eMedinewS 4th August 2013, Sunday

Dr K K Aggarwal Padma Shri and Dr B C Roy National Awardee

Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Editor in Chief IJCP Group, National Vice President Elect, Indian Medical Association; Hony. Visiting Professor (Clinical Research) DIPSAR; Chairman (Delhi Chapter) International Medical Sciences Academy (March 10–13); Hony Director IMA AKN Sinha Institute (08 "09); Hony Finance Secretary National IMA (07 "08); Chairman IMA Academy of Medical Specialties (06 "07); President Delhi Medical Association (05 "06), President IMA New Delhi Branch (94 "95, 02 "04);
For updates follow at
www.twitter.com/DrKKAggarwal
www.facebook.com/Dr KKAggarwal

Elderly new onset diabetes a new sub group of diabetes

Elderly patients with new-onset diabetes and poor sugar control (HbA1c of 7.5% or higher) are linked with increased mortality risk. There is no U-shaped risk pattern, unlike that reported for elderly patients with long-standing diabetes.

In a study published in July edition of Diabetes Care, patients with the highest levels of HbA1c also were least likely to undergo a coronary revascularization procedure.

The findings are totally different from the results in elderly with long-standing diabetes.

The researchers conducted a retrospective observational study of data from a cohort of 2994 individuals (48% males) living in the Sharon-Shomron District, Israel, who were insured by a large provider.

The study subjects were 65 years or older when they were newly diagnosed with diabetes in 2003 or 2004. The patients were assumed to have type 2 diabetes, since type 1 diabetes is very rare at this age, and only 0.1% to 3% of the patients were receiving insulin therapy.

The patients were followed for 7 years or until they reached a study outcome: coronary revascularization — PCI or CABG — or mortality.

At baseline, patients had a mean age of 75.6 years. They were stratified into 4 groups, based on their average HbA1c levels during follow-up: less than 6.5% (n=1580), 6.5% to 6.99% (n=611), 7% to 7.49% (n=367), and 7.5% or greater (n=436).

During a mean follow-up of 5.54 years, 1173 participants (39.17%) died. All-cause mortality rates were 41%, 32%, 36%, and 46%, in the 4 groups.

Compared with participants in the group at lowest risk of dying (those with an average HbA1c level of 6.5% to 6.99%), patients in the group with the highest HbA1c levels (>7.5%) had a significant increased mortality risk.

These findings differ from a previous large, retrospective cohort study of patients older than 50 who had long-standing diabetes and intensive hypoglycemic treatment, where researchers reported finding a U-shaped risk pattern, and an HbA1c level of about 7.5% was associated with the lowest all-cause mortality (Lancet. 2010;375:481-489).

The difference in mortality patterns between our finding and the aforementioned study underscores the need to differentially treat elderly patients with new-onset [diabetes] and elderly patients with long-standing disease.

During follow-up, 285 participants (9.51%) underwent PCI or CABG. The rate of coronary revascularization was highest in the patients with an average HbA1c level of 6.5% to 6.99% and lowest in the patients with an HbA1c level of 7.5% or higher.

This inverse relationship may be the result of a protective effect of revascularization against mortality, or the patients with the highest levels of HbA1c may have received suboptimal medical treatment for various reasons. (Source Medscape)

....Read More

GUEST EDITORIAL

Key points from Dr. C. Venkata S Ram’s lecture at Safdarjung Hospital, New Delhi on 26.07.2013

Dr C. Venkata S. Ram, MD, MACP, FACC, FASH
Dr. C. Venkata S. Ram, a world renowned expert in hypertension delivered a guest lecture on “Appraisal and Reappraisal of Hypertension in 2013”. The lecture was attended by the medical staff and students of Safdarjung hospital and the medical college. He outlined the recommendations of the latest guidelines from the European Society of Cardiology/European Society of Hypertension. Dr. Ram synthesized the following major points from the latest European Hypertension Guidelines:

