AMERICA, CODE BLUE… Young Pregnant Women Down!


USA Reports: Cardiac Arrest In Younger Pregnant Women Is On The Rise

BY: Chad Rhodes

NYU – School Of Medicine has conducted a study for the past 12 years on Heart Disease in pregnant women. Between 2002 and 2014 Cardiac Arrest has been the leading cause of death for 25% of young pregnant women. Heart Disease has been the number one cause of death for women for many years, but for younger women this is a drastic change compared to earlier years.

The disease in young women has been increasing and raising great concerns not only for the mother, but for the health of the unborn child also.  The risk factors for heart disease continue to increase in the United States. “High blood pressure, high cholesterol, diabetes are all higher in our younger women. Stress is another factor in High Risk pregnancy.

Rise in obesity in society plays a big part. Between more junk food available and the convenience of the “Drive Thru food”. Adding yeast to many packaged food and many drinks also.

Don’t get me started on Soda. This is a heart Killer, Diet KILLER.

You could ask if the younger women are getting enough “Quality” exercise, food and fluid intake. We all know with our busy lives exercise is the last thing we want to do after work all day. Making a wholesome meal for the family is about all the energy you can muster up. You end up asking yourself, where do I fit the time in?

The family entrees from the frozen section become your main staples. The concentrated amounts of sodium and preservatives is off the charts. Not only are you adding all this to your body that is creating it’s own voyage of problems to your heart risk factors.

Exercise does not have to mean Hitting the Gym 3 times a week. You can walk, band workout and create a new healthy diet. Include fresh home cooked meals that are lean, ending bad calorie intake.

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Healthy Ingredients

Get the kids to help you in the kitchen with dinner. Bringing your kids up with healthy choices makes their lifestyle an asset to their healthy future. Kids are great for washing the vegetables and mixing things up relieves you from 30 minutes of stress and time.

Most parents can not spend hours away from the kids, house or work. My solution is to incorporate the kids activities with yours.

Weekends are a good place to start. Take the kids for a walk every morning, that gets all of you on the road to increased blood flow through your body. As we all know the heart needs lots of exercise and if you sit for 8 hours a day, you need this more than those who stand up for work.

The U.K. Side

BJOG: UK Reports, Nearly one in four cardiac arrests in pregnancy are associated with complications of obstetric anesthesia.

Nearly one in four cardiac arrests in pregnancy are associated with complications of obstetric anesthesia, according to a new study published today (Friday 24 February) in BJOG: An International Journal of Obstetrics and Gynecology (BJOG).

The aim of this study was to estimate the incidence of cardiac arrest in the UK obstetric population, describe how cardiac arrest in pregnancy is managed and report maternal and fetal outcomes. Using the UK Obstetric Surveillance System (UKOSS), researchers identified 66 women who had experienced a cardiac arrest in pregnancy among 2.3 million who gave birth between 2011 and 2014.

The three year study shows that maternal cardiac arrest in the UK is very rare (a 1 in 36,000 risk) and that maternal survival rates of 58% were possible due to timely resuscitation and rapid perimortem caesarean section (PMCS). In the 66 women involved in the study, cardiac output was restored in 48 and 49 women had a PMCS. The results also show that time from collapse to PMCS was significantly shorter in women who survived. 58 babies were delivered, 12 were stillborn.

Results found that the main association of collapse among antenatal women was obstetric anesthesia, given as an epidural, spinal or combined spinal-epidural. 16 (24%) of the women in the study had a cardiac arrest following obstetric anesthesia (all survived).

Meanwhile, 12 of the 16 women (75%) who had a cardiac arrest following obstetric anesthesia were obese (defined as having a Body Mass Index of 30kg/m2 or more). This supports the view that obese pregnant women are at a higher risk of complications of anesthesia, as the increased body fat makes procedures technically more difficult.

The study also shows that hypovolaemia (a decrease in blood volume), venous thromboembolism (a formation of blood clots in the vein) and amniotic fluid embolism (when amniotic fluid or other debris makes its way into the mother’s blood) are the main non-anaesthetic causes of cardiac arrest. As recommended in the most recent MBRRACE-UK report, there is a pressing need to improve systems focused on preventing and responding appropriately to these complications.”

In addition, of the 66 women who arrested in pregnancy, 27 had co-morbidities which may have contributed to maternal arrest. The most common problems reported were asthma, mental health problems, cardiac disease, hypertension, hematological, autoimmune and endocrine problems.

