Wednesday, October 29, 2008

Chest Compressions - Back From The Dead

Ok..So now you have completed your assessment and you are certain there is no breathing and no pulse (if you are checking). By all rights, this person can be considered dead. But.....there is a possibility that you can get them back. What? Bring them back from the dead? Yes! If you work quickly and efficiently. What this person needs right now is CPR, fast hard chest compressions in the center of the breast bone at a depth of about 1/3 to 1/2 the depth of their chest. If you are providing breaths as well you will need to give them two breath for every 30 compressions. Pump em up! If you are not comfortable putting you mouth on this person, then you can pump only, which is better then nothing.
What you are buying this person is time. Time is critical here. CPR keeps oxygen rich blood circulating until and AED is available to administer a shock (if they qualify). Whether by ambulance or by community, the AED is critical in the picture. Paramedics will be using cardiac monitors that are looking to shock in the same way a community AED does.
So pump em fast and hard until an AED is available or until you are too exhausted to continue. This will keep the patient from going brain dead and contributes to a successful resuscitation. This is how you bring em back from the dead.