  • All patients with hypertension should be treated to keep the upper (systolic) blood pressure to 140 mm Hg.
  • In patients with diabetes the lower (diastolic) BP should be 85 mm Hg.
  • In older patients < 80 years, the systolic BP can be kept 140-150 mm Hg.
  • Blood pressure more than 140/90 increases the risk of cardiovascular disease.
  • Salt consumption recommendation is 5 to 6 gram per day.
  • Reducing the salt to 5 gram per day can reduce upper blood pressure by up to 2 mm Hg in normal persons and 4 to 5 mm Hg with patients with high blood pressure.
  • Loosing 5 kg of weight can reduce systolic blood pressure by 4 mm Hg.
  • Regular aerobic exercise training can reduce the mean blood pressure by 7 mm Hg.
  • Drug therapy should be started typically within a few weeks
  • The main aim of treatment is to lower blood pressure rather than how it is lowered.
  • ACE inhibitors and AR blockers should not be combined for uncomplicated hypertension.
  • Those people whose blood pressure is not getting controlled, renal denervation therapy should be considered.
  • Despite overwhelming evidence that hypertension is a major cardiovascular risk, studies show that many are still unaware of the condition, that target blood pressure levels are seldom achieved. They report that hypertension affects 30-45% of people in Europe.
  • Perhaps the biggest single change in the new document is the adoption of a single systolic blood pressure target for almost all patients: 140 mm Hg, this replaces the previous, more complicated target, which included both systolic and diastolic recommendations for different levels of risk.
  • The approach to drug therapy for hypertension has also been thoroughly revised. Drugs are no longer suggested for the treatment of high normal blood pressure. No single drug or class is given special preference, since the benefits of treatment are largely based on the blood pressure lowering effect of the drugs. The guidelines recommend an individualized approach to treatment, based on clinical and demographic considerations.
  • The guidelines provide perspective on the much-discussed new technology of renal denervation for resistant hypertension. The guidelines say that renal denervation is “promising” but that more trials are needed before it can be fully assessed.

....Read More

cpr10 Mantra The CPR 10 Mantra is – "within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10x10 i.e. 100 per minute."


VIP’s on CPR 10 Mantra Video
eMedinewS
Ringtone – CPR 10 Mantra Hindi

Ringtone – CPR 10 Mantra English

sprritual blog Spiritual Prescription: Yoga the Greatest Healer

The Sanskrit word for ‘healthy’ is ‘Svastha’ Sav-Stha means being established in one’s own true self. This is only possible when the body is in union with the mind and the consciousness.

The Bhagavad Gita (Ch. IV shlokas 36), says Api chedasi papebhya sarvebhya pap kritama or in other words “even if thou are the sinner of all sinners, you shall cross over all sin by the raft of knowledge”. Here sin can be equated with physical or mental sickness.

Again in shloka 37, Krishna says “Gyanagni sarva karmani bhasmasat kurute tatha”. In other words, “as fire reduces fuel to ashes, the fire of knowledge reduces all karma to ashes”.

In shloka 38, Krishna said “Na hi gyanena sa drisham pavitram ih vidyate” or in other words “there is no greater purifier than knowledge. One realizes it in his own heart in time, as he practices yoga”.

The medical interpretation of these are that to acquire mind-body union, one needs to practice yoga which helps in establishing one with the pure consciousness. Once that is established then only one can be called as healthy. This is further clarified in Ch II verse 65, where Krishna said “prasade sarva dukhanam hanirasya upjayte” or in other words “in peace all the troubles are destroyed”. Here ‘peace’ can be equated with ‘established one with pure consciousness’ and troubles with ‘sickness’.

Yoga sutras of Patanjali also describe the first sutras as “yoga chitta uritti nirodhe” or in other words “yoga is the cessation of fluctuations in the mind”.

