“他只是没在除颤器附近。”
![山姆 Noeske died after suffering a cardiac arrest on a camping trip. 他的母亲, 艾米, says that if 山姆 had been near an automated external defibrillator, that might have changed the course for him.](/-/media/Images/Around-the-AHA/Rural-Health-images/North-Dakota/Sam-Noeske_SC.jpg?sc_lang=en)
山谷城市, 北达科他州——2017年, Jerry and 艾米 Noeske's 11-year-old son, 山姆, had a cardiac arrest while camping with family friends. They were about 20 miles from the nearest hospital in Valley City, a town with a population of roughly 6,500.
虽然山姆生来就有先天性心脏缺陷,需要做心脏直视手术, “他就像一个普通的孩子. There weren't any signs that he would go into an arrhythmia,艾米说。, noting he was big for his age and able to participate in sports. 棒球是他的最爱.
为了挽救山姆的生命,他朋友的父亲给他做了心肺复苏术,直到他精疲力竭昏倒. 他13岁的女儿继续进行胸部按压,直到当地急救人员赶到. 没有配备自动体外除颤器的急救设备, 他们用心肺复苏术维持山姆的生命,直到警长出现,用他车上的AED恢复了正常的心律.
By the time Valley City paramedics arrived, nearly 20 minutes after 山姆's cardiac arrest, his heart had gone back into arrhythmia. 虽然他们能够使用AED恢复正常的心律,但沙巴足球体育平台已经过去太久了. After five days in a coma, with his parents by his side, 山姆 died.
当他第一次倒下时, “他只是不在除颤器附近, and that might have changed the course for him,艾米说。.
它会改变你. 它会改变你的整个家庭."
![Baseball was 11-year-old 山姆 Noeske's favorite sport. 他死后, a baseball field was established at a Valley City, 北达科他, elementary school in his memory. (小沃尔特·约翰逊摄./美国心脏协会)](/-/media/Images/Around-the-AHA/Rural-Health-images/North-Dakota/Sam-Noeske_baseball.jpg?sc_lang=en)
山姆's parents are quick to credit the 美国心脏协会. 他们帮助教育农村社区了解心肺复苏术的重要性, 拨款在教堂和图书馆等公共建筑安装除颤器, 并鼓励人们"了解他们的数字."
最初到达山姆现场的第一个救援小组现在配备了AED.
“萨姆死后,很多人说他们要去上心肺复苏术课程,”艾米说. “美国心脏协会是心脏健康和社区对心脏紧急情况准备的重要声音."
美国心脏协会的使命:生命线®计划在这些努力中发挥了无价的作用, 阿拉娜·麦克莱伦说, a close friend of the family and a nurse for more than 30 years. 使命:生命线致力于建立一个全国性的心血管护理互动系统网络.
“美国心脏协会在获得拨款和项目运行方面发挥了重要作用,这样我们就可以改善中风和心脏病发作的护理,麦克莱伦说, director of nursing at the local hospital, 智美健康谷城. She also heads the Cardiac Ready Community advisory committee. 2022年,医院被国家认定为第一家急性心脏病准备医院.
![阿拉娜麦克莱伦, director of nursing at 智美健康谷城, 美国心脏协会的使命:生命线项目为医院的心脏病发作和中风护理提供了至关重要的支持. (小沃尔特·约翰逊摄./美国心脏协会)](/-/media/Images/Around-the-AHA/Rural-Health-images/North-Dakota/Sam-Noeske_McClellan.jpg?sc_lang=en)
使命:生命线在北达科他州的2017-20农村中风护理倡议-包括讲座, 会议, 研讨会, 冲程模拟训练, 在线课程和中风认证项目有助于传播对中风症状的认识, 在国家指导方针的推动下改善中风护理,并促进更快地获得紧急护理. 北达科他州的倡议, and similar efforts in Nebraska, 蒙大拿和爱荷华州, have received support from The Leona M. 和Harry B. 赫尔姆斯利慈善信托基金.
在北达科他州, 在参加“使命:生命线”活动后的两年中,报告知道中风体征和症状的人数增加了20%以上, a 2020年的调查 显示. 超过70%的受访者知道在出现中风症状的第一个迹象时拨打911,这在两年内增加了6个百分点.
除了, 接受调查的近93%的卫生保健专业人员强烈认为,他们对与中风患者有关的关键问题有了更好的了解. 近70%的人强烈同意医院工作人员与急救医疗服务之间的沟通有所改善.
"We review each case to see if something went wrong, so we can improve and make our processes better,麦克莱伦说.
That's especially important in rural areas, 哪里的人死于中风的风险明显高于城市地区.
Research sponsored by the AHA has also yielded significant results. When 马西道森 began working as a flight nurse in 1990, very few people she treated in rural areas survived cardiac events. “一切都是基于证据的。, and (the guidelines) have changed many times through the years,她说. "We are seeing more people survive because of that research."
![马西道森, 谁在高级中风和心脏生命支持技术方面培训护理人员, 美国心脏协会的循证指南正在帮助更多农村地区的人从心脏病沙巴体育平台点击进入中幸存下来. (小沃尔特·约翰逊摄./美国心脏协会)](/-/media/Images/Around-the-AHA/Rural-Health-images/North-Dakota/Sam-Noeske_Marcy-Dawson.jpg?sc_lang=en)
Dawson relies on such research in her current role, as an outreach development specialist, 培训护理人员, 除此之外, advanced stroke and cardiac life support techniques.
杰瑞和艾米·诺斯克一直对当地急救人员的专业知识心存感激.
“如果他们不懂心肺复苏术,我们就没法跟他们说再见了,”艾米说.
向山姆致敬, administrators at the local elementary school established 山姆's Field, 棒球场, complete with an old-time scoreboard and dugouts. 这个紧密联系的社区的人们捐赠了材料和他们的劳动.
虽然杰里承认悲伤永远不会消失,但“这不是一个悲伤的地方,”他说. "It brings a smile when we get here."
![艾米和杰里·诺斯克参观纪念他们儿子山姆的棒球场.](/-/media/Images/Around-the-AHA/Rural-Health-images/North-Dakota/Sam-Noeske_parents.jpg?sc_lang=en)
![山姆·诺斯克牌匾](/-/media/Images/Around-the-AHA/Rural-Health-images/North-Dakota/Sam-Noeske_field.jpg?sc_lang=en)