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11:05 AM PDT on Friday, July 2, 2004
SEATTLE - Doctors at Harborview Medical Center are teaming up with
Seattle medics in a daring new treatment to bring heart attack patients
back from the dead.
The program, the first of its kind in the country, sends patients into a
deep freeze in the ambulance. It’s long been known that dropping a heart
attack victim's body temperature improves chances of recovery. So in the
first experiment of its kind, Seattle paramedics are taking a new
treatment to the streets.
If you have a heart attack in Seattle, a medic unit will show up with
state-of-the art equipment. But soon, Seattle Fire Department's seven
medic units will be testing a decidedly low-tech treatment for heart
attack victims. They will use a syringe to inject a cold liquid into the
veins of victims of massive heart attacks.
“This therapy is for the guy who drops dead right in front of you,” said
paramedic Michael Coolidge.
When the heart stops beating, blood and oxygen stop flowing and brain
cells start dying. The damage can continue, even after a victim is
resuscitated. So once they have a heart beat again, Seattle medic crews
will reach into a bag of cold saline and inject a quart-and-a-half into
the victim's bloodstream.
Doctors say the cold saline will drop a heart attack victim's body
temperature by eight degrees or so, just enough to help save brain cells.
“If we can cool the brain, this tremendous cascade of death where the
cells lose their inner stability can be prevented by cooling," said Dr.
Michael Copass, director of emergency services at Harborview Medical
Center.
Doctors say it's similar to the frequent cases of people surviving after
long periods submerged in frigid water.
Previous studies have proven that chilling the brain until the patient
can receive full treatment at the ER improves chances of survival.
Harborview's experiment is the first to use a simple, innovative
approach to ice victims within minutes of a heart-attack.
Over the next year, it’s expected that the fire department will respond
to about 200 heart-attack victims. Results of the study are expected in
about a year.
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