C.P.R. ?
just wondering how many take the training along with basic first aid . i am off to class a 8:00 this morning
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I and my crew retrain every 2 years. 0 -
Yep, every two years. 0 -
Every two years I have to receive CPR, AED(automatic external defibrillator), and SABC(self aid buddy care) training. 0 -
Certified in CPR, AED, BLS (Basic life support), child delivery, and a number of other medical emergencies.
I recertify every year through continuing education.0 -
Used to run a hazardous spill response team. Training included CPR but I'm almost 5 years away from my last certification and I couldn't be happier about it. 0 -
Part of my job as a paramedic. Everybody should if given the opportunity. CPR does save lives. Let me give you an example. Some people go into "cardiac arrest" meaning no pulse, blood pressure and respirations for a broad term called a "heart attack". Well, there are two reasons for cardiac standstill.
1. Blockage of an artery that supplies the heart with oxygen. The surrounding heart tissue dies which disrupts the normal electrical conduction system causing the heart to stop.
2. An unanticipated cardiac dysrythmia which is in a nutshell that cardiac conduction system going haywire and the heart not beating in its normal fashon.
CPR cirulates blood and oxygen when this sytem fails. All you are doing is buying the person time until advanced help can get there with an defibrillator and drugs to try to get it working right again. There are also those that develop a "Block" in the conduction system and there heart beats way to slow to support life. I have actually seen someone who was in a 3rd degree heart block conscious when chest compressions were being performed, and fall unconsciouse every time compressions were disrupted. The person needed a pacemaker. Well, paramedics can apply the defibrillator and pace the heart at an appropriate rate which gets the heart pumping at a rate which keeps them alive until the surgical pacemaker can get implanted. But the deal is, that patient would have been dead or brain dead if CPR havn't been performed. You need it, everybody needs it. CPR saves lives period.0 -
Ninety nine percent of the time it is used CPR is a waste of time.
It is way, way over hyped by the Red Cross.0 -
Used to get it when in the military but since I've retired, no. I would like to stay current in CPR. 0 -
quote:Originally posted by allen griggs
Ninety nine percent of the time it is used CPR is a waste of time.
It is way, way over hyped by the Red Cross.
while your going down the right road, your stat are off.
<10% of cardiac arrest patients live to walk out of the hospital. sad but true. does that make all cpr a waste of time? nope but about 90% percent of it is wasted time and energy.
cpr recert: every two years. teach it usually at least once a month.0 -
Yes, Kevd, WAY less than 10 per cent. 0 -
But would you want the medics to not use CPR if it was you they
were doing it on? Just because less than 10 percent walk out of the
hospital would you want to at least have a shot of surviving? I see
it as a way of at least giving a person a chance. If I save at least
one person (and I have) than it's worth the wasted effort.0 -
It's been a while since I was certified. I saw on TV a while back that there have been some big changes in CPR since I was certified. Something about they skip the pulmonary part now. What's the deal on that? 0 -
You never know what the underlying problem is guys, thats the issue. I have arrived on scene to someone complaining of chest pain and they were talking to me and then went down. CPR started immediately, defibrillation, advanced airway and medications all with no benefit. I have also arrived on scene to persons with CPR in progress for over 15 minutes (I work in a rural EMS system with only to ambulances) and had success. There are many different reasons and malidys which will stop the heart. But CPR does work, not too often, but it does work. 0 -
For the first time in 35 years I'm not current. You can tell a lot about someone as no one ever performed cpr on themselves. Will ask today about recert. thanks 0 -
You don't skip it all together, but emphysis is now on compressions. new adult CPR is 30 compressions to 2 ventilations. has to do with intrathoracic pressure and keeping the blood moving as frequent ventilations impede this. 0 -
quote:Originally posted by jeffery.boyd
You don't skip it all together, but emphysis is now on compressions. new adult CPR is 30 compressions to 2 ventilations. has to do with intrathoracic pressure and keeping the blood moving as frequent ventilations impede this.
