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Dr K K Aggarwal

How to recognize cardiac arrest

By Dr K K Aggarwal
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  1. Rapid recognition of cardiac arrest is the essential first step of successful CPR 10.
  2. 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?”
  3. If the person does not respond, the rescuer should call for help or ambulance and initiate excellent chest compressions.
  4. 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.
  5. Remember even well–trained professionals can have difficulty determining if breathing is adequate or pulses are present in unresponsive adults.
  6. After assessing responsiveness, health care providers should quickly check the patient’s pulse.
  7. While doing so, it is reasonable to visually assess the patient’s respirations.
  8. 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.
  9. The key point is not to delay CPR.

Hands-only CPR Guidelines

By Dr K K Aggarwal
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  1. Bystanders should initiate compression-only CPR 10.
  2. Chest compression should be done at the rate of 100–120 per minute (updated from “at least” 100 per minute).
  3. Compression depth should be 2–2.5 inches (upper limit added) but no more than 6 cm.
  4. Compression time should be maximized.
  5. After each compression allow the chest to recoil completely and minimize interruptions in compressions.
  6. Feedback devices may be used to optimize compression rate and depth.
  7. The bystander who is trained and able should assess the collapsed victim rapidly to determine if the victim is unresponsive and not breathing normally and then immediately alert the emergency services.
  8. The victim who is unresponsive and not breathing normally is in cardiac arrest and requires CPR.
  9. The emergency medical dispatcher plays an important role in the early diagnosis of cardiac arrest, the provision of dispatcher-assisted CPR (also known as telephone CPR), and the location and dispatch of an AED.
  10. Social media may be used to summon rescuers to perform CPR.
  11. Bystanders and emergency medical dispatchers should be suspicious of cardiac arrest in any patient presenting with seizures and should carefully assess whether the victim is breathing normally.
  12. CPR providers should perform chest compressions for all victims in cardiac arrest.
  13. CPR providers trained and able to perform rescue breaths should combine chest compressions and rescue breaths.
  14. High-quality CPR remains essential to improving outcomes.
  15. When providing rescue breaths/ventilations spend approximately 1 s inflating the chest with sufficient volume to ensure the chest rises visibly. The ratio of chest compressions to ventilations remains 30:2.
  16. Do not interrupt chest compressions for more than 10 s to provide ventilations.
  17. Defibrillation within 3-5 min of collapse can produce survival rates as high as 50-70 %. Early defibrillation can be achieved through CPR providers using public access and on-site AEDs. Public access AED programmes should be actively implemented in public places that have a high density of citizens.
  18. The adult CPR sequence can be used safely in children who are unresponsive and not breathing normally. Chest compression depths in children should be at least one third of the depth of the chest (for infants 4 cm, for children 5 cm).
  19. A foreign body causing severe airway obstruction is a medical emergency and requires prompt treatment with back blows and, if that fails to relieve the obstruction, abdominal thrusts. If the victim becomes unresponsive CPR should be started immediately whilst help is summoned.

How to recognize cardiac arrest

By Dr K K Aggarwal
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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.

Police learns CPR 10

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Inaugurating the Second CPR 10 Training Programme for South Delhi Police Personnel, Mr. B S Jaiswal, DCP South said that for the sake of preserving evidence, the Police personnel should not forget to provide medical first aid or to revive a dead person. Providing first aid is the first priority at any cost.

Conducting a workshop on CPR 10, Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India, said that in the next three months all the police personnel from South District would be trained in cardiac CPR.

By learning the technique of CPR 10, one can revive victims of sudden death within 10 minutes. Sudden death may include heart attack, electrocution deaths, hypothermia deaths, deaths due to choking, drowning deaths and other deaths, which occur suddenly without notice.

Dr. Aggarwal said that it is unfortunate that in our city that medical personnel cannot reach the victim early, therefore, we have to depend on police personnel and so we need to train them so that at least they can provide first aid including cardiac first aid to the victims.

In the second session, over 600 police personnel were trained. Training will continue till training of every police personnel in South Delhi is complete.

About HCFI: The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on” Hands only CPR” of 59455 people since 1st November 2012.

The CPR 10 Mantra is – “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.”

