Yes its been changed again
D angers - critical for patient and rescuer safety
R esponse
S end for help
A irway
B reathing
C irculation
D efibrillation
Everyone should know this and its easy to keep simple
Simple fact is just start compressions after you have identified that it is safe to touch the patient, and they are not breathing or do NOT have a pulse.
Always check the carotid pulse, patients who may have had a vagal fainting episode or a heart rythym disturbance may not have a strong enough blood pressure or pulse to feel at the wrist.
If they are breathing then into recovery position.
If non breathing and no pulse just start jumping up and down to a third depth of the chest at a rate over 100 per minute, no All Saints or ER CPR gentle massage will do nothing you really gotta compress the hear and force that circulation. If you feel or hear ribs breaking bad luck keep going its off putting but you MUST keep going.
The patients blood stream and lungs will be saturated with oxygenated blood initially so compressions are what counts, that will circulate that oxygen around the body, mouth to mouth is not required especially on a stranger who may have a soiled airway. The force of compressions will also decrease the pressure in the lungs and chest to a pressure lower than atmospheric pressure outside the body and will in fact enable some passive respiration very minimal mind you.
Us guys will sort the rest when we get there, good compressions will save a life, they buy the CRITICAL 5-10 minutes it takes us to get there and do the radical stuff which never takes precedence over CPR unless defibrillating IV drugs anti arrythmics, iv fluids and breathing tubes, airway management and oxygenation are all done whilst maintaining strong CPR and its bloody hard work.
After 12 minutes no cpr will leave in nearly all cases a pt with brain damage if we actually get them back.
Great idea for a post Aunty Rosalita.
Ive been fortunate to have patients walk from hospital a week after bringing them back and its a good feeling to see them and their families response but ive also had to let many go and not even commence resus due to early CPR not being provided when it couldve been.
When its real its bloody scary for those who dont do it.
Once again great post and initiative aunty Rosy - As long as its safe and you realise CPR is needed just jump in and start. NO MOUTH TO MOUTH REQUIRED !!!
As for the ratios and counting youll never see Paramedics counting its simply is hard and fast over a 100 and keep going till someone tells you to stop or someone helps you and you swap which is ideal ya gotta get those compressions over a 100 a minute