you sir are the reason i have no love for medics in my area. i ask a simple question and i get a 10 minute speach about what you are obligated to do and a list of other medical terms that mean nothing to me or my family when i or them have to go to the hospital. i am sure there may be a place for medics but not in my area. i am tired of them trying to play GOD and insist that they must do this or that. you must remember that you can not force help to the people. and i sir would rather have an EMT that will check the ABCs and load and GO0 -
quote:Originally posted by allen griggs
Yes, Kevd, WAY less than 10 per cent.
your quite correct, however only if reffering to cpr alone. that average is 6.4%.
i was reffering to early cpr with early advanced care(paramedics). with early advanced care, we can double or triple that number.
ref: 2007 Heart Disease and Stroke Statistics Update, AHA0 -
Wow JWB267. I surely didn't mean to offend or degrade by any means. Sorry that you have had bad experiences with medics. You are absolutely right, nobody in there right mind has to accept care from a medic. All EMS, even EMT's who "load and go" follow prehospital protocols written by their medical director. So if a medic say's I have to, that just means the protocol says so, but any patient has the right to refuse said treatment/procedure. the medic just rights in the note that the patient refused said treatment/procedure. I have ommited protocols many times such as starting and I.V. because the patient didn't want it, I just documented it. Some of medics are all right man. Sorry if you were offended, but take things with a grain of salt man. High blood pressure in bad on your organs[:D] 0 -
quote:Originally posted by JamesRK
It's been a while since I was certified. I saw on TV a while back that there have been some big changes in CPR since I was certified. Something about they skip the pulmonary part now. What's the deal on that?
quote:Originally posted by jeffery.boyd
You don't skip it all together, but emphysis is now on compressions. new adult CPR is 30 compressions to 2 ventilations. has to do with intrathoracic pressure and keeping the blood moving as frequent ventilations impede this.
quote:Originally posted by jwb267
you sir are the reason i have no love for medics in my area. i ask a simple question and i get a 10 minute speach about what you are obligated to do and a list of other medical terms that mean nothing to me or my family when i or them have to go to the hospital. i am sure there may be a place for medics but not in my area. i am tired of them trying to play GOD and insist that they must do this or that. you must remember that you can not force help to the people. and i sir would rather have an EMT that will check the ABCs and load and GO
I think there is a misunderstanding here. I believe jeffery.boyd was answering my question. I don't think he meant to give you a speech.0 -
taking it right now, 0 -
I was an EMT, and I have been an instructor for the American Red cross for probably five years now. It's just much harder to give up my spare time to teach a class now that I work in the real world.
Good for you, and thanks for going.0 -
quote:Originally posted by jeffery.boyd
Wow JWB267. I surely didn't mean to offend or degrade by any means. Sorry that you have had bad experiences with medics. You are absolutely right, nobody in there right mind has to accept care from a medic. All EMS, even EMT's who "load and go" follow prehospital protocols written by their medical director. So if a medic say's I have to, that just means the protocol says so, but any patient has the right to refuse said treatment/procedure. the medic just rights in the note that the patient refused said treatment/procedure. I have ommited protocols many times such as starting and I.V. because the patient didn't want it, I just documented it. Some of medics are all right man. Sorry if you were offended, but take things with a grain of salt man. High blood pressure in bad on your organs[:D]
no offense to you directly but here in this area the freakin medics think they are GOD . i actually bumped noses with one a hole that TOLLD ME WHAT HE WAS GOING TO DO. my mother in law was a dialysis patient with a PORT in her neck and this dude kept telling me he had to get a IV started, i told him he couldn't access any veins in her arm, that was the reason she had a port.didn't matter to him he was going to try that's when we bumped noses. needless to say when i suggest that you load on go that is what i mean. i dont need to stand there and argue. BP IS FINE0 -
"But would you want the medics to not use CPR if it was you they
were doing it on?"
