August 3  2015, Monday

White Paper on Dr. Ketan Desai (Part-I): http://www.ima-india.org/ima/news.php?nid=7
White Paper on Dr. Ketan Desai (Part-II): http://www.ima-india.org/ima/news.php?nid=28

White Paper on Dr. Ketan Desai (Part-II)

This has reference to the stories published by Reuters regarding Dr. Ketan Desai who was unanimously elected as President of the World Medical Association (WMA) in October, 2009.

WMA has 111 countries as its members. India is also a member of the WMA for well over four decades. India also has one Council Member (which is against the membership of 50,000 Indian doctors), whereby 50,000 IMA members are also the members of WMA represented by a Council Member of thereat.

In October 2009 during WMA Meeting held at New Delhi, Dr. Ketan Desai was unanimously elected as the President-Elect, WMA. Accordingly, Dr. Desai was to take over as the office of the President of WMA in October 2010 in Vancouver, Canada.

On April 22, 2010 when Dr Ketan Desai was President, MCI search was conducted by CBI at his offices at MCI and his house at Ahmedabad and he was taken into custody on the allegation of favouring one private medical college inspite of deficiencies in lieu of money.

In terms of the Seizure Memo of CBI of Delhi dt. 22/4/2010, no cash was recovered and vide Seizure Memo of CBI at Ahmedabad dt. 22/4/2010, a cash of Rs.53,400/- was recovered. The same was not seized and handed over to Dr. Alka Desai, his wife (Annex I – See page No. 5 and Annex IA -PDF attached).

The media on the next day vociferously highlighted that Dr. Ketan Desai was caught red handed taking a bribe of Rs. 2 Crores for giving wrongful permission to Gian Sagar Medical College, which was patently false, concocted and mischievous as both Seizure Memos do not corroborate with the same.

IMA Enquiry committee went through the charge-sheet of the CBI in Gian Sagar Medical College original case and found that charges against Dr. Desai was recommending permission by MCI to the said medical college while he was holding the position of President MCI, for the 4th batch inspite of deficiency being noted. As per CBI charge sheet only deficiency in the college was of auditorium and yet the permission was recommended.

IMA went through the inspection report of MCI dt. 22/3/10 (Annex 2 - PDF attached ) and noted that MCI inspection report has also mentioned the “the auditorium is under construction".

IMA went through the MCI Laws and requirements and noted that for the permission to admit 4th batch in a medical college ‘auditorium’ is not required as against the prescribed statutory requirements but is required for the admission of 5th batch in terms of the Governing Regulations of the Council on Minimum Standard Requirements (Annex 3 -PDF attached ).

The next day i.e 23/4/2010, the CBI also inspected the College and found that except auditorium there was no other deficiency in the college, which was consistent with the findings incorporated in the report submitted by the inspectors of MCI and considered by the Medical Council of India.

On 25th April the then Union Health Minister Sh Gulam Nabi Azad ordered to constitute a high level committee to verify the correctness of the report and recommendation of MCI (annexure pdf )

Accordingly a three member committee was constituted on 26th April ( annexure pdf) led by Mr. Keshav DesiRaju.

On 29th April, Ministry of Health, a team led by Mr. Keshav DesiRaju the then Additional secretary, Dr. Arun Aggarwal (ADGHS) and Dr. Rani Kumar Dean of AIIMS New Delhi also inspected the said medical college and submitted their report. In this report too it has been stated that ‘auditorium was not available’. However inspite of the same the Committee observed and concluded that " the recommendations made by the Executive Committee of the MCI at its meeting on 5.4.2010 to grant permission for admission of 100 students in the year 2010-11 for the fourth batch of MBBS students at the Gian Sagar Medical College & Hospital, Patiala was justified on the basis of the report of the Council Inspectors and the compliance report of made by the Principal. The observations made in the first report have been rectified. Further, the existing facilities and faculty at Gian Sagar Medical College and Hospital appear more than adequate to conduct undergraduate medical teaching.

