Author Topic: Remembering Life Saving concepts  (Read 361 times)

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Remembering Life Saving concepts
« on: December 26, 2010, 03:44:36 AM »
I had CPR training on three separate occasions (e.g. during high school, military service, and training as a Water Safety Instructor) all of which were 35-40 years ago (+/-).  I have forgotten the number of breaths dispersed between the number of heartbeats given during Artificial Resuscitation (AR).  This is vital information that is not often "advertised". 

I remember the procedures, rhythm and feel of AR on the anatomical dummy and by good fortune have not had to use CPR on anyone.  Still, I would like to remember the breaths per minute to distribute between the heartbeats.  I have a ratio in mind but I am unsure and detest stating any but the correct distribution.

Not long ago I watched a B/W Classic movie (circa 1940's) where they used the Back-Pressure Arm Lift Method for a drowning victim (who recovered).  I remember being taught that too.  Never again.  We've learned so much since then.

Today, many Public Places have heart defibrillators, but I question the percentage of the General Public who are properly TRAINED in their use?  Not too prevalent I assume.  Reading the instruction during an emergency is a good way to watch a life fade away.

The Heimlich maneuver is one for EVERYONE to know.  Know the signs of distress in another and take it seriously as it might be YOU who needs to perform in an emergency. 


Offline magooch

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Re: Remembering Life Saving concepts
« Reply #1 on: December 26, 2010, 04:10:15 AM »
Excellent topic.  You would probably be quite surprised by the latest thinking about CPR.  The last I heard on the subject was that what really counts is chest compressions and not so much about mouth to mouth breathing.  Of course that is after you determine that the heart has actually stopped.  Don't take that as gospel, because I can't even remember where I saw that.

I am one who has performed CPR on a victim and from that experience and what is stressed in training, it still is most important to get help if it is at all possible, before you begin CPR.  You will not be able to sustain any proceedure by yourself if the victim doesn't respond readily.  Perhaps the one greatest thing about the ubiquitous cell phone is that it has made it easier and more possible to make all of this happen.  I guess that makes it (cell phone) the number one first aid tool.
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Offline JRiddle

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Re: Remembering Life Saving concepts
« Reply #2 on: December 26, 2010, 04:38:15 AM »
As an ex-paramedic, I've had to perform cpr umpteen dozens of times, and also taken patients into my care that had cpr initiated prior to my arrival.  I think that cpr and the Heimlich maneuver are two things that everyone should be able to do, as I've seen it make the difference between life and death many times.  Here's a basic overview of the current suggested cpr technique.
http://depts.washington.edu/learncpr/quickcpr.html
If you'd like a full blown refresher class you can go to the American Heart Assoc. web page, and do a search for upcoming classes in your area.
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Offline Brett

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Re: Remembering Life Saving concepts
« Reply #3 on: December 26, 2010, 07:47:50 AM »
Yup, CPR is one of those things we should all know.  Other basic emergency care procedures we should all be knowledgeable in include how to stop bleeding by applying pressure. How and when to use a tourniquet properly.  How to immobilize a broken limb. We should know basic basic self fire rescue techniques.  Everyone of us should be able to swim at least the length of an Olympic sized pool.  We should all know basic water rescue techniques. 


I don't know how many times I have heard or read about a parent, sibling or friend who just cradled a dying person in their arms while they slowly bled to death, waiting for help to arrive.  I always wonder if that person would still be alive if the person with them had only known how to stop or at least slow the bleeding.

Not only should we know these things but we should be passing this knowledge along to our kids.  The life they save may be our own.
       
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Offline squirrellluck

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Re: Remembering Life Saving concepts
« Reply #4 on: December 26, 2010, 08:14:36 AM »
Last time I took cpr it was 15 comp to 1 breath if memory serves but that was 4 years ago. I think 33 years ago when I first took cpr it was either 3 or 5 to 1.

Offline mechanic

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Re: Remembering Life Saving concepts
« Reply #5 on: December 26, 2010, 09:28:18 AM »
It changes from year to year and based on who is teaching.  The "newest and geatest" method is hands only cpr....no breaths.

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Offline Brett

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Re: Remembering Life Saving concepts
« Reply #6 on: December 26, 2010, 11:39:05 AM »
It changes from year to year and based on who is teaching.  The "newest and geatest" method is hands only cpr....no breaths.



Now that you mention it I remember reading that just recently.  The article stated that done right the chest compressions move enough air that the breaths are not necessary and that it is more important to keep the blood moving (all the oxygen in the world wont help if it is not circulated to the brain.)
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Offline Sourdough

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Re: Remembering Life Saving concepts
« Reply #7 on: December 26, 2010, 12:30:07 PM »
Working in base housing on the nightshift I was dispatched out of the fire station.  I carried a Fire station radio, and recieved all the calls they did, and I had to respond when they did in the event they needede me to turn off power, water, or some other system.  Many times they would recieve an emergency call for someone not breathing, and I would all ready be in the immediate area.  I would arrive within a few minutes or less.  Two to three minutes ahead of the EMTs.  I was kept abreast of the latest things to do and immediately went into what ever action was needed. 

Babies with tiny items in their throats was a big one for me.  I usually had the item out before the EMTs got there.

Sky has performed the Heimlich manover on me once, then once I was choking and was alone.  I remember being told by an instructor about the self iniation of the Heimlich manuver.  I went to a chair and threw myself across the back real hard, forcing my midsection to compress.  The piece of hard candy came loose, and I spit it out.

One thing important is to get family members out of the way, they usually are not reliable to help, especially with a baby.  While you use less force with an infant, family members are too afraid of hurting the child to get the job done.

I have to relate one story:  One night the EMTs had tried the Heimlich manuver repeatedly on a morbidly obesse lady.  They were to the point of giving up.  The chief finally had them drag her to the stairs and aim her head downward.  We slid her to where her entire body was on the stairs, with her hips being held in place by several guys holding her legs.  The chief then had me turn around and fall sitting down on her back.  It worked, she survived.  She had sore ribs for a few days, but she thanked me later.
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Offline hillbill

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Re: Remembering Life Saving concepts
« Reply #8 on: December 26, 2010, 12:40:10 PM »
i would guess the pressure involved in chest compressions would vary between a skinny 10 yr old kid and a large obese adult?how do you gauge that?