Monday, July 28, 2014

Hoops Game Turns Life-and-Death


Hoops Game Turns Life-and-Death

For three of the heart attack victim’s rescuers it was a case of déja vu

Richard Hand, center, stopped by the Pierson middle school gym on Sunday to thank fellow basketball players who had resuscitated him when he was in cardiac arrest just a week earlier. Taylor K. Vecsey
Pierson Middle-High School in Sag Harbor has an impressive record of students and staff trained in cardiopulmonary resuscitation who have gone on to save others, but when a man went into cardiac arrest while playing basketball on a Sunday morning nearly two weeks ago and was resuscitated, it marked the first save on school grounds.

Richard Hand, a 52-year-old Sag Harbor resident, had been hitting 3-pointers all morning and was at the end of the fourth game, going in for a rebound under the basket, when he suddenly collapsed.

Rick Weissman of East Hampton was guarding him when he dropped to the floor. “I thought he ran into somebody and fell and hit his head,” Mr. Weissman said.

Woody Kneeland, a Pierson coach who was playing that morning, and Mark Tuthill, who was watching from the sidelines, reported seeing Mr. Hand’s whole body go limp before he hit the floor. “It was like 100 degrees in the gym — it could have been a million things. When he went into convulsions, I knew it was serious,” Mr. Kneeland said.

Claude Beudert, an East Hampton High School teacher who has known Mr. Hand for 25 years, called 911 at 10:06 a.m., initially telling dispatchers they needed the ambulance for a head injury from a fall.

Other players, including Charlie Bateman, a former advanced emergency medical technician with the Sag Harbor Volunteer Ambulance Corps, and Dr. Alan Katz, an East Hampton dentist, rushed to Mr. Hand’s side. His heart rate was erratic, and he was fighting for breaths, Dr. Katz said.

“We thought maybe he was having a seizure. Within a minute or two we ­realized he was having a heart attack,” Mr. Bateman said.

Mr. Bateman and Dr. Katz started CPR at a ratio of 30 compressions to 2 rescue breaths. Mr. Kneeland, who had been recertified in CPR just three weeks earlier, and Mr. Tuthill, a personal trainer who knows CPR, helped keep his airway open and later performed compressions as the rescuers traded positions, as recommended under American Heart Association guidelines. Mr. Beudert found an automated external defibrillator at the entrance to the gym.

“I’m looking down his body from his head to his feet and I just thought this was it — this man is going to die,” Mr. Tuthill said.

The rescuers ripped off Mr. Hand’s shirt, wiped the sweat from his chest, and placed the defibrillator’s pads in position. The portable electronic machine reads the heart’s rhythms and will indicate that a shock is needed to establish a life-sustaining beat only for patients with two types of life-threatening cardiac arrhythmias. Mr. Hand was in ventricular fibrillation, an abnormal rhythm where the heart cannot pump blood, and the shock was delivered within 24 seconds after the device had been turned on, according to a report the A.E.D. issued afterward.

“All of a sudden, it looked like he had some life in him again,” Mr. Kneeland said.

Mr. Weissman, who does not have CPR training and recalled standing off to the side praying, suddenly had a hunch that the ambulance probably thought they were in the high school gym, instead of the middle school gym. He ran outside to Division Street and dialed 911 to redirect them.

When the ambulance arrived at 10:11 a.m., Mr. Hand was already coming to. As Mr. Weissman re-entered the gym with the emergency medical tech­nicians, he was shocked to see Mr. Hand’s chest and stomach moving up and down very rapidly. “He was breathing. I ­couldn’t believe it — I was amazed.”

The Sag Harbor ambulance corps sent an electrocardiogram of Mr. Hand’s heart to Suffolk County Medical Control at Stony Brook University Hospital, and a decision was made to airlift him to Stony Brook, which has a catheterization laboratory. By the time the medevac helicopter landed at the ball field next to the Bridgehampton Fire Department, Mr. Hand was fully alert.