(Annex 4 - PDF attached )

The said report ( dated 3rd May) was forwarded by the Secretary, Ministry of Health, Government of India Ms Sujata Rao to the Director, CBI on 11th May 2010. (annexure pdf)

Thereafter one more inspection was conducted by the Board of Governors appointed by the Central Government. Report dt. 16th/17th June 2010 of the team of inspectors appointed by the Board of Governors also mentioned that no auditorium was available ( Annex 5 - PDF attached ). Accordingly, Board of Governors also accorded permission on 12.7.2010 (Annex 6 - PDF attached ).

IMA internal enquiry failed to decipher why media carried the news that Dr. Desai was caught red handed taking bribe of Rs.2 Crores as against the material fact that the Seizure Memo showed that no cash was recovered from him. Further, the main allegation against him was that the MCI had recommended permission for the said college while he was the President inspite of non availability of Auditorium. However, as per the MCI regulation it is not required and later CBI, Ministry of Health & Board of Governors respectively conducted the inspections and submitted their reports and the said medical college was finally accorded permission to admit 4th batch on 12/7/10 inspite of the non availability of Auditorium, which was noted by MCI in its earlier inspection.

The projected error on the said count was justifiable exclusively on the ground in case the Central Government, Board of Governors, MCI would have denied the permission to this college due to the non availability of auditorium. The very fact, MCI Board of Governors appointed by central Government gave permission to admit 4th batch to said medical college, clearly brought to fore that the allegations were bereft of any merit, whatsoever.

Lucknow Case: A) MCI Inspection was done on 20th /21st February, 2009. Dr. Desai was not the President of MCI then. Dr. Suresh Shah, MCI Inspector, in his statement under section 164 stated that Dr. Ketan Desai as the President MCI instructed him to be strict in the inspection.
It is pertinent to note that Dr. Desai was not President at the given time.

B.) The chargesheet of CBI Lucknow case mentions irregularities about 12 Faculty doctors.
1) In cases pertaining to 4 doctors’ cases, Ration cards were submitted by them as proof of residence, which were found to be not genuine by CBI.
However, they have been faculty at the said college, much before that and have been consistently accepted as the teaching faculty by MCI. Dr. Desai was not the President MCI during the concerned period and the affairs of the Medical Council of India were monitored by an Ad-hoc Committee appointed by the Hon'ble Supreme Court.

2) In another 4 cases, during inspection in Feb. 2009, 4 doctors were shown to be staying at doctor’s quarters in the campus, as per the declaration form by them and endorsed by the Dean of the college. When CBI inspected in Aug. 2010 (after 18 months), these 4 doctors were found not staying in the doctor’s quarter on that day.

c) In the rest 4 cases, doctors did not fill form-16 in their income tax returns.
(Kindly note in all these 12 cases, where is any role attributable to the President of the Medical Council of India)

Allegation of the CBI was that in case the inspection team would have picked up these shortcomings of 12 Doctors, the College would not have been given permission to admit the fresh batch of students.

Follow up:
Lucknow High Court on 16/02/2015 quashed corruption charges against Dr. Ketan Desai under POCA in its entirety. As regards, his involvement in cheating and conspiracy under IPC 420 and 120-B , the Court is yet to decide about framing the charges. Till date no charges have been framed by the competent court.

IMA has in its possession the affidavit filed by the CBI in Lucknow High court in March 2014 (Annex– 7 PDF attached ). The relevant para is reproduced as under:

(i) Whether there is any evidence of meeting of mind or criminal conspiracy against the accused Dr. Ketan Desai with other co-accused person?

Reply of CBI: There is no direct evidence of meeting of mind or criminal conspiracy of Dr Ketan Desai with other co-accused persons. The circumstantial evidence in this regard has been detailed in the counter affidavit filed by CBI on 04.04.2013.

(ii) Whether there is any evidence of quid-pro-quo against the accused Dr Ketan Desai?

Reply of CBI: There is no evidence of quid-pro-quo against the revisionist Dr Ketan Desai in the instant case.

(iii)Whether there is any evidence against the accused Dr Ketan Desai in respect of demand/acceptance/obtainment of any valuable thing/pecuniary advantage?

