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| Sudden Cardiac Arrest & Acute Ischemic Stroke |
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by Scott Lamprecht, DNP, MSN, RN - January 30, 2012
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Sudden Cardiac Arrest
It is tragic when a teenage athlete dies during a game or practice. Two of the top causes of SCA in athletes are hypertrophic cardiomyopathy (HCM) and Long QT Syndrome (LQTS). Preparticipation Sports Assessments can detect many potential problems, but what about cardiac issues?
• Sudden Cardiac Arrest (SCA) kills over 500,000 people per year in the United States (Prutkin, Stoodehnia, 2008).
• SCA survival rates remain less than 10% (AHA, 2005).
• Death is the first symptom in >80% of SCA cases (Inaba, 2005)
• 12 lead EKG screening has been shown to identify athletes at risk for SCA (Corrado et al, 2006)
• Mass EKG screening programs for young athletes are cost prohibitive
• SCA screening practices have been inconsistent and lack standardization (Giese et al, 2007)
Can a physical exam identify HCM or LQTS? Are there questions to ask that may identify early risk factors? Be sure not to miss this session at the conference!
Acute Ischemic Stroke
Stroke is the third leading cause of death in the United States and the leading cause of disability. Risk factors include; age, race, gender, personal/family history of stroke, hypertension, and other comorbidities. Stroke care has changed significantly in the past few years, especially with the development and designation of Stroke Centers, but what can we do in primary care? Think FAST:
• Facial droop
• Arm Drift
• Slurred speech
• Transport = 911
Time is brain! Early and appropriate interventions can save time and brain tissue. What do patients and families need to know about signs and symptoms of stroke? How can primary care help? Come to this valuable session and learn about patient/family education, risk reduction, and treatment timeframes.
Scott is owner of Complete Medical Consultants and an associate professor at two universities. He completed a doctorate in nursing practice (DNP) with a practice-based dissertation titled, “Sudden Cardiac Arrest Screening in Adolescent Athletes,” and is an active member of both the Nevada State Emergency Cardiovascular Care Committee and chairman of the American Heart Association’s Southern Nevada Area Regional Faculty Workgroup. Scott is also a Basic Life Support, Advanced Cardiac Life Support and Pediatric Advanced Life Support instructor with a 25-year background in Critical Care including ER/EMS, ICU/CCU, Trauma and Open-Heart Surgery. He is also the president-elect of the Nevada Nurses Association, and has been active in both the Nevada Legislature and in Washington, DC as an advocate for the American Heart Association.
Scott will be speaking at the upcoming DMGCME conferences in Las Vegas and Walt Disney World.
The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.
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