cardiology news

A Great Story

Good morning, said a woman as she walked up to the man sitting on ground. The man slowly looked up. This was a woman clearly accustomed to the finer things of life. Her coat was new. She looked like she had never missed a meal in her life.
His first thought was that she wanted to make fun of him, like so many others had done before. "Leave me alone," he growled....
To his amazement, the woman continued standing.
She was smiling -- her even white teeth displayed in dazzling rows. "Are you hungry?" she asked. "No," he answered sarcastically. "I've just come from dining with the president. Now go away." The woman's smile became even broader. Suddenly the man felt a gentle hand under his arm. "What are you doing, lady?" the man asked angrily. "I said to leave me alone.
Just then a policeman came up. "Is there any problem, ma'am?" he asked. "No problem here, officer," the woman answered. "I'm just trying to get this man to his feet. Will you help me?"
The officer scratched his head. "That's old Jack. He's been a fixture around here for a couple of years. What do you want with him?" "See that cafeteria over there?" she asked. "I'm going to get him something to eat and get him out of the cold for awhile."
"Are you crazy, lady?" the homeless man resisted. "I don't want to go in there!" Then he felt strong hands grab his other arm and lift him up. "Let me go, officer. I didn't do anything."  “This is a good deal for you, Jack" the officer answered. "Don't blow it."
Finally, and with some difficulty, the woman and the police officer got Jack into the cafeteria and sat him at a table in a remote corner. It was the middle of the morning, so most of the breakfast crowd had already left and the lunch bunch had not yet arrived.
The manager strode across the cafeteria and stood by his table. "What's going on here, officer?" he asked. "What is all this, is this man in trouble?" "This lady brought this man in here to be fed," the policeman answered.
"Not in here!" the manager replied angrily. "Having a person like that here is bad for business." Old Jack smiled a toothless grin. "See, lady. I told you so. Now if you'll let me go. I didn't want to come here in the first place." The woman turned to the cafeteria manager and smiled. "Sir, are you familiar with Eddy and Associates, the banking firm down the street?"
"Of course I am," the manager answered impatiently. "They hold their weekly meetings in one of my banquet rooms." "And do you make a godly amount of money providing food at these weekly meetings?" "What business is that of yours?"
I, sir, am Penelope Eddy, president and CEO of the company." "Oh."
The woman smiled again. "I thought that might make a difference." She glanced at the cop who was busy stifling a giggle. "Would you like to join us in a cup of coffee and a meal, officer?" "No thanks, ma'am," the officer replied. "I'm on duty."
"Then, perhaps, a cup of coffee to go?" "Yes, ma'am. That would be very nice." The cafeteria manager turned on his heel, "I'll get your coffee for you right away, officer." The officer watched him walk away. "You certainly put him in his place," he said. "That was not my intent. Believe it or not, I have a reason for all this."
She sat down at the table across from her amazed dinner guest. She stared at him intently. "Jack, do you remember me?" Old Jack searched her face with his old, rheumy eyes. "I think so -- I mean you do look familiar."
"I'm a little older perhaps," she said. "Maybe I've even filled out more than in my younger days when you worked here, and I came through that very door, cold and hungry."
"Ma'am?" the officer said questioningly. He couldn't believe that such a magnificently turned out woman could ever have been hungry."I was just out of college," the woman began. "I had come to the city looking for a job, but I couldn't find anything. Finally I was down to my last few cents and had been kicked out of my apartment. I walked the streets for days. It was February and I was cold and nearly starving. I saw this place and walked in on the off chance that I could get something to eat."
Jack lit up with a smile. "Now I remember," he said. "I was behind the serving counter. You came up and asked me if you could work for something to eat. I said that it was against company policy." "I know," the woman continued. "Then you made me the biggest roast beef sandwich that I had ever seen, gave me a cup of coffee, and told me to go over to a corner table and enjoy it. I was afraid that you would get into trouble. Then, when I looked over and saw you put the price of my food in the cash register, I knew then that everything would be all right."
"So you started your own business?" Old Jack said.
"I got a job that very afternoon. I worked my way up. Eventually I started my own business that, with the help of God, prospered." She opened her purse and pulled out a business card. "When you are finished here, I want you to pay a visit to a Mr. Lyons. He's the personnel director of my company. I'll go talk to him now and I'm certain he'll find something for you to do around the office." She smiled. "I think he might even find the funds to give you a little advance so that you can buy some clothes and get a place to live until you get on your feet. If you ever need anything, my door is always opened to you."
There were tears in the old man's eyes. "How can I ever thank you?" he said."Don't thank me," the woman answered. "To God goes the glory. Thank God. He led me to you."
Outside the cafeteria, the officer and the woman paused at the entrance before going their separate ways. "Thank you for all your help, officer," she said.
"On the contrary, Ms. Eddy," he answered. "Thank you. I saw a miracle today, something that I will never forget. And, and thank you for the coffee."
God is going to shift things around for you today and let things work in your favor. God closes doors no man can open & God opens doors no man can close. Have a blessed day and remember to be a blessing.
Live well, love much, and laugh often ..

