Are you CPR/AED certified?

[brianmanahan]

ok fine you guys

they got training at work, i guess i'll sign up

 

[maddogchen]

Yes.

Staying alive staying alive
La la la la staying alive staying alive

 

[Strk]

You're already dead. You can't do much beyond that unless the person is old and you crack a few ribs which is bound to happen anyway.

This

People think waiting for the EMT/Paramedic is ok. You have a very short window to get that blood flowing. You don't need to do mouth to mouth (as was already stated), but you need to do compressions immediately.

And yeah, I'm BLS certified.

 

[thescreensavers]

I took a class like three years ago for college credit, its extremely valuable. Even though CPR doesn't have a high success rate its better than nothing

 

[Kaido]

ok fine you guys

they got training at work, i guess i'll sign up

It's not that bad, and it gives you something to do when an emergency happens rather than freaking out, running away, standing around doing nothing, or calling 911 & watching the person die until the medics get there. It basically stops you from being powerless in situations like that, which means you can at least try to help rather than having to live with the guilt of not helping someone in need just because you didn't take a training class.

Also, you'd be amazed at how much work chest compressions are. They made us do it for a full minute or two on dummies & I actually got pretty wiped...it's a LOT of work!

 

[PhoKingGuy]

BLS/ACLS/PALS

On the contrary, you would be surprised just how ineffective "hammering the chest as fucking fast as you can can be" especially when you arent doing it in the right place. You're actually doing more harm than good.

If you don't break ribs, you aren't doing it correctly. End of story. I do this stuff on a daily basis basically.

 

[davmat787]

Was certified as part of scouts but that was decades ago. I'm pretty sure what was taught 30+ years ago is much different than today's methods.

 

[waffleironhead]

I wasnt aware you could or should be AED certified. I was under the impression the machine is so simple anyone can operate it. It talks to you and tells you what to do. Does the certification just check your hearing skills and make sure your arms work?

 

[DrPizza]

Just a hunch on statistics: you would get a lot more bang for the buck by purchasing an AED then you get by paying for monthly security monitoring.

 

[John Connor]

Looked at buying an AED on ebay, but the damn things are expensive!

 

[DrPizza]

Looked at buying an AED on ebay, but the damn things are expensive!

Considering what they're capable of doing for someone, it doesn't seem that expensive.

 

[brainhulk]

Bls, acls, & pals

 

[CraKaJaX]

I had to get CPR qualified for work since I took the new position.

 

[Instan00dles]

2 days ago I was the second person on scene of a car-pedestrian accident. if it wasn't for the fact that myself and the other guy had basic first aid training Im sure they man who was hit would have chocked on his own blood before emergency personnel arrived. He didn't need CPR, we just had to roll him into the recovery position and make sure his airway was positioned she he could breathe.

 

[brainhulk]

Why don't emergency room md's receive the same kind of emergency intubation training as anesthesiologists? I've seen too many fuck ups by e.d. trying to get the tube down. 1 gal even cric'd a poor dude instead of callin anesthesia...wtf?

It seems anesthesiologists can get the tube 1 handed & blind folded

To me there is a huge gap in skill, however the er md's are tasked with doing the emergency intubations?

 

[TheVrolok]

Why don't emergency room md's receive the same kind of emergency intubation training as anesthesiologists? I've seen too many fuck ups by e.d. trying to get the tube down. 1 gal even cric'd a poor dude instead of callin anesthesia...wtf?

It seems anesthesiologists can get the tube 1 handed & blind folded

To me there is a huge gap in skill, however the er md's are tasked with doing the emergency intubations?

Simple numbers, generally anaesthesia does far more intubations than emergency. It's a physical skill, repetition matters. That said, I know a lot of anesthesiologists who barely intubate anymore because CRNAs or AAs are doing it.

In addition, my guess is that you also don't frequently see/hear about the intubations in the ED that go well so there's a bias.

Also, takes some guts to critique the medical decision making of another provider (I forget what you do, one of ATs pharmacists?), especially in an emergency situation. If a patient got cric'd there very well may not have been time to wait for anaesthesia to get there. Of course I can't say for sure.

 

[sourceninja]

...

 

[brainhulk]

Simple numbers, generally anaesthesia does far more intubations than emergency. It's a physical skill, repetition matters. That said, I know a lot of anesthesiologists who barely intubate anymore because CRNAs or AAs are doing it.

In addition, my guess is that you also don't frequently see/hear about the intubations in the ED that go well so there's a bias.

Also, takes some guts to critique the medical decision making of another provider (I forget what you do, one of ATs pharmacists?), especially in an emergency situation. If a patient got cric'd there very well may not have been time to wait for anaesthesia to get there. Of course I can't say for sure.

The cric was done after putzing with the tube several times. Some docs recognize right away they will not be successful and call preemptively, some don't. This one didn't. I've seen one not make it after the er doc consciously sedated and paralyzed them and then were not able tube after trying many times. Anesthesia was never called.

Is it pride that prevents them from calling anesthesia? They come right away when paged...

I realize they just don't do them as often. But it bothers me sometimes when they have the options: fiber optic, lma, page anesthesia. But don't

im not trying to make it out that it happens every day. When it does, it is traumatizing

Maybe er docs should have to take 1 day out of every month to tube all the pre op patients to practice?

 

[sourceninja]

...

 

[jlee]

Was, but it's expired now.

 

[GasX]

Simple numbers, generally anaesthesia does far more intubations than emergency. It's a physical skill, repetition matters. That said, I know a lot of anesthesiologists who barely intubate anymore because CRNAs or AAs are doing it.

But they did it thousands of times in training....

You are correct though, it is a technical skill that requires training and practice.

And if you are doing a cricothyrotomy, you are doing it because you don't have time to wait for anesthesia... Hopefully they had a glidescope or something similar available and that failed. Going straight to cric is a big deal.

 

[GasX]

The cric was done after putzing with the tube several times. Some docs recognize right away they will not be successful and call preemptively, some don't. This one didn't.

Identifying a difficult airway is both a science and an art. Certain attributes are clear signs, but sometimes people just have difficult anatomy.

 

[Kaido]

Looked at buying an AED on ebay, but the things are expensive!

Yeah, it'd be great if they included one with a Walmart emergency car kit or something. Too bad they're crazy pricey!

 

[cardiac]

BLS/ACLS/PALS

If you don't break ribs, you aren't doing it correctly. End of story. I do this stuff on a daily basis basically.

WHAT? That's not a correct answer. Yes, you will occasionally break a rib. You will feel the intercostal cartilage separate more often. But to say "If you don't break ribs you aren't doing it correctly" is bullshit.

BLS/ACLS/PALS/AMLS/PHTLS (and an instructor in all of them).


https://www.youtube.com/watch?v=n5hP4DIBCEE

 

[TheVrolok]

WHAT? That's not a correct answer. Yes, you will occasionally break a rib. You will feel the intercostal cartilage separate more often. But to say "If you don't break ribs you aren't doing it correctly" is bullshit.

BLS/ACLS/PALS/AMLS/PHTLS (and an instructor in all of them).


https://www.youtube.com/watch?v=n5hP4DIBCEE

I think he's a med student who "has the answers," perhaps resident by now. Does seem to come off a bit... yeah.