Reply of CBI: There is no evidence against accused Dr Ketan Desai in respect of demand/acceptance/ obtainment of any valuable thing/pecuniary advantage for himself. As regards the pecuniary advantage caused to the said private medical college mention has been made in the counter affidavit filed by CBI on 04.04.2013.

After going through these 3 replies from CBI, IMA internal enquiry Committee is of the considered opinion that there is not even an iota of evidence against Dr. Ketan Desai under IPC 420 & 120B.However, the Court is yet to decide the case on the merit.

Disproportionate Assets (DA) Case closure

The case of D.A was registered by the CBI in May 2010 against Dr. Ketan Desai and his family members for the period 1/1/97 to 22/4/2010.

After detailed investigation by the CBI, over a period of 2 years, CBI in May 2012 filed a closure report before the Competent Court stating that all accounts/assets in possession of Dr. Desai and his family members are genuine and possession known to legal sources of his and the income of his family members. The Competent Court after due scrutiny accepted the closure report submitted by CBI. As a consequence thereto an appropriate order of removal of any impediment in relation to the assets and bank accounts was also made.

IMA internal enquiry further went into the details of Dr. Desai’s Income Tax Returns. His income scrutiny case decided on 27/4/2001 ( Annex-8 - PDF attached ) showed that from 1/4/90 to 18/7/2000 his undisclosed income was 'NIL'.

The DA case revealed that there was no undisclosed income from 1/1/96 to 22/4/10.

Corroborating the income tax assessment order & DA Report of CBI, it is loud and clear that from 1/4/90 to 22/4/10 for over two decades he and his family member had no undisclosed income.

Both the Income Tax Department and CBI could not find any source of undisclosed/unknown income during the said period spread well over two decades.

The case for disproportionate assets, invariably, begins with the allegation that the assets held are disproportionate to known legal sources of income and therefore, it has to be assumed / accepted that possession of such assets, which are beyond the known legal sources must be from illegal sources say bribe etc. If upon through investigation, the investigating authority concludes that the assets, which are held by the person under investigation, are proportionate to the known sources of his income then in that case, all the allegations of illegal sources of income such as bribe etc. automatically stand to be rejected. No such allegation would then survive in any form. As such, it can be convincingly, concludingly and safely stated that Closure of DA case means that all financial corruptions charges against a person are found to be false and baseless.

Correspondence with WMA:
In 2013, on the basis of these documents, IMA approached WMA to reinstate the Presidentship of Dr. Desai which was held in abeyance because of cases pending against him.

WMA asked for the official correspondence regarding pending case against Dr. Ketan Desai.

Accordingly, the IMA informed the WMA that they have corresponded with the CBI to get the list of all pending cases.

IMA received a letter dt. 22/4/14 (Annex-9 - PDF attached) from the CBI which clearly mentioned that the DA case against him has been closed, as no cash was recovered from Dr. Ketan Desai during search.

In Calcutta, Chennai and Hyderabad cases, no evidence was found against Dr. Desai and he was given clean chit. In Lucknow case, charges are yet to be framed and in Delhi case, the proceedings have been stayed by the Hon'ble Supreme Court.

The copy of CBI letter to the above effect was submitted to the WMA.

WMA upon going through the documents so submitted including the Court orders and the correspondence, decided that Dr. Ketan Desai will legitimately take over as the President of the WMA in October 2016.

Nowhere IMA withheld any information of any type or made any attempt whatsoever to misguide the WMA. The crux of the documentation is the CBI letter and the court orders from time to time, which are in possession of WMA.

IMA in April 2015, brought out a White Paper (part 1) on Dr. Ketan Desai and placed it on its Website ( http://www.ima-india.org/ima/news.php?nid=7) for the information of all concerned by making it a public document.