News Around The Globe

  • sprritual blog
    The surgeon who performed a self-appendectomy

    This Indonesian man named Dede, first noticed the warts on his body after cutting his knee when he was a teenager. Over time, as the horn-like extensions grew to cover most of his body, he was sacked from his job, deserted by his wife and shunned by neighbors. After dealing with this problem for over two decades, the 37-year-old man, dubbed ‘The Tree Man', went under surgery and 95 percent of the warts have been removed after nine operations. ‘He cannot be 100 percent cured, but his life quality has improved. If once he depended on others to do his activities, now he can eat by himself, use his hand to write, use the cell phone', said Rachmad Dinata, one of his doctors. The warts on Dede's body were a result of severe Human Papilloma Virus infection, according to an American doctor. And they might re-grow, but at least the disease is not life-threatening anymore.

  • Obituary – eMedinewS sends its condolences on the death of wife of Mr. Daljit Singh, President, Fortis Health Care.
  • The Delhi Medical Council is agitating regarding the MCI proposal of one year rural service as medical officers as a prerequisite to the post graduate admission. In the Board of Governors meeting dated 07.05.2013 held under the chairmanship, Dr. KK Talwar under Meeting Head 2.9, the following was transpired: Chairperson, BOG drew attention of the Members of Board of Governors to the background of the proposal on the subject matter which was sent by the former Secretary to the MoH&FW on 2.4.2013. He also mentioned that subsequently the Secretary, MoH&FW as well as the Health Minister himself happened to discuss the matter with him in the recent past when they both had appreciated the Plan as outlined in the above proposal. The main thrust of the proposal is that before PG, all the MBBS Graduates in the country have to undergo a mandatory rural posting for one year. If anybody serves under rural posting for more period, it will be given more preference for admission into PG Courses, as per the Regulations. After discussing the matter at length, the Board of Governors approved the proposal, in principle. It was also decided that a draft Regulation in this regard should be sent to the Ministry. Further it would be advised to the Ministry to have the following : Creating the designated “Cell” in the Ministry for the deployment of the doctors; and
    (ii) Planning for the timely and equitable deployment of approximately 40000 Graduates (the number is set to increase annually) every year all over the country. It is important to ensure that they join immediately after internship and finish one year, before the next batch is eligible.
    (iii) While issuing Notification in this regard, the Ministry may also consider the point regarding the batch from which on wards the above scheme should be implemented Representatives of Delhi Medical Association and Students representatives med the representatives of Medical Council of India and apprised them about their concern about one year mandatory rural posting before Post Graduate entrance. The delegation was led by Dr. Anil Goel, President (Elect), DMA. Dr. Anil Goel said that 50000 doctors pass every year and only 20000 get PG. 30000 doctors are still available with us who can be accommodated in one year ad hoc rural posting. Dr. Goel further said that it should be linked to new ad hoc recruitment and valid for one year and not linked with medical education. Also, doctors expect a better infrastructure and security in rural areas. Doctors are more than willing to go to villages but female resident doctors are afraid of ending up with ‘female doctricide’ (they are afraid of being assaulted in rural areas if proper security is not provided). DMA is going ahead with its Dharna on 8th August at Jantar Mantar.
  • Intestine cut in place of Fallopian tube: In Bhuvneshwar, a 28 year old lady who participated in a government organized medical camp underwent Tubectomy ended up in a critical state after a doctor mistakenly cut her small intestine instead of Fallopian Tube. She is still battling for her life in a private hospital. The husband is claiming it to be a medical negligence, however, the doctor says it was an unintentional accident.
  • A new paper in  July 16 in the American Journal of Preventive Medicine.says U.S. Preventive Services Task Force (USPSTF) diabetes screening criteria are inadequate. Doctors who follow the task force guidelines will miss over half of undiagnosed cases. As of 2008, the USPSTF has recommended only that asymptomatic adults with blood pressure (BP) higher than 135/80 mmHg be screened for type 2 diabetes. By contrast, the American Diabetes Association recommends targeted screening based on a range of diabetes risk factors.
  • In an analysis that excluded discredited clinical trials, investigators report that treatment of patients undergoing noncardiac surgery with beta-blockers resulted in a statistically significant 27% increased mortality risk. (July 31, 2013 in Heart)
  • USA: Today marks a new era in the relationship between physicians and the drug and device makers that give them consulting fees, honoraria for presentations, and lunches for the office staff. From now on, companies must keep track of virtually every payment and gift bestowed on each clinician and report them to the Centers for Medicare & Medicaid Services (CMS), which will report them to the world.
  • Low hemoglobin levels in older adults predicted a long-term risk of developing dementia, a community-based study reported in the Aug. 6 issue of Neurology has shown. The elderly with anemia at baseline had a 64% higher likelihood of incident dementia during 11 years of follow-up. That association persisted through adjustment for demographics, the Alzheimer's disease risk factor APOE e4, baseline dementia score, comorbidities, the inflammatory marker C-reactive protein, and other anemia measures. (Source: The Gupta Guide, Medpage Today)
  • A systemic review of six U.S. cross-sectional studies and seven U.S. case-controlled studies concludes that minimizing out-of-pocket drug costs and having one provider are two factors that appear to improve blood pressure treatment. When medication costs or copayments increase, adherence to antihypertensive medication and control of blood pressure decreases. (Source: Medpage Today)
  • The therapeutic indications for aflibercept (Eylea, Bayer Pharma AG) should be extended to include treatment of visual impairment caused by macular edema secondary to central retinal vein occlusion (CRVO) in adults, according to a July 25 recommendation by the Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA). (Source: Medscape)
  • The Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA) has extended the indication for eltrombopag (Revolade, GlaxoSmithKline Trading Services) to include adults with chronic hepatitis C virus (HCV) infection who have thrombocytopenia severe enough to prevent the initiation of interferon-based therapy or limit the maintenance of optimal therapy. (Source: Medscape)
  • A new study has reported rapid spread of an extensively drug-resistant strain of Pseudomonas aeruginosa throughout Russia and nearby countries. The study is published online July 9 in The Lancet. Researchers found that between 2002-2004 and 2008-2010, the proportion of P. aeruginosa isolates producing metallo-beta-lactamase (MBL) jumped from 5% to 29%, largely due to spread of the VIM-2-positive ST235 clone. Nearly all of the MBL-positive isolates were resistant to all antibiotics except colistin, and in 2010 some were resistant even to that. (Source: Medscape)