The researchers suggest a revision of multi-disciplinary training for healthcare professionals, and a revision of supervision and support on the labor ward.

Dr Virginia Beckett, lead author and consultant obstetrician and gynecologist at Bradford Teaching Hospitals NHS Foundation Trust, said:

“Our study shows that management of cardiac arrest in pregnancy in the UK, following the introduction of training such as the Managing Obstetric Emergencies and Trauma (MOET) course, has resulted in a 58% maternal survival rate. The main reasons for this appear to be the involvement of senior medical professionals and swift PMCS.

“American data shows that up to one third of women who arrest die with their baby still in utero. In the UK, we take a very different approach; in this study, PMCS was carried out in 49 (74%) of the 66 women involved (only two women remained undelivered when they should have had a PMCS). This is close to a five-fold improvement. Rapid PMCS saves women’s lives.

“However, our study shows that the single, biggest association of maternal cardiac arrest is a complication of anesthesia. Further research is needed into this finding which presents an opportunity to reduce the incidence of maternal cardiac in the UK.

Mr Edward Morris, Vice President for Clinical Quality at the Royal College of Obstetricians and Gynecologists (RCOG), said:

“This study demonstrates the importance of robust multi-disciplinary risk assessment processes in antenatal care, as well as team training to manage obstetric emergencies. It is also a great example of the value of collecting high quality data through UKOSS to improve outcomes for patients.

“Childbirth can be unpredictable and timely access to specialist care is critical; especially for those considered at higher risk due to per-existing health conditions. This data supports existing evidence that maternal cardiac arrest is becoming more common, and there may be opportunities to further improve survival rates through detailed analysis of this data.

“Obesity has reached pandemic proportions globally, with around one in five pregnant women in the UK considered obese. This increases their risk of miscarriage, stillbirth and neonatal death as well gestational diabetes, blood clots, per-eclampsia, more complicated labors, and severe bleeding after the birth. Although they survived, a high proportion of the women who had cardiac arrests following obstetric anesthesia were obese.

“Maintaining a normal body weight can reduce the risk of complications for both mother and baby. Women should keep active and eat well prior to conception and limit weight gain during pregnancy in order to improve their own health and provide their baby with the best start in life.”

Mr Michael Masch, Deputy Editor-in-chief of BJOG, added:

“Although about 60 percent of women survived, and most received timely resuscitation and perimortem caesarean section, this study highlights the necessity for regular multi-disciplinary training in specific arrest management. Further research into the links between anesthesia and cardiac arrest is also warranted.”

Ends

For media inquiries or copies of the study please contact the RCOG press office on 020 7772 6357 or email .

Notes to editors:

VA Beckett, M Knight, and P Sharpe. The CAPS Study: Incidence, management and outcomes of cardiac arrest in pregnancy in the UK: a prospective, descriptive study. BJOG 2017: DOI: 10.1111/1471-0528.14521

The article can be found here: http://onlinelibrary.wiley.com/doi/10.1111/1471-0528.14521/full

This study was funded by a grant from Wellbeing of Women.

BJOG: An International Journal of Obstetrics and Gynecology is owned by the Royal College of Obstetricians and Gynecologists (RCOG) but is editorially independent and published monthly by Wiley. The journal features original, peer-reviewed, high-quality medical research in all areas of obstetrics and gynecology worldwide. Please quote ‘BJOG’ or ‘BJOG: An International Journal of Obstetrics and Gynecology’ when referring to the journal. To keep up to date with our latest papers, follow @BJOGTweets.

The Royal College of Obstetricians and Gynecologists is a medical charity that champions the provision of high quality women’s healthcare in the UK and beyond. It is dedicated to encouraging the study and advancing the science and practice of obstetrics and gynecology. It does this through postgraduate medical education and training and the publication of clinical guidelines and reports on aspects of the specialty and service provision.

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WARNING: DO NOT LET THEM GET WET!!!!


WARNING: LIGHT UP SHOES FOR KIDS, DO NOT LET THEM GET WET!!!!

WOW amazing that we actually have to worry about battery acid burning our child’s feet. Your child’s shoes going up in flames in the middle of the night.

The reports of injury and mishaps are creating a health issue for the child and a night mare for the parents.

You would never think that something like this would be even be possible, or that it would burn down your house.

A young girls light Up Shoes went up in flames and burnt down the house. The family dog woke them up and everyone got out safe.