Over 1000 students trained in CPR 10 at Bal Bharati Public School

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Giving the practical training at Bal Bharati Public School, Dwarka, Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Vice President (Elect) IMA said that the origin of CPR is well described in our mythology. Savitri fighting with Yamraj to save the life of Satyavan probably was the first example of CPR in the Vedic era.

Dr. Aggarwal who gave training to over 1000 school children said that every person should learn the Savitri CPR 10 Mantra “Marne ke dus minute ke bheetar (jitna jaldi utna behtar) kam se kam agle dus minute tak (jitni der tak ho utna behtar) apni chhati peetne ke badle mare hue vyakti ki chhati peeto”.

Because of this mantra, many lives have been saved in the past few months said.

Eighty percent of sudden cardiac deaths can be revived if the bystander learns CPR 10 and performs CPR 10 on a dead person within 10 minutes of death. Remember, in 10 minutes the victim cannot be taken to the hospital or a doctor may not be able to reach the victim’s site.

About HCFI : The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on” Hands only CPR” of 46674 people since 1st November 2012.

On behalf of Heart Care Foundation of India, Padmashri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India created a world record by training 11459 people in Hands Only CPR 10 in one day.

The event was organized at Dr. Sampoornanand Sarvodaya Kanya Vidyalaya, C-1 Yamuna Vihar to earmark World Health Day. East Delhi Mayor Dr Annapoorna Mishra was the special guest along with Dr KK Aggarwal.

CPR 10 is based on the mantra – “Within ten minutes of death (earlier the better) for the next at least ten minutes (longer the better), compress the centre of the chest of the victim with a speed of 10×10=100 per minute”.

Prior to this event, Dr. Aggarwal on behalf of the foundation has trained more than 35000 people so far. The foundation was the first one to train 11459 people in one sitting.

Over 5 people have been revived after death using CPR 10 including one attempted by a 16 year old school girl and another by a 30 year old school teacher.

Shri J.P. Aggarwal, Member of Parliament in his message said that CPR 10 should be learnt by everybody.

In the closing ceremony star celebrity Mr Sandeep Marwah released a comic on CPR 10 and said CPR 10 should be done in any patient with no response and no respiration.

Ms Rajeshwari Kapri Principal ofSKV School said that teachers are role model to the society and must pass on the message of CPR 10 to all their students and parents. Every school should use the teachers, parents meeting to pass on the message.

Dr Aggarwal said that all school children must post the CPR Mantra on their face book and twitter accounts and must pass on the mantra to their friends.

Dr D R Rai Sr National Vice President IMA, Dr Anil Goel President Elect, Dr Harish Gupta Immediate Past President DMA and Dr Ajay Lekhi, Dr V K Goel from IMA, East Delhi Branch in a joint statement said that over 24 lac people die in the country every year with sudden deaths and 18 lac of them die before reaching the hospital. 12 lac of them can be saved if CPR 10 can be taught to one percent of the society.

Ms Nalini Kamalini the duo Kathak exponents said that all stars and celebrities should pass on the CPR mantra to the society at their stage functions.

Facts about CPR 10

1. Gasping is a sign of cardiac arrest and CPR should be started in them

2. Never learn CPR on live people

3. During CPR if the ribs break do not worry

4. After successful CPR take the victim to the hospital for further testing

5. CPR should always be done on the floor or a hard bed

6. The chest should be compressed about 1 ½ inch

7. If the body temperature is below 35 degree continue CPR for longer periods (up to 25 minutes after the body temperature had been brought back to normal)

8. CPR means cardio pulmonary resuscitation (revival of the heart and lungs)

9. In electrical deaths first disconnect the electric wire before starting CPR

10. You can alternate cardiac massage on the chest after every     two minutes (two rescuers CPR 10)

For the first time, 10000 children, teacher and parents will be trained in Cardiopulmonary Resuscitation 10 (CPR 10) in one day to commemorate World Health Day. The event will be organized on 6th April, 2013, Saturday at SKV School, Yamuna Vihar,East Delhi in association with Directorate of Education, Delhi Government. Never in history have so many people been trained in CPR in one day.

Addressing a press conference, Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Vice-President (Elect) National IMA said that the Foundation has already trained more than 35000 people and over 5 lives have been saved in the last three months where the general public could save the person’s life after sudden death. A 16-year-old school girl from Birla Vidya Niketan Pushp Vihar saved her uncle and a teacher from SD Public School Pitampura saved her grandmother by doing successful CPR.