Rabies News (Dr. A K Gupta)

Is there a one-shot ARV? Is there any ARV that offers lifelong protection?

There is no single dose vaccine or a vaccine that gives lifelong immunity.

cardiology news
  • An external vest-style defibrillator saved lives during the first months after a heart attack, when patients were waiting to get an implanted version. Andrew E. Epstein, MD, of the University of Pennsylvania in Philadelphia, and colleagues reported in the Journal of the American College of Cardiology that the Lifevest device successfully treated sudden cardiac arrest in 1.4% of wearers during the 40-day to 3-month waiting period for an implantable cardioverter-defibrillator (ICD). When patients got an appropriate shock from the wearable cardioverter-defibrillator, the resuscitation survival rate was 91%.(Source: Medpage Today)

  • The Health Ministry has revoked its earlier suspension on Pioglitazone, and has allowed the manufacture and prescription of pioglitazone and its formulations, but with several riders - including a box warning in “bold red letters” to caution patients as reported in The Hindu, dated August 1, 2013. The Health Ministry said that it was aware that the drug was risky and safer alternatives were available. Nevertheless, it proceeds to say that the Drugs Technical Advisory Board recommended the revocation of the suspension of pioglitazone, with certain conditions including that the manufacturers carry warnings on the packing, product insert and promotional literature. According to the notification, the drug should not be used as a first line of therapy to treat diabetes. It would carry the warning in bold red letters and also would carry advice for healthcare professionals. Also, the drug should not be given to patients with a history of bladder cancer, be restricted to the elderly and prescribed after knowing the patients history. Those prescribed with the drug would also be put through 6 monthly reviews.

Valvular Heart Disease News

Intra-operative TEE, especially live 3D TEE, provides excellent diagnostic accuracy and helps surgical planning.

(Experts: Dr Ganesh K Mani, Dr Yugal Mishra, Dr Deepak Khurana, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

cardiology news
  • The US Food and Drug Administration (FDA) has expanded the indication for the quadrivalent meningococcal vaccine (Menveo, Novartis Pharmaceuticals, Inc) to infants and toddlers from age 2 months. The vaccine protects against invasive disease caused by common Neisseria meningitidis serogroups A, C, Y, and W-135. It has been available for use in adolescents and adults (11 - 55 years of age) since February 2010 and in children (2 - 10 years of age) since January 2011. (Source: Medscape)
  • The CDC has reports in its Breastfeeding Report Card 2013, published online July 31 that more mothers are breast-feeding and breast-feeding longer. Although mothers are still not nursing infants as long as recommended, provisional data for 2010 show a steady increase in the number of mothers who begin breast-feeding, with 76.5% (±1.6%) of mothers introducing nursing compared with 70.9% (±1.9%) in 2000. At 6 months, 49.0% (±1.9%) of mothers were nursing in 2010 compared with 34.2% (±2.0%) 10 years earlier. At 12 months, 27.0% (±1.8%) of mothers were breast-feeding in 2010 compared with only 15.7% (±1.5%) in 2000. (Source: Medscape)
cardiology news

How to explain about cardiac interventions?

