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I think thats quite a powerful infomercial.
Anything that prompts bystander CPR can only be a good thing.
Im currently teaching BHF's "heartstart" course for schools and equestrian sites in our area. We have general classes for the public too. This film will be a good to use during this course
There is nothing more disheartening than being on your way to a purple call for an arrest, and being given the message en route that "no CPR is in progress"
Hopefully this will make more people have a go
Phil
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Rank: Super forum user
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We should all share this as widely as we can, spread the word.
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I read about this earlier on the BBC news website. Personally, I think it is an excellent initiative. Th einfomercial doe sindeed put out a powerful statement - hopefully it will spur more people into action should they find themselves confronted with someone in cardiac arrest.
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I did my first aid refresher with a trainer who used to teach resuscitation to A&E staff. He said to not bother with mouth to mouth because:
a, it was ineffective as it takes time away from doing chest compressions
b, most of the air goes in to the stomach (the oesophagus is a much larger tube than the trachea)
c, when you blow air in to the stomach, you tend to get the contents of the stomach straight back
d, mouth to mouth is most often performed by a close family member on their loved one. This then becomes the last "intimate" moment of their lives and can traumatise the giver of mouth to mouth quite severely.
It all made sense to me...
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borisgiles wrote:I did my first aid refresher with a trainer who used to teach resuscitation to A&E staff. He said to not bother with mouth to mouth because:
a, it was ineffective as it takes time away from doing chest compressions
b, most of the air goes in to the stomach (the oesophagus is a much larger tube than the trachea)
c, when you blow air in to the stomach, you tend to get the contents of the stomach straight back
d, mouth to mouth is most often performed by a close family member on their loved one. This then becomes the last "intimate" moment of their lives and can traumatise the giver of mouth to mouth quite severely.
It all made sense to me...
Kind of agree - but in my opinion a trained person should still offer rescue breaths when appropriate (some circumstances make it a no go such as damaged face etc) I have attempted to resuscitate a child where there was absolutely no physical way to give rescue breaths (we used an oxygen tube into her airway???!!??? (you do what you have to do)
Rescue breaths also help to ensure an open airway. Chest compressions create a bellows effect and suck air into the lung and this can provide fresh oxygen.
It's better still use a bag and mask to get a higher oxygen content or even better to use oxygen!
I am a bit worried this advert will encourage people who are trained to stop giving rescue breaths, but on the whole think it's a very good drive. We live in a society where too many people just walk by!
If you look at the bhf website they clearly state that this guidance is for NON trained persons!
And lets not forget trained medical staff do it differently again!
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Couldn't agree more,
FAW will still be taught with rescue breaths as well as chest compressions.
And as you quite rightly state Healthcare Professionals, and those with a duty of care are taught differently.
Bag valve mask and oxygen through a reservoir bag is the gold standard for the breathing side of resuscitation. However, if it isn't being done regularly there is considerable skill fade, and not a great efficiency.
This is to such an extent, that new first responders employed by the Ambulance service don't get taught it, or use them.
When we teach this to Firefighters, it is taught as a 2 person technique, i.e. 1 person holds and maintains the seal on the mask, and the other person inflates the bag.
Phil
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Be aware that the reason for this change in recommendation is that enthusiastic amateurs tend to do the mouth-to-mouth or mouth-to-nose respirations incorrectly, as noted above, and that it distracts from the delivery of effective chest compressions.
For those who are properly skilled in resuscitation technique, with adequate manpower and the correct equipment items, respirations can be invaluable part of the resuscitation procedure.
Infection risks and the possibility of exposure to blood, saliva, vomitus etc make a bag and mask invaluable. For 'community' use, a clean handkerchief had been recommended but that is inadequate.
Several years ago, I published the results of studies of what then was a new and novel disposable face shield. Those face shields are now in very wide use and offer protection to the rescuer, and to the victim (!).
Devices of this type, a bag and mask, or possibly a handkerchief or direct contact for those that feel comfortable about this, can continue to be used but in every case should not detract from the delivery of effective chest compressions.
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This debate has been also going on with first responders and others in remote medicine..
We have to be careful of advising people not to follow the Resus council guideline for Basic Life Support - 30:2.
ALS (advanced Life Support) - includes the use of BVM/O2 OP airway and event intubation along with defib..etc (i've paraphrased a lot here here...)
In a hospital setting that may be right, as ALS will not be far away. In a commercial or public setting?..it is unlikely...I carry ALS equipment including defib only used it once as opposed to being 'on call' and out of area.
I have first responded on cardic arrests I agree that to find someone doing good CPR on arrival is great..but if you are not breathing you won't live...
All that said anything an 'angel of mercy' can do to help may save a life...
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Having shown this to a number of the Safety rep's in my workplace the overall opinion is very good. I was a little uncertain about whether it would be too 'jokey' but to my eyes the pitch is spot on.
Good work to the BHF.
