPR was longer than 35 minutes, those in the Surgical Cardiac category had the best survival to hospital discharge rate (25%), followed by, Medical Cardiac — 21%; General Surgical — 13%; General Medical — 10% and Trauma — 8%.  ([Medpage today)

 

At St Mathew Public School, Paschim Vihar, New Delhi, Conducting a CPR Camp Padma Shri and Dr BC Roy National Awardee Dr. K K Aggarwal, President, Heart Care Foundation of India and National Vice President Elect IMA said that even physically and mentally challenged students can learn CPR.

Dr Aggarwal said that every chowkidaar, Security Guard, Ward Boy and helpers in Healthcare setting should be trained in CPR so that hospital can provide resuscitation right at the gate.

Mrs Anita Sethi Principal of the school said that over 400 students were trained today. She said that the Guru Dakshina which students can give is to make 10 other people  learn the CPR10 mantra –

“within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10×10 i.e. 100 per minute.”

Dr Deepak Chopra Endorses Hands only CPR10

Heart Care Foundation of India completed practical training of 10500 members of the general public in hands-only cardio pulmonary resuscitation, said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal. The campaign began on 1st November and lasted till 16th November as part of the recently concluded 19th MTNL Perfect Health Mela celebrations. The training was conducted in person by Dr Aggarwal.

The following records were made

1. Crossed 10,000 number and trained 10392 members of the public in hands-only CPR over “a period of 16 days” (1st to 16th November). A total of 12613 have been trained so far.

2. Trained 1050 children and teachers in one session in multiple rescuer hands-only CPR on 1st November 2012 at Birla Vidya Niketan School using 200 human manikins.

3. Trained 201 nurses in one session in single rescuer hands-only CPR on 9th November 2012 at Constitution Club of India, Rafi Marg,New Delhi.

4. Trained 96 physically and mentally challenged students “in one session” in single rescuer hands-only CPR on 9th November 2012.

5. Trained 2217 members of the general public “in one day” in single rescuer hands-only CPR on 8th November 2012 at Constitution Club of India, Rafi Marg,New Delhi

Releasing these statistics Dr Aggarwal said that the Foundation intends to train 100,000 people in the next one year.

Dr Deepak Chopra, New Age Guru and an internationally acclaimed author, chief guest for the function said, that hands-only CPR should be taught to every school child, health care worker and relations of heart patients. He said that every effort should be made to revive a person within 10 minutes of sudden death. It is good Karma.

The CPR manta is within 10 minutes of death, earlier the better, for the next at least 10 minutes, compress the centre of the chest, continuously and effectively, with a speed of 10×10, hundred per minute.

The general public must learn CPR as Doctors often cannot reach the site or the victim cannot be taken to the medical facility in 10 minutes. Therefore, it is the public who has to learn and provide hand-only CPR, revive the heart and take the victim to the nearest medical facility.

Harshita Gupta, a 16 years old girl form Birla Vidya Niketan successfully revived her uncle last week from Cardiac arrest.

Every family member of a heart patient should learn the revival technique as it is possible to revive a person after sudden cardiac death provided compression only CPR is done within 10 minutes of the heart stopping. The formula of 10 means “within 10 minutes of death for the next 10 minutes compress the centre of the chest with a speed of 10×10=100 per minute”.

Addressing a press conference in Ghaziabad, Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Dr. B.P. Tyagi, Convener, Heart Care Foundation of India said that in the forthcoming Perfect Health Mela being organized from 1st to 11th November, 2012, the Foundation will train 10000 people in Compression Only CPR. And, 300 special dummies have been procured for practical training of these people.

Demonstrating the technique on a dummy, Dr. KK Aggarwal said that it is not always possible to reach the medical facility within 10 minutes of death.

The main Mela to be held at the Constitution Club of India will have competitions, exhibitions, workshops and seminars under one roof. Health education will be imparted through competitions and entertainment. Events like choreography, western dance and fashion shows will be utilized to communicate the health sutras to the general public.