Eddie Downes, the president of the ambulance corps, said Mr. Hand is lucky to be alive. “It all came together like it was supposed to,” he said, emphasizing the importance of early compressions and a quick administration of a defibrillator.

One week later, Mr. Hand was back in the gym, not lacing up his sneakers, but to thank those who saved his life.

“Without the defibrillator, I wouldn’t be here,” he said, adding that the doctors told him, “ ‘You’re lucky those guys knew what they were doing.’ I was out for six or seven minutes — that’s kind of the limit before you lose brain function.”

He doesn’t remember much of what happened. “I just remember we were playing well; it was a tied score. I was just playing and I got a little bit dizzy.” The next thing he could remember, he was being wheeled out of the gym on the stretcher.

Mr. Hand said he hadn’t had heart problems before. He was told the cardiac arrest was caused by a problem with electrical impulses, and an implantable cardioverter defibrillator was placed in his chest. Doctors also found a blockage and inserted two stents. Despite all that, he was back home on Tuesday, and he expects to be back on the basketball court in six weeks.

For some of the players it was an eerily familiar situation.

Eleven years ago, Mr. Bateman, Mr. Beudert, and Dr. Katz were playing basketball one Thursday evening at the East Hampton Middle School when Dexter Grady, a 36-year-old night custodian who joined a game during his break, dropped to the floor. They started life-saving measures, including the use of an A.E.D. that had been put in the school only four months earlier, just after it had become a New York State mandate. Mr. Grady was resuscitated and is still working at the school today.

“This was like déja vu,” said Mr. Bateman, who went on to become an E.M.T. after Mr. Grady was revived.

Dr. Katz said he and Mr. Bateman were “lucky twice . . . Charlie and I would be the first to admit it — lots of times CPR does not bring anybody back.”

Susan Denis, the health teacher at Pierson who is in charge of training all 7th and 10th-grade students in the American Heart Association’s Heartsave CPR A.E.D. course, taught the recertification class for coaches, including Mr. Kneeland, and he was among about 30 others she has taught who have gone on to save lives. This save was yet another example, she said, of why it is so important to learn the lifesaving skill and why more automated external defibrillators should be in public places.

“If we can shock you within the first minute, we’ve got a 90 to 95-percent chance of bringing you back. But by 10 minutes, there’s less than a 5-percent chance,” she said.

“The defibrillator is just a wonderful tool. Even if you’re panicking, you’ll know how to use it,” said Mr. Beudert, who learned CPR and how to use the A.E.D. through the East Hampton School District, where he coaches golf and tennis.

The whole incident is already inspiring people to be prepared. Mr. Weissman said he wants to learn CPR now, and is even considering taking an emergency medical technician course. Meanwhile, Mr. Tuthill, who said he had never followed through with an idea to buy an A.E.D. for his Martial Arts Center in East Hampton, went home that very night and placed an order online for a model that cost $1,500.

Mr. Hand, too, said he is going to learn CPR. He also hopes to spread the word that having “a defibrillator in public places is incredibly important, because I wouldn’t be here without one.”
Some of the players who were instrumental in saving Richard Hand, center, when he went into cardiac arrest. From left, Woody Kneeland, Charlie Bateman, Claude Beudert, Dr. Alan Katz, Mark Tuthill and Rick Weissman.

