Hot answers tagged

11 votes
Accepted

How can CPR breathing be made less off-putting

That problem is already solved for you, at least in the US. Current guidelines issued by the American Heart Association no longer require rescue breathing. Chest compressions alone are now the ...
user avatar
  • 9,324
10 votes
Accepted

How are ratios for one person CPR arrived at?

Note: The following is excerpted from an article written in 2005. For lay (Non trained) people, there are more updated recommendations. The following is an example of the process, not the current ...
user avatar
  • 6,524
8 votes
Accepted

Why does breathing stop during cardiac arrest?

During approximately 50% of cardiac arrests, the patient continues to breathe for a time. However, this breathing is known as agonal respiration and is essentially gasping for air. This gasping is ...
user avatar
  • 864
7 votes

Can Asthma lead to a Cardiac Arrest and thus require CPR?

Asthma can lead to shortage of breath and in severe cases to death by suffocation (called asthmatic asphyxia). Failure of breathing inherently involves that the heart rate stops (called cardiac arrest)...
user avatar
  • 6,480
7 votes
Accepted

Can a otherwise healthy person request a "do not resuscitate" order?

The MOLST (Medical Orders for Life-Sustaining Treatment) form is an update to the non-hospital DNR, which as you saw in a previous answer has very stringent (and frankly unrealistic) requirements. ...
user avatar
  • 1,251
7 votes
Accepted

Basic CPR practice without a dummy

With a very small budget If you do not want to spend any (or very little) money on it, I recommend filling a small garbage bag with wet sand and then placing a cushion or pillow over it. I'm guessing ...
user avatar
  • 864
7 votes

AED on infants: risks of using adult pads

Adult pads have a larger area. And they provide more energy. The higher energy is needed because most adults have more body mass than children. Lower energy is more suitable for children. Source I ...
user avatar
6 votes
Accepted

Why do we continue compressions after the first AED shock?

The only thing that keeps a patient in cardiac arrest alive is constant, high-quality chest compression. Cardioversion ("shocking") of a patient aims to return the heart to normal (sinus) rhythm in ...
user avatar
  • 471
6 votes

Why is defibrillation commenced before CPR in ventricular fibrillation?

The timing of the first defibrillation attempts depends mostly on when defibrillation is detected. If it is witnessed - that is, the patient is being monitored and the alarm goes off, you're right ...
user avatar
5 votes
Accepted

When should one stop CPR?

If the patient is breathing normally, stop CPR. Image Source: Official Guidelines of the European Resuscitation Council, latest edition: 2015. Section 2, p.88 The part that made me personally most ...
user avatar
  • 6,480
5 votes
Accepted

Mechanical cardio resuscitation for asystole

"Giving" electrical current to the heart does not necessarily translate to mechanical contractions. The excitation-contraction coupling (as the sequence of electrical activation an muscle contraction ...
user avatar
5 votes

How are ratios for one person CPR arrived at?

In Europe we use 30/2 for adults and 15/2 for children. For children heart problems are rare, so the focus lies on breathing (we also start with 5 breaths). With adults the focus lies on chest ...
user avatar
5 votes

Is it possible for the lungs and heart to work independently of one another?

The above answer is correct: no they can't function independently. I want to build on that answer with a couple additional points. Consider that your heart beats while you hold your breath - but it ...
user avatar
  • 5,693
5 votes
Accepted

Is it possible for the lungs and heart to work independently of one another?

You're overlooking one important point: Both the heart and lungs are living tissue too, and without both circulating blood and oxygen they will die just like all the other tissues in the body. So no, ...
user avatar
  • 9,324
4 votes

Why do we continue compressions after the first AED shock?

There are several studies that emphasize the importance of providing rapid and deep compressions and that CPR should resume immediately after the shock given by the AED, without the delay entailed in ...
user avatar
4 votes
Accepted

How would a newborn infant reflexively breathing react to rescue breaths administered correctly after birth?

If the cord is the only reason that prevents the baby to start breathing spontaneously and the baby is otherwise healthy then the situation could resolve as you assumed. Two breaths could suffice, ...
user avatar
  • 15.6k
4 votes
Accepted

Can weak people use their feet when doing CPR?

Mechanically, if you have good enough foot control to be able to meet compressions guidelines, then a compression is a compression. But there are a few things to consider. Most importantly, what a ...
user avatar
  • 5,693
3 votes

How can CPR breathing be made less off-putting

The British came across this exact problem. CPR was seen as a tricky business, especially when it was considered complicated and might involve mouth-to-mouth. Their solution was (as Carey Gregory ...
user avatar
  • 131
2 votes

What really happens to the heart during cardiac arrest and why is an AED useful?

1) What happens to the heart in cardiac arrest? During a cardiac arrest, the electrical and mechanical activity is compromised (either one or both) such that the heart does not pump blood ...
user avatar
  • 325
2 votes

Can a otherwise healthy person request a "do not resuscitate" order?

If an otherwise healthy person has a do not resuscitate order and has a heart attack and the ambulance comes, will they just let him die like that? Or is do not resuscitate only applicable to ...
user avatar
  • 690
1 vote

Can esophageal obstruction cause choking?

Severe esophageal obstruction could cause choking via: Regurgitation leading to bronchoaspiration Compression of the adjacent trachea Resuscitation in such a scenario would warrant emergent ...
user avatar
1 vote
Accepted

Is there a term for this CPR technique that avoids direct respiration?

You may be describing the Silverster method and perhaps of use when there's a concern about Covid-19 In the 19th century, Doctor H. R. Silvester described a method (The Silvester Method) of ...
user avatar
  • 13.2k
1 vote
Accepted

When a person is seriously injured, what's the point of CPR?

I am a certified CPR trainer. The purpose of CPR is to keep the circulation running such that the vital organs receive enough oxygen to survive the period until the medical professionals take over. ...
user avatar
1 vote

Can a otherwise healthy person request a "do not resuscitate" order?

If the person has a valid out of hospital DNR order, then that person should not be resuscitated if they experience a cardio respiratory arrest. In that case the person clearly is not healthy. The ...
user avatar
  • 13.2k

Only top scored, non community-wiki answers of a minimum length are eligible