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#43
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05-23-2014, 07:22 AM
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| The Candyman With the Windowless Van Poster Rank:143 Join Date: Oct 2012 Posts: 11,506 Mentioned: 32 Post(s) Quoted: 6108 Post(s)
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Re: Drowned Girl Gets CPR
No way to know. It's not as simple as figuring the time involved. People have been revived with no brain damage who have been underwater for 45 minutes or more. The water temperature is a key factor. Cold water slows down bodily metabolic processes with the result that much less oxygen is needed to keep the person alive. Hence the long survival times sometimes found in cold water near drowning cases. Without knowing the water temperature, it is useless to speculate on whether or not she suffered brain damage.
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#46
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05-25-2014, 02:28 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
You are absolutely correct. Guidelines have been changed many times over the years to reflect any advances in knowledge made in the medical community. The American Heart Association updates their ACLS (Advanced Cardiac Life Support) guidelines every 5 years. Here's a good example. The 2010 ACLS criteria states that first responders are to do compressions and rescue breaths at a rate of 30:2 until a definitive airway has been placed (E/T tube, King, LMA), and then change to continuous compressions after that. However, the most recent BLS (Basic Life Support) CPR instructions are to do continuous compressions from the start. The 2015 ACLS guidelines are expected to include this change. While it is not wrong to do the 30:2 method, it is still advised to stick with continuous compressions. I second OneSkiWonder's statement about not being dead until they're warm and dead. The body's metabolism slows drastically with just a few degrees reduction in core temperature. Slower metabolism, less oxygen demand. Decreased oxygen demand, fewer dead brain cells. |