May 24, 2017

Health Roundup: Pain relievers + heart, ice packs, skin patch for stroke, navigating the ER

Pain Relievers Tied to Immediate Heart Risks

Researchers did a systematic review of studies involving more than 446,000 people ages 40 to 79, of whom more than 61,000 had heart attacks. In those who used Nsaids one to seven days, the risk of heart attack increased 24 percent for celecoxib (Celebrex), 48 percent for ibuprofen (Advil, Motrin), 50 percent for diclofenac (Voltaren), and 53 percent for naproxen (Aleve).

The study, in BMJ, found that the risk increases with higher doses and duration of treatment, but there was no significant increase in risk after one month of taking the drugs.  The lead author, Michèle Bally, an epidemiologist at the University of Montreal Hospital, said that the absolute increase in risk is quite small, since the risk of heart attack for most people is small to begin with.

Insty comments As a population, though, Americans are taking these at much higher rates than a few decades ago, yet heart attacks aren’t more common, in fact they’re less so. So what gives?

Wrap your loved ones in ICE PACKS to save their brain after cardiac arrest, new guidelines advise

Body cooling is now advised by medical professionals for cardiac arrest patients. Experts say it will limit brain injury from those who suffered a heart arrest. Cooling is done by placing packs and blankets on the body or through devices.

A cardiac arrest is when the heart malfunctions and suddenly stops beating unexpectedly. They will lose consciousness and will stop breathing normally. More than 400,000 Americans experience out-of-hospital cardiac arrest every year.  The survival statistics are bleak: approximately 50 percent of people who arrest are revived and only about 10 percent of these people leave the hospital.  Of those who do survive, around half suffer some level of brain impairment from the brain not getting enough oxygen.

Skin patch can halve the risk of death of stroke

A small skin patch costing only 39p (about 50 cents) 'can halve the risk of death after a stroke' by lowering blood pressure and relaxing veins and arteries to improve circulation to the brain.  The patch which delivers glyceryl trinitrate (GTN) usually used to treat high blood pressure, must be applied to the shoulder or arm of the patient within hours of the stroke. Experts believe it can improve survival rates and reduce the effects of a stroke dramatically if administered quickly. In a pilot study by the University of Nottingham, patients who were given the patch by paramedics had a 16 per cent risk of dying – less than half the 38 per cent mortality rate among those not given the patch.

Strategies to Navigate the Emergency Room

The most important fact every E.R. visitor should know can be that will true medical emergencies —-patients which has a potentially life-threatening problem like a heart attack, stroke, respiratory distress or uncontrolled bleeding —- take precedence over a broken bone, headache or stomach pain.

Also important to know: If faced which has a true emergency, call 911. The responding ambulance will take you to the nearest hospital equipped to deal with your problem. Don’t follow the example of two friends of mine who walked themselves to the hospital while inside throes of a heart attack. in addition to don’t drive or have someone drive you. If you come by ambulance, you will be evaluated in addition to given emergency treatment immediately, even before reaching the hospital. however if your problem turns out to be less than urgent, once there you’ll be sent to the back of the line.

Assuming that will an emergency room can be your best option, there are many things you can do to make the visit more efficient in addition to less anxiety-provoking. Along with your insurance card, keep a card in your wallet or a list on your phone with all the medications in addition to supplements you take in addition to any allergies or chronic health problems you have. If available, also take copies of recent laboratory or diagnostic test results.

Try to have someone come with you or meet you at the E.R. who can serve as your advocate in addition to helpmate. A friend who recently spent many hours inside E.R. with an elderly woman who had fallen in addition to broken her nose was able to get her a needed drink, refill her ice pack, find out when she might be admitted in addition to offer moral support.
Posted by Jill Fallon at May 24, 2017 1:03 PM | Permalink