Saturday, 8 February 2014

HEART ATTACK; BEWARE OF OFF HOURS

Heart attack patients are more likely to die if they arrive at the hospital at night or on a weekend, a detailed review finds. The report also said that this increased risk may result in thousands of extra deaths among heart attack patients in many developed and less advantage cities.

Professionals can never consist of resolute robust men; they may be well disciplined machines, but they will seldom contain men under the influence of strong passions, or with very vigorous faculties.

With studies conducted in Canada, Europe and the United States. The investigators concluded that heart attack patients who arrived at a hospital during off hours had a five percent higher risk of death both while in the hospital and within about four weeks after discharge than those who arrived during regular hours. This opened doors to an extra more deaths every year all around the world.

In the weakness of one kind of authority, and in the fluctuation of all, the specialists of a profession will remain for some time mutinous and full of faction, until a top supervisor, who understands the art of conciliating the units, and who possesses the true spirit of command, shall draw the eyes of all men upon himself. Specialists will obey him on his personal account. There is no other way of securing total obedience in this state of off hours, but don't we always lack such a leader?

The Research team also estimated that people who had a type of heart attack called ST elevation myocardial infarction, (STEMI) and arrived at the hospital during off hours, a delay of nearly 15 minutes between arrival and undergoing balloon angioplasty to open a blocked coronary artery could increase death risk by as much as possible would be.

What is man without the beasts? If all the beasts were gone, man would die from a great loneliness of spirit. For whatever happens to the beasts, soon happens to man. All things are connected.

There is always enough room for further studies, so the Researchers believe more studies are needed to examine factors that cause differences in levels of care during regular and off hours, such as number of staff and their level of expertise. One gift we ain't gonna beat nor ignore to a halt is the halt.

Although the review found an association between arriving at a hospital during off hours and a higher risk of death among heart attack patients, it did not establish a cause and effect relationship. Yet people can not establish when to engage a Heart in order to be at the hospital at a certain period of time.

More studies need to determine whether there are lack of competency during these off hours, lack of specialists, lack of motivation or duty of care. Less or lack of supervision can also limit resources and initiations to deal with urgencies. Importantly, it should be established between professionals and patients that immediate treatment for a suspected MI include aspirin, which prevents further blood from clotting, and sometimes nitroglycerin to treat chest pain and oxygen. STEMI is treated by restoring circulation to the heart, called Reperfusion therapy, and typical methods are angioplasty, where the arteries are pushed open, and thrombolysis, where the blockage is removed using medications. Non-ST elevation myocardial infarction (NSTEMI) may be managed with medication, although angioplasty may be required if the person is considered to be at high risk. People who have multiple blockages of their coronary arteries, particularly if they also have diabetes, may also be treated with bypass surgery. Ischemic heart disease, which includes MI, angina, and heart failure when it happens after MI, was the leading cause of death for both men and women worldwide recently. 

The more people realise the treatments and the urgencies required,  it becomes clear that the Heart must be pampered and extremely cared for, before it gets into uncertain hands or hours to try and sustain the beating and pumping as usual. Remember, those that we fight we do not hate, those that we guard we do not love.

The owl of ignorance lays the egg of pride.