Besides hands-only CPR 10 training, on the spot competitions will also be organized like cartoon, poster, slogan and poem on the subject to sensitize teachers, parents and children, said Mr. Sandeep Marwah, Chairman, Asian Academy Film & Television Institute, Noida.

Hands-only CPR 10 is based on the mantra – “within 10 minutes of death (earlier the better), for at least next 10 minutes (longer the better), compress the chest of the victim continuously and effectively with a speed of 10×10=100 per minute.

The theme for World Health Day this year is high blood pressure. Cardiovascular disease is the number one cause of death in urbanIndiaand over 70% of deaths amongst cardiovascular deaths are linked to hypertension, said Dr. KK Aggarwal. Besides learning CPR 10, school children should also learn about good dietary habits which include, eating more fiber, less salt, zero trans fats and zero refined carbohydrate, he further added.

About HCFI : The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on” Hands only CPR” of 31145 people since 1st November 2012.

The CPR 10 Mantra is – “within 10 minutes of death, earlier the better; at least for the next 10minutes, 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.”

Gasping does not mean person is dead

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A gasping respiration means the brain is still alive and the stopped heart is still revivable, said Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Vice President (Elect) Indian Medical Association. He was conducting a camp atGitaRattanJindalPublic School at Rohini, Sector 7. 1194 students along with Nursery Training Teachers were trained and given one to one training in hands only CPR 10.

Dr. Aggarwal said that often people consider gasping as the sign of life and do not start resuscitation in time. Effective and continuous cardiac resuscitation in such patients can revive the heart. CPR 10 should be started within ten minutes of the death and continued for at least ten minutes. In children it can be continued till 35 minutes and in adults for 25 minutes. Mouth to mouth breathing is not required as it has been seen that only chest compression is sufficient for reviving the heart.

The function was chaired by Dr Sonia Jindal, Director, Gita Rattan Educational Group, Jindal Public School & Principal Ms Pawinder Pal Kaur.

About HCFI : The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on” Hands only CPR” of 29132 people since 1st November 2012.

The CPR 10 Mantra is – “within 10 minutes of death, earlier the better; at least for the next 10minutes, 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.”

 

Conducting a CPR 10 Camp at Modern Era Convent School, Janakpuri, Padamshri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President Elect IMA said that in last 2 ½ months at least two lives have been saved by public who has learnt Cardiopulmonary Resuscitation.

Dr. Aggarwal said that 50 people die every day inDelhiof a cardiac illness and 5-6 lives should be saved every day if general public learns CPR. He said that Heart Care Foundation of India plans to train one lakh people within this year.

Over 1200 school children were trained in CPR which is based on the mantra – “within 10 minutes of sudden cardiac death (earlier the better) for the next 10 minutes (longer the better) compress the centre of the chest of the victim with a speed of 10 x 10 i.e. 100.”

Addressing the gathering Ms K.G. Modi, Principal of the school said that as a good Samaritan, it is the duty of every teacher to learn CPR and in turn train parents and school children so that every child learns that CPR 10 training is not only for organization but is also for each and every person and family.

About HCFI : The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on” Hands only CPR” of 25409  people since 1st November 2012.

The CPR 10 Mantra is – “within 10 minutes of death, earlier the better; at least for the next 10minutes, 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. KK Aggarwal awarded ISWA Honorary Fellowship

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Padma Shri & Dr. B C Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India was awarded Dr. RD Sharma ISWA Honorary Fellowship in appreciation and recognition of contribution in the field of science, writing and communication.

In its citation the fellowship said, “A man of many talents, he is dedicated to cause of a healthy and hearty society. Through excellence in medical sciences, devotion to social well-being and innovation in reach and approach, Dr. Aggarwal has scaled many frontiers in the public communication of health sciences too”.

The fellowship was awarded by Indian Science Writers Association.

Mr. LS Rathore, Head of the Meteorological Society gave away the fellowship and Dr. Manoj K Patariya, President, Indian Science Writers’ Association conducted the ceremony.

After receiving the fellowship, Dr. Aggarwal dedicated his fellowship to the learning and teaching of Hands-only CPR 10, a life-saving technique to revive people within 10 minutes of death.


