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Posted: 7/5/2022 12:14:22 PM EDT
[#1]
Quote HistoryQuoted: the training switches for babies. first they were saying one on the front one on the back. last time I think they said they don't recommend it at all. just cpr methods for toddlers. AED use on infants is still advised IF no trained rescuer is available with a manual defib unit. There are adult pads, and ped pads. The ped pads use lower energy, but you can use adult pads on infant+ in emergency. If the victim is too small to get separation between the two pads across their chest, put one on chest, one on back. |
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Posted: 7/5/2022 12:16:44 PM EDT
[#2]
Quote HistoryQuoted: I've gotten the AED function on a LP15 to shock by waving the pads (stuck to each other) enough to simulate VF. There was a loud bang, some smoke, and a bright flash. I don't recommend anyone repeat my little experiment. Edit: loud, not long  |
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Posted: 7/5/2022 12:19:41 PM EDT
[#3]
Quote HistoryQuoted: I see females do quality compressions, and I see big guys do shitty ones. I stand by my statement. Quote HistoryQuoted: Quoted: I train mostly strong healthy men in a physical industry and for the first time trained an office intern last week. Awesome young lady and a high school and collegiate wrestler so physically fit but I doubt she weighed 115. No matter how hard she tried she struggled to get proper depth. Had to get her weight perfectly centered over the dummy's chest and it still was barely enough to drive the clicker down all the way to the click. I see females do quality compressions, and I see big guys do shitty ones. I stand by my statement. No argument that technique matters most. Just a commentary that small people have to have perfect technique whereas a 180 pound strong man can be a little sloppy and still get it done. |
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Posted: 7/5/2022 1:54:27 PM EDT
[#4]
Quote HistoryQuoted: I've gotten the AED function on a LP15 to shock by waving the pads (stuck to each other) enough to simulate VF. There was a loud bang, some smoke, and a bright flash. I don't recommend anyone repeat my little experiment. Edit: loud, not long |
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Posted: 7/5/2022 2:55:15 PM EDT
[#5]
Quote HistoryQuoted: @FrankSymptoms look up the bicameral mind theory. Quote HistoryQuoted: @FrankSymptoms look up the bicameral mind theory. Bicameral mentality is a hypothesis in psychology and neuroscience which argues that the human mind once operated in a state in which cognitive functions were divided between one part of the brain which appears to be "speaking", and a second part which listens and obeys—a bicameral mind, and that the evolutionary breakdown of this division gave rise to consciousness in humans. Interesting! I'll pursue this further. Thanks! The weird thing was that the voice was just as real as could be- I thought it was my brother speaking. It sounded like it came from just behind me. |
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Posted: 7/5/2022 3:06:36 PM EDT
[#6]
I've done cpr 4 times I think. The first time I was alone with a family member freaking out next to me and it was a large man. Our ems was busy so it took about 20 minutes for another ambulance to get there. It was a long time to do cpr.
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Posted: 7/5/2022 3:13:32 PM EDT
[#7]
As someone else said, the hardest part for someone not on a monitor is realizing that life saving measures need to be initiated. CPR sucks but it works. Global rates of ROSC have increased and it directly related to bystander knowledge....but AED is still delivering the best chance statistically for ROSC.
I don't understand why the kids learn about the number "i" or playing the recorder...but kids don't learn BLS, taxes, or about saving for retirement. |
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Posted: 7/5/2022 3:16:55 PM EDT
[#8]
Quote HistoryQuoted: What machine is that? Quote HistoryQuoted: Quoted: Quoted: I sat through a CPR/AED refresher yesterday and no one in the room, myself included, had ever given CPR or used an AED in an actual time of need. While that's good, it got me wondering how well the training prepares one for the actual event. I know we have a lot of first responders, what's yalls take? What is the training lacking? If your buddy is really dying will I really ask for a pocket mask, or is that for strangers only? The machine will break ribs. They're kinda a last resort. What machine is that?   I guess that's what he's talking about. |
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Posted: 7/5/2022 3:25:57 PM EDT
[#9]
Watching a Lucas work on a patient is pretty cool.
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Posted: 7/5/2022 3:26:00 PM EDT
[#10]
I've never seen this demonstrated.
