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Show Today In Science 7 = ‘SUNDAY.NOVEMBER20, 1966 Sunday Herald3 } Needless DeathsFrom Heart Ills (World Book Science Service) { SAN. FRANCISCO — A noted. doctor believes 100,000 people dje each year who could be saved if the nation’s hospitals were properly equipped for: the care:of coronary patients. | These are people, says Dr.) Eliot Corday, president of the American College of Cardiolo-| with hearts too_good_to. ar. a = ‘The first hours after a heart attack are the critical ones-{ And. serious_complications are} known to occur within 10 to 14) days after the attack, but pa- tients who survive for three weeks almost always recover! “satisfactorily: r Dr. Corday’s plea is for more} special units standing ready in} hospitals to help heart patients) through the critcal moments. | But he points out that the buildings and hardware are “a lesser problem than the ‘soft) ware” necessary- to provide the! intensive care.” By this -he means the difficulty in obtain ing physicians who are trained, have experienceand are blessed i ded— ication it takes to operate such units, nct Tiger by the Tail’ “When a cardiologist encourages the hospital board: to set’ up a coronary care unit, he should know that he is grabbing a tiger by the tail,” warns Dr. Carday, “Once a unit is start- ed, the clinician must assume the responsibility of training personnel without remunera- tion, and also must contribute many hours of personal inten- account for more than fifty per cent of all deaths in the United States (top)>The bottom chart compares deaths from cardiovascular diseases and the overall death rate in the United States with ‘inat of eleven other countries, If a hospital is going to save the lives of heart attack patients to the extent that medical science has~ made- it possible, it must establish some kind of a coronary unit in its complex. At a small rural facility such as the George L. Mee Memor jal Hospital in. King City, California, a pacemaker (a ma—_ capable of electrically timulating the heart to keep bangand a defibrillator (a device for shocking the heart| back to a normal beat) are kept operate when a heart ‘attack erratic or arrythmatic beat, in a central location, seconds patient is wheeled in? With the doctor's okay, she away from the surgeries, wards At San Francisco's Mt. Zion injects the drug, The monitor Hospital, a noted heart center, indicates that the drug isn’t and the emergency room. The staff physicians of the it is-shortly after dinner and controlling the arrythmia. The 46-bed hospital haveall been in- four patients are lying quietly heart beat variation gets worse structed in the operation of the in the intensive care room. and becomes what is called a |i. ‘unit” and surprise emergency Each patient is hooked up to ‘ventricular fibrillation.” The drilis gi aed so that each an_ electronic device which -is patient’s- blood-pressure starts monitoring his heart action and falling and the electrical imdoctor has opportunity check out hisability to pat the pulse rate. Three nurses are pulses shown on the monitoring machines. into operation, jreadily available and an intern devices indicate his heart beat Nurses, too, are instructed in atid resident physician are with-| is so erratic that it’s about to stop. coping with a coronary emer-' in shouting distance. Suddenly an emergency heart A debeilating machine is patient is rushed in from an rushed to his side. ‘Instantaneous Need The man, 54, col. His heart is gen a shock One of the doctors points out: “We haven't used the unit yet lapsed at the family dinner that brings it back to a normal and we may never: need it, but table, His physician was called beat. More drugs are admindiagnosed a heart attack. istered to reduce the probability if we do, it will be vital and rethe need will be instantaneous. He administered a drug to Te-lof the beat becoming erratic hye theriaie in Ha testcal We know we’re prepare SALT LAKE CITY (UPI)—| Jed an ambulance and al The patient is fortunate. His thea initial attack didn’t do a-great of the South Sanpete County tient fs placed ina deal of damage to the: heart Board ,of Education, ~ aslat talfon 8. muscle and his doctor was close itoring machine. His doctor by. Death from a heart attack examines -him again and gives eet Hospital in ‘Toledo, him drugs- to decrease the ir-| Ss sores)eosennSIN sive patient care.” DEATHS DUE TO CARDIOVASCULAR diseas es (those affesting the heart andblood Vessels) | ....Our Designers Can Save You State Group Time, Mistakes, Energy and Money! Reorganized aoSs to his heart. Caidilogits Dr. Abel L. Apden, Weber County Board Education member, first vice president. A four-way race for second vice See was won by Mrs. Howard B. Summierhays, Salt Lake, City, chairman of Granite School District ‘board. She will succeed to the first vice presidency next year and to the presidency in 1988. plebaum and Dr. Charles J, McGaff spent two years in planning this unit. They believe it will save as many as 65 lives each. year. It has electronic heart mon itoring equipment, resuscitation electric and external heart massage machines, Physicians responsible for patients in the unit carry miniature radio receivers so they can be summoned even if they are five miles from the hos- pital. Contracts to Be Let for: Lion House Project How would one of these units SALT LAKE CITY eS Contractors for the Lion House, one of mgtion Young’s homes, will be awarded during the next 60 days, it Ww 3 announced today. Florance S. Jacobsen, presiden, Young Women’s Mutual) Improvement Associa tion, 2 of Jesus Christ of Lat- "s Why go it alone when experienced advice costs nothing? We have the know-how, services and selections to make your dream Anticoagulants are adminis- shock (not enough blood to the ‘tered to inhibit further blood peripheral blood vessels) as as arrythmias. clotting and to help prevent the|well as spread of the blood clot re Tf his attack had been a very sponsible for the attack. He is bad one, he would also given sedatives and addi- have suffered. either shock or tional narcotics to relieve any decompensation. But here, too,’ proper application of drugs can pain in his chest, He rests through the night save lives in, the case of shock alone, the untreated condition and all the next day. But shortly after breakfast on results in a mortality rate of: 80 to 95 per cent. With the the second day, the alarm on|80 his monitoring machine goes prompt use of appropriate off. His heart is beating irreg- drugs, the best evidence Seems| ularly. A nurse rushes to his to indicate that this death Tate} side with a. dose of quinidine, a} can. be-cut-to-from.40-to 60 per. drug capable of controlling the! ce NOVEMBER SPECIAL... home come true. . « to meet individual needs, reflect your good. taste. 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DESK, FILE OR CHAIR of separation of church and state, Our decorator-created model rooms offer scores of inspiring ideas, especially tuned to modest Charles D. Sessions, N.S.I.D. Graduate of New York School of Interior for the renovation are nearly complete. ‘The house, located at 63 East Souch Temple; will be restored _ 40 the 1865 period, Mrs. Jacob_ ‘sen said. Brigham Young died dn the house on Aug. 29, 1877, a’ factor, “positive conclusions with the aid of our talented designers, ‘diogenic |} Blood: Clotting __te:-day: Saints, said final plans cur QUESTION ~ WASHINGTON (UPI) —The Census Bureau is dropping p.an: to include a question avout religious preference in its bz 1970 head-count. vensus. Director: A. Ross ed ‘gave no atafor the cision Wednesday, cin from Capen lain. Whether you're a bride-to-be, newlywed or have already started to furnish your home, you can point all thought and effort to” UTAH FURNITURE ALL BIG, BIG VALUES! 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