Last month, Zoll Medical Corporation sent out a sexy advertisement to members of the NAEMSP (National Association of EMS Physicians) and State Medical Directors. It suggested that results of a clinical cardiac arrest study called the CIRC (Circulation Improving Resuscitation Care) trial would all but confirm the superiority of the company's AutoPulse automatic CPR device (load-distributing band device).
Now the CIRC trial was no doubt big - international, in fact. And there were sites in the US. While it ended in January 2011, the data from the trial (which, by the way, was funded by Zoll), have not been totally entered, much less analyzed. Amongst the recipients of the glossy, color, pre-publication CIRC trial results announcements from Zoll were some pretty savvy docs, researchers, and State EMS Directors who immediately wondered about this. Especially since Zoll had announced to their investors in January 2011 that the AutoPulse was equivalent to manual CPR, not superior.
So, a retraction. A second mailing on April 11, 2011 to the members of NAEMSP and State Medical Directors from Ward Hamilton, Senior Vice President of Marketing for Zoll, apologized for distributing what appeared to be inside information about the CIRC trial results. No such inside information exists, according to Hamilton. Zoll, like the rest of us, await publication of the final results. For sure.
For now, let's go with the original release to investors: the AutoPulse is equivalent to manual CPR. Isn't that what the Emergency Cardiac Care Guidelines 2010 said? I think so. They rated AutoPulse Class IIb concluding that, "there is insufficient evidence to support the routine use... in cardiac arrest." So let's not jump the gun.
Saturday, April 23, 2011
Saturday, April 16, 2011
Posted by Christopher J. Naum, SFPE at 4/16/2011 12:43:00 PM
The Prince William County (VA) Department of Fire and Rescue published a comprehensive line of duty death report for Technician I Kyle R. Wilson on Saturday, January 26, 2008. Have your read it?
Technician I Wilson was the first line of duty death in the Department’s 41-year history. The Department shared the LODD Investigative Report to honor Kyle, and in an effort to reduce and prevent firefighter line of duty deaths at the local, region, state, and national levels.
Technician Kyle Robert Wilson was 24-years old and was born in Olney, Maryland. He grew up in Prince William County and graduated from Hylton High School and George Mason University. He was an avid baseball and softball player. Technician Wilson joined the Prince William County Department of Fire and Rescue on January 23, 2006.
Technician Kyle Wilson died in the line of duty on April 16, 2007 while performing search and rescue operations at a house fire on Marsh Overlook Drive, located in the Woodbridge area of Prince William County.
On that day, Technician Wilson was part of the firefighter staffing on Tower 512 which responded to the house fire that was dispatched at 0603 hours. The Prince William County area was under a high wind advisory as a nor’eastern storm moved through the area. Sustained winds of 25 mph with gusts up to 48 mph were prevalent in the area at the time of the fire dispatch to Marsh Overlook Drive.
Take some time.....
Posted by Christopher J. Naum, SFPE at 4/16/2011 12:35:00 PM
The report, Restaurant Building Fires, was developed by USFA’s National Fire Data Center and is based on 2007 to 2009 data from the National Fire Incident Reporting System (NFIRS).
Restaurant Building Fires http://www.usfa.dhs.gov/downloads/pdf/statistics/v12i1.pdf
According to the report:
- An estimated 5,900 restaurant building fires occur annually in the United States, resulting in an estimated average of 75 injuries and $172 million in property loss.
- The leading cause of all restaurant building fires is cooking at 59 percent and nearly all of these cooking fires (91 percent) are small, confined fires with limited damage.
- While cooking is the leading cause of all restaurant building fires as well as the smaller, confined restaurant building fires, electrical malfunction is the leading cause of the larger, nonconfined restaurant building fires.
- Nonconfined restaurant building fires most often start in cooking areas and kitchens (41 percent).
- Deep fryers (9 percent), ranges (7 percent), and miscellaneous kitchen and cooking equipment (5 percent) are the leading types of equipment involved in ignition in nonconfined restaurant building fires.
- Smoke alarms were reported as present in 44 percent of nonconfined restaurant building fires. In addition, full or partial automatic extinguishment systems, mainly sprinklers, were present in 47 percent of nonconfined restaurant building fires.
Considerations around the Kitchen Table:
- What experiences have you or your company had at commerical fires at restaurant occupancies?
- What level of situational awareness must be maintained during operations?
- What are some of the safety considerations that must be employed during subsequent operations?
- There are numerous hazards associated with fire suppression operations and tactics at commercial kitchen fires, do you now what they are?
- What are some of the key strategic and tactical considerations for operations at restaurant building fires?