CPR training at Alliance U by Narayana Hrudayalaya

With Dr. Niharika Duggal from NH ..

On the 28 Nov 2018 in Alliance University, Bangalore, along with other faculty members, staff and students, we were fortunate enough to acquire an additional professional qualification, a qualified cardiac emergency professional certificate from the world's largest cardiac care hospital, Narayana Hrudayalaya, Bangalore . 

It has helped us learn to administer Cardio Pulmonary Resuscitation (CPR), and learn the use of the Automated External Defibrillator (AED) - to manually preserve intact human brain functions and help revive a fibrillating heart in the event of a cardiac arrest.

Once you find a patient unconscious, within 10-15 seconds  you start CPR .. It tells us how important is CPR to regain normal brain functioning and save a life !!

All artery blocks can lead to cardiac arrest while all cardiac arrests may not be due to artery blocks.

In all cardiac arrest the first seven and a half minutes is most crucial and precious. The patient should be given immediate first aid in the first seven and a half minutes else it may result in severe brain damage because of the blockage of oxygen to the brain cells.

It was felt that all faculty should be compulsorily going thru this course. The training involved  working on a human dummy.

Giving chest compressions on the mannequin

Click here for a video on how to carry out a CPR ..

The steps in a CPR cycle are

1. call for help and ask them to get an ambulance to take the patient to the hospital
2. get the patient to lie down on a flat floor
3. check for pulse in the carotid artery (which is in your neck by the side of the windpipe), you need to do this in maximum 5-7 seconds ..
4. Kneel next to the person and give (30 times) chest compressions with both hands at the centre of the chest (two finger width away from the breastbone) to a depth more than 5 cm, not more than 6 cms. (Sometimes rib bones do break, but it is temporary and will naturally heal considering that you are saving the patient from a permanent brain damage or even loss of life, if not treated  on time)
5. raise the chin (to open the air-pipe to take in the exhalations we give)
6. Give two quick breaths exhalations to the patient's mouth, inhaling well (our inhalations of air from our surroundings have roughly 18% Oxygen and our exhalations have approximately 15% Oxygen, which is good enough to preserve the patient's brain functions till professional medical help arrives).

Repeat this cycle (30 compressions + 2 exhalations) as many times till emergency help arrives. If an extra hand is available for help. do the chest compressions and the exhalations alternatively so that no one is tired and the treatment can be fast and effective.

CPR in Adults: Positioning Your Hands for Chest Compressions

1. Kneel next to the person. 

2 Use your fingers to locate the end of the person's breastbone, where the ribs come together. 

3. Place two fingers at the tip of the breastbone. 

4. Place the heel of the other hand right above your fingers (on the side closest to the person's face). 

5. Use both hands to give chest compressions.  - nih.gov

The Automated External Defibrillator (AED) instrument is used to give shock to a fibrillating heart (a fibrillating heart just vibrates but does not pump blood to the arteries) and get it running and pumping blood. It has got electrodes fitted to the body of the patient on the right chest at the top and below the left breast on the sides. The electric shock pumps in about 200 Joules of energy thru shock to the patients chest to revive the heart and bring back the rhythm.

An automated external defibrillator (AED) is a portable device that checks the heart rhythm. If needed, it can send an electric shock to the heart to try to restore a normal rhythm. AEDs are used to treat sudden cardiac arrest (SCA). SCA is a condition in which the heart suddenly and unexpectedly stops beating. - courtesy  nih.gov                                      

Its good to have an AED in the campus or office, costs about Rs 1.5 lakhs. All 108 ambulance in India have got an AED ..

Its a great idea for all faculty members in educational institutions to have this training. It cost us only INR 200/- for this high quality training we got from doctors and staff from Narayana Hrudayalaya, Bangalore.

It is a skill one needs to possess to be of help to others in society, either in a bus, train, flight, home, college, supermarket etc,.

One never knows when a cardiac arrest can affect anybody in society, it is always better to be prepared to act.

Click here for another good CPR tutorial ..

George..

Kochi airport harvard Uty & NUS case

http://cial.aero/userfiles/CIAL-Harward.pdf

Move out of your comfort zone ..

When my friend sent me this pic this morning, little did I know how valid and worthy it was, till I gave it a second look.

How many of us waste our lives, being only in the comfort zone and enjoying our life ? We are busy making money or securing our future life with bigger and bigger houses or vehicles, forgetting how we impoverish our lives in the process, forgetting how much a burden we become to our family, our children and near and dear and friends in our family and society.

“The comfort zone is a psychological state in which one feels familiar, safe, at ease, and secure. You never change your life until you step out of your comfort zone; change begins at the end of your comfort zone.” ― Roy T. Bennett

Let our aim in life not to be in the comfort zone and accumulate riches, but to go out into the fear zone, overcome the fears, delve into the learning zone, learn new things, concepts, read and acquire knowledge and finally enter the fourth zone of growth.

“Life always begins with one step outside of your comfort zone.” ― Shannon L. Alder

Looking for comforts in your life is only going to take you backward and spoil you and your immediate family. Take challenges, overcome the fear, learn and grow. In the process, we will find that our lives are more complete, more satisfying and more beneficial to the people around us than to us individually.

george.

