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CPR Question?


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11 replies to this topic

#1 sportygirl

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Posted 21 January 2010 - 06:44 PM

So the other day my sister had a friend over and he spilled hot soup on his shirt when he changed shirts I saw something that was odd. He was born with what he said is a sunk in chest I have never seen this before and it got me thinking;

  • How would you do CPR on someone like him?
  • Would you go as deep with compressions?
  • would hand placement be the same?
  • Would every thing be the same?
  • Has any one ever had this issue or a similar one?

    Sorry if these are dumb questions but they don't ever teach about this kind of things in CPR.

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#2 chbare

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Posted 21 January 2010 - 07:18 PM

Sounds like pectus excavatum. No hard rules on this. Do the best you can if CPR is needed. In people who are status post some types of corrective surgery, an anterior/posterior pad/paddle placement is recommended for defibrillation. I have had a few cases of thoracic and spinal abnormalities and CPR was difficult.

Take care,
chbare.
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#3 sportygirl

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Posted 21 January 2010 - 07:40 PM

So you answered some questions but the one i want to know is would it change the hand placement/depth of compressions?
So this condition would change the placement of the pads?

and thanks for the help

Edited by sportygirl, 21 January 2010 - 07:42 PM.

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#4 Aussieaid

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Posted 21 January 2010 - 08:27 PM

So you answered some questions but the one i want to know is would it change the hand placement/depth of compressions?
So this condition would change the placement of the pads?

and thanks for the help


For this condition you really don't need to change anything. You wouldn't move your hands off the sternum because you would do more damage doing compressions on the actual ribs than the sternum. The depth is still going to be the depth that gives you a palpable pulse as no one really measures it during CPR. You adjust to what works best for that particular pt.

You wouldn't need to change the pad placement for pectus excavatum. It is the same amount of bone just the anatomy is slightly different shaped and it's not really going to interfere with the electricity in this case.
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#5 Medic One

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Posted 21 January 2010 - 09:43 PM

This is commonly known as "Pigeon Chest".

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