Health
People infected with COVID-19 have higher risk of dying after cardiac arrest
The researchers found a 2.7-fold increase in the proportion of OHCAs caused by breathing problems, and an 8.6% increase in compression-only cardiopulmonary resuscitation (CPR) during the pandemic. The percentage of people who were treated with both chest compression as well as mouth-to-mouth resuscitation, fell from 33% pre-pandemic to 23% during the pandemic.

COVID-19 patients who suffer a cardiac arrest either in or out of hospital are far more likely to die than patients who are not infected with the coronavirus. In particular, women have the highest risk of dying: they are nine times more likely to die after suffering a cardiac arrest in hospital, according to research published in the European Heart Journal [1] [2].
The study from Sweden included 1946 people who suffered a cardiac arrest out of hospital (OHCA) and 1080 who suffered one in hospital (IHCA) between 1 January and 20 July. During the pandemic phase of the study, COVID-19 was involved in at least 10% of all OHCAs and 16% of IHCAs. Coronavirus patients who had an OHCA had a 3.4-fold increased risk of dying within 30 days, while IHCA patients had a 2.3-fold increased risk of dying within 30 days. None of these patients had been discharged alive from hospital by the time the study was written in October 2020. Many had died and the rest were still being treated in hospital.
The first author of the study, Dr Pedram Sultanian, a doctoral student at the University of Gothenburg (Sweden), said: “Our study clearly shows that cardiac arrest and COVID-19 is a very lethal combination. Patients with the coronavirus should be monitored intensively and measures taken to prevent cardiac arrest, for instance with the use of continuous heart monitors for patients at high risk.”
This is the first detailed report of characteristics and outcomes in COVID-19 patients who suffer cardiac arrest. The researchers analysed data from the Swedish Registry for Cardiopulmonary Resuscitation (SRCR), which is a nationwide registry that started to collect data on COVID-19 from 1 April 2020 onwards. The researchers included all cardiac arrests registered in the SRCR from 1 January to 20 July 2020, and divided them into a pre-pandemic group (before 16 March) and a pandemic group (16 March to 20 July).
They found that 7.6% of pre-pandemic patients were still alive 30 days after suffering an OHCA. Once the pandemic started, 9.8% of patients without COVID-19 and 4.7% with COVID-19 survived for 30 days; 83.4% of COVID-19 patients died within 24 hours.
Pre-pandemic, 36.4% of IHCA patients survived for 30 days, but once the pandemic started 39.5% of non-COVID-19 patients and 23.1% of COVID-19 patients survived for 30 days; 60.5% of COVID-19 patients died within 24 hours.
The slightly improved survival for uninfected patients suffering OHCA and IHCA during the pandemic is not statistically significant, but the researchers believe that if there is an actual improvement, it might be explained in part by the 8.2% increase in cardiac arrests witnessed by bystanders and the 47% increase in bystanders using defibrillators.
When they compared pre-pandemic cases with COVID-19 cases, the researchers found that the overall risk of dying following an OHCA nearly tripled; it was increased 4.5-fold for men and by a third for women. The overall risk of dying after an IHCA more than doubled; it was increased by a half in men and more than nine-fold in women.
The researchers also found a 2.7-fold increase in the proportion of OHCAs caused by breathing problems, and an 8.6% increase in compression-only cardiopulmonary resuscitation (CPR) during the pandemic. The percentage of people who were treated with both chest compression as well as mouth-to-mouth resuscitation, fell from 33% pre-pandemic to 23% during the pandemic. In March the European Resuscitation Council and the Swedish Resuscitation Council issued guidelines recommending that bystanders who see a cardiac arrest should avoid mouth-to-mouth resuscitation and concentrate on chest compressions in the case of suspected COVID-19 infection.
Senior author of the study, Dr Araz Rawshani, physician and researcher at the University of Gothenburg, said: “Although previous studies have indicated that compression-only CPR delivered by bystanders may be as effective as compressions and ventilation combined, this may not apply to cases with COVID-19, since they are primarily suffering from respiratory failure. We believe this is an important finding that could possibly help authorities in handling the pandemic. Since COVID-19 transmits through droplets, bystanders should avoid mouth-to-mouth resuscitation in accordance with current recommendations. There is no unanimous answer for how society and healthcare providers should adapt in the light of this issue.”
The study also shows that fewer patients in hospital with COVID-19 were monitored with electrocardiograms, which is potentially life-saving as it enables a cardiac arrest to be spotted immediately. It is believed that COVID-19 patients should be monitored with ECGs and monitored for oxygen saturation, as this would allow for prompt recognition of irregular heartbeats and declining oxygen saturation.
Limitations of the study include the fact that the county of Stockholm, where the majority of coronavirus cases have occurred, had not reported data on OHCAs at the time of the study and this reduced the number of COVID-19 patients in the study; and some cases of COVID-19 may have been misclassified, particularly for cardiac arrests occurring out of hospital.
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[1] “Cardiac arrest in COVID-19: characteristics and outcomes of in- and out-of-hospital cardiac arrest. A report from the Swedish Registry for Cardiopulmonary Resuscitation”, by Pedram Sultanian et al. European Heart Journal. doi:10.1093/eurheartj/ehaa1067
[2] A cardiac arrest is when the heart suddenly stops pumping blood, leading to the patient collapsing unconscious and either stop breathing or gasp for air. It is different to a heart attack, which occurs when the blood supply to the heart is cut off, often because of a clot in one of the coronary arteries. The heart will still be pumping blood round the body and the patient will be conscious and breathing. A heart attack can lead to a cardiac arrest.
Health
Self-care for sick days
To help navigate this cough, cold and flu season, consider these tips.