Is Dr. Ketan Desai a valid Member of MCI:
Now and then, media reports that registration held by Dr. Ketan Desai has been suspended by the MCI. As per IMC Act, one needs to be registered through the State Medical Council and in the case of Dr. Ketan Desai it is Gujarat State Medical Council. His license to practice modern medicine in terms of his registration with the Gujarat State Medical Council was never suspended. However, MCI after his arrest, suspended his license which was later revoked in January 2015. As per statutory regulations MCI is supposed to decide the matter/complain within six months, but in his case MCI did not complete the said enquiry till the elected body took over (almost 3 years). During this period, his license to practice of Gujarat Medical Council was never questioned by the MCI. He remained enrolled continuously without any break on the State medical register of Gujarat State Medical Council. As on today, his name appears in the IMR, maintained by the Medical Council of India.
(http://www.mciindia.org/InformationDesk/IndianMedicalRegister.aspx)

64           1981           G- 11666             Gujarat Medical Council,

Desai Ketan Dhiraj Lal

Correspondence with Reuters:

Apart from verbal interviews, Reuter reporters communicated with the Hony. Secretary General of IMA as well as Dr Ketan Desai. The answers given by Dr. Ketan Desai & IMA are annexed herewith (Annex 10, 11, 12 & 13 - PDF Attached).

In no way, IMA has withheld any information. Whatever IMA has corresponded with the WMA, was based on the reports of the closure of D.A Case and letter received from CBI and the court orders from time to time.

IMA Stand:
Dr. Ketan Desai is IMA’s nominee for the post of President, WMA.
He is not there in an individual capacity.
IMA’s internal enquiry has clearly shown that he is a victim of circumstances and possible conspiracy at the hands of vested interest plagued and pained at his tough principled policy stands.
IMA is not convinced that he has been indulging in any corrupt practices. IMA had and continues to hold impeccable faith in the judicial proceedings and shall abide by the pronouncements / orders of the Hon'ble Courts.
IMA is also aware of the Indian Laws that unless convicted one is held to be innocent. Simply an pending FIR does not disqualify anyone from assuming any higher position as the cases may linger on endlessly plagued by delays and latches in India. For e.g., even upon more than four years of time having lapsed in the Lucknow case whether to frame charges against Dr. Desai or not till date has remained and decided. As such, he has to be taken as innocent until and unless he is proved to be guilty and convicted for the same.

Imagine, Dr Desai is asked to resign and by next October 2016, before he is scheduled to take over, he is cleared of both the court cases.

IMA with all strength at its disposal stands by its decision that Dr. Ketan Desai is a validly nominated and duly elected as the President, WMA in 2016.
eMedinewS
editorial
5 Steps to Lower Risk of Alzheimer’s disease
Dr KK Aggarwal
  • Maintain a healthy weight.
  • Check your waistline.
  • Eat mindfully. Emphasize colorful, vitamin–packed vegetables and fruits; whole grains; fish, lean poultry, tofu, and beans and other legumes as protein sources plus healthy fats. Cut down on unnecessary calories from sweets, sodas, refined grains like white bread or white rice, unhealthy fats, fried and fast foods, and mindless snacking. Keep a close eye on portion sizes, too.
  • Exercise regularly. Aim for 2½ to 5 hours weekly of brisk walking. Or try a vigorous exercise like jogging for half that time.
  • Keep an eye on important health numbers. In addition to watching your weight and waistline, keep a watch on your cholesterol, triglycerides, blood pressure and blood sugar numbers.
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Gastroenterology
A new global consensus report, published online in Gut, aims to clarify the classification, diagnosis, and management of Helicobacter pylori gastritis. According to the consensus statement, once H. pylori is identified as the cause of gastritis, eradication therapy should be the first-line treatment.

Neurology
Rehabilitation

New noninvasive treatment, using electrical stimulation therapy and physical rehabilitation exercises, enables men who were completely paralyzed from the waist down to move their legs. The findings were published in the Journal of Neurotrauma.

Oncology
For the first time, scientists have discovered that prostate cancer can be categorized into five different types. This finding may prove to be "game-changing," suggested the study published in the journal EBioMedicine. The finding could open avenues to more tailored cancer treatments.