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Having spoken to BHF, this campaign is aimed very much at people with no FA training, the reasoning behind it is:
Hands only CPR does will sustain life in an adult and also removes an objection / concern from non FA trained regarding infection / vomit / etc from mouth to mouth.
The other concern the video covers is "What if I do more damage?" As Vinnie says "better a cracked rib than him kicking the bucket"
It's trying to encourage more people to 'get involved' and most attempts by the non FA trained are better than nought.
In no way are the BHF trying to tell trained First Aiders to deviate from thier training.
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I do annual CPR Training and refreshers for Electical staff.
One of the problems with not doing Breaths is :
Lower trachea obstruction would not be identified unless resucue breaths were attempted.
Chest compressions in this case depending on the nature of arrest ( Oxygen depletion by smoke inhalation/ Electrical?) would be limited value as you would only be pumping de-oxyginated blood around the system with the main purpose of CPR is to keep the brain oxyginated.
In this world where people dont get involved because of potential litigation Im not sure if (The Vinnie Jones approach) is a good thing or a bad thing- I need to be convinced!
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One of the first parts of ALS was 200 chest compressions up until a few months ago (April)..so don't see much difference in that and this..
You can also criticize it by saying quality of the compressions varies by person etc and yes there are machines even for ambulance staff now...
At the end of the day it all helps to support the chain of survival - early recognition, early cpr (even part of it will buy some time), early defib, post resuscitation care.
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When I did my FAW, I was taught to sing "Nellie the Elephant" to myself, not "Stayin' Alive." This corresponded to the 30 compressions and 2 rescue breaths which SJA recommends. I don't know the words to Stayin' Alive and would defy anyone to know the lyrics apart from the "Ah,Ah,Ah,Ah" bit. Does it have to be sung in falsetto?
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Don't know how true this is.... but be careful with using 'staying alive' as I am told a member of the ambulance service used that method out loud during a cardiac arrest and was sacked...may not be true but don't think relatives will understand...unless they are Bee Gee Fans...
Nellie was always my favourite...although you have to sing it almost like a smurf to make the guideline rhythm...:)
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stevedm wrote:One of the first parts of ALS was 200 chest compressions up until a few months ago (April)..so don't see much difference in that and this..
I'll check with the wife when she gets home - but would this not be done after establishing an airway? I've always understood that I would put an airway in first?
I have not done ALS - stopped at AFA... So just curious really?
Also ' Stevedm - I have also heard this rumour -
However what we continue to confuse on this thread, is that this guidance is for the UNTRAINED first aider. I would expect a paramedic / nurse / advanced first aider even to be able to carry out chest compressions to the right frequency without singing along!
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teh_boy wrote:stevedm wrote:One of the first parts of ALS was 200 chest compressions up until a few months ago (April)..so don't see much difference in that and this..
I'll check with the wife when she gets home - but would this not be done after establishing an airway? I've always understood that I would put an airway in first?
I have not done ALS - stopped at AFA... So just curious really?
Also ' Stevedm - I have also heard this rumour -
However what we continue to confuse on this thread, is that this guidance is for the UNTRAINED first aider. I would expect a paramedic / nurse / advanced first aider even to be able to carry out chest compressions to the right frequency without singing along!
Yes airway.....but the idea of this is to get anyone who is walking by to at least perform good cpr.
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sorry not CPR ...good chest compressions...long day..tired fingers...:(
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Great idea..................................but..................
Where does this now leave First Aid trainers and assessors. People dont lilke using resuscitation manikins at the best of times and from my expereince use the 'dummy' under a certain duress if they want to get a FAW / EFAW / Paediatric certificate. The assessment requirements require demonstration of competence! Has this initiative just complicated first aid training even more?
Interestingly no comment on the European Resusciation Council website..............yet!
Guidance from out there please....
Confused!
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This isn't taking anything away from FA trainers...this is the first step...see it as drumming up business ... this helps with the general public getting them involved with heartstart then perhaps they progress to first aider or community first responder, first aid trainer, ambulance staff etc...
It is designed to raise the awareness...
If you look for a problem you will find one....
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Rob E wrote:Great idea..................................but..................
Where does this now leave First Aid trainers and assessors. People dont lilke using resuscitation manikins at the best of times and from my expereince use the 'dummy' under a certain duress if they want to get a FAW / EFAW / Paediatric certificate. The assessment requirements require demonstration of competence! Has this initiative just complicated first aid training even more?
Interestingly no comment on the European Resusciation Council website..............yet!
Guidance from out there please....
Confused!
http://www.resus.org.uk/pages/statMain.htm
you must have missed the support from Resus council...
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Apologies...........how did I miss it!
Where was that letter from the opticians about 'due an eyesight test'
Just shows how good the forum is.........thanks
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Rob E wrote:Apologies...........how did I miss it!
Where was that letter from the opticians about 'due an eyesight test'
Just shows how good the forum is.........thanks
No problem....that why I always have my Mr McGoo specs not far away...:)
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