Sunday, March 23, 2014

Quick action by EMTs save Riverhead teacher's life at 'Crazy Sports Night' event


Quick action by EMTs saved the life of a Riverhead teacher who collapsed in cardiac arrest after a hard-fought game of tug-of-war at "Crazy Sports Night" tonight at Riverhead High School.
Phillips Avenue Elementary School teacher Lonnie Hughes went into cardiac arrest on the high school gymnasium floor at the conclusion of a tug-of-war contest pitting Phillips Avenue against Aquebogue Elementary School. Hughes was the anchor man for the Phillips team, which was defeated in the match. Immediately after it ended, Hughes fell onto his back, appearing to have lost consciousness.
Riverhead Volunteer Ambulance Corps head ALS provider Jennifer Kelly, who was in the audience to cheer on her nephews' school, and Riverhead High School physics teacher Gregory Wallace, an EMT with the East Marion Fire Department, rushed to the fallen teacher's aid, Riverhead Volunteer Ambulance Corps Chief Joseph Oliver said tonight.
RVAC member Susan Shleef maintained the patient's airway and breathed for him, Oliver said.
Kelly and Wallace used a defibrillator to shock the patient's heart to establish a heartbeat, Oliver said.
Other teachers participating in the sports night event formed a human wall around Hughes as EMTs worked to resuscitate him, to protect him from view of the gymnasium packed to capacity with children and their families.
School officials immediately evacuated the gym, which was emptied without incident within minutes of the teacher's collapse, as a Riverhead ambulance crew rushed to him with a stretcher.
Hughes began breathing on his own in the ambulance on the way to Peconic Bay Medical Center, Oliver said. By the time the teacher was in the emergency room, he was talking and laughing with the EMTs who brought him there, the RVAC chief said.
Hughes, 57, was transferred to Stony Brook University Hospital for further observation and testing, Oliver said.
"The outcome of having our ambulance there was the reason Lonnie is alive right now," Oliver said.
 Hughes' family wants the community to know the teacher is alive and well, and asked the ambulance corps chief to make a statement about tonight's events, he said.
RVAC personnel who responded to the emergency at the high school gym tonight were: Chris Mazzucca, Sameer Anandm Heather Zilnicki, Laura Donahue, Joseph Sokolski, Christopher Flemming, Andrej Ceckowski Sandra Ruttkaova and Martin McKenna, according to the RVAC chief

Thursday, March 6, 2014

IHC player ‘critical’ after collapsing at basketball game

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PHILADELPHIA — An Immaculate Heart Central School basketball player is in critical condition after collapsing during a game Tuesday afternoon at Indian River Central School.
The player, identified by IHC varsity football and softball coach Paul Alteri as Jack Valentine, 13, was resuscitated by school personnel, taken to Samaritan Medical Center in Watertown and transferred to Upstate Medical University in Syracuse, according to Indian River Athletic Director Jay Brown. Valentine was listed in critical condition Wednesday night. The nature of his illness was unknown.
Mr. Alteri said he had not spoken with the boy’s parents but heard he “is getting better.”
Valentine had just returned to the bench after playing the first quarter when he collapsed, Mr. Brown said. The incident occurred about 4:45 p.m. Tuesday during a boys modified seventh-grade basketball game.
School nurse Theresa M. Leeson and athletic trainer Ashley N. Naklick, both at the school at the time, performed CPR and used an automated external defibrillator, or AED, on Valentine until an ambulance arrived. He had a pulse before he left, Mr. Brown said.
“They did a fantastic job,” he said. “The boy is still with us today because of them.”

Monday, February 17, 2014

NYS Athletic Trainers’ Association Partners with Parent Heart Watch





NYS Athletic Trainers’ Association Partners with Parent Heart Watch

The New York State Athletic Trainers’ Association (NYSATA) is pleased to endorse Parent Heart Watch (PHW), a grassroots organization of parents and partners solely dedicated to reducing the potentially-disastrous consequences of Sudden Cardiac Arrest (SCA) in youth. The objectives of PHW in the areas of education, prevention, recognition, and appropriate emergency action aligns them very well with the intentions of NYSATA and all levels of athletic training-related associations.