Few health sutras released on the occasion were:

  1. Foods of plant in origin contain no cholesterol.
  2. Keep your lower blood pressure, fasting sugar, resting heart rate, bad cholesterol and abdominal circumference all lower than 80.
  3. One should walk 80 minutes a day, brisk walk 80 minutes a week with a speed of more than 80 steps in a minute.
  4. One should eat less than 80 gm or 80 ml of caloric food at a time and omit carbohydrates 80 days in a year.
  5. One should not take alcohol more than 80 ml in a day and 80gm in a week.
  6. One should do 80 cycles of pranayama in a day with a speed of 4 per minutes.

Entry to the Mela will be free.

The 19th MTNL Perfect Health Mela is being organised by Heart Care Foundation of India jointly with Department of Health, Delhi Government from 7th to 11th November, 2012 at Constitution Club of India. A week before the event, various activities will be organised at multiple locations.

Addressing a press conference, Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Mr Sandeep Marwah, Director of Asian Academy of Film & Television, said that focus of the Mela this year will be “Prevention of Non-Communicable Diseases” and “Revival of Heart After Death.”

The Mela will provide a unique opportunity for people from all walks of life to get preventive awareness about the non-communicable diseases incorporating all pathies and by using the medium of exhibition, checkups, competitions, workshops under one roof.

Over 10,000 members of the public will be certified in compression only CPR. Two hundred special dummies will be located at the Mela venue. Life is reversible in the first 10 minutes of death through the compression only CPR module. The mantra is within 10 minutes of the death for the next 10 minutes, compress effectively and continuously the centre of the chest of the deceased with a speed of 100 per minute (10×10). The entry to the Mela is free. General public can also avail training at the Mela venue.

Special arrangements are being made and special counters are being made for the residents of Noida and Ghaziabad.

For the first time to promote health campaign advertising, two competitions will also be held in association with Asian Academy of Film and TV for the best 30 seconds health campaign. The themes are “Death is Reversible in the First 10 Minutes” and “Health Myths in Bollywood Movies”.


Dr Ashok Walia
, Minister of Health Government of Delhi, in his message to the 4th Dil ka Darbar said that telecardiology should now become a part of the facilities in every hospital.

The Darbar was organized by Heart Care Foundation of India in association with Department of AYUSH and various Departments under Health Ministry, Government of Delhi on Sunday at Talkatora Stadium, New Delhi.

 Messages were also received from many dignitaries.

 Shri M. Veerapa Moily, Union Minister of Law said that non-governmental organizations should play an important role in healthcare of poor patients who are unable to meet hospital bills and consultation fees.

 Shri Beni Prasad Verma, Union Minister of Steel, expressed confidence that this endeavor of the Foundation would provide a platform to thousand of heart patients to avail facilities like free checkups, etc.

 Shri Bhoopinder Singh Hooda, Chief Minister of Haryana, said that priority of the government should be to provide free medicines to those people who cannot afford them. Shri Narendra Modi, Chief Minister, Gujarat said that changing lifestyle, stressful event and competitive environment are responsible for most heart diseases. Shri Lal Thanhawla, Chief Minister of Mizoram said that the time has come for the medical fraternity to educate general masses about healthy living.

 Shri Akhilesh Yadav, Chief Minister Uttar Pradesh, said that the efforts of the Foundation to provide facilities of free check-ups to the heart patients and interaction with top cardiologists during the programme are highly commendable.

 The Chief Minister of Kerala, Mr. Oommen Chandy said that in our country where cases of heart ailments are on the rise, the activities of Heart Care Foundation of India are truly inspiring.

 Shri Raj Kumar Chauhan, Minister of PWD, said that NGOs should come forward to organize free health checkup camps for the public. Prof. Kiran Walia, Minister of Social Welfare, Government of Delhi said that telecardiology consultations should also be used for free health checkup camps.   Shri Arvinder Singh Lovely, Minister of Education, Government of Delhi, said that heart awareness should be the priority of every individual.

