CPR has changed again. I remember 25 compressions per minute. Now they are saying more than a 100 c/m.
To help people get the right rhythm, they are told to listen to the song ‘‘Staying Alive’’ by the BeeGees. By following the beats to this song will get you about 103 beats or chest compressions per minute.
video is unavailable.
I wish they’d just work out the best ratio of X compressions per Y breaths at a rate of Z. Every single course I’ve been to has changed it.
darn!
try this
http://tinyurl.com/2w4apm
You realize how tough it is to rickroll someone when they can see that the video is a rickroll before they even click play?
What if you were brought back to life and your first vision was someone beating on your chest and singing Stayin’ Alive by the BeeGees? That’s enough to kill you right there.
Ah Ah ah Ah… Staying aliveeeee-ah-ah…
I never realized that the music video by the Bee Gees for Stayin’ Alive was so bad.
Busted:p
I did the preveiw post before I posted and it wasn’t showing then.
My National Health Service training (used to be a nurse) said 2/30, 30 compressions being exactly two versus of ‘Nelly the Elephant’. It also says that unless you’re expecting access to a defrib within the next few minutes CPR is virtually useless. That bit on TV shows where the patient coughs and comes round again almost never happens if they’ve been in cardiac arrest, they used to teach a technique called the cardiac punch (guess what that involved) to trigger the heart but it’s now been removed from training. In the vast majority of cases CPR does nothing except make onlookers feel a bit better.
I should know better than to feed the rick[t]rollers, but really - how could it possibly make sense to perform compressions at around a third of the normal heart rate? 100bpm has been the recommendation for years, and in the original description of closed-chest cardiac massage, it was 60. I promise you that 25 beats per minute has never been considered good practice, and it’s rather specious for someone who has obviously not retained the essentials of any CPR algorithm to criticise guidelines for being frequently changed.
Quite. The survival for extra-hospital cardiac arrest ranges from about 2 to 6%. (Survival being taken to mean surviving long enough to leave hospital alive. In the trauma setting, survival is a lot lower: <1%.) So CPR is definitely worth doing because some of the people who aren’t surviving might have survived with CPR, and some of those left disabled might have had less disability after CPR.
Dave, I don’t know if this is what you mean by cardiac punch, but a pre-cordial thump is still taught as an advanced technique which is useful if somebody arrests right in front of you. (Like if you’re doing an ECG on them, and they suddenly lose-consciousness.) Its intention is to cardiovert (restore a normal heart rhythm) the patient, in contrast to CPR where the goal is to sustain life until later cardioversion.
Finally, it is interesting to note that the success of CPR in British television is closer to that of reality than American television.
you can get walked through cpr with the currents procedures by calling 608-476-0373
i must be stupid. it worked on me.
uhm
it was never 25 bpm. it was 25 compressions to 2 breaths, going for 80-90 bpm
then it was 30/2 going for 90 bpm
apparently it is now no breaths and 100 bpm… which is pretty crazy and will wear you out quickly.
as for the survival rate, i have met one person (happens to be a friend) who has done it, in turn with a doctor for several minuites and had the victim survive. this was in relation to a car crash, so i’m assuming there was some trauma.
my thought on the american TV shows is that they are promoting the use of CPR and that it is not a bad thing.
even if you are doing it wrong, it can’t hurt… unless of course you break the ribs w/ too much force and send their bones into thier chest cavity…causing more damage.
Don’t worry about it - if you break ribs, carry on. It’s part and parcel of CPR, especially in the elderly. (Happens maybe half the time or more.*) If the person survives, the fractures will heal. If they die, they have no need for intact ribs. While the fractures are painful, they’d be more like cracks than breaks and I think it’s unlikely that you’d cause serious chest injuries, such as a flail chest, which would interfere with breathing after the event.
If I rick-rolled one person it was worth it.
You know it’s funny:o but it’s even more scary because I have actually done chest compressions on a couple dozen people. I must have been ‘‘high’’ when I wrote that. I guess I was thinking 2/25 ratios.
As a respiratory therapist years ago, CPR worked 50% of the time. Being in the hospital, there are a lot a tubes and drugs to help the recovery. And no, I never compressed 25 /minute.:o The breath/compression ratio was thrown out the window as somebody was always bagging.
What was the 1st ratio when CPR was invented? 1/12?
I originally posted this thread because of the music beat factor. CPR classes are using it. Try the Staying Alive video JC posted. Get ‘‘BeeGee Banged’’
tru dat.
i don’t know if i mentioned it, but i had to know all of this stuff for lifeguarding, so that is why i know all of this.
edit : i was thinking more like “macho man” putting all the force he could into the sternum of a child, and basically pushing it all the way to the backbone.(idk if its ever been done)
… so if i go off the new stuff, i can throw out the pocket masks in my truck!?!
When did you do your life support training?
As far as I recall it was something like 60 compressions to one breath. That was last July. The reasoning being that there’s enough oxygen in the blood without applying rescue breaths you just need to get it circulating.
Thankfully in my job it was much more useful to know the internal number for the crash team, the location of the crash trolley and where the ligature cutters were kept.
Hopefully none of us will have to test the efficacy of CPR.
I did test it, not as a victim though. I had been taught about the process yeeaars ago and was quite good at it… At least no dummies made negative remarks on my method.
…
But it wasn’t enough, the man died after 45 minutes between the medicals hands.
Had I been aware of the statistics mentioned above, it would have been better for my self opinion. They told me I had “made what needed to be made” and given the way the man’s face turned from purple to pink I guess CPR was efficient. It seems like he already had some heart problems before.
Now I think of it like “it (I) was better than nothing” but seeing such scenes on TV always chills me up (I mean the real life ones, not those we see on series).
Resuscitation Guidelines 2005, Resuscitation Council (UK) 2008
UK guidelines are still 30:2, and have been since 2005. Dave did his training more recently than this. Up until this, and when I used to teach BLS 5-6 years ago, it was 15:2.
The point though is try CPR & don’t worry if you are not sure of details! (Don’t forget to ring for an ambulance first.) Revisions of algorithms make only a very small difference, and it irritates me to think that zealous BLS instructors might (by overemphasising details) put people off trying CPR for fear of causing more harm than good, when actually they could be greatly beneficial to a dying person.
Well done, Zzagg. I’m sure the man appreciated your efforts to save his life. It’s a shame he didn’t survive of course, but at least you know your technique is very good as he showed so much improvement. (Purple face to pink face, and regaining conciousness.)
I re-certed my advanced wilderness and remote first aid and CPR C this summer and we were taught 30:2 at 80/100 bpm same ratio regardless of victims age/size.
I believe the ratios all became the same (adult, child, infant) to avoid confusion and make it easier for people to learn. If you were taught both the old ratios and the new ratios you may still use the old ratios but they can not be taught. (at least here in Canada)
You still obviously still need to use different amounts of pressure for different sized people.
Over the years I have been taught 5 different ways of performing CPR, for a while I was supposed to use different compression breath ratios depending if the victim was found near water or land (Life saving society - vs - Red Cross)