One young Boy was lucky and has only suffered 2nd degree chemical burns from his sketcher light up shoes. Apparently when they get wet the batteries release a chemical causing children’s feet to burn

Another boys shoes burned the family cars back seat out. Thank God the child was not wearing them at the time. His mother says with him being so young could he actually tell her something was wrong or even worse that he may not be able to take them off by himself.

Payless and Sketchers voluntarily took the shoe off the shelves. But beware they are being resold through used outlet stores or on Ebay.

 

Find Out What’s inside the light up shoe (LED) that makes them so dangerous. Here’s what’s inside the shoes…

 

REVIEW: TARGET’s Set of 3 Cookie Sheets by Threshold™ (PAINT COMES OFF)


WARNING: TARGET NEEDS TO RECALL THESE PANS

TARGET may already know about this issue.

The THRESHOLD COLLECTION of baking sheets are now on sale.

DO NOT BUY THEM

The “GOLD” Paint came off of my Large baking sheet after cooking plain chicken thighs. This was the first time I had used the large pan. I had already used the other 2 smaller ones, baking fish sticks, brownies and bread on the other and it was fine.
TARGETS DECRIPTION:
This Gold Set of 3 Cookie Sheet from Threshold is a must-have for your kitchen. The steel cooking surface and diamond pattern are not only practical for baking, but also add strength and durability. The stylish gold shade makes it look really great when you set it on your kitchen counter or dining table.
Features: Rectangle (shape)
Number of Pieces: 3.0
Dimensions (Overall): 1.06 inches (H) x 12.0 inches (W) x 17.0 inches (D)
Baking Cooking Surface: Steel
Set Includes: 3 Cookie Sheets
Material: Carbon Steel
Weight: 6.5 pounds
Care and Cleaning: Dishwasher-safe
TCIN: 51194814
UPC: 011172100047
Item Number (DPCI): 070-02-2006

WARNING: Possible Explosions From Kilauea Volcano…??? HVO REPORTS


HVO/USGS Volcanic Activity Notice MAY 9, 2018

Volcano: Kilauea (VNUM #332010)

Current Volcano Alert Level: WARNING

Current Aviation Color Code: ORANGE

Issued: Wednesday, May 9, 2018, 8:02 AM HST
Source: Hawaiian Volcano Observatory
Notice Number:
Location: N 19 deg 25 min W 155 deg 17 min
Elevation: 4091 ft (1247 m)
Area: Hawaii

Volcanic Activity Summary: The steady lowering of the lava lake in “Overlook crater” within Halemaʻumaʻu at the summit of Kīlauea Volcano has raised the potential for explosive eruptions in the coming weeks. If the lava column drops to the level of groundwater beneath Kīlauea Caldera, influx of water into the conduit could cause steam-driven explosions. Debris expelled during such explosions could impact the area surrounding Halemaʻumaʻu and the Kīlauea summit. At this time, we cannot say with certainty that explosive activity will occur, how large the explosions could be, or how long such explosive activity could continue.

Residents of the Kīlauea summit area should learn about the hazards of ashfall, stay informed of the status of the volcano and area closures, and review family and business emergency plans.

Resource on volcanic ash hazards: https://volcanoes.usgs.gov/volcanic_ash/

She has emptied below water level NOW

Remarks: HAZARDS

Primary hazards of concern should this activity occur are ballistic projectiles and ashfall.

BALLISTIC PROJECTILES
During steam-driven explosions, ballistic blocks up to 2 m (yards) across could be thrown in all directions to a distance of 1 km (0.6 miles) or more. These blocks could weigh a few kilograms (pounds) to several tons.

Smaller (pebble-size) rocks could be sent several kilometers (miles) from Halemaʻumaʻu, mostly in a downwind direction.

ASHFALL
Presently, during the drawdown of the lava column, rockfalls from the steep enclosing walls of the Overlook crater vent impact the lake and produce small ash clouds. These clouds are very dilute and result in dustings of ash (particles smaller than 2 mm) downwind.

Should steam-driven explosions begin, ash clouds will rise to greater elevations above ground. Minor ashfall could occur over much wider areas, even up to several tens of miles from Halemaʻumaʻu. In 1924, ash may have reached as high as 20,000 feet above sea level. Small amounts of fine ash from these explosions fell over a wide area as far north as North Hilo (Hakalau), in lower Puna, and as far south as Waiohinu.

GAS
Gas emitted during steam-drive explosions will be mainly steam, but will include some sulfur dioxide (SO2) as well. Currently, SO2 emissions remain elevated.