You are damn right I don't want it used on me.
I have a living will and it specifically says "No CPR."0 -
quote:Originally posted by allen griggs
"But would you want the medics to not use CPR if it was you they
were doing it on?"
You are damn right I don't want it used on me.
I have a living will and it specifically says "No CPR."
i have papers that says D.N.R.0 -
Have not taken a refresher course in years. 0 -
Copy that. It wasn't me, I wasn't there, so speculation would be useless on my part. I can say that I have worked in SC and KS states and they are both states that say you cannot access a pick, areterial or AV shunt lines. We had to get IV access through the arms as well in those states even though they had access established though those ports. It has to do with training and complications. It takes a surgeon to book an OR room and esablish a new port if some knuckleheaded medic like myself screws that port up while attempting to access that site. Most medics are not trained in accessing those things because there are so many different ones on the marker, so in an attempt to keep the patient from having another one placed, most states say its a no go on those. To be honest with you, I understand as I don't agree with it myself if a patients life is at stake (get the damn site accessed and administer the drugs you need in my mind), but that of course would be loss of license. But I have seen medics go overboard and say I must do this now because the protocol says I have to which as I stated before is wrong. The patient has the right to refuse. I see your frustration man, it happens everyday in EMS. The medic should have explained to you why he didn't/couldn't access that site. So I completely understand how that would make you feel a little pissed. 0 -
I Kept up with it for a couple years at work...then I realized that i was being stupid...Hell, I'm on the bottom of the seniority list!!! 0 -
On average I get a class every two years. Sometimes I pick oneup evry year or I might go 3.
I've come to the conclusion that"how" really doesn't matter too much. They keep changing it every year. The Red Cross and The Heart Ass. can't even agree on it. Just blow a couple of times and squeeze.0 -
jwb:
on your mils call:
most prehospital providers CANT access dialysis ports, picc lines, central lines, porta caths or any other acces devices i may have forgotten. we arent trained to do it so if we need to give meds, we have to start a line. you can bump noses all you like but in that case your wrong. there are reasons why we sometimes "stay and play" versus "load and go". for example, they need an iv badly becuase im knowim going to be giving meds on this run. i take a quick look at the patient and see they are elderly, look dehydrated, maybe they have a av shunt in one arm so i cant start a line there. basically everything adds up to this is going to be a tough stick. i can a) do the stick in a quite, well lit, stationary setting; or b) bouncing down the road where im much more likely to miss. this situation is one where i will stay and play. cardiac arrests get a line/tube/shock and 2 rounds of drugs if at all possible prior to departure as a general rule, exceptions do apply. again, i much prefer attempting to intubate somebody in a quite, well lit, stationary setting. while its not always possible, when it is, bet you buttocks im taking advantage. while the patient and the patients next of kin or power of attorney have the right to refuse medical care offered by ems, nobody else has the right to do that for them. remember, you called the ambulance because they need medical care. if all they needed was a ride to the hospital, you should have called a cab or driven them your self. butting heads with the emt's/medics on scene doesnt do anybody any good. in fact, in ma it can get you arrested.
on your living will:
check your local prehospital protocols. in ma, the ONLY valid form of paperwork to prevent cpr is a mass oems cc/dnr form. a living will, a notarized bar napkin, a tatoo on your chest. none of it is any good. one form, or the bracelet that comes with it. since that decision doesnt come lightly, im sure you researched it thoroughly; but i have dealt with patients who were unaware that their living will didnt cover them.0 -
Living wills and DNR orders are fine once at the hospital, but if you are found down, no pulse and not breathing, CPR WILL be performed! Car wrecks, Wal-Mart parking lot...doesn't matter...the law, at least in Georgia, says if a person is unable to verbally refuse treatment, then permission is automatically granted. Theory is that any sane and rational person would want help and treatment. Only in hospice or hospital would DNR orders be applicable. Family members can't even refuse treatment for you once you go out. 0
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