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#31
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02-17-2014, 05:09 PM
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Re: Drowned Girl Gets CPR
She would have to still have a pulse, you can't restart the heart without serious medical intervention all CPR does is take over pushing blood around until help arrives and if the hearts stopped the chance of restarting it gets depressingly minute after 7 minutes. She was very lucky. It is possible to bring people back to breathing themselves by CPR but again its a slim chance without medical help. The heart massage was helping to clear the lungs of water. The twat pouring water on her face...not good wipe it off! New advice now is the hands only approach and just do chest compressions. Air is drawn in and out via compressions (like bellows).
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#33
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02-20-2014, 02:19 PM
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| My Rank: CORPORAL Poster Rank:1693 Join Date: May 2009 Posts: 316 Mentioned: 0 Post(s) Quoted: 74 Post(s)
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Re: Drowned Girl Gets CPR
No pulse is necessary for CPR to work. As a Firefighter/EMT, I have worked many arrests, and the ones that make it, get early, aggressive CPR by those on scene before we ever get there. The vast majority of patients will not have a pulse when CPR is started. The rare exception to that would be a patient with a heart rate too low to sustain life. Those patients would receive the same CPR as well. I am also a CPR instructor, and would say that the quality of compressions was right on the money as well. Hard and fast, about 100 per minute without stopping. They should be about a third of the depth of the chest, usually about 3 inches or so for an average adult, less for kids. The compressions passively move enough air to supply the lungs with oxygen. If you have a second rescuer, they can provide rescue breaths between compressions. Just make sure the compressions don't stop. Remember, the heart is a pump that requires priming. Any time compressions stop for more than just a handful of seconds, the heart needs to be primed again before the blood can start circulating. Singing the old Beegees tune stayin' alive (in your head) is an easy way to keep the right rate and rhythm. Another one bites the dust has just about the same tempo, though it is frowned upon to teach it that way. I once got caught by a medic on scene with a smirk on my face while I was doing compressions. Seems I was singing the wrong song in my head. |
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#34
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02-20-2014, 02:25 PM
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| My Rank: CORPORAL Poster Rank:1693 Join Date: May 2009 Posts: 316 Mentioned: 0 Post(s) Quoted: 74 Post(s)
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Re: Drowned Girl Gets CPR
Forgot to mention the rate for a second rescuer providing breaths for the patient. They should be about 8-10 per minute, about every 13 compressions. Watch for chest rise to show adequate air volume.
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#38
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04-30-2014, 11:48 AM
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| The Candyman With the Windowless Van Poster Rank:142 Join Date: Oct 2012 Posts: 11,506 Mentioned: 32 Post(s) Quoted: 6108 Post(s)
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Re: Drowned Girl Gets CPR
I'm not disputing anything you say, as a professional, but I just want to note that the guidelines have changed quite a bit through the years. When I learned CPR in the Air Force in the 1960's it was an 8 to 2 ratio (8 compressions followed by 2 mouth-to-mouth breaths. Then, later on in civilian life I took a course where they taught us to do three sets of 5 compressions followed by 2 breaths. I am wondering what is the basis for the various changes. I mean, one can't go back and do studies that show how many more people (if any) would have survived using each new and revised method as compared to the 1960's approach, so how does one determine which method is better?
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#39
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04-30-2014, 05:47 PM
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| So Fucking Banned Poster Rank:785 Male Join Date: Sep 2009 Posts: 1,005 Mentioned: 1 Post(s) Quoted: 114 Post(s)
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Re: Drowned Girl Gets CPR
We have this rule in EMS that no one is dead until they're warm and dead. Goes with drowned victims too, as they're usually cold when you bring them out of the water. Lucky girl.
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