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Found 7 results

  1. Say you're performing CPR on a patient, and your partner arrives with an AED. You do not stop performing CPR while he or she 1. Turns on the AED 2. attaches the pads 3. Plugs in the pads Now that the AED is turned on with the pads attached and plugged in, do you A. immediately stop chest compressions while it analyzes the heart's rhythm OR B. do not stop CPR until the AED prompt TELLS you "analyzing heart rhythm. Do not touch the patient." I understand that by touching the patient while it is analyzing, you can interfere with the AED's analyzing the heart rhythm. There is about a 5-10 second gap after you plug in the pads before the AED prompts you to not touch the patient, so I am looking for clarification when exactly you should stop touching the patient in this case.
  2. Is anyone using Team Focused CPR wherein you remain on scene working the arrest for approximately 30 minutes? If you obtain ROSC the patient is transported to a PCI facility. It not the patient is pronounced on scene without being transported. Just wanted to get thoughts, successes, failures, ideas for improving, how you have educated medical responders, community, etc.
  3. Hello everyone, I am a member of a student team of engineers designing an automatic, portable CPR machine. This device could be positioned in public areas (similar to AEDs) and could be attached to patients, freeing medical personell to simultaneously move patients or tend other injuries. We really need to prioritize design characteristics (portability, adjustability, etc.), but without field medical experience, we're a bit in the dark! Would you be able to give us a hand by ranking the following CPR machine characteristics (in terms of importance) on a scale of 1-10? Thank you so much! If you have any other thoughts, we'd love to hear those as well! Form/Enclosure: Size - Weight - Appearance - Few components - Comfort (for patient and operator) - Adjustability to different body types - Operation: How fast it can by moved/applied - Simplicity of use - Ability to move patient while in use - Ability to monitor patient condition - Ability to automatically adjust to patient status - User Interface: Communication of instructions - Ability to manually adjust rate/force of chest compression, etc. - Ability to interface with ambulances, other medical equipment - Other: Weather resistance - Theft deterrence - Low maintenance required - Battery life -
  4. Hi everyone, I'm currently a student doing a project for school regarding some aspects of CPR and EMS response. I'm trying to gather some information for the project through the form of a quick survey. It has less than 10 questions and would only take a few mins. I really appreciate any responses since it will help with my project. https://www.surveymonkey.com/s/C2NFFKM Thanks, Jenny
  5. Here's another study that I found interesting. http://www.ncbi.nlm.nih.gov/pubmed/22465807 What with all the sturm und drang (read: hoopla) about ET tubes and such, it seems that in porcine models in V-fib arrest with CPR in progress, placing a supraglottic airway significantly decreases the amount of carotid blood flow. That is, I think, really bad. Do you think this will have any ramifications on EMS practice? I doubt it. After all we found out back in 1978 that buccal glucose doesn't work but that didn't stop anybody.
  6. Following is a real life CPR video of a 20 something apneic and pulseless patient on the beach. As I was watching I can only contribute the success of the CPR to the young man’s metabolic reserve and resiliency as well as early CPR. There are a few observations that jump out at me. First the rescuers did a good job of getting him onto the dry sand. I don’t mean to bang on anyone but wonder if my observations are correct. 1. They walked past a guy with a surfboard, wouldn’t CPR been more effective if they had put him on the surfboard? 2. The compressions seem to have good depth but the rhythm seems slow to me. Is there any observations or thoughts that our pannel of experts would like to add? Edited for spelling
  7. A stroke occurs when the blood supply to the brain is cut off by an artery in the brain that either ruptures or is blocked, cutting off critical oxygen supply to neurons. Approximately 80 percent of neurons die within three hours of the time that oxygen is cut off; therefore, rapid action is critical to prevent irreversible brain damage. Healthcare professionals working with adult patients have developed a catchphrase—“Time is brain”—recognizing that acute stroke recognition and treatment is of premier importance to preserve brain tissue, limit the amount of disability patients suffer in the long-term, and increase the stroke survival rate. In order to save time—and potentially brain function—in patients that have suffered a stroke, the American Heart Association and the American Stroke Association have developed a community-oriented “Stroke Chain of Survival” that links specific actions to be taken by patients and family members with recommended actions by stroke prehospital care providers, emergency department (ED) personnel and in-hospital specialty services. The “Stroke Chain of Survival” is characterized by four sequential stages, including Rapid recognition and reaction to acute stroke warning signs; Rapid emergency medical services (EMS) dispatch; Rapid EMS system transport and prearrival notification to the receiving hospital; and Rapid diagnosis and treatment in the hospital. These four stages within the “Stroke Chain of Survival” include the execution of seven distinct steps in acute stroke diagnosis and treatment, also known as the Seven D’s. The seven steps also highlight the key points at which delays can occur, necessitating organized and efficient care at each step to avoid needless delays. The Seven D’s of stroke care, as well as the major actions to be performed in each step, are: Detection of the onset of signs and symptoms of acute stroke. Early recognition of hallmark signs and symptoms of acute stroke is critical to improved patient outcomes. Dispatch of EMS by telephoning 911 or another emergency response number. This communication activates EMS systems and ensures prompt EMS response. Delivery of patient to a medical facility. Patients should be transported to a stroke hospital or other facility capable of providing acute stroke care, and advanced prehospital notification should be given to the selected medical facility. Door of the emergency department (ED). Immediately upon arrival, the patient should undergo general and neurologic assessment in the ED. Data collection, including computer tomography (CT) scan and serial neurologic exams, along with reviews of patient file for potential fibrinolytics (tPA) exclusions. Decision regarding stroke treatment. If the patient remains a candidate for tPA therapy, review risks and benefits with patient and family and obtain informed consent for tPA therapy. Drug administration as appropriate, and post-administration monitoring. The window for administering treatment after a stroke is very limited. From the onset of stroke to the administration of treatment at a hospital or other medical facility, the Institute of Neurological Disorders and Stroke (NINDS), a branch of the National Institutes of Health (NIH), recommends that no more than three hours elapse to ensure improved patient outcomes and maximize the chance of stroke survival. "Time is brain" is more than a catchphrase—it is a call to arms in acute stroke care. Healthcare providers, hospitals and communities must rally to develop streamlined response systems to execute the Seven D’s of stroke survival and give stroke victims the best care possible, the best chance of survival and the best chance for resuming a normal life. For more information on stroke certification, stroke training, or acute stoke certification, visit Health Education Solutions’ overview of stroke courses offered online. Health Education Solutions additionally offers ACLS, PALS and BLS certification courses, as well as CPR and AED certification. The information included in this article is based on the 2005 guidelines for CPR, first aid and advanced cardiovascular care.
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