Obstetrics and Gynecology
In in vitro fertilization (IVF) candidates aged >35 years, transfer of meticulously selected single embryos maintains live birth rates and reduces multiple pregnancies, suggested Italian and Chinese researchers in a paper published online in Human Reproduction.

Pulmonary Medicine
Liver Disease
Infectious diseases/Immunity

New evidence highlights the importance of the liver in immunity against bacterial pneumonia. The study, for the first time, shows a direct link between liver-produced molecules and pneumonia susceptibility during sepsis. The study is published in the journal Infection and Immunity.
Cardiology eMedinewS
  • The benefits of implantable cardioverter defibrillator (ICD) therapy previously demonstrated in ambulatory patients with heart failure do not appear to apply to elderly patients who receive the device during hospitalization for exacerbation of heart failure or other acute comorbidities, reported an analysis of real-world effectiveness of ICDs published online in the BMJ. The findings suggest that these elderly heart failure patients are at greater risk of nonarrhythmic death during and after their acute hospitalization.
  • Even a small difference in dietary salt consumption among people who do not have hypertension may result in critical differences in individual blood pressure after several years, suggests a new study published in the Journal of the American Heart Association.
Pediatrics eMedinewS
Pediatrics
Psychiatry

People who are born very prematurely or with a very low birth weight are at an increased risk of being introverted, neurotic and averse to taking risks as adults, suggest the findings of a new study published in the Archives of Disease in Childhood.

Pediatrics
Hemato-Oncology

An international team of scientists from Berlin, Duesseldorf, Hannover, Heidelberg, Kiel, and Zurich have successfully decoded the molecular characteristics of an as yet incurable subtype of leukemia, paving the way for new therapeutic approaches. The results are published in the current issue of the journal Nature Genetics.
Dr KK Spiritual Blog
Spiritual Prescriptions: Satsang

Satsang is a common household word and is often held many residential colonies. Traditionally, Satsang means the regular meeting of a group of elderly or women of an area with a common intention of attaining inner happiness or peace through Bhajans or devotional songs for a particular God or Gods. In Satsang, people realize that it is the Self, communing with Self.

The Sanskrit word ‘Satsang’ literally means gathering together for guidance, mutual support or in search of truth. It may involve talking together, eating together, working together, listening together or praying together.

Most scriptures describe Sat and asat. They discriminate that this world is maya (asat) and God is Divine. Furthermore, they state that maya is not yours; Divine is yours.

Sang means to join, not just coming close, but to join. And how do you join? Only with love, which acts as glue. So Satsang is: Sat—Divine. Sang—loving association. In non–traditional Satsang, people verbally express themselves to others in an uninhibited way. Here, each participant talks free of judgment of others, and self. In this way, each person is able to see many viewpoints, which may serve to diminish the rigidity of their own.

Satsang is one way of acquiring spiritual well–being. Many scientific studies have shown that when mediation or chanting is done in groups it has more benefits than when done individually. Maharishi Mahesh Yogi once said that if 1% of the population meditates or chants together it will have a positive influence on the entire society.

Satsang also helps in creating a network of people with different unique talents. Satsangi groups are often considered in a very deep–rooted friendship.

Adi Shankaracharya in his book Bhaja Govindam also talks about satsang in combination with sewa and simran and says that together the three can make one acquire spiritual well-being. Nirankaris and Sikhs also give importance to satsang and in fact every true Sikh is supposed to participate in the Gurudwara on a regular basis.

Chanting of mantra or listening to discourses in a satsang helps to understand spirituality through gyan marga. Group chanting continued on a regular basis is one of the ways of meditation mentioned in the shastras. It shifts consciousness from sympathetic to the parasympathetic mode.

The medical educational programs of doctors of today can be called medical satsangs as whatever is discussed is for the welfare of the society.

Satsang also inculcates in us, one of the laws of Ganesha, the law of big ears, which teaches everyone to have the patience to listen to the others.

