level 2
You would need to half strip them anyway for the use of a defib if one is available
level 2
That's actually what you want to do. Remove any clothing that's in the way if possible. Makes things easier especially if you have to use an AED which is the second thing you ask for someone to grab. while in an emergency look at someone specific and say "You in the (insert what they are wearing here) call 911 and get me an AED!" And THEN administer CPR.
level 2
Going to have to do that to put the AED on anyways, better to do it before starting so you don’t have to stop compressions to attach the AED.
level 1
Rescue breaths only if you have someone to help you. One person for compressions and one for the rescue breaths. If you don't have a mask for giving them just do compressions.
When the person regains consciousness put them on their sides so they can vomit if they need to.
level 2
Paramedic here. You’re absolutely right. Don’t stop compressions ever unless giving an AED shock. Dont stop. Continued compressions are critical, it takes almost 30 seconds to build up coronary artery perfusion
The AHA guidelines were changed to this a few years ago.
level 2
IF. Also don't get your hopes up because unlike in the movies, very few people who get to the point of needing CPR actually survive. It's around 12% outside of a hospital setting. Inside a hospital setting, it is still under 50%.
level 2
I alternate between Staying Alive and Another One Bites the Dust when doing compressions at work. 🕺
level 2
This is not true, and they stopped teaching this. Staying Alive is actually too slow. You need to go at a slightly faster pace for the best results.
level 1
Please take an actual first aid course so you can practice on a dummy and get a better understanding of how deep compressions need to be by getting feedback from an actual instructor. This guide is missing a lot of info for CPR like checking the airway, chin lift, how much breath to give, etc.
I know different areas and organizations have slightly different guidelines but looking at the comments, a lot of people's first aid certification is expired by over a decade, or they didn't retain any of the information.
level 1
The two finger technique for infants has been phased out in favor of the Encircling Thumbs technique which involves pressing both thumbs on the chest for compressions while supporting the neck and back from behind. It gives more control of the depth of your 'thrusts' as well as of the infant
level 1
Really informative guide. A lot of people don’t realise just how deep and hard you have to push in order for chest compressions to be even somewhat effective.
level 2
No joke. Last time I was in the airport there was a dummy to practice on while waiting for family in the restroom. Holy hey I did not realize how HARD I had to push. CPR is no joke.
level 1
Rescue breaths aren't (always*) recommended anymore. Just the compressions
level 2
Although that is true to an extent especially with covid. Rescue breaths are recommended for children because of the lesser volume of oxygenated blood in their body.
level 2
My school still teaches us and certifies us to use rescue breaths. Not sure why, our health teacher even said that breaths aren’t needed. Must be a curriculum thing.
level 2
That's wierd, because in Red Cross and in the Norwegian health institutions they still recommend adding oxygen to the blood. Two healthy rescue breaths, not so much that you fill the stomach with air though.
level 1
43 comments, nobody said the most important step of cpr.
Call 911 (or your local emergency number).
Cpr doesn’t restart hearts; that’s just some action movie shit. Cpr just badly keeps oxygenated blood kinda moving through the body, slowing brain death. If you don’t call 911 you’re just going to do cpr for 20 minutes and then give up, exhausted, when the ambulance doesn’t arrive.
level 2
CPR absolutely can provide Return of Spontaneous Circulation (the heart restarting.) That is not a Hollywood thing at all. I’ve restarted plenty of hearts with CPR.
AED use is what you are probably thinking of. That is what Hollywood butchers.
But by all means, make sure to call 911. Luckily today everyone has a cellphone, but that sucka on speakerphone and start thumping.
level 1
If it’s a larger adult and you aren’t feeling ribs crack, then you probably aren’t compressing enough.
Also rescue breaths are a waste of time if you’re in range of emergency services.
level 1
If anyone is wondering, CPR fucking exhausting.
I don’t mean to sound like I’m rooting my own horn here, but I had a guy collapse on my jobsite. It took about 10 minutes for EMS to arrive.
I’m pretty certain that had I not been training for a marathon at the time, I wouldn’t have been able to keep it up. Though, the adrenaline dump certainly helped.
BUT! The dude survived! And now, company wide, we have AED’s on site.
level 2
And he survived due to early CPR keeping his organs perfused.
Well done mate, thats all on you and whoever helped give CPR before EMS arrived!
level 1
Need to add you will likely break their ribs. That means your pressure is right!! If you’re not feeling their rib cage bend you’re not doing it hard enough.
CPR is difficult to keep up too so if someone else is there switch off if you can every two minutes or so to recover until help arrives.