For any traffic management, following are the options:

  • Placing traffic signals which can be equated to do’s and don’ts of lifestyle management.
  • Posting a traffic inspector on the crossing. This can be equated with clinical cardiologist.
  • Diverting the traffic from main road to side roads. This can be equated to opening collaterals by drugs, exercise and massage.
  • Hiring the architect to make maps. This can be equated to an angiographer doing angiography.
  • Looking for the possibility of widening the roads. This can be equated to balloon angioplasty.
  • To prevent encroachment of widened roads to place rallying around the widened roads can be equated to placement of metallic stent.
  • To prevent rallying from mishandling grills are to be put on the rallying. This can be equated to drug alluting stents.
  • When the roads cannot be widened, flyovers are made which can be equated to bypass surgery.
  • Flyovers can be made by stopping the traffic. This can be equated to open bypass surgery.
  • Flyovers can be made without disturbing the traffic, this can be equated to heart bypass surgery.
cardiology news

Paternal age and fertility

The bulk of data point to a decrease in fertility with advancing age. This may be due to a number of factors, including decreased coital frequency, reduced sexual functioning and poorer semen quality as men ages

cardiology news

HCFI Activities

2nd August: Heart Care Foundation of India Organizes a CPR 10 Training camp at Balwant Rai Mehta School, Greater Kailash, Part 2, New Delhi.

IMA/DMA/DMC Meetings

30th July: IMA Delegation with Sheila Dikshit

EBook

CPR 10 Camp – E Book Sahodaya Sr Sec School, SDA, New Delhi

Camps

CPR Classes: Persons trained (20)

30th July: CPR 10 Moolachand (20)

Total CPR since 1st November 2012 – 57939 trained

TV and Radio Coverage

30th July: Dr KK Aggarwal on India News

Video Chats and uploads

Dr KK Aggarwal on Say No Tobacco

Dr KK Aggarwal on NEWS 24

Advocacy through Print Media

30th July: Veer Arjun

Media advocacy through Web Media

Poly Diet and Poly Drugs 1st Aug

NETLOG, FREEPRESS RELEASE, PRLOG, WEBENWSWIRE

All police personnel under DCP (South Zone) to be trained in CPR10

Inaugurating the 1st session of CPR 10 for the police personnel, Mr. B.S. Jaiswal, DCP(South) said that for the first time DCP(South) along with Heart Care Foundation of India will be training every police personnel in first aid including CPR 10.  Mr. Jaiswal said that most of time, the police is the first on the scene to reach in an emergency. Training in first aid will not only help them to tackle victims of road traffic accidents, but also victims of electrocution and sudden unexpected deaths at home.  This training would also help to build a better police-public relation. 

Conducting the camp where training was provided to 600 police personnel, Padma Shri and Dr BC Roy National Awardee and President Heart Care Foundation of India, Dr. KK Aggarwal said that covering 100% police personnel in one district will be a role model, which can be adopted and implemented in other districts in Delhi and similarly in other parts of the country.  Dr. Aggarwal said that death is reversible in the first 10 minutes if CPR 10 is provided to the victims of cardiac arrest.

Dr Aggarwal said that it is the police who can reach a victim in 10 minutes. It may not be possible for public to take the victim to the nearest medical establishment in the first 10 minutes. 
Besides cardiac arrest, the police personnel were also taught how to handle and provide first aid for choking, electrical deaths, drowning, burns, road traffic injuries, fire, etc.  Giving an example, Dr. Aggarwal said that covering the nose with a cloth wet with water can be the first aid for victims who are trapped in smoke to prevent inhalation of smoke.  If both are not available, then one can tear his shirt and use his own urine for the same.

The police personnel were not only taught how to provide first aid but also how to handle e triage where the more serious patients need to be attended first.  Basic training on how to handle blast victims was also provided. 

The weekly sessions will be held at Sahodaya School, School Auditorium, Safdarjung Development Area, opposite Hauz Khas till every police personnel has been trained in South District.

About HCFI: The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on" Hands only CPR" of 57939 people since 1st November 2012.