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Andy Smith, MS, ATC speaks at the 2014 Parent Heart Watch Conference.
I hope the NYSATA endorsement of PHW is the first of many state athletic training associations and similar organizations joining forces in the common goal of protecting our youth.
Buffalo, NY (PRWEB) February 13, 2014
Approached in the fall of 2013 by a joint member of both the NYS Athletic Trainers’ Association (NYSATA) and Parent Heart Watch (PHW) for the organizations to join efforts, NYSATA saw this connection as a win-win for both groups and gladly accepted the invitation of support for one-another. In addition, PHW invited a NYSATA member athletic trainer to present at their annual national conference this past January.
The mission of PHW is to protect youth from Sudden Cardiac Arrest (SCA) and preventable Sudden Cardiac Death (SCD) and their goals and purpose lie in the education, advocacy, and implementation of programs to help prevent disabilities and death of youth caused by SCA, including appropriate emergency action and equipment – knowing these factors could have made the difference in saving their children’s lives. This focus aligns well with the objectives and intentions of the athletic training profession and AT-related organizations like NYSATA.
Athletic trainers (ATs) are healthcare providers educated in the recognition and management of cardiac conditions that may be seen in a sport-related setting, such as SCA and commotio cordis, and are required to maintain a CPR/AED certification as part of their professional certification. ATs also understand the importance of having appropriate emergency action plans (EAPs), including appropriate equipment, in place. The partnership between NYSATA and PHW can help bring attention to an increasing health issue in the United States and will provide not only members, but healthcare providers, school officials, legislators, and the general public with educational materials, local cardiac screening opportunities for youth, and other useful resources in the prevention and emergency planning for cardiac emergencies.
PHW has a number of initiatives including affordable or free youth heart screening events, assistance in obtaining automated external defibrillators (AEDs), support for CPR/AED certifications for those who work with youth, and advocating for a National Registry of SCA and SCD in young populations. Other day-to-day points of focus are the education of youth, parents, and health care professionals, including certified athletic trainers (ATs), on the latest safety information regarding SCA, and promote effective emergency planning, including a written emergency action plan (EAP), for life-threatening situations such as SCA and traumatic cardiac injury, like commotio cordis.
Individually and as an organization, they have already changed laws, placed thousands of AEDs in local communities, and conducted heart screening events for thousands of youth. Specifically in NYS, they have a few member organizations that offer such screenings. The [Madison McCarthy Cardiac Care Coalition for Children runs screenings in the greater Buffalo area and Heart Screen New York, and affiliates - the Louis J. Acompora Memorial Foundation and the Dominic A. Murray 21 Memorial Foundation - offer screenings around Long Island. In addition to cardiac screenings, these organizations carry out grassroots awareness campaigns, organize educational events and CPR/AED training sessions, provide informational and financial assistance to schools to purchase AEDs and become Public Access Defibrillation (PAD) providers, and they lobbied for the successful passing in 2002 of “Louis’ Law” (NYS Bill #A8779) mandating that all public high schools in NYS be equipped with AEDs in their buildings and at all sporting events. They are now pursuing the introduction of the “Sudden Cardiac Arrest Act” in NYS which was recently passed in Pennsylvania and New Jersey, with legislation pending in at least seven other states.