WARNING TIME

Steam-driven explosions at volcanoes typically provide very little warning. Once the lava level reaches the groundwater elevation, onset of continuous ashy plumes or a sequence of violent steam-driven explosions may be the first sign that activity of concern has commenced.

BACKGROUND

Kīlauea’s lava lake began to drop on May 2, 2018. From its peak on May 2 to the most recent measurement at 9 pm on May 6, the lava lake surface dropped a total of more than 200 m (656 ft). The subsidence was at a relatively constant rate of about 2 meters (yards) per hour.

Measurements of subsidence have not been possible since May 6 because of thick fume and the increasing depth to the lava surface. However, thermal images indicate continued lowering of the lake surface since that time, consistent with deflationary tilt recorded at Kīlauea’s summit. Therefore, we infer that the lake surface continues to drop at roughly the same rate. So, while HVO cannot report exact depths of the receding lava lake, we can monitor the overall trend.

USGS and HVO scientists are monitoring changes at the summit 24/7 and watching for signs that hazardous conditions have increased, or may increase. HVO is working closely with Hawai’i Volcanoes National Park and Hawai’i County Civil Defense to respond to this situation.

FOR MORE INFORMATION

Updates on activity will be posted on the HVO website at https://volcanoes.usgs.gov/volcanoes/kilauea/status.html

You can receive these updates by email through a free subscription service: https://volcanoes.usgs.gov/vns2/

Hawai’i County Civil Defense will issue its own hazard notices should that become necessary: http://www.hawaiicounty.gov/active-alerts/

Hawai’i Volcanoes National Park status is posted on their web page:
https://www.nps.gov/havo/index.htm

Resources on volcanic ash can be found at:
https://volcanoes.usgs.gov/volcanic_ash/

Contacts: askHVO@usgs.gov

Next Notice: Daily updates on all volcanic activity at Kīlauea are issued each morning and posted on out website: https://volcanoes.usgs.gov/volcanoes/kilauea/status.html

You can sign up to receive these messages automatically by visiting https://volcanoes.usgs.gov/vns2/

The Hawaiian Volcano Observatory is one of five volcano observatories within the U.S. Geological Survey and is responsible for monitoring volcanoes and earthquakes in Hawai`i.

HAWAII Are You Ready? WARNING: N.Korea Threats


HAWAII Are We Ready?

WARNING: N.Korea Threats are being taken SERIOUS

 Trump’s army chief warns US must be prepared for war

Hostile Kim Jung-Un Strikes again. Perhaps he needs to take some Valium and slow his roll. He is being so ignorant fluffing his feathers. Why do you Kim Jung-UN want to harm so many innocent people is the question to ask of this Boy. You are acting like a toddler.

I hope everyone is aware that we have been “warned”. It will only take 8, 15 or 20 minutes for the missile to get here from North Korea.There are 3 reports for estimated time arrival. The news media reports have the State of Hawaii under “Alert Status” and we have been warned to the affect an attack could happen and may be immanent.

US Weekly reports: July 23, 2017 11:27 am

Donald Trump’s most senior military officer has warned that a strike against North Korea is not “unimaginable”, as Hawaii prepares for a possible nuclear attack. Here is the latest news and live updates on tensions between the US and Kim Jong-Un.

Do you have your Survival gear ready?

Do you have tape to tape your windows?

first-aid-chart-for-survival

Do you have your water ready?

 

 

 

USA TODAY by , reports: July 21, 2017

The Hawaii Emergency Management Agency will roll out a plan Friday aimed at helping residents and visitors prepare for a potential North Korean missile attack that could come with barely eight minutes warning.

While stressing such an event is “currently assessed to be very low,” emergency planners said it is prudent to prepare for the worst.

“We do not want to cause any undue stress for the public, however, we have a responsibility to plan for all hazards.” HEMA administrator Vern Miyagi said in a statement reported by Hawaiian news media. “We cannot wait to begin our public information campaign to ensure that Hawaii residents will know what do if such an event occurs.”

The focus on North Korea follows recent tests by Pyongyang of intercontinental ballistic missiles that, theoretically, could deliver a nuclear warhead to Hawaii within 20 minutes, giving the island’s emergency teams only eight to 12 minutes to warn the public.

US prepared to use force on North Korea ‘if we must’: UN envoy

U.S. Ambassador to the United Nations Nikki Haley told a meeting of the U.N. Security Council that North Korea’s actions were “quickly closing off the possibility of a diplomatic solution” and the United States was prepared to defend itself and its allies.

 

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