If the person dies, you did everything you could. CPR only works outside of a hospital 12% of the time and inside a hospital that only goes up to between 24% and 40%
level 1
This is bad advice.
- Compressions between the armpits. If you follow the nipple advice then think of granny and how much good pressing on her stomach is going to be.
- Don't get too concerned about depth of push. If you are breaking ribs you are doing the right thing.
- The advice to breathe for the patient is going out of fashion as it has been found there is sufficient air exchange with chest pumps. I believe all mention of breaths is to be removed at the next Australian review of CPR advice.
level 2
One of the last CPR trainings we had (teachers), the poor fireman told us to put our palm between the nipples, and the old women (me being the loudest) just lost it. I don’t think my bladder area will help my heartbeat return.
level 1
Don't try rescue breaths unless you're trained for it. Won't help and you could even make things worse.
level 1
Just remember that the CPR ratio is 30-32 chest compressions to 2 breaths..
I recommend CPR classes but this is just a quick guide
level 1
Also, don’t be afraid of breaking a few ribs - Skeletal chest injuries from CPR are well documented among individuals without prior rib fractures. The incidence of rib fractures after CPR is reported in over 70% of CPR cases, with a mean number of 7.6 broken ribs per person. Sauce - the internet
level 2
"Source: the internet" shows.
Proper CPR is not breaking any ribs. Proper CPR merely separates the cartilage between sternum and ribs. Poor CPR breaks ribs. Poor CPR hand placement is also coincidentally what is shown on this picture - interlocked hands with the upper hand curled in.
level 2
I remember being told about this when I was doing a first aid course. They said it's almost guaranteed to happen if you have to perform CPR on an elderly person and you should just "try not to worry about that". Uh...I'll try?
level 2
Only when you have 2 people. I just took my AHA BLS this morning for work.
level 2
It’s 30/2 when there is only one rescuer
level 1
At.... ⬇️first I was afraid, I was... ⬇️petrified.
level 1
Certified to provide CPR, not to teach it, but I was taught to be careful about placement on people with breasts; boobies move around a lot, so a trick I was taught was to put your thumb in the little divot where the center of clavicle is, and put your fingers of the same hand down onto the sternum. Where your fingers are is where you place your hands for chest compressions on an adult.
level 1
Nipples can be a little low on adult women or heavy guys. Make sure you’re mid-sternum and not on the bottom sternal tip xyphoid process that can break off & lacerate the liver.
level 1
Am I stupid?
What does 30 compressions at 100-120 compression per minute mean?
Wait. I got it.
of compressions = 30
Cadence of compressions = 110 CPM
level 1
Additional info that is rarely ever mentioned about CPR.
90% of the time it breaks the person's ribs...
Mmmmm ribs.
level 1
Yall... Most professionals are moving to just chest compressions as studies has shown that the "breath" makes little to no difference, given that chest compressions are made continuously.
Also, placement ain't too important as long as u are mostly in the right spot; middle of the chest. All those stretch ur pinkie and thumb between nipples and then where ur hand is... Fuck that, just get pumping, the quicker u start, the better.
level 1
Do not follow a random internet guide for CPR. You need proper training to safely administer CPR to someone.
level 2
No you dont just have a go. If they're dead, the worst thats going to happen is they'll stay dead. If they're alive, you'll be able to see them breathing and won't be performing CPR.
Very little point attempting to resuscitate someone whose had no blood circulation for 10+ mins.
We're probably not gonna get them back and if we do they'll likely have a severe hypoxic brain injury and little to no functionality. Just have a go.
level 1
Do you mean 100-120 bpm? 100-120 compressions seems pretty fast
level 1
I think not everybody has the same mental image of 2 inches and may accidentally crush people. I know it’s gotta be firm, but this is probably part of why there’s tons of accidents.
level 1
Lmao I have a cpr certification test tomorrow and was thinking of these, what a funny coincidence.
level 1
I thought the rescue breath thing had been...said to not work/not necessary.
level 1
Nipples can be a little low on adult women or fat guys. Make sure you’re mid-sternum and not on the bottom sternal tip xyphoid process that can break off & lacerate the liver.
level 1
Nipples can be a little low on adult women or fat guys. Make sure you’re mid-sternum and not on the bottom sternal tip xyphoid process that can break off & lacerate the liver.
level 1
With infants AHA says now you can use your thumbs same center chest placement but thumbs instead of your first two fingers. Either works
level 1
Do not do rescue breathes. They do not provide much of a benefit and only endanger you to diseaseZ
level 1
Nuh uh. Do NOT curl your fingers under your hand. This leads to rolling forward which reduces the compression force on the chest. Lay your hands on top of each other and focus pressure on the heel of your hand when giving compressions.
level 2
At first I thought this
Was one of those physical
Intimacy guides
- fleshrags
I detect haikus. And sometimes, successfully. Learn more about me.