 Using a bag valve mask BVM |
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Posted: 7/5/2022 3:42:30 PM EDT
[#11]
Quote HistoryQuoted: https://i.dailymail.co.uk/i/pix/2016/04/20/05/3359294E00000578-0-image-a-81_1461126136407.jpg https://www.cprseattle.com/images/content/mechanical-cpr-devices.jpg I guess that's what he's talking about. |
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Posted: 7/5/2022 4:08:07 PM EDT
[#12]
Quote HistoryBVMs are great if used correctly. They are practically a manual ventilator on a wide swath of patients. Doesn't work great in all cases. It's important to note if you're using it on a smaller patient that their lungs don't need and can't handle full "breaths". |
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Posted: 7/5/2022 4:48:46 PM EDT
[#13]
Quote HistoryFor the layman, I'd just use a pocket mask. A BVM can be tricky if you don't practice with them, especially if you're trying to use it in one rescuer CPR. |
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Posted: 7/5/2022 7:47:23 PM EDT
[#14]
Quote HistoryQuoted: For the layman, I'd just use a pocket mask. A BVM can be tricky if you don't practice with them, especially if you're trying to use it in one rescuer CPR. Yes. It takes anesthesia residents months to learn a proper grip and masking, pressure, etc. Unexperienced people often use too large of breaths, too frequent breaths, and do not lift the jaw adequately. All of this increases the risk of aspiration on a patient already considered a full stomach. Then again, using a mask is difficult as well. I'm not saying breaths are not important, but circulation is key. We reguarly do CPR in the OR and it changes your "vigor" when you see how poor your compressions are when watching an arterial line waveform. |
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Posted: 7/5/2022 8:20:18 PM EDT
[#15]
Any of ya'll old fuckers remember the precordial thump? I saw it work once but he ended up ART
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Posted: 7/6/2022 12:24:53 PM EDT
[#16]
Quote HistoryQuoted: Any of ya'll old fuckers remember the precordial thump? I saw it work once but he ended up ART I've never seen it work but I've seen it tried and I've tried it myself. |
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Posted: 7/6/2022 1:34:46 PM EDT
[#17]
Quote HistoryQuoted: Any of ya'll old fuckers remember the precordial thump? I saw it work once but he ended up ART My mom was an ICU nurse, and she once saw a patient starting to go into a bad rhythm. She thumped the guy and managed to cardiovert him. She said it only worked because she caught it right as it started. |
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Posted: 7/6/2022 6:41:07 PM EDT
[#18]
Quote HistoryQuoted: I've never seen it work but I've seen it tried and I've tried it myself. Quote HistoryQuoted: Quoted: Any of ya'll old fuckers remember the precordial thump? I saw it work once but he ended up ART I've never seen it work but I've seen it tried and I've tried it myself. Is that the hard punch prior to compressions? I heard it went out with the Vietnam war. |
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Posted: 7/6/2022 7:04:35 PM EDT
[#19]
Quote HistoryQuoted: Any of ya'll old fuckers remember the precordial thump? I saw it work once but he ended up ART |
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Posted: 7/6/2022 8:15:19 PM EDT
[#20]
Quote HistoryQuoted: I had an intern do it once when I brought in a patient already in arrest - he yelled "CODE" and punched my patient - everyone just stopped and looked at him like "WTF" for a second, and then went about doing real medicine. That was real medicine back in the day 
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Posted: 7/6/2022 8:16:11 PM EDT
[#21]
Quote HistoryQuoted: Is that the hard punch prior to compressions? I heard it went out with the Vietnam war. It was taught when I took BLS in the 90s. I've also used Mast trousers so.... |
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Posted: 7/7/2022 1:44:17 AM EDT
[#22]
Quote HistoryQuoted: It was taught when I took BLS in the 90s. I've also used Mast trousers so.... Quote HistoryQuoted: Quoted: Is that the hard punch prior to compressions? I heard it went out with the Vietnam war. It was taught when I took BLS in the 90s. I've also used Mast trousers so.... My first day as a new emt I got tasked with removing the mast pants of all the trucks. Memories. |
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Posted: 7/7/2022 2:29:42 AM EDT
[#23]
We were doing our annual CPR cert and they had training AED's. You took them out of the case and stuck them on the dummy and it made all the sounds and stuff but it didn't charge or send a zap. These particular ones talked in various selectable languages. Unfortunately, one had gotten stuck and would only talk in Polish! We didn't use that one.
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Posted: 7/7/2022 2:35:22 AM EDT
[#24]
The AED is easy. The chest hair you have to shave off (so much hair) during chest compressions is a bit of a pain. The dip of snuff that blocked his airway was the icing on the cake.
He didn't make it, but he would have died if already cut open on the OR table. |
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Posted: 7/7/2022 2:41:56 AM EDT
[#25]
Quote HistoryQuoted: It was taught when I took BLS in the 90s. I've also used Mast trousers so.... Quote HistoryQuoted: Quoted: Is that the hard punch prior to compressions? I heard it went out with the Vietnam war. It was taught when I took BLS in the 90s. I've also used Mast trousers so.... Were they still using sand bags as head stabilizers on the longboard back then too? |
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Posted: 7/7/2022 3:11:48 AM EDT
[#26]
0 for 6 in the last 12 months. I haven't done the AED part of a code yet. Usually I am down at the legs getting an IO for meds and fluid resuscitation. Gotten ROSC twice the first time we got it and he brady'd down so we paced him and lost pulses in the ambulance pressed start on the lucas and worked it again the rest of the way (45 min) to the hospital pulled him out and the Doc pronounced in the bay the crappy part of his call was that he had a DNR but the wife was POA and wanted everything done. The second person we got ROSC on my QA manager told me the patient got discharged 4 days later 3 hours later told me the discharge note was unsigned and there was a signed death note.
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Posted: 7/7/2022 10:39:13 AM EDT
[#27]
Quote HistoryQuoted: Is that the hard punch prior to compressions? I heard it went out with the Vietnam war.  The Precordial thump |
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Posted: 7/7/2022 4:50:38 PM EDT
[#28]
Quote HistoryQuoted: Were they still using sand bags as head stabilizers on the longboard back then too? No we used the plastic coated foam blocks that velcro on. We did have sandbags for flail segments tho |
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