April 6, 2005
Test Driving a Home Defibrillator

By WALTER S. MOSSBERG

When I had a heart attack seven years ago, I arrived, conscious and 
alert at a hospital emergency room, where the doctors and nurses 
proceeded to save my life. In many cases, the standard kind of heart 
attack I suffered doesn't kill instantly, and offers a decent chance 
of survival if the patient is cared for properly -- partly because 
the heart, while damaged, is still beating.

But there's another type of heart attack that comes on without 
warning, leaves the victim unconscious, and kills within minutes if 
emergency treatment isn't rendered on the spot. It's called sudden 
cardiac arrest. In sudden cardiac arrest the heart suddenly stops 
beating, and the patient will die unless it can be started again 
within a few minutes. According to the American Heart Association, 
hundreds of thousands of Americans die each year from such cardiac 
arrest. The main tool for saving these victims is a device called a 
heart defibrillator, which uses an electric shock to restart the 
heart's beating.

"Cardiac arrest is reversible in most victims if it's treated within 
a few minutes with an electric shock to the heart to restore a normal 
heartbeat. This process is called defibrillation," the association 
explains on its Web site. "A victim's chances of survival are reduced 
by seven to 10% with every minute that passes without defibrillation. 
Few attempts at resuscitation succeed after 10 minutes."

In cardiac-arrest cases, it's crucial to call 911 immediately so 
emergency medics can speed to the scene. They can use a defibrillator 
to shock the heart into beating again. But now, you can also buy a 
simple heart defibrillator meant for home use by average people 
without medical training. You can use the device to try to restart a 
stopped heart even before the medics arrive. It even helps you 
administer Cardio-Pulmonary Resuscitation (CPR).

This week, my assistant Katie Boehret and I tested this new device, 
the HeartStart Home Defibrillator from Philips. The HeartStart was 
designed to be simple enough for anyone to use, regardless of age, 
technical skill or medical knowledge. It is clearly marked with 
directional drawings and language, and even has vocal prompts that 
guide the user through each step.

...

http://ptech.wsj.com/archive/solution-20050406.html


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