Heart Care Foundation of India today trained 984 students at S D Public School, Pitampura in CPR 10, the hands-only cardiopulmonary resuscitation technique.

Elaborating on this, Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India said that for the first time a 90-year-old retired Joint Director from the Directorate of Education, Shri S N Sharma, learned hands-only CPR 10.

The campaign was inaugurated by Chairman of S D Public School Dr Sushil Gupta, Vice Chairman Sh. Kanwar Bhan Goel. Others who participated were Ms Anita Sharma, Principal  & Ms Rekha Gupta. Mr. Gupta said that learning and passing on knowledge about CPR 10 is the best gift one can give to others.

Dr. Aggarwal also said that one should learn and educate at least 10 people about CPR 10. He further cautioned that CPR practical training should be done only on dummies and not on each other. The CPR 10 Mantra is – “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.”

So far the foundation has trained 21845 people.

CPR 10 has been endorsed by many distinguished celebrities: Dr. Deepak Chopra, the New age Guru and noted author; Mr. Sushil Shinde, Union Home Minister; Smt. Sheila Dikshit, Chief Minister of Delhi; Shri A K Walia, Health Minister of Delhi; Prof. Kiran Walia, Education Minister of Delhi; noted poet Ashok Chakradhar; noted dancers Nalini, Kamalini, Uma Sharma; film star Poonam Jhawar and most top cardiologists of India.

The incidence of heart diseases has doubled in the last two decades. The risk in Indians is four times that of white Americans, six times of Chinese and 20 times of that in the Japanese. Indians have more diabetes, small vessel disease, diffuse disease and often present late. The average age of heart disease in India is 56 years versus 64 years in the West. This was stated by Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart while delivering a lecture in a seminar organized by Dept. of Science & Technology, Government of India.

Dr. Aggarwal also demonstrated CPR 10, the technique of hands-only cardiopulmonary resuscitation.

Dr. Aggarwal further said that 17 states inIndiahave already banned manufacture and sales of Gutka and other smokeless tobacco products. The time has now come for the country as a whole to ban these products.

Dr Inderjeet Singh, IAS, Joint Secretary, Dept. of Science & Technology, said that a healthy lifestyle can prevent diseases like heart attack, diabetes and blood pressure. He said that one should exercise every day and should live a life devoid of stress.

Dr. Aggarwal also said that only 8% of heart patients in India receive clot-dissolving or removal therapy as compared to 40% of heart patients in the West. He said that the time of onset to admission in a hospital is 300 minutes in India as against 170 minutes in Europe and 120 minutes in theUS.

Learn CPR 10 … Smt. Sheila Dikshit demonstrating CPR 10 in Heart Care Foundation of India stall at IITF 2012

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On the inaugural day of the India International Trade Fair 2012 at Pragati Maidan, New Delhi today, Smt. Sheila Dikshit, Hon’ble Chief Minister of Delhi and Shri Haroon Yusuf, Minister, Power, Development, Food & Civil Supplies Dept. Govt. of Delhi visited the Heart Care Foundation of India stall.

Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal, President Heart Care Foundation of India demonstrated the technique of CPR 10 – compression only cardiopulmonary resuscitation to Smt. Sheila Dikshit and Shri Haroon Yusuf, who actively participated in learning the CPR 10 technique.

Dr. KK Aggarwal said that everybody should remember the CPR 10 Mantra, which is “Within 10 minutes of cardiac arrest (earlier the better) for the next 10 minutes at least, compress the centre of the chest with a speed of 100 compressions per minute (10×10)”. CPR 10 is easy to learn and easy to do and one does not need to be a doctor or be certified in this technique to do CPR.

He further said that so far the Foundation has trained 9000 people in CPR 10 technique.

Learn CPR- Sushil Shinde 

New Delhi: Sunday, 11 November 2012: On the concluding day of MTNL Perfect Health Mela being organised by Heart Care Foundation of India, India’s Home Minister Sh Sushil Shinde released the CPR 10 Mantra “Within 10 Miniutes of Cardiac arrest( earlier the better) for the next atleast 10 miniutes compress the centre of the chest with a speed of 100/min (10×10)”

Mr Shinde to the Mela Delegation led by Padmashri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India said that CPR should be learned by everybody. He wished the CPR-10 initiative all the success.