In satsang, nobody is small or big, everybody has a right to discuss or give his or her views. Over a period of time, most people who regularly attend satsang, start working from the level of their spirit and not the ego.
Make Sure
Situation: A patient developed fainting attack after sublingual nitrate.
Reaction: Oh my God! Why was the systolic murmur missed on auscultation?
Lesson: Make sure that patient with left ventricular outflow tract (LVOT) obstruction are not given sublingual nitrates.
Dr Good Dr Bad
Situation: A patient came with very high triglycerides.
Dr Bad: Restrict fat.
Dr Good: Restrict carbohydrates.
Lesson: High triglycerides are due to excess of refined carbohydrates in diet.

(Copyright IJCP)
eMedi Quiz
In all of the following conditions neuraxial blockade is absolutely contraindicated, except:

1. Patient refusal.
2. Coagulopathy
3. Severe hypovolemia.
4. Pre-existing neurological deficits.

Yesterday’s Mind Teaser: The following separation technique depends on the molecular size of the protein:

1. Chromatography on a carboxymethyl (CM) cellulose column.
2. Iso-electric focusing.
3. Gelfiltration chromatography.
4. Chromatography on a diethylaminoethly (DEAE) cellulose column.

Answer for yesterday’s Mind Teaser: 3.Gelfiltration chromatography.
Correct Answers received from: Dr.Bitaan Sen & Dr.Jayashree Sen, Dr Jainendra Upadhyay, Dr K Raju, Dr Poonam, Dr Avtar Krishan, Dr. G. Madhusudhan
Answer for 1st August Mind Teaser: 3. Presence of food enhances the absorption of hydrochlorothiazide.
Correct Answers received: Dr Prabodh K Gupta, Daivadheenam Jella, Dr Avtar Krishan.
Rabies News (Dr A K Gupta)
Can a rabies vaccine be given to a pregnant woman?

Following animal bite, rabies vaccine can be given to a pregnant woman. Medical termination of pregnancy should not be done as a routine clinical practice.
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CPR 10
Total CPR since 1st November 2012 – 110490 trained
Video of the Day
Sameer Malik Heart Care Foundation Fund
The Sameer Malik Heart Care Foundation Fund is a one of its kind initiative by the Heart Care Foundation of India instituted in memory of Sameer Malik to ensure that no person dies of a heart disease because they cannot afford treatment. Any person can apply for the financial and technical assistance provided by the fund by calling on its helpline number or by filling the online form.
Madan Singh, SM Heart Care Foundation Fund, Post CAG
Kishan, SM Heart Care Foundation Fund, Post CHD Repair
Deepak, SM Heart Care Foundation Fund, CHD TOF
 
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Dear All

IMA one voice

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See the strength of IMA: Doctors days clippings pan India coordinated by Digital IMA

LINK: IMA celebrates doctors day across the country

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Topic: Breast Feeding & Neonatal Skin Care (Experts: Dr Vibhu Mendiratta, Dr Rajiv Seth and Dr Siddarth Ramji

Last Webcast on TB Notification - 23rd July 2015
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Inspirational Story
Hiding their weaknesses and highlighting their strength

There was a King who had only one eye and one leg. He asked all the painters to draw a beautiful portrait of him. But none of them could because how could they paint him beautifully with the defects in 1 eye and 1 leg.

Eventually one of them agreed and drew a classic picture of the King. It was a fantastic picture and surprised everyone.

He painted the King aiming for a hunt. Targeting with one eye closed and one leg bent …

Moral: Why can’t we all paint pictures like this for others.

Hiding their weaknesses and highlighting their strength....!!!!
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Reader Response
Dear Dr Aggarwal , the item on causes of forgetfulness was wonderful I tended to jump on neurological disorders and mri etc at the first go buy reading this makes more sense and practicality thanks dr rajiva gupta New Delhi
Wellness Blog
Diagnosis of hypertension in childhood requires repeated BP measurements

Hypertension should be confirmed based on three blood pressure measurements at separate clinical visits.

Normative BP percentiles are based upon data on gender, age, height, and blood pressure measurements from the National Health and Nutrition Examination Survey and other population–based studies.

In a study initial BP measurement was normal (below the 90th percentile), pre–hypertensive (systolic or diastolic BP between the 90th or 95th percentile) and hypertensive (systolic or diastolic BP =95th percentile) in 82, 13, and 5 percent of children.