Inaugurating the Darbar, Shri B Mandal, General Manager, Central Bank of India said that one should follow the laws of nature to prevent cardiac diseases. He said that wild animals do not get heart attack.

Presiding over the function, Shri AK Ganeriwala, IAS, Joint Secretary, AYUSH, said that the death prevention heart care is when you combine allopathy with other systems of medicines.

Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India, who is also the Vice President-Elect of National Indian Medical Association, said that everyone after the age of 30 should get their risk of getting heart attack in the next 10 years evaluated and take precautions if the risk is more than 10%. He also demonstrated and conducted a workshop on “How to revive a dead patient.” He said that within 10 minutes of death, it is possible to revive a dead person’s heart by following the formula of 10 i.e. within 10 minutes of death, for the next 10 minutes, one should compress the chest of the deceased person 100 times (10 x 10).

 Guest of Honour, noted singer and composer Ms Shibani Kashyap, said that music is good for recovery of the heart patients. Chanting various sounds is similar to doing meditation.

Dr Ishwar VB Reddy, Director, Morarji Desai National Institute of Yoga, Dr Ramesh Babu Devalla, DG CHRS, Dr Surender Verma, DG, Dept. of Homeopathy in a joint statement said that blockages in the heart is lifestyle disorder and can be prevented utilizing all systems of medicines.

Dr PK Sharma, MOH NDMC and Dr NK Yadav, Director Health MCD South in a joint statement said that one should not consume trans fats in diet and reduce amount of salt intake to prevent future heart diseases.

 Shri Satish Upadhyay, Chairman, Standing Committee on Education, MCD South said that prevention of heart diseases should start right in school age.

Dr NV Kamath, DHS, Shri PK Jaggi, Head of Office Drug Controller Department of Government of Delhi said that one should believe in natural pharmacy and take medicines only when they are required. Others who were present were Hakim Javed-ul-Haq Director General Central Council for Research in Unani Medicine (CCRUM), Dr RK Manchanda, Director General, CCRH, Dr Surender Verma Dy. Director Dept.of ISM & Homeopathy, Dr PK Sharma Medical Officer Health NDMC, Dr NK Yadav Director (Health) MCD South, Director ISM & H, Govt. of NCT of Delhi and Dr NV Kamat Director Health Services.

Eminent faculty on the dais included : Dr RK Manchanda, Dr PK Sharma, Dr Rajesh Malhotra, Dr NK Bhatia, Dr. SV Tripathi, Dr HK Chopra, Dr Manju Gupta, Dr Anupam, Dr Praveen Chandra, Dr Subhash Manchanda, Dr Sameer Srivastava, Dr Yugal Mishra, Dr Praveen Bhatia, Dr Sujay Shad, Dr Neelam Mohan, Dr Ajit Saxena, Dr Saurabh Juneja, Dr BN Sinha, Dr RK Tuli, Dr ZS Mehrwal, Dr JC Katoch, Dr Ishwar V Basava Reddy and  Dr Ramesh Babu Devalla.

Over 2000 heart patients were given consultations and checkups.

Campaign 100: Just compress it

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Gasping, gurgling, moaning or any other noisy breathing increases the chances for survival when someone is suffering sudden cardiac arrest.

Gasping is a sign that there’s still blood flow to the brain, and the person can be saved even though the heart has stopped.

The first aid involves starting compressing the chest, 100 times a minute.

A Phoenix study of 1,218 cases published in Circulation has shown better survival when abnormal breathing, gasping, was noted.

After gasping one may have 4-5 minutes before the breathing stops and these 4-5 minutes are crucial.

Gasping is present in 40% of the cases of sudden cardiac arrest. After timely CPR, as many as 39 percent of the gaspers will survive as compared to 9.4 percent of the non-gaspers. If no CPR is done, 21.1 percent for gaspers and 6.7 percent of non-gaspers survive.