Opt out of replies: "haikusbot opt out" | Delete my comment: "haikusbot delete"
level 1
Unless you know exactly what you’re doing; it’s no longer recommended to do breaths.
The efficacy of circulating the blood is far more important than stopping to do breaths which may not work. There may be an obstruction down the airway etc. you’re not a doctor; you don’t know.
Just compressions.
level 1
Rescue breathing is useless. It's vital time you're wasting not pumping blood through the body. Also, by doing chest compression you're also compressing the lung, thus moving fresh air in and out. Additionally, there is a lot of oxygen left in the blood.
So if you don't have an Ambu bag at hand just do compression at 120 bpm.
level 1
PSA: Actually, it is not recommended to stop for breaths (as done previously), if the airway is clear. This is because chest compressions will create airflow already, and continuing chest compressions is more important. And do it to the beat of "Stayin Alive" by the BeeGees ;)
level 1
A funny thing and a bit of a surprise was that I was taught these hand placements and practiced with child and infant size dolls in basic training. When you have 5000 conscripts every weekend on furlough crisscrossing the roads 300 km to every direction from the base, it makes pretty good sense.
level 1
For infants give 5 rescue breaths first, most arrests in children are respiratory causes
level 1
If you don't hearing ribs cracking, you need to do it harder.
It's not uncommon to crack or even break ribs during compressions. But, it's ok, they won't die from the cracked rib nearly as quickly as no heartbeat.
level 1
Rescue breaths are no longer recommended at least in our countrys teaching program for cpr.
Reason for that is that its not as important as once thought, as the compression/decompression of the lung provides some airflow.
Second reason is alot of people have done it wrong by either not closing down the patients nose or over strechting the neck so the air wasnt going in anyways, so its better to spend your time just compressing
Third reason is diseases, if you need to cpr a family member its different than having to perform cpr on a stranger in the street.
Point being is: stick to compression, ignore giving air.
level 1
I've been to numerous first aid courses, at school and when I took my drivers license. But to be honest I'm fairly certain that I would forget everything in a real life situation, and I would probably panic immensly and just push their chest so-so many times and blow some air every now and then.
But luckily the ambulance would hopefully be there relatively quickly.
Better to do something than nothing, even if that something might be a bit wrong.
level 1
Rescue breaths aren't really suggested anymore, especially since it can be worse than just compressions alone.
level 1
Saved this for future reference. Hope I will never needed. The victim will 100% die until I found this picture between my 1000 pictures with my dog.
level 1
When I was a young lad my mentor taught me to place my hands in the groin area for CPR. Did this for years until I found out my mentor was an ex porno star and thought his prior profession training was legit. Really shouldn't have been performing CPR anyway as a Best Buy Geek squad member.
level 1
Just did a CPR course specific for nurses yesterday. For children and infants 15 compression then then 2 breathes is more effective. But adults yes it’s 30:2.
level 1
I did a child CPR course when my daughter was born. The craziest thing was how hard you are told press each compression. When we questioned it the instructor just said 'yeah broken ribs certainly happen but it's better than the alternative.'
level 1
I’ve been told on a course that rescue breaths are dangerous and should be avoided. Don’t remember the reasons tho. Maybe someone can confirm or otherwise.
level 1
Ignore the sound of crunching bones. They can't sue you if they're dead, and if they're alive, tough luck, they can't sue you as well. I mean, they can try, but they'll lose.
level 1
9-17 are screwed.
level 1
This is dangerous as it has no source. Only listen to authorities that are authorized and actually conduct CPR/first aid training, like the Red Cross, et al.
level 1
WHEN GIVING CPR TO A CHILD OR BABY, GIVE 5 BREATHS BEFORE STARTING COMPRESSIONS
This is because it's often not a heart issue when young people become unresponsive, but a lung issue
level 1
Middle and ring finger are more comfortable for compression on an infant, for many people.
And yes, CPR is going to hurt you, and them. You will fall over dead tired of you do it correctly.and without AED they will likely die.if you perform CPR you need to be ready for this fact.
- was a red cross instructor
level 1
What does "30 compressions at 100-120 compressions per minute" mean?