Defibrillators save lives

If you have a heart attack then the best chance of you not dying on the spot is if someone can get a defibrillator to treat you within 5 minutes. For every minute after an attack your chances of survival without such treatment drops by 14%.

CPR (cardiopulmonary resuscitation) and "mouth to mouth" is still important as a last resort but in comparison with defibrillators this does not save as many lives.

Defibrillators are small hand held safe electronic devices that automatically diagnoses life threatening conditions and applies a treatment that can restart someones heart. It saves lives without further risk to the person you are helping or yourself. There are no real legal risks for you or your organisation (unless you are completely stupid and act in a grossly negligent manner).

I have signed up to this public e-petiton call for all public buildings to install defibrillators and train staff. This petition came about after the tragic death of teenager Oliver King and points out that it is not only older people who are at risk but 12 youngsters die every week from Sudden Adult Death Syndrome (SADS).  The footballer Fabrice Muamba who dramatically collapsed in March was saved by a defibrillator.

As I have mentioned before my father (aged 72) had a heart attack in a high street. He was given CPR and mouth to mouth by a trained first aider but was certified dead when he arrived in hospital (he was doing a 14 day long distance walk and camping out wild which he had been warned by his GP not to do so but that is another matter). My family have wondered whether or not if a defibrillator had been available it would have made any difference? We will never know but the evidence suggests it could have done if carried out within this 5 minute window.

I have spoken to Monica who is our Regional Equalities officer and a fully qualified NHS nurse who has carried out CPR and saved lives through defibrillation and Eric who is the very experienced paramedic branch secretary of the London Ambulance Service, both fully support lay people being trained to use defibrillators and they believe it will save lives.

My employer at our joint health and safety committee has agreed to look into providing defibrillators at our offices and training staff. I would encourage all employees to do the same.

NB To be clear if you come across someone who appears to be having a heart attack and there is no defibrillator available and you have not been trained to do CPR then follow the advice of my London Welsh compatriot Vinnie!

Hat tip Jake Morrison

The Smoking Room

Smoking Room

Bans on smoking in public places have had a bigger impact on preventing heart attacks than ever expected, data shows. Smoking bans cut the number of heart attacks in Europe and North America by up to a third, two studies report. This "heart gain" is far greater than both originally anticipated and the 10% figure recently quoted by England's Department of Health. The studies appear in two leading journals - Circulation and the Journal of the American College of Cardiology.

Heart attacks in the UK alone affect an estimated 275,000 people and kill 146,000 each year. Earlier this month it was announced that heart attack rates fell by about 10% in England in the year after the ban on smoking in public places was introduced in July 2007 - which is more than originally anticipated. But the latest work, based on the results of numerous different studies collectively involving millions of people, indicated that smoking bans have reduced heart attack rates by as much as 26% per year.

Second-hand smoke is thought to increase the chances of a heart attack by making the blood more prone to clotting, reducing levels of beneficial "good" cholesterol, and raising the risk of dangerous heart rhythms. Dr James Lightwood, of the University of California at San Francisco, led the Circulation study that pooled together 13 separate analyses.



His team found that heart attack rates across Europe and North America started to drop immediately following implementation of anti-smoking laws, reaching 17% after one year, then continuing to decline over time, with a 36% drop three years after enacting the restrictions. Dr Lightwood said: "While we obviously won't bring heart attack rates to zero, these findings give us evidence that in the short-to-medium-term, smoking bans will prevent a lot of heart attacks.

"This study adds to the already strong evidence that second-hand smoke causes heart attacks, and that passing 100% smoke-free laws in all workplaces and public places is something we can do to protect the public."

Ellen Mason, of the British Heart Foundation, said: "These studies add to the growing evidence that a ban on smoking in public places seems to have a positive impact on heart attack rates, which is clearly good news for our nation's heart health. "The statistics also show how quickly the benefits can be felt after a smoking ban is implemented and indicate how dangerous second-hand smoke can be to the heart.


"If you are a smoker, the single biggest thing you can do to avoid a heart attack is to give up, which could also protect the heart health of friends and family."