The hope is that these efforts will decrease – and eventually eliminate – preventable disabilities and death of youth caused by SCA, which is currently the leading cause of fatalities on school property in the United States – 1 in 50 schools has an episode each year. Another notable figure, especially where NYSATA is concerned, is in the student-athlete population, where statistics show that, in the U.S. alone, one young competitive athlete dies every three days from an unrecognized cardiovascular disorder. PHW also hopes to stress the importance of early diagnosis of potentially fatal cardiac disease, which is the second leading medical cause of death in children and adolescents in the United States.
In addition to approaching NYSATA for an endorsement, they also invited Andy Smith, MS, ATC, Director of Sports Medicine at Canisius College (Buffalo, NY) – and PHW member - to speak at their 9th Annual Conference in Cary, NC. On Saturday, January 18th, Smith, who is also a Past-President of NYSATA and 2014 inductee into the NYSATA Hall of Fame, presented on the "Call to Action: Engaging Your State High School Athletic Association to Effect Change.” In addition to discussing how to reach out to the state high school athletic associations, Smith encouraged PHW members to contact their state and regional Athletic Training Associations for assistance, support, and offering educational information. Smith gave an overview of the athletic training profession and offered examples of how PHW and ATs can work together in protecting youth.
“This is an amazing group of effected individuals who proactively work together as a unit and with affiliated groups, looking and working toward the future to create change in this highly underrated and serious health issue in our country,” stated Smith following his time at the PHW conference. “I hope the NYSATA endorsement of PHW is the first of many state athletic training associations and similar organizations joining forces in the common goal of protecting our youth.” Smith also noted that, following his presentation, the 160 attendees at the conference gave NYSATA a long ovation for its endorsement of PHW.
Parent Heart Watch was incorporated in 2005 after beginning three years earlier as an informal collaboration of several families across the United States, meeting only online, who all lost a seemingly healthy child unexpectedly to SCA. Thanks to grants and support from the Medtronic Foundation Heart Rescue Program and Patient Link Program the inaugural meeting of the organization was launched, along with educational materials, in 2002, and now PHW has members in nearly all U.S. states.
Parent Heart Watch joins a list of other organizations that NYSATA and other AT associations have partnered with for the awareness, prevention, and management of various life-threatening injuries, illnesses, and conditions in sport and recreation, including: the Korey Stringer Institute (KSI) – (sudden death in sport), The Second Impact with Ray Ciancaglini (concussions), Brain Injury Association (of NYS) (brain injuries/concussions), and the Sports Legacy Institute (SLI) (concussions/brain injury from sport).
NYSATA, founded in 1976 and incorporated in 1989, stands to advance, encourage and improve the profession of athletic training (AT) by developing the common interests of its membership for the purpose of enhancing the quality of healthcare for the physically active in NYS. Athletic training is practiced by certified athletic trainers (ATs), who have expertise in the assessment, emergency management, rehabilitation and prevention of acute and chronic sport-related injuries, illnesses and conditions, including concussions. Comprised of over 1,200 certified and practicing athletic trainers, NYSATA is the state-wide affiliate of the regional EATA and District Two of the NATA.

