This topic has 6 voices, contains 26 replies, and was last updated by paddleplacid 368 days ago.
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| Author | Posts |
| May 10, 2011 at 9:30 am #31138 | |
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Bryan Hansel |
I’m still curious about the 80% effective number that was pulled out of thin air. From the same links.
The key here is understand the context of what you read and being able to critically analyze it. paddleplacid, I fear you don’t have that skill. The best thing is to take a WFA, WAFA, WFR, or WEMT course. |
| May 10, 2011 at 12:16 pm #31139 | |
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paddleplacid |
Hi Dog Paddle .. Please read every word of this post before you respond. New developments take time to work their way through the system, so I don’t want to spend money on a course that might not be up to date. Also, you don’t mention the distinction between cardiac arrest and cases of arrested breathing though, for instance, drowning .. 20 times the number of Cardiac Arrests. In drownings the recommendation is to alternate with breaths, but not for Cardiac Arrest. I presented both sides of the url discussions in my post, so I didn’t quit reading before I got what is the whole picture gotten to date, but I think you might have missed the distinction. More research is called for of course, and like I said before, I read virtually no fiction, so read a lot of non-fiction books and articles of all kinds, which is why I could correct Wilderness first Aid (Cicerone Press) experts/Doctors Mike Duff and Peter Gormly on proper snakebite procedures differentiation North American Rattlesnake over Australian snakes, and why they could email me a “thank you we are correcting our website.” We are all learning. |
| May 10, 2011 at 12:26 pm #31140 | |
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paddleplacid |
The 80% number was pulled from the same book I learned the new procedures from, a public library book on various new medical techniques published one year ago. Unfortunately I can’t remember the title or editor. I fully understand the concept of context, Bryan, and my Mensa IQ tells me to ignore your insult which is obviously thrown up to instigate a brawl. Continuous chest compression, as it says in the urls, is better for cardiac arrest because the lungs and blood already contain oxygen, so there is no need to add it. In cases of Arrested Breathing like drownings and chokings, the lungs are normally empty or near empty of air, and the oxygen in the blood has been used up which leads to the passing out or death. These things are detailed in the two urls I included in my post. By the way, have you learned that linguists recognize that context is not a necessary part of language? Some people speak and write clearly enough that context is not needed as everything is self evident. I learned about this when researching a response to a bible study question. Please search Wikipedia for the word context, and read the whole article .. it’s abig one. |
| May 10, 2011 at 1:52 pm #31141 | |
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paddleplacid |
By the way Dog Paddle, I’m not saying you’re wrong, for all I know you might be right, but you didn’t provide substantiation from other sources for what you’re saying, and you’re quick to ask other for that kind of substantiation. Also, First Aid techniques will vary from place to place as they either become accepted or rejected by local authorities. This is obviously a huge study .. a large a study as edible and poisonous mushrooms for instance, where books by various “profesional” authorities differ in important points like one expert saying an Amanita Citrina is edible but bad flavoured while abother expert says it’s poisonous. I ate the Citrina last summer and it was delicious, and I suffered no ill effects or hallucinations. |
| May 10, 2011 at 5:15 pm #31142 | |
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Dog_paddle |
paddle placid- For the record- I am certified in both types of CPR, and am certified to teach either (compression only or Community CPR). I have no vested interest in either technique…. WMA (wilderness medicine assoc) and American Red Cross have both updated their instructors this year to not teach compression only CPR as a wilderness protocol. Both of those organizations teach 30 compressions to 2 breaths for CPR. Compression only CPR was thought to be the acceptable 2 years ago and the American Heart Assoc made a big move to get lots of people certified with it. But, it is considered bare bones- bare minimum CPR- in any higher course- compression and breathing is the most recent thing being taught. American Red Cross just re-instated that in March. I just took my current American Red Cross CPR instructor course last month- I am as up-to-date on this as a person can be. the red cross completly revamped their courses this year and their books to reflect the most current information. Why dont you call the Red Cross or any of the organizations that train people in CPR in your area and ask them about wilderness protocol for CPR? Also, since your concerned about the cost of classes please contact your local Red Cross- sign up for a class and then call me with their phone number- i will call them and pay for your class with a credit card (I’ll sponsor you) so you will be up-to-date. |
| May 10, 2011 at 8:38 pm #31143 | |
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Bryan Hansel |
I pretty much never say this, but, paddleplacid, you just don’t understand this issue. |
| May 11, 2011 at 9:26 am #31144 | |
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paddleplacid |
This latest post shows who I think the real down deep Dog Paddle is, a thoughtful, intelligent, considerate, educated person. I don’t understand why you started off with me as being rude and obnoxious, except I get the same way as we’re all human, and you seem to have misunderstood my intentions, so it’s understandable that way. Thanks for your generous offer, I appreciate it as I’m on a medical disability income for a life-threatening illness which I combat through outdoor recreation and healthy living, but Ill pass on your offer for now as this summer I’m employed as ed as a maintenance man at a kid’s camp where all the counsellors and staff have CPR, so I won’t need it there. I will try to get the latest information from our local Red Cross, and if it’s up to date I’ll consider it next winter. Now that we got through our rough spot I’m enjoying talking with you .. and I really appreciate your suggestions as I generally avoid ogranizations and associations, and it’s good to be guided towards the value in them. |
| May 11, 2011 at 9:32 am #31145 | |
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paddleplacid |
You obviously don’t read enough words in my posts, Bryan, but that’s a common problem on internet forums as most people are just harried by trying to survive these high cost of living days so rush through almost everything so do few things properly. I’m a bit luckier as I don’t need full time employment to survive so have more time for this kind of thing .. but I use public access computers so am hurried that way as time is limited. Maybe we’re all doing our best.
