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Media Portal Report - Alfred Intensive Care Unit

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Back from<br />

the dead<br />

Aussie breakthrough<br />

revives heart patients<br />

Herald Sun, Melbourne<br />

13 May 2013, by Christian Dougherty<br />

General News, page 5 - 707.73 cm²<br />

Capital City Daily - circulation 460,370 (MTWTFS-)<br />

Copyright Agency Ltd (CAL)<br />

licensed copy<br />

back<br />

Back<br />

ID 193766211<br />

from<br />

PAGE 1 of 2<br />

Back from the dead<br />

Aussie breakthrough<br />

revives heart patients<br />

Christian Dougherty and<br />

Lucie van den Berg<br />

A VICTORIAN man who was<br />

clinically dead for 40 minutes<br />

has been brought back to life<br />

by an Australian-first resuscitation<br />

technique.<br />

Dandenong’s Colin Fiedler,<br />

39, was one of three cardiac<br />

arrest patients brought<br />

back to life after being dead<br />

for between 40 and 60 minutes<br />

at The Alfred hospital,<br />

using two new techniques in<br />

the emergency department.<br />

The Alfred is trialling a<br />

mechanical CPR machine,<br />

which performs constant<br />

chest compressions, and a<br />

portable heart-lung machine<br />

— normally used in theatre —<br />

to keep oxygen and blood<br />

flowing to the patient’s brain<br />

and vital organs.<br />

Mr Fiedler had a heart<br />

attack and was clinically<br />

dead for 40 minutes before<br />

being revived last June.<br />

‘‘I’m so grateful, more than<br />

I could ever say,’’ he told the<br />

Herald Sun.<br />

So far, seven cardiac<br />

arrest patients have been<br />

treated with the AutoPulse<br />

treated with the AutoPulse<br />

machine and extracorporeal<br />

membrane oxygenation.<br />

Three patients were successfully<br />

revived after being<br />

clinically dead for 40 to 60<br />

minutes.<br />

It allows doctors to diagnose<br />

the cause of the cardiac<br />

arrest and treat it, but<br />

keep blood and oxygen flowing<br />

to the vital organs and<br />

brain, which reduces the<br />

risk of permanent disability.<br />

Mr Fiedler is one of the<br />

three patients who were<br />

revived and returned home<br />

without disability. In the<br />

ambulance, paramedics had<br />

given him a choice of two<br />

hospitals.<br />

‘‘For some reason, I said<br />

The Alfred, which is pretty<br />

lucky because they are the<br />

only one that has it,’’ he<br />

said.<br />

Since his heart attack, he<br />

has turned over a new leaf,<br />

quitting smoking and no<br />

longer sweats the small stuff.<br />

The system is available<br />

only at The Alfred, but<br />

senior intensive care physsenior<br />

intensive care physician<br />

Professor Stephen<br />

Bernard said the results<br />

from the first two years of<br />

the trial were exciting and<br />

he hoped to eventually<br />

expand the system across<br />

Melbourne.<br />

Prof Bernard said it<br />

required three trained<br />

intensive-care physicians<br />

and all the machinery ready<br />

to go on site, which no other<br />

hospital in Victoria had.<br />

AutoPulse is available only<br />

in three ambulances, but<br />

Prof Bernard said the company<br />

that distributed the<br />

CPR machine had offered to<br />

provide more machines.<br />

‘‘We are looking to where to<br />

best implement these<br />

machines around Melbourne,’’<br />

he said.<br />

Ambulance Victoria also<br />

used the AutoPulse machine<br />

to save the life of former junior<br />

world champion swimmer<br />

Clare Carney after a cardiac<br />

arrest last year.

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