Sunday, December 8, 2013

Knowing where AEDs are and how they’re being used is critical to saving lives

Using AED Registries to Increase Bystander CPR & AED Use

Tuesday, November 26, 2013

Northport family raises focus on AEDs

Karen and John Acompora pulled up to an Amityville elementary school they had never visited, to meet a girl they did not know.
A few weeks earlier, 12-year-old Kiavelyn Altagracia, a seventh-grader at Edmund W. Miles Middle School in Amityville, collapsed on the sideline during her soccer practice. She was unconscious and barely had a pulse, said her coach, Isha Hamilton, who started CPR.
Within minutes, Hamilton used an automated external defibrillator, more commonly known as an AED. The machine the size of a laptop computer told her to keep doing chest compressions and rescue breathing.
"She took a deep gasp, and I felt a very faint pulse," Hamilton said. Kiavelyn slowly regained consciousness.
The AED was on the field because of the Acomporas of Northport, whose son Louis died on March 25, 2000, after a ball hit him in the chest during his first high school lacrosse game. There was no AED on hand.
The lacrosse game was in West Islip. The second quarter had just started and Louis was in the goal, wearing a chest protector, when the ball struck him and he collapsed.
Karen and John Acompora were in the stands and thought Louis had had the wind knocked out of him. But after a few minutes, Louis didn't get up, and his parents knew something was wrong. John Acompora ran to the field, while CPR was being performed. Karen Acompora remembers seeing her husband take off Louis' chin strap.
Louis, 14, died on that field.
In 2002, Louis' Law was enacted, months after the family launched the Louis J. Acompora Memorial Foundation. The law mandates that schools, including athletic events, have AEDs on-site and people trained to use them. Kiavelyn was the 75th save statewide since the law passed.
"It is amazing what they are doing and so heroic," said Hamilton, who teaches physical education at the Amityville school. The Acomporas attended an October school board meeting at Park Avenue Elementary, where they presented awards to Kiavelyn, Hamilton and Greg McCoy, another coach who assisted with the save.
The Acomporas, who also have a daughter, have spent years raising awareness about AEDs. To date, the law has saved 76 people, the family said.
"Out of those 76, there are a lot of them who have paid it forward," Karen Acompora said. One is a foundation board member, and many have helped raise money and participated in advocacy efforts, she said.
Greater New York American Red Cross spokesman Michael de Vulpillieres said Kiavelyn's save "emphasizes the continued importance of using an AED within two to three minutes of sudden cardiac arrest and having trained rescuers who recognize and act in an emergency to save a life."
"We applaud the efforts of the Acompora family over the years to make AEDs more accessible while honoring the memory of their son," de Vulpillieres said.
American Heart Association staff member Robin Vitale said the Acomporas "are a tremendous source of strength and inspiration for those of us working to improve bystander response to an emergency, meaning CPR initiation and using an AED."
"I simply cannot begin to imagine the depth of pain they experienced 13 years ago with the death of their son, Louis," Vitale said. "But what a testament to the courage of Karen and John that they have committed to building his legacy by continuing their advocacy."The foundation just held an event in Floral Park, where about 400 children were screened for heart conditions, and they are planning another for next year.
Karen Acompora says her family's work helps keep Louis' memory alive. They always talk about him, and now they have a grandson, 5-year-old Louis. "It is like Louis is still here with us," she said.

Monday, October 21, 2013

Onteora player resuscitated after collapsing on Wallkill court

By WILLIAM MONTOGMERY

Times Herald-Record
Heroes and life-and-death situations are clichés in the sports world, but they were quite real during Thursday's volleyball match between Onteora and Wallkill.
Onteora junior Makalia Ouellette walked over to coach Brittany Alexander during the match at Wallkill complaining that she wasn't feeling well and thought she might pass out. Alexander called timeout as Ouellette collapsed into her arms.
Alexander said she yelled for help and "people came running." After laying Ouellette flat on the court, Alexander immediately began performing CPR. Ouellette was unconscious and "turning blue and not breathing," Alexander said. Onteora assistant coach Nicole Saunders found Wallkill's automated external defibrillator and gave Ouellette a shock that caused her to regain consciousness.
"After screaming and freaking out, she did eventually calm down and was alert," Alexander said. Her teammates "were able to see her go out on the stretcher alert. I did notify them on the bus ride home that she had made it to the hospital and was OK."
An ambulance took Ouellette to St. Luke's Cornwall Hospital in Newburgh. Alexander heard from a number of team parents that followed the ambulance to the hospital that Ouellette's condition was stable. She was later transferred to a hospital in Westchester County.
Ouellette's parents were notified shortly after she collapsed and met her at the hospital.
Alexander said Ouellette had no history of medical conditions.
When Onteora's bus returned to the school in Boiceville after the match, which did not continue, the players were greeted by social workers, counselors and psychologists for trauma counseling.
"It was nice that they had that, because I was in shock," Alexander said. "She looked like she was not going to make it. It was the scariest thing I've ever experienced in my whole entire life."
Alexander credited a pair of men who came down from the stands to help administer CPR. In the chaos that ensued, she did not get their names.
For coaches around Section 9, Alexander hopes the incident can have a silver lining. If more coaches and school employees and officials are trained to use an AED in an emergency situation, they, too, may be able to save a life.
"Every person, every teacher, every administrator, every janitor and especially every bus driver, they all need to have this training," she said. "Bus drivers need to have an AED on the bus, too. You need to be able to react right then and there. There isn't any time to think. You need to just do it. I never thought I was going to have to use it, but tonight was my wake-up call."
wmontgomery@th-record.com
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