The 19th Perfect Health Mela was formally closed on Sunday evening. Thousands of people participated and visited the Mela. Dr. (Prof.) Kiran Walia, Women & Child Department, Social Welfare Department and Languages in her message said that youngsters should not indulge into alcoholism. She said that the drug addiction is becoming a major problem in adolescents. Patient who indulges in substance abuse should be tackled gently and with care. She also said that menstruating women should take a weekly dose of folic acid.

Dr. KK Aggarwal said that the Mela has ended with a good note for the public as dengue is at its decline.
CPR 10 a draw at the Mela Following records were made
•       1050 students were trained in one session of multiple-rescuer CPR.
•       201 people were trained in one session of single-rescuer CPR.
•       Maximum people trained in one day were 2168.
•       96 children with special needs were trained in one session.
•       Total number of people trained more than 8500 people in CPR 10
Heritage Inter Dancing School Competition
Various classical dances like Bharatnatyam, Odissi and Kathak were organized as part of Heritage, the Inter Dance School Festival. The competitions were coordinated by Indian Oil Corporation.
•       Classical dance has effects like meditation.
•       Classical dancing should be part and parcel of school education.
•       People who indulge into classical dance have less lifestyle disorders.
Conference on Zoonoses 2012
Over 100 people participated in a conference on Zoonoses. The messages were:
•       Zoonoses is an animal disease, which can be transmitted to humans.
•       Humans are accidental hosts who acquire disease through close contact with an infected animal who may or may not be having a Zoonosis.
•       Children are at higher risk.
•       Pets can transmit bacterial, fungal and parasitic zoonoses.
•       The different routes of transmission may be saliva, respiratory secretions or through direct contact.
•       Saliva transmission can be through bites or contaminated scratches.
•       The risk of transmission can be reduced by simple precautions.
•       Owners should wash their hands following contact with their pets or cleaning of their cages.
•       Younger pets present a greater risk of diseases than older pets.
•       Pets should not be fed raw meat or eggs.
•       Pets should not be allowed to eat garbage.
•       Pets should not be allowed to drink surface water or toilet water.
•       Pets should be treated timely for diarrhea and dermatoses.
•       All dogs should be vaccinated for rabies.
National Workshop on pre-hospital care in heart attack
A national workshop on pre-hospital care in heart attack was organized in association with National Heart Institute. The faculty included Dr Vinod Sharma, Dr K K Aggarwal, Dr. Tushar Roy, Dr. Lokesh C Gupta, Dr.SK Modi, Dr. KC Goswami and Dr. Sameer Srivastava.

Facts released
In heart attack, at the onset of chest pain, one should chew a tablet of 300 gm of water soluble aspirin. This will reduce chances of death by 22%.
•       Any pain which can pinpointed by a finger is not a heart pain.
•       Any pain of less than 30 seconds duration is not a heart pain.
•       One should reach hospital within 90 minutes of heart attack to receive clot dissolving or clot removing therapy.
•       At the onset of heart attack, one should also be given stat dose of anti cholesterol medicine.
•       Burning in chest for the first time in life after the age of 40 should raise the suspicion of a heart attack.
•       Breathlessness after the age of 40 for the first time in life should not be ignored.
Live discussion on diabetes
A live discussion was held on Dilli Aajtak on diabetes. The faculty included Dr K K Aggarwal and Dr A K Jinghan. The star attraction was cricketer Mr Vijay Dahiya.
Facts about diabetes:
•       Fasting sugar of more than 90 can have cardiovascular involvement.
•       A1c of more than 6.5 is diagnostic of diabetes.
•       A1c testing should be done every three years.
•       Blood sugar along with blood pressure should be kept under control in all patients with diabetes.
•       If uncontrolled, diabetes can damage the heart, eyes, kidney and brain.

Sindhi Academy organized cultural evening
A cultural evening was organized where Sindhi singer Uma Lallo performed.