The CPR 10 Mantra is – "within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10x10 i.e. 100 per minute."

today emedipics

Inaugurating the 1st session of CPR 10 for the police personnel, Mr. B.S. Jaiswal, DCP(South) and Conducting the camp Padma Shri and Dr BC Roy National Awardee and President Heart Care Foundation of India, Dr. KK Aggarwal.

press release

Embolization shows success in benign prostatic hyperplasia

today video of the dayDr KK Aggarwal on How to Stay Fit

Dr KK Aggarwal on How to Take Care of yourself during the Monsoons

Smart Phones Benefits and Hazards

eMedi Quiz

Read this…………………

Nurse Lea is assessing a male client diagnosed with gonorrhea. Which symptom most likely prompted the client to seek medical attention?
a.    Rashes on the palms of the hands and soles of the feet
b.    Cauliflower-like warts on the penis
c.    Painful red papules on the shaft of the penis
d.    Foul-smelling discharge from the penis

Yesterday’s Mind Teaser: A female client has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell this client?

a. This condition puts her at a higher risk for cervical cancer; therefore, she should have a Papanicolaou (Pap) smear annually.
b. The most common treatment is metronidazole, which should eradicate the problem within 7 to 10 days.
c. The potential for transmission to her sexual partner will be eliminated if condoms are used every time they have sexual intercourse.
d. The human papillomavirus (HPV), which causes condylomata acuminata, can’t be transmitted during oral sex.

Answer for yesterday’s Mind Teaser: a. This condition puts her at a higher risk for cervical cancer; therefore, she should have a Papanicolaou (Pap) smear annually

Correct answers received from: Dr Prakash Khalap, DR ABBAS VAKIL Dr. V.P. Thakral, DR ARPAN GANDHI, Dr Gajveer Singh, Dr Pankaj Agarwal, Dr.(Maj. Gen.) Anil Bairaria, dr prabha, Dr Jainendra Upadhyay, Dr.K.V.Sarma, Dr Kanta jain, Dr.K.Raju, Muthumperumal Thirumalpillai, Dr Chandresh Jardosh, DR AVTAR KRISHAN, DR P K SAHU, Dr.Bitaan Sen & Dr.Jayashree Sen, dr p j khalap, Dr. shashi saini

Answer for 2nd August Mind Teaser: b. The client keeps the drainage bag below the bladder at all times

Correct answers received from: Dr Chandresh Jardosh, DR AVTAR KRISHAN, DR P K SAHU, Dr.Bitaan Sen & Dr.Jayashree Sen, dr p j khalap, Dr. shashi saini

Send your answer to ijcp12@gmail.com




eMedi Apps



medicolegal update

Click on the image to enlarge

medicolegal update

A man returns from a trip to Shanghai and is feeling very ill. He goes to see his doctor and is immediately rushed to the hospital to undergo a series of tests. The man wakes up after these tests in a private room at the hospital and the phone by his bed rings.

"This is your doctor," says the voice on the phone. "We have the results back from your test and... I'm sorry, you have an extremely contagious deadly disease known as G.A.S.H."

"G.A.S.H?" replies the man. "What in the hell is that?"

"It's a combination of Gonorrhea, AIDS, SARS and Herpes," explains the doctor.

"My gosh, Doc!" screams the man in a panic, "what are we going to do?"

"Well, we're going to put you on a strict diet of pizza, pancakes, quesadillas and pita bread," says the doctor matter-of-factly.

"Will that cure me?"

"Well, no," says the doctor, "but it's the only food that will fit under the door."

medicolegal update
medicolegal update

Click on the image to enlarge

medicolegal update

Situation: A patient with rheumatoid arthritis developed deformity.
Reaction: Oh my God! why was treatment not started early?
Lesson: Make sure all patients with Rheumatoid Arthritis are started with specific treatments within 3 months of diagnosis.

medicolegal update

Some of us think holding on makes us strong; but sometimes it is letting go. Herman Hesse

medicolegal update

Dr KK Aggarwal: Poly Diet and Poly Drugs by Dr k k Aggarwal
http://bit.ly/19z6HQg #Health

Dr Deepak Chopra: Please take a look at the 7 Mind-Body Practices to Transform Your Relationship with Stress http://tinyurl.com/pz4haly

medicolegal update

Dear Sir, Your emedinews is really very informative. Regards: Dr Shipra.

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medicolegal update


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