CPR Basics [edited]

Posted: January 29, 2012 in film
Tags: , ,

    Video under 2 minutes How to do CPR on an adult.

    NOTE: This addresses adult CPR.

    From CDC is a statement about one of the major changes in current CPR practice:

    From CDC:

    “Out-of-hospital cardiac arrest (OHCA) is a leading cause of death among adults in the United States. Approximately 300,000 OHCA events occur each year in the United States; approximately 92% of persons who experience an OHCA die (1). An OHCA is defined as cessation of cardiac mechanical activity that is confirmed by absence of signs of circulation and that occurs outside of a hospital setting (1,2). While an OHCA can occur from multiple causes (i.e., trauma, drowning, overdose, asphyxia, electrocution, primary respiratory arrests and other noncardiac etiologies), the most (70%–85%) of such events have a cardiac etiology (3–6).”

    Please take a moment to view the video. Cardiac arrest is most commonly due to a cardiac-related event, but it can also be caused by trauma, ingested substances or a variety of other issues. A witnessed cardiac arrest can increase survival chances.

    Disclaimer: I am not a physician, nor do I represent the AHA, CDC or any other organization. I do have CPR and ACLS experience. I welcome feedback and shared experiences.

    Here are some steps to take. These steps may not be in the order that you would first consider.

    1. CALL 911 or call for help, and do not endanger your life, ie, enter a burning building.

    2. The guidelines are now C-A-B and not A-B-C. Circulation is the first priority. Airway clearance is next, then breathing facilitation. In other words, chest compressions and blood circulation is now the evidence-based first-response standard of practice.

    These guidelines are from wiki, and are American Heart Association based
    : Read the section!

    1. Check the scene for danger, but if you cannot remove the danger, carefully remove the victim form the danger.


    A few things need to be added here. [hat tip cmaukonen]

    First if the situation is do to electrical shock, DO NOT TRY TO MOVE THE VICTIM OR TOUCH THE VICTIM UNLESS YOU ARE SURE THE VICTIM IS NO LONGER IN CONTACT WITH THE SOURCE OF THE ELECTRICITY.

    Check out the area completely ! Make sure the area is not wet. Water conducts electricity fairly well.

    If the area is dry, then attempt to locate a non-conductive pole, either wood or plastic that is dry and attempt to move the source of electricity. And kill it at a main circuit breaker if possible.

    Remember it’s the current that kills !

    2. Check the victim for consciousness: “Can you hear me?” or “Annie, Annie (or whatever the name) can you hear me?”

    3. Call 911 in North America, 000 in Australia, 112 by cell phone in the EU (including the UK) and 999 in the UK. CALL FOR HELP.

    4.Check the victim’s pulse. Do not spend check for more than 10 seconds, attempting to find a pulse. If the victim does not have a pulse, continue with CPR and the next steps. Please read manual.

    5. Perform CPR for one minute (which is about three cycles of CPR) and then call the EMS before resuming with CPR. If possible, send someone else to get an AED (Automatic External Defibrillator) if there is one in the building. CPR=chest compressions.

    6.Remember CAB: Chest Compressions, Airway, Breathing. In 2010, the AHA changed the recommended sequence to deliver chest compressions before airway opening and rescue breathing

    Steps 7-11 in wikihow detail how to do the chest compressions.

    Here is the site again:
    http://www.wikihow.com/Do-CPR-on-an-Adult

    It is good to be up-to-date, because the American Heart Association makes changes to CPR every five years or so, and the changes are evidence, study, and data-based.

    From wiki:

    “Classification

    (added by author: AED- automatic defibrillator device- will examine the patient’s rhythm, and verbally tell the person performing advanced resuscitation when to shock, based on the rhythm.)

    Cardiac arrest is classified into “shockable” versus “non–shockable”, based upon the ECG rhythm. The two shockable rhythms are ventricular fibrillation and pulseless ventricular tachycardia while the two non–shockable rhythms are asystole and pulseless electrical activity. This refers to whether a particular class of disrhythmia is treatable using defibrillation.[7]
    [edit]Signs and symptoms

    Cardiac arrest is an abrupt cessation of pump function in the heart (as evidenced by the absence of a palpable pulse). Prompt intervention can usually reverse a cardiac arrest, but without such intervention it will almost always lead to death.[1] In certain cases, it is an expected outcome to a serious illness.[8]
    However, due to inadequate cerebral perfusion, the patient will be unconscious and will have stopped breathing. The main diagnostic criterion to diagnose a cardiac arrest, (as opposed to respiratory arrest which shares many of the same features), is lack of circulation, however there are a number of ways of determining this. Near death experiences are reported by 10-20% of people who survived cardiac arrest.[9]”

    I thought it would be nice to do something akin to a ‘See-One-Do-One-Teach-One’ series of helpful topics for the lay public.

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Comments
  1. ed nelson says:

    [“It is good to be up-to-date, because the American Heart Association makes changes to CPR every five years or so, and the changes are evidence, study, and data-based.”]

    This is valuable , something that will probably save a life or two, the excerpt is true, I took a course in CPR 25 years ago, and then, I was “unlearning a lot of what we had from school, or in particular the Scouting. E.g., about tournequits: never should they be put on and let off to give sporadic amounts of rescirculation of blood to the ( limb/under work for blood loss restriction,) because it can cause toxic shock, because of changes in the blood.

    We had always heard that ever so often, let some blood flow to keep the tissues alive, but the danger is such, that a tournequit is like a last resort behind “direct pressure” put a piece of visqueen or paper or piece of cloth, and press or wrap it tight, we had a guy on the waterfront, who was always a crack worker, but he went to the Shipclerks, and stepped the wrong way, a machine with about 9 foot diameter tires, ran over his leg… spit out pieces of his leg bones and he lay there bleeding but another good ole guy, took off his belt and put on a tournequit and saved him, That guy Roy, was sort of humble and quiet, but he was hero to his “countryman” that day.

    Another part of this stuff is, if you are on the scene, and then others arrive, so who is “going to take control of it? who is the “leader” pro tem” or… is one ready to put out on a whim what will be
    a problem?…. most just drive on, some few call 911, I really admire those who will get involved and do something right. But the odds are stacked against that in these times.

    Thankyou for your work,

    it matters.

    EN

    • Really, really excellent comment here! ‘Too many chiefs, not enough indians.’ A common issue, very good point. Great comment, thank you! Our very best to you, and we need more of this good info out there.

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