Symposium on Prayer, Health & Religion A symposium was organized on prayer, health and religion in association with Bharatiya Vidya Bhavan.
The panelists included Prof. Sunil Kumar (Hinduism), Imam Umar Ahmed Iliyasi (Islam), Padri Kanasih G (Christianity), Bhikshu Purnima (Buddhism), Dr. AK Merchant (Bahai Faith), Dr. E A Malekar (Yahudi)
and Acharya Dr. Sadhvi Sadhna Ji Maharaj (Jainism). The session was moderated by Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President of the Mela. Mr. J. Veeraraghavan delivered the
keynote address.
Facts about prayer:
•       Even silent prayers can be effective
•       Prayer has been known to help heal patients.
•       Every hospital should have a prayer room with facilities for prayer for every religion.
•       Patients of some religions may request the doctor to pray with them. Their sentiments should be preserved.
•       In Islam doctors may pray for patients and they are encouraged to do so.
•       Prayer is one of the five pillars in Islam.
•       Prayer is a staple of Jewish spiritual life.

Watch Video CPR10

Heart Care Foundation of India today created an Indian record by training 1010 students and teachers in one session in Continuous Compression-only CPR called CPR-10. The event was held at Birla Vidya Niketan School. 200 human dummies were used for the training.

Celebrities who witnessed and addressed the event were Dr Sadhvi Sadhna Ji Maharaj Chairperson World Fellowship of Religions, Ms Geeta Chandran, Noted Bharat Natyam Exponent, Mr Satish Upadhyay, Chairman Education Committee MCD South Zone, Dr Aparna Jaswal Sr Cardiologist Escorts Heart Institute, Dr H K Chopra Vice President Cardiological Society of India,  Dr Anil Bansal Jt Secretary National IMA, Mr Rakesh Paveria Additional DCP, Ms Minakshi Kushwaha Principal Birla Vidya Niketan and Ms Tapati Singhi Administrator Birla Vidya Niketan.

Launching the campaign, Ms Geeta Chandran said that 1% of the population at any given time should be trained in CPR-10.

Speaking on the occasion, Padma Shri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India, said that resuscitation mantra is that within 10 minutes of clinical death, for the next 10 minutes the chest of the victim should be compressed with a speed of 100   (10 x 10) per minute. If the electric shock machine is not available, one can give two thumps in the centre of the chest from a distance of one foot.

Dr. Aggarwal said that all relations of heart patients, healthcare workers, health journalists should be trained in this procedure. The difference between CPR 10 and traditional CPR is that mouth to mouth respiration is not needed in CPR 10. The Foundation plans to train one lakh people in the next two years.

Learning can be one to one on a human dummy, called single-rescuer CPR or it can be multiple rescuer training with multiple people performing resuscitation on one person.

Single-rescuer training will be held on 9th November 2012 at the Perfect Health Mela ground where 200 nurses will learn the technique in one go.

The function also launched the various other activities to be held in MTNL Perfect Health Mela.

CPR 10

1.   Cardiac death is reversible in the first 10 minutes. In this period the brain remains alive even though the heart and respiration have stopped. This period is called clinical death.

2.   In Ayurvedic language, the consciousness and the Prana Vayu do not leave the body in the first 10 minutes and therefore if the heart can be revived, one can be revived.

3.    The best way to resuscitate is to provide mouth to mouth respiration combined with chest compressions but if a sole lay rescuer is present or multiple lay rescuers are reluctant to perform mouth-to-mouth breathing, the Heart Care Foundation of India recommends performance of CPR 10 using chest compressions alone, called continuous compression-only CPR.

4.   The CPR 10 mantra (Formula of 10) is: Within 10 minutes of clinical death for the next 10 minutes continuously and effectively compress the center of the chest with a speed of 100 (10×10) compressions per minute.

5.   Clinical death means no respiration, no heart breathing and no response on painful stimuli.

6.   Ten minutes mean as early as possible. The chances of revival reduce by 10% each minute.

7.   Center of the chest means in the centre of a line between two nipples.

8.   Continuously means with minimum interruptions

9.   Effectively means compressing the chest up to 5 cm with each down stroke and allowing the chest to recoil completely between each down-stroke

10.       Remember: Push hard (compress 5 cm with each down stroke) and push fast (100 per minute) on the center of the chest.

11.       Do not interrupt chest compressions to palpate for pulses and continue CPR 10 until electric shock machine is available or a doctor takes the charge or the patient wakes up.

12.    CPR 10 is not for children or arrest that occurs due to drowning. In these cases, mouth to mouth breathing is still necessary.