What are superbugs and how can we stop getting infected by them ?

Simply speaking Superbugs are bacteria that have over time acquired immunity over prescribed strong antibiotics. As a matter of fact, antibiotics discovered by Alexander Fleming in 1928 and ever since mankind has used this medical treatment technique to fight infections and cure ourselves. But the old antibiotics have become ineffective over time, meaning microbes in the human body and the environment have acquired resistance against them 

Click here for a Mayo Clinic doc on superbugs ..

By 2030 almost 10 million people world over would succumb to the Superbug every year. This will turn out to be a worse calamity than cancer.

What concerted effort can global bodies do to stop the scourge of these superbugs ?

regards

George

EPGDM project - what is expected from the student project ..

The directions for Project work in the Lean Operations area in Alliance Uty is this - 

the project should look at any operational issue / problem from the industry area and should demonstrate learned application of Lean Operations principles and tools to achieve improvement in value and reduction of waste. 

The application areas could be from the batch processing area, workplace improvement, effective inventory control and management, waste reduction, application of tools like 5S, FMEA, PDCA cycle, Kaizen, Kanban, Pull type of production, Pokayoke, Jidoka, Keiretsu, Total Productive Maintenance (TPM) and Operational Equipment Effectiveness (OEE) etc..

The dissertation should demonstrate the use and application of tools in industrial area problems and make a concerted effort at eliminating wastes and improving value to the end customer.

george..

Maintenance Metrics ..

Click here for the link 

MTTR - Mean Time to Recovery / Mean Time to Repair

MTBF - Mean Time between Failure

MTTF - Mean Time to Repair 

Bath tub curve ..

Swedish Academy of Sciences

Press release from the Swedish Royal Academy of Sciences - (on awarding Economics Nobel prizes for 2018)

At its heart, economics deals with the management of scarce resources. Nature dictates the main constraints on economic growth and our knowledge determines how well we deal with these constraints. This year's Laureates William Nordhaus and Paul Romer have significantly broadened the scope of economic analysis by constructing models that explain how the market economy interacts with nature and knowledge. 

Technological change – Romer demonstrates how knowledge can function as a driver of long-term economic growth. When annual economic growth of a few per cent accumulates over decades, it transforms people's lives. Previous macroeconomic research had emphasised technological innovation as the primary driver of economic growth, but had not modelled how economic decisions and market conditions determine the creation of new technologies. Paul Romer solved this problem by demonstrating how economic forces govern the willingness of firms to produce new ideas and innovations. 

Romer's solution, which was published in 1990, laid the foundation of what is now called endogenous growth theory. The theory is both conceptual and practical, as it explains how ideas are different to other goods and require specific conditions to thrive in a market. Romer's theory has generated vast amounts of new research into the regulations and policies that encourage new ideas and long-term prosperity. 

Climate change – Nordhaus' findings deal with interactions between society and nature. Nordhaus decided to work on this topic in the 1970s, as scientists had become increasingly worried about the combustion of fossil fuel resulting in a warmer climate. In the mid-1990s, he became the first person to create an integrated assessment model, i.e. a quantitative model that describes the global interplay between the economy and the climate. His model integrates theories and empirical results from physics, chemistry and economics. Nordhaus' model is now widely spread and is used to simulate how the eco- nomy and the climate co-evolve. It is used to examine the consequences of climate policy interventions, for example carbon taxes. 

The contributions of Paul Romer and William Nordhaus are methodological, providing us with fundamental insights into the causes and consequences of technological innovation and climate change. This year's Laureates do not deliver conclusive answers, but their findings have brought us considerably closer to answering the question of how we can achieve sustained and sustainable global economic growth.

From the author :

The economic growth models of yesteryears have turned tipsy turvy with influence of innovation, technology and awareness of sustainability models, post the onset of Industrial revolution from 1700s.

While the contemporary global economic giants, China with single party Communist rule, US with a capitalistic democracy and India with a socialistic democracy try to define global economic change, we need to have more clear models including innovation, technology and sustainability to direct human society's growth and development in the coming years .. 🙏🙏

George ..

Diwali pollution across India 2018

The people staying in New Delhi, the capital city are very fortunate these days.

They get the cleanest air in the country with an Air Quality Index of average 450 and max 999 when the permissible safety limits are 0-50 ..

Particulate Matter (PM2.5) 2.5 micron size is 534 and PM10 at 686 .. ie. app 10x the safe limits ..

What a lucky group of people the citizens of New Delhi are, great achievers 👍👍👏👏 

Even with the dirtiest air in the world, they are living happily and with good health, though we are really unaware of the harmful effects of PM2.5 on humans .. 

https://aqicn.org/city/delhi/

PM 2.5 levels (micrograms/Cu.m.) other major Indian cities .. (9 Nov 2018, 10 AM for comparison..)

Kochi 30
Bangalore 136
Chennai 160
Hyderabad 162
Mumbai 214
Kolkata 247
Pune 409
Ahmedabad not available

There was a concerted effort from the Supreme court this year  2018 regarding burning of fireworks only on Diwali day from 8 to 10 pm. It is a great start.  Next year there will be more awareness and pollution levels are bound to come down.  

George