Onboard Defibrillator

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I would think quite a few, especially if some specialised first aid is available. MCI's are not always fatal, even if treatment isn't available immediately. Having said, getting treatment as fast as possible is obviously essential - basically your heart is no longer working properly if you've had an MCI. If nothing else a defibrillator will reassure that your heart is beating normally after severe chest pain (which can be caused by lots of things). If you know your at risk your mind can play tricks whether it' really indigestion/wind or even just you feeling a bit off. anything that makes you feel more comfortable is good. Not only that but most boats spend a surprisingly small amount of time a long way from help. I would guess most boats spend pretty much all their time within a few hours of a helicopter ride to hospital. Having a defib available on a yacht could easily save a life. For someone who is at risk I would say it's more likely to save him on his boat than a liferaft.
The issue is that someone has an infarct and goes into VF- a shockable rhythm. You shock them out of it. Great! They MIGHT survive from there on in. Some did in the days before re-vascularisation (i.e. stenting) but you really do need then to be in an acute hospital asap for stent insertion. Being on a yacht halfway to Cherbourg is not good. BTW, last time I checked (which was c 8 years ago) they weren't able to offer such a service on Newport IOW; you need to get airlifted to Soton Gen. I'd like to see some real figures. They may not have been collectedd I guess. I suppose that if one spends c5% of one's time during a year, on a boat, the likelihood of being afloat when an attack strikes is, well, c 5%.
 

grumpy_o_g

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It occurs to me that this would be a good subject for the mods to take note of and maybe do an article on. Get a cardiologist who actually sails his or herself to give their professional opinion, look at how quickly someone could be recovered from the various parts of the more common sailing areas, look at what defibs are available, there limitations on a boat, what other first aid is available, etc.
 

Zing

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Er, nope. It's largely hypertension, lipids, smoking before diet comes in.
Oh yes it is. Essentially.

Elevated problematic lipids and hypertension are not causes, they are markers of disease and are mainly caused by diet.

Sure, smoking is a factor, as are alcohol, drugs, infection,pollution, toxins, stress and others too.

Heart attack was an extremely rare cause of death for those lucky enough to live to be over 50 in the late 1800s. Not so now. It is the number one killer and its incidence has relentlessly gone up in spite of reduced smoking and pollution and all the best health advice we are given.
 
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Oh yes it is. Essentially.

Elevated problematic lipids and hypertension are not causes, they are markers of disease and are mainly caused by diet.

Sure, smoking is a factor, as are alcohol, drugs, infection,pollution, toxins, stress and others too.

Heart attack was an extremely rare cause of death for those lucky enough to live to be over 50 in the late 1800s. Not so now. It is the number one killer and its incidence has relentlessly gone up in spite of reduced smoking and pollution and all the best health advice we are given. Ever heard of Diabetes too?
Oh no it isn't How does UK’s acute myocardial infarction mortality rate compare internationally over time?
 

lustyd

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The sad thing is that nobody actually knows. The medical community are so unwilling to admit a lack of understanding that we're probably hundreds of years behind where we could have been. The vast majority of the population believe the heart is a pump making blood flow around the body, while any plumber could demonstrate why that can't be the case so the masses are clearly not qualified or educated enough to debate such topics in the first place. The sheer quantity of "information" is ridiculous, and all of it is contradictory so by definition the vast majority of information on the subject is incorrect. There's a great book, "Black box thinking" comparing medicine to aerospace and the contrast is stark. Aeroplanes are extremely safe because ego was taken out of that system decades ago and mistakes are considered facts to be investigated. To those bickering about causes above, I suggest reading the book.
 

Stemar

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Aeroplanes are extremely safe because ego was taken out of that system decades ago and mistakes are considered facts to be investigated. To those bickering about causes above, I suggest reading the book.
Aeroplanes also tend not to have a load of people arguing the aerodynamics and structural engineering don't exist or are government conspiracies.
 

lustyd

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Aeroplanes also tend not to have a load of people arguing the aerodynamics and structural engineering don't exist or are government conspiracies.
Not sure what your point is, but you probably need to read the book judging by that response.
 

Zing

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lustyd

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improving thanks to the wonders of stents, by-pass operations, drugs
Of course, some might say that these medieval techniques are diverting attention away from finding better options. Until the medical community evolves away from the knife being option 1 we'll make no progress at all. We could also do with moving away from the idea that more days on the planet is the ultimate goal, rather than more life.
 

Stemar

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I don't disagree, but those medieval techniques saved my life and gave me both more life and more days. They told my wife, "He isn't well enough to operate, and he may not survive, but if we don't he certainly won't survive."

Spoiler: He survived to sail again - and end up buying another project, which goes to show that open heart surgery does nothing for one's common sense, or lack thereof
 

Chris_Robb

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I don't disagree, but those medieval techniques saved my life and gave me both more life and more days. They told my wife, "He isn't well enough to operate, and he may not survive, but if we don't he certainly won't survive."

Spoiler: He survived to sail again - and end up buying another project, which goes to show that open heart surgery does nothing for one's common sense, or lack thereof
In the process of selling my Oceanlord - Heart issues for the electrical department: Ventricle Arrhythmias - VTs etc - Had one Ventricular Ablation, partially successful and about to have another at Harefield.
Her in Doors wont let me sail in Greece anymore - so the inevitable result - so deciding to quick before I am a statistic. Oh joy - no more dealing with the bloody AADE in Greece!
 
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