At follow–up, subsequent hypertensive measurements were observed in only 4 percent of the 10,848 children who had initial hypertensive values. In the cohort, the overall prevalence of hypertension was 0.3 percent.

Source: Lo JC, Sinaiko A, Chandra M, et al. Prehypertension and hypertension in community–based pediatric practice. Pediatrics 2013;131:e415.
IMA Humor
Stop Following Me!

A man was walking home alone one night when he heard a "BUMP…BUMP…BUMP…" behind him. Walking faster, he looked back, making out an image of an upright coffin banging its way down the middle of the street towards him…"BUMP…BUMP…BUMP…"

The man began to run toward his home, and the coffin bounced after him faster…faster…BUMP BUMP BUMP!

He ran up to his door, fumbled with his keys, opened the door, rushed in, and locked it behind him. The coffin crashed through his door, with the lid of the coffin clapping BUMP…BUMP…BUMP… on the heels of the terrified man. The man rushed upstairs to the bathroom and locked himself in, heart pounding.

With a CRASH, the coffin broke down the door, coming slowly toward him. The man while screaming, reached for something, anything…all he can find was a box of cough drops which he hurled at the coffin… and suddenly "the coffin stops!"
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Press Release
One quarter people find themselves in a situation at least once in a lifetime where someone around them needs to be administered hands only CPR

New Delhi 02 August 2015: Heart Care Foundation of India jointly with the Indian Medical Association, Delhi Red Cross Society and Delhi Police has taken up the challenge of training 100% of the Delhi Police PCR van staff on the life-saving technique of hands only CPR 10 by Independence Day 2015.

Speaking during the training session today, Padma Shri Awardee, Pesident of the Heart Care Foundation of India & Honorary Secretary General of IMA, Dr. KK Aggarwal said, “As per Western and Indian data available, over one third people face a situation at least once in their life someone around them suffers a cardiac arrest. In such a situation if they know how to perform the emergency technique of hands-only CPR 10, there is a high possibility that their life can be saved. However the reality of the situation is that two thirds of such people wouldn’t know how to revive them.”

What each person must remember is that as soon as someone collapses due to a sudden cardiac arrest, without wasting even a minute they must call the ambulance, make them lie on a flat surface and check for any signs of a pulse or breathing. If there is no pulse, they must start compressing the center of the chest at a speed of 10x10 – 100 compressions a minute for a minimum of ten minutes. They must press about 2 inches deep and not stop still either the ambulance or artificial defibrillator arrives or the person starts breathing again.

Over 6500 police PCR van staff has been trained so far in CPR 10 also called as compression only CPR or bystander CPR or first responder CPR

Adding to this, Padma Shri Awardee Dr A MarthandaPillai National President IMA said, “CPR, is a technique that involves chest compressions without artificial respiration to help save the life of a victim who has collapsed due to a sudden cardiac arrest. Mouth to mouth breathing is no longer needed unless dealing with a case of a drowning victim or a child. If administered immediately, Hands only CPR can double a person's chances of survival”.

The 2010 guidelines set out by the American Heart Association do not recommend breathing for someone while performing CPR. A new study, published Sept. 5 in the Lancet, has shown that about 15 percent of patients who survived needed at least 30 minutes of resuscitation. Resuscitation efforts therefore should continue for atleast 30 minutes in witnessed cardiac arrest.

A sudden cardiac arrest occurs when the electrical conducting system of the heart fails and the heartbeats irregularly and very fast (more than 1000 times, technically called as ventricular fibrillation). Soon after the heart suddenly stops beating and the blood flow to the brain stops. As a result, the person becomes unconscious and stops normal breathing.A cardiac arrest is not the same as a heart attack, but it may be caused by a heart attack. In most cases, sudden cardiac arrest may be reversible in the first 10 minutes. This is possible because the brain remains alive during this period when the heart and respiration have stopped, a situation called clinical death. To know more or to organize a training camp in your locality, please call the NGO’s helpline number 9958771177.