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Would you perform mouth to mouth recusitation on ANY stranger

phtlc · 1657

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Offline phtlc

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Be honest

http://news.nationalpost.com/health/0822-na-cpr

I've always wondered where the average person stands on this. Sure if Sofia Vergera wasn't breathing I'd be fighting the other resuscitators off so I could do the mouth to mouth.

But what about a panhandler with needle marks and bad teeth? What about a hooker with rotten teeth, vomit pouring out of her mouth, scabs, has had 100 dicks in her mouth today....etc.

Where is your line drawn between your willingness to try to save a stranger and not getting turned into a zombie from contracting infectious diseases?

While you're waiting in vain for that apology, why don't you make yourself useful by getting on your knees and opening your mouth


Offline JBRG

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Reply #1 on: August 23, 2016, 12:14:11 AM
I carry a resuscitation mask on my key chain. So, I would provide AR to anybody who needed it.

That is all.


Offline Johnny Johnson

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Reply #2 on: August 23, 2016, 12:17:38 AM
When I read the title I say yes, certainly!

When I read your comment, to be honest, I would definitely pause and would be rather reluctant.  CPR yes, but mouth to mouth.... I would have to be in the situation before I could answer that question.  I would like to think I would say yes.



Offline MintJulie

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Reply #3 on: August 23, 2016, 09:21:32 PM
As part of my prior employment, I received a bonus for taking a CPR class.    I spent that bonus on CPR masks for my fellow coworkers that also took the class.   I have one in my car.    If I happen to be without it, it's a chance I'll take to help someone.

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Offline Elizabeth

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Reply #4 on: August 23, 2016, 10:24:20 PM
Full Medical Kit in the Barn.
CPR Masks are part of the kit, so not a problem for me.

But if you are looking for real life gross stories.......(Oh never mind).

Love,
Liz



Offline RopeFiend

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Reply #5 on: August 24, 2016, 03:30:19 AM

I've been CPR certified for decades, and renewed my cert this summer again.  Yep, I'd do it if need be, and not worry overmuch if I didn't have a mask handy.  There are roughly 100 different communicable diseases, but the only ones you're likely to catch from full CPR are mono and Hep B, if you don't have any open sores in your mouth.  I've already had the Hep A-B vaccination and mono is pretty rare, so no worries.  It's almost impossible to catch HIV or any of the other nasties from giving CPR.

The latest update to the CPR protocols that they're not teaching people at my level is this:  IF YOU SEE THEM GO DOWN or you know for a fact that they've been down for only a minute, do 200 compression cycles without breaking for a breath, then do the 30-2 cycle until relieved by emergency responders.  IF there's anyone nearby that can assist and they have a freaking clue in an emergency, have THEM give the breaths every 30 compressions while you're on the up-stroke (you don't stop compressions until you've done about 200, then you swap to another person).  Doing that keeps the blood flowing, and improves the chance for a successful recovery.  That's the basics for 'High Performance CPR', although they do one breath for every 15 strokes in that protocol.

edit: here's what it looks like when it's REALLY done:


If it's a panhandler or hooker, I'm doing "compression only" if I don't have a mask.  If the emergency services get there within 5 minutes, then the breathing part isn't needed as much; it's more important to keep the blood moving.  Brain death sets in in about 4 to 6 minutes, and it takes several cycles to get the blood moving every time you stop.
« Last Edit: August 24, 2016, 03:38:52 AM by RopeFiend »

Remember the Golden Rule: you do me, and I\'ll do you (paraphrased)


Offline phtlc

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Reply #6 on: August 24, 2016, 03:42:58 AM
https://www.youtube.com/watch?v=qYX6mCiIGxk

OK, now I feel bad. Even dogs will do it.

While you're waiting in vain for that apology, why don't you make yourself useful by getting on your knees and opening your mouth


Offline RopeFiend

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Reply #7 on: August 24, 2016, 04:16:35 AM

The British Heart Foundation has been pushing "hands only CPR" for a couple of years for the general public.  If you don't know what you're doing, you can still save a life.

Recently, the American Heart Association came up with a response to the BHF 'Vinnie Jones' video,


She starts off doing it properly... if your hair ain't bouncing, you ain't doing it right!  
You can see she's already tired a minute later when the parameds arrive.
« Last Edit: August 24, 2016, 04:20:14 AM by RopeFiend »

Remember the Golden Rule: you do me, and I\'ll do you (paraphrased)


Online Lois

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Reply #8 on: August 31, 2016, 02:32:41 AM
I was told that if you don't crack a rib at some point you are not doing it right.  :emot_weird:



Offline JBRG

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Reply #9 on: August 31, 2016, 05:22:03 PM
I was told that if you don't crack a rib at some point you are not doing it right.  :emot_weird:

That would be correct. AND, you don't do compressions on a beating heart. Doing so would interfere with the rhythm and could possibly kill the patient.


It's amazing the stuff you learn in order to become a First Aid/CPR instructor. And it's amazing how long that stuff stays in your head after you are no longer doing it. It's been 23 years since I last taught a class.

That is all.


Offline RopeFiend

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Reply #10 on: September 01, 2016, 03:09:09 AM

You won't guaranteed crack a rib, but it's a good bet (watch that first video I posted; they're pretty rough on the gal).  As long as you don't puncture the heart, they can fix anything else later.  Assume you're starting with a corpse (no breathing, no heartbeat, brain death in 4 to 6 minutes if you do NOTHING), the worst you can do is damage a corpse a little.  The best you can do keep 'em alive until the EMTs arrive.

Current protocols are you check for a maximum of 10 seconds to see whether they're breathing and have a pulse.  If you've never practiced checking for a pulse, now's a good time to try it.  Tell your friends you just want to cop a quick feel...  :D  The carotid artery in the neck is easiest for most of us, followed by the radial in the wrist:


The first aid books I have also mention using the brachial artery in the elbow, but I've never had good luck with that one, especially on heavier people.  It's OK with a stethoscope, but you won't have one of those handy.

JBRG, the only changes to the protocols since you were certified are: compression depth of 2" to 2.4" (5 to 6cm), and 2 breaths per 30 compressions at 100 to 120BPM.  'Stayin' Alive' is still an acceptable rhythm, although Queen's 'Another one bites the dust' is dead-center at 110BPM, compared to 104 for 'Stayin' Alive'...

https://www.youtu.be/watch?v=I_izvAbhExY  Stayin' Alive
or
https://www.youtu.be/watch?v=rY0WxgSXdEE  Another One Bites the Dust
(try to avoid humming this one as you're working, as it sends the wrong signals...)

Additionally, heavy emphasis on spending as little time as possible doing the 'breath' part, as it takes 7 or 8 compression cycles to get the blood flowing again every time you take a break to breathe, so you're wasting nearly 1/4th of the compression cycles.  They recommend having someone else do the breathing part while you do 200 to 300 compression cycles, then the two of you switch places.

Finally, emphasis to make sure you fully come off of them during compression 'up' strokes, allowing the chest to rebound.  Leaning on them cuts the efficiency by up to 30%.  If you watch the guy in the car accident video, it looks like he's not coming all the way up.  Doing anything is better than nothing, but as the efficiency goes up, so does the survival rate.

One thing most people screw up in CPR training is the 'breath' part.  Notice how you're breathing right now?  Yeah, that's a breath.  You don't want (or need) to 'inflate the chest'; you could cause other problems trying a big breath, although it's hard to control when you're pumping adrenaline working on keeping someone alive.

« Last Edit: September 01, 2016, 03:19:34 AM by RopeFiend »

Remember the Golden Rule: you do me, and I\'ll do you (paraphrased)