Cooler weather inevitably means cough, cold and flu season isn’t far behind. Now is the time to take precautions and set yourself up with healthy habits.
“As much as we try, avoiding viruses, bacteria and germs to prevent getting sick can be a challenge,” Dr. Tim Tiutan, MD, said. “However, being prepared with the right remedies, listening to your body and its symptoms and remaining diligent with a healthy routine is just as important as treating symptoms head on.”
To help navigate this cough, cold and flu season, consider these tips from Tiutan and the experts at Mucinex.
Prepare and Prevent
You won’t find a foolproof way to keep germs away, but you can lessen your chances of getting sick and make sure you’re equipped to weather an illness.
- Practice healthy habits. Keeping your body in prime condition can help ensure you’re in the best condition possible to fight back when germs attack. That means keeping up with exercise and ensuring you’re getting enough vitamins and nutrients through a well-balanced diet.
- Get a flu shot. The flu shot gives your body a head start in fighting back against flu bugs. If you’re exposed to the flu after receiving the shot, your body can immediately go on the offensive against those germs. You may not stay completely symptom-free, but you’re more likely to experience a mild case and be back on your feet quicker.
- Restock the medicine cabinet. The start of cough, cold and flu season is an ideal time to dig through your medicine cabinet. Start by discarding any medications that are out of date and make a list of anything you need to replenish. Be sure to include pain relievers, fever reducers, decongestants, antihistamines and cough syrups to fight symptoms. It’s also a good time to restock items like tissues, cough drops, hand sanitizer and anti-bacterial soap.
Treat Symptoms
Although the flu can hit fast, it’s often hard to tell at first whether your symptoms are due to a simple cough, cold or a case of the flu. Either way, managing symptoms like a cough can bring relief and help you keep comfortable and get plenty of rest.
- Give your body time to heal. Sleep plays an important role in your overall health, especially when you’re under the weather. On average, you need 7-9 hours each night to give your body enough time to fully recharge. When you’re sick, you likely need even more, and it’s a good idea to dial back your activity level, too. Pushing your physical limits often only delays your recovery time.
- Take medications as directed. Nagging symptoms can often keep you from getting the sleep you need. One way to give your body the break it needs is to effectively manage symptoms. A hacking cough is a common symptom that can be painful and disrupt your sleep. Consider an option like Mucinex DM 12-Hour, a cough suppresent which relieves chest congestion and thins and loosens mucus, giving you an extended reprieve. It’s clinically proven to last up to 12 hours, provides relief for chest congestion and makes coughs more productive.
Prevent Spread
Getting sick may be beyond your complete control, but you can take steps to protect others from germs when you’re feeling ill.
- Keep germs to yourself. Washing your hands often, covering your nose and mouth with a tissue when you cough or sneeze and sneezing into your elbow if you don’t have a tissue are simple ways you can limit the spread of germs, especially within your home or workspace. Frequently wiping down high-touch surfaces can also help reduce the spread of germs.
- Skip socializing. If you’re feeling under the weather, stay home. Even a mild cold can easily spread, and an illness that affects you mildly could cause significant distress for someone else. Avoid unnecessary errands and take advantage of services like curbside pickup if you must get out. Also check with your employer about working remotely if you’re up to it.
Cold vs. Flu
There’s a lot of overlap between cold and flu symptoms, so it can be tricky to figure out whether the bug you’re fighting is a cold or influenza and how to tackle it.
While both the common cold and the flu are respiratory illnesses, they are not caused by the same viruses. Although colds are inconvenient, they are far less likely to develop into anything more serious, as the flu can.
What is a Cold?
Generally, colds are milder than the flu, and more likely to cause runny or stuffy noses (while the flu can cause stuffy or runny noses, it’s less likely to do so). You won’t feel good, but you’ll probably be able to do some or all of your daily tasks. The flu typically hits harder, making it difficult to go to work or follow your usual routine.
What is the Flu?
The flu often feels worse than a cold; you might experience the same symptoms but amplified. The flu comes with more pain and fever than a cold. Common flu symptoms include sore throat, chills, fever, runny or stuffy nose, muscle fatigue or aches and headaches. The flu can also develop into more serious conditions and complications, making it more dangerous than the average cold. While the common cold is rarely serious, the flu can be dangerous for young children, the elderly, pregnant women and people with compromised immune systems.
Treating a Cold vs. Flu
You can be vaccinated against the flu. There is no such vaccine for common colds. If your provider recommends it, getting the flu vaccine each year can go a long way toward preventing sickness.
Whether you have a cold or the flu, symptom relief is largely the same. Get plenty of rest, drink plenty of fluids and take over-the-counter medicines to relieve symptoms. Stay home to avoid spreading sickness. Wash your hands frequently and cover your mouth when you cough or sneeze.
Watch for shortness of breath, chest or abdomen pain, confusion, sudden dizziness, severe or persistent vomiting and flu symptoms that improve then return with fever and worse cough. If you experience any of these symptoms, consult a doctor.
Find more ways to stay healthy and limit symptoms by visiting Mucinex.com.
Health
5 Tips For Proper Oral Care
It’s crucial that you practice proper oral care, by following these habits.

