CPR with Vinnie

Each time the blood is circulated there will be less oxygen in the blood. Keyword being less. There is still oxygen in the blood and some is better than none at all reaching the brain.

This method is especially useful for use on someone who has blood around the mouth or nose.
 
Castiel said:
According to someone I know in the medical profession....CPR is pretty useless on an adult, basically it just gives you something to do while the paramedics turn up with a defib....

I have heard that from more than one person in the medical profession as well......the survival rates outside of a hospital are in the single percentage figures apparently.

Maybe someone with a medical background can shed some light on that?
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I'm not Medical but I did have to sit with lots of new staff in Stat & Mand when they did their basic CPR, Defib & Resuscitation class and the instructor said that basically if the patients heart has stopped to a flatline then it's game over BUT about 1% do come out of it so it is still worth trying.
It's my understanding that the majority of people who go down still have their hearts working but 'out of time' and the defibulator stops the heart to hopefully put it back in time again.
On a Tuesday my work colleague has to input data for all the Defib charts that come back from around the Trust.
 
Great advert and hopefully it might save some lives.

Over the years that I have undergone first aid training I've lost count how many times they've messed around with the Breath/Compression ratios, lastest I was taught was check airway, check for breathing, check pulse, two breaths 30 compressions - repeat.

I suspect the removal of the breaths is also down to people being unwilling to place their mouths around an unknown persons mouth, particularly with the risk of communicable disease / vomit etc., people are probably more likely to do the compressions rather than doing nothing at all.

I like how they use "staying alive" to time the compressions, I use "Nelly the Elephant", which someone mentioned years ago, though I always sing it in my head since I doubt anyone watching a uniformed Police Officer doing CPR and singing would see the funny side of it.

As someone else has mentioned, quite rare to restart the Heart, best bet is a Defib unit.

I've done CPR a few times, it can be quite exhausting, but I've kept them breathing. It certainly isn't a waste of time - any chance preserving life no matter how small that chance is should be given.
 
Castiel said:
According to someone I know in the medical profession....CPR is pretty useless on an adult, basically it just gives you something to do while the paramedics turn up with a defib....

I have heard that from more than one person in the medical profession as well......the survival rates outside of a hospital are in the single percentage figures apparently.

Maybe someone with a medical background can shed some light on that?
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I came here to post pretty much exactly this post. I was told it during OTC training as well. Thanks for saving me having to post and explain.
 
Pate said:
Hahaha.

I do think defibs need to be cheaper though, where my parents live is a goodly distance away from a hospital. Good hour away from a hospital.
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There about £600 not much for a company or local scheme.
They're meant to be dummy proof and walk you through it, but I expect most places would want key people trained up.

Perhaps it's a lack of community these days. No one knows their neighbour or gets together in village hall.
 
Castiel said:
I have heard that from more than one person in the medical profession as well......the survival rates outside of a hospital are in the single percentage figures apparently.

Maybe someone with a medical background can shed some light on that?
Click to expand...

Yup, if you actually arrest in the street, that is, your heart stops (or you stop breathing in which case your heart will stop imminently) you're almost certainly beyond help unless paramedics arrive and start ventilating the patient in the next five minutes. Most of the patients who arrest in the streets have pre-existing conditions which means their blood is poorly saturated with oxygen anyway, which means they only have 2-3 minutes before hypoxic brain death starts kicking in. However, immediate CPR can give you a tiny bit more time.

The reason CPR is a lot more effective in hospitals is the combination of ventilation with 100% oxygen, and effective CPR which results in a small amount of brain circulation.

The new guidelines have removed the absolute necessity for initial rescue breaths, or 2 breaths per 30 compressions, because ventilating with your expelled air mouth to mouth is too hard (it takes a lot of practice to actually get it in the lungs) and it doesn't have proven efficacy. Usually, if you have one of those CPR face masks, one person can do continuous chest compressions and someone else can do ~12 breaths a minute, which is a bit more effective.
 
Here's real CPR being administered to a heart attack victim on the BBC's hospital show (he makes it). It shows the proper depth that chest compressions should go to rather than the Vinnie Jones vid (TBH should have used a dummy to show how deep you need to go rather than just saying it). It looks brutal but it saves lives, don't be afraid to really put your back into it.

 
Dr Abc? While it's a step in the right direction, it is rather lacking. Full first aid courses should be mandatory. Yes, they do sometimes teach them in schools. But trust me, not very well.
 
I know the proper technique, but I'd hate to actually have to use it.

Surely there would be nothing worse than watching someone die, while you're doing all you can.

It doesn't help when TV programmes show people getting saved from cardiac arrest 9/10 from CPR, so the pressure would be on you even more (as a designated first aider)
 
They took the breaths out because it confuses people too much. They've found that the success rate of hands-only CPR is the same are normal breath and hands CPR when being performed by someone who is inexperienced. The two breaths to 30 compressions ratio is still taught to medical staff, although I could easily see that being phased out soon.

The figures on success rates of CPR are a bit cagey too. They vary greatly depending on what has caused the person to stop breathing and how long it is from the point they stopped breathing to when the first aider commenced CPR.

Really this is the sort of stuff that should be taught to kids in schools rather than being the subject of an over-simplified advert, although it is entertaining.
 
For the first few minutes, there is research that says hands only CPR is just as effective as conventional CPR - in fact, one ambulance service (south east coast) uses "protocol C" for their CPR, which basically removes rescue breaths for the first few minutes and focuses on compressions and defib (and certain drugs, though they have questionable effectiveness when looking at survival to discharge figures). For those who are interested a paper here looks at its effectiveness.

As CPR improves, survival rates go up, normally if your heart is non-shockable when you go down, chances of survival are low, but when your heart is in a shockable rhythm survival figures are going up (especially return of spontaneous circulation, which means they "come round" on scene, though don't always survive to discharge), especially when bystander CPR has been performed before the ambulance arrives! Health care professionals now understand reversible causes a lot more, and hospitals can therapeutically cool a patient down, so less stress is put on the heart, it's all very clever :P

As the poster above says, we need to be teaching CPR in schools, but the advert *is* good, and anything that will help people know what to do is a good thing.
 
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I've been talking to the Resuscitation Manager today and the figure in the hospital is less than 15% success rate because the staff are with the patient within seconds but out of the hospital the success rate is very low.
 
But still gives a chance where otherwise there would be none so it's not a wasted effort.
I'd rather try and fail than not try as I'm sure most people would.
Plus the family will at least know that all was done that could have been at that time.
 
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