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| May 13, 2011 at 1:35 pm #31146 | |
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paddleplacid |
From the Horses’s Mouth:
NEWS RELEASE Compression-only CPR means more Canadians can save lives October 18, 2010 (Ottawa) – The Canadian Red Cross supports the use of compression-only CPR as an acceptable alternative to full CPR with rescue breaths. Compression-only CPR is sometimes the preferred method for members of the public who witness an adult suddenly collapse and are unable to perform full CPR. Compression-only CPR uses chest compressions to pump the heart, circulating oxygen already in the person’s body. This makes compression-only CPR suitable when: • An adult suddenly collapses. • A responder is unwilling, unable, untrained or unsure how to perform full CPR (cycles of 30 chest compressions and 2 rescue breaths). • A bystander does not have a breathing barrier and does not want to perform unprotected rescue breaths. Compression-only CPR should not be used when the oxygen in the victim’s body has likely been used up, such as with a drowning victim or when a respiratory emergency may have caused the cardiac arrest. Performing CPR on an infant or child requires rescue breaths. When an infant or child’s heart stops, it’s usually because of a respiratory emergency, such as choking or asthma, which uses up their body’s oxygen. The most important thing for Canadians to know right now is that the CPR they’ve been trained to perform is still right. All Canadian Red Cross CPR courses will continue to teach full CPR. Performing full CPR in conjunction with an automated external defibrillator (AED) immediately following cardiac arrest can double a person’s chance of survival. Canadians are most likely to perform CPR on someone they know. Seventy per cent of cardiac arrests happen at home, yet only one in seven people knows how to perform CPR. (I have also emailed St. John’s Ambulance for details of their CPR styles.) |
| May 15, 2011 at 10:58 am #31147 | |
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Dog_paddle |
Thanks for proving all of our points Paddleplacid- its a big man to admit when they are wrong, I admire you for admitting your mistake…as you said- From the horses mouth, “Compression-only CPR should not be used when the oxygen in the victim’s body has likely been used up, such as with a drowning victim”…and then later, “The most important thing for Canadians to know right now is that the CPR they’ve been trained to perform is still right. All Canadian Red Cross CPR courses will continue to teach full CPR. “ That is what we are getting at- especially in a wilderness (delayed ALS)context, and especially as this relates to an Adventure Canoe forum were most likely we would be doing CPR to a drowning victim then compression and breaths is the proper procedure- not compression only CPR thanks for sharing |
| May 16, 2011 at 10:31 am #31148 | |
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paddleplacid |
I’m not admitting I was wrong Dog Paddle, because by reading all that is recommended compression only CPR is actually recommended in the great majority of cases, such as bystander-involved because bystanders don’t normally have CPR training and are often unwilling to do mouth-tomouth; and when you consider that heart failure is the cause for CPR 20 to 1 over breathing-ceased cases such as drownings and chokings, then we’ll see that compression only CPR will be not only used but recommended in the great majority of cases. Also, in my second post on the topic I included paragraphs from two urls which told all of this. Another thing, there is sufficient oxygen in the lungs and blood to sustain compression-only CPR for “several” minmutes (the word ‘several’ being three or more) according to what I have read in the professionally written literature, so there is no point at all in doing breaths for at least the first three minutes or until the heart begins to beat on its own, which is what the doctor who initiated the methods said was the proper way. Institutions, trainign staff and practices become too ingrained in convention for the good of the people new procedures can bennefit, so ‘allowances’ are made for convention’s sake, for instance, giving breaths in the new standard after 30 compressions instead of 15. To stop compressions in a heart-failed person stops oxygenated blood flowing through the lungs and brain, as we know that the blood already has oxygen in it, so to breathe into the lungs air which is heavy with carbon dioxide exhaled from the first aider makes no sense at all, except to ease resistance to acceptance among the institutionalized who demand compromise. Once the heart is beating, it then makes sense to add new air for the heart to allow the blood pick up and circulate. Of course, the brain begins dying after, it is said, about three minutes of lack of oxygen, so there comes a time when breaths will be necessary, but by then it’s probably too late in the majority of cases anyway. So, it is my choice at this time to remain uninstiutionalized .. and I expect some jokes to be made about that, so I’ll make it first. |
| May 16, 2011 at 11:34 am #31149 | |
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paddleplacid |
This will be my last post on this topic, I will join Dog Paddle in apologizing for the hijacking of this thread. There is yet another reason I wasn’t “wrong” – - from Bryan Hansel’s post on compressions-only CPR. “It’s being taught via one organization at a basic CPR and First Aid level. They were finding that people wouldn’t start CPR because they didn’t want to do the breathing. The theory is that there’s oxygen in the lungs when you start CPR and the chest compressions also compress the lungs to move air in and out. At a health care provider level, they still teach rescue breathing, etc… It’s 30:2 for one-person and 15:2 for two person in child and under.” So, I was not wrong, with subsequent posts adding more information. For myself at a personal level, knowing there is sufficient oxygen in the blood and lungs of cardiac arrest cases (and knowing that this does not apply to drowning and choking (etc) victims) to last for “Several” minutes of compressions I could not in good conscience give breaths to a Cardiac Arrest victim before a minimum of two minutes as this would delay oxygen to the heart and brain. I could also not in good conscience not give breaths after three minutes, as three minutes is the minimum boundary for oxygen content. |
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