They’re incredibly important, yet so many people take them for granted—our teeth. A healthy smile is an important part of your overall health since your teeth are such an important and useful part of your body.
It’s crucial that you practice proper oral care, by following these habits.

Always Brush Before Bed
Dentists recommend brushing your teeth three times a day to ensure you remove harmful buildup. However, not everyone manages to make it to three, which isn’t the end of the world. Yet, if there’s one of these three brushing times that you absolutely can’t get away with skipping, it’s nighttime.
At night, your teeth have all of the food that you ate throughout the day, and also germs that cause bad breath. When you go to bed without brushing you’re allowing all of that to sit on your teeth for the duration of however long you sleep, which is usually about 8 hours. Yuck!

Visit Your Dentist
Brushing your teeth daily is already a great step towards overall tooth health. However, there are some things that a toothbrush simply can’t do. It’s important that you see a dentist regularly to get cleanings and address dental issues.
Sometimes despite our best efforts to brush, we still develop cavities. Unfortunately, this is just the way things are. A dentist can help us identify these cavities, and fill them as soon as possible so they don’t turn into something more serious like a root canal.

Floss
Despite having the best toothbrush on the market, there are crevices and cracks in your mouth that even the best toothbrush can’t touch. In addition to brushing, you should make sure that you floss.
Flossing won’t just reduce your risk of developing cavities, but it can significantly improve your breath. There are all sorts of germs and bacteria lurking in between your teeth, and flossing can get rid of that. If you notice that your breath still isn’t entirely fresh even after brushing, then pull out the floss and you’ll notice a big difference.

Avoid Sugar
There are plenty of things that are less than ideal for your health. However, most health professionals agree that one of the worst things for you is sugar and your dentist feels the same. The less sugar you eat, the healthier your teeth will be, as sugar eats away at your tooth enamel.
If you do eat sugar, make sure that you brush your teeth after. One of the worst things you can do is eat sticky candy which leaves behind residue on your teeth and is the perfect recipe for cavities.

Avoid Acidic Foods
In addition to sugary foods, acidic foods are also your teeth’s worst enemy. From coffee to citrus fruits, limit the number of acidic beverages and foods you consume, and your tooth enamel will greatly thank you for it!
Health
Tips for walking 20,000 steps a day
To walk 20,000 steps a day you’ll need to cover a total of 10 miles. This may seem like a lot, but it’s actually not as difficult as it sounds.

To walk 20,000 steps a day you’ll need to cover a total of 10 miles. This may seem like a lot, but it’s actually not as difficult as it sounds. Here are a few tips to help you reach your goal:
Invest in a Good Pair of Shoes
The first step to walking 20,000 steps a day is to make sure you have the right equipment. Investing in a good pair of walking shoes will help to prevent blisters and injuries, and make the walk more comfortable overall.
Make Walking Part of Your Daily Routine
To reach your 10-mile goal every day, make walking a part of your daily routine. This might mean taking the stairs at work instead of the elevator, or parking farther away from where you’re going so that you have to walk more. You can also try waking up a few minutes earlier each morning to fit in a walk before you start your day.
Join a Walking Group
If you’re having trouble finding time to fit in 10 miles each day, consider joining a walking group or taking part in a local 5k race. This will help keep you motivated and provide social support along the way.
Start Small
Don’t try to walk 20,000 steps all at once. Start with a smaller goal, such as 5,000 steps per day, and gradually increase your mileage as you become more fit. This will help you avoid injury and burnout.
Stay Hydrated
Make sure to stay hydrated while walking by drinking plenty of water throughout the day. This will help you feel more energized and prevent dehydration-related issues, such as muscle cramps or fatigue.
The Bottom Line – BetterMe Can Help You Walk More, Every Day
If you’re looking to improve your overall health, walking 20,000 steps a day can help. This simple form of exercise offers a host of health benefits, from improved sleep and digestion to reduced stress and anxiety. To reach your goal, use the BetterMe Blog as a guide and stay committed every day. With enough dedication, you can achieve your fitness goals and transform your body for the better.
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