Life and Death With Dignity…and Privacy

just received a question from a student who asked:

Dear RoyOnRescue,

“In thinking about the use of an AED, what if the person is a woman and we have to “bare the chest”.   Should we place the AED pads under the shirt, or do we have to actually bare the chest for proper use of an AED?”

-CH

This is a good question and one that is uncomfortable for some to think about.  Whenever a rescuer is working on a patient, male or female,  a rule of ethics applies.  We as rescuers should be thinking about the dignity and respect of the patients privacy and confidentiality at all times.  This includes times where we may have to “Bare” the chest of the victim in order for us to defibrillate or treat them.  We should seek to be discrete as long as we are able to get the job of rescue accomplished without delay.   If the person is able to be defibrillated without full removal of the clothing that’s great.  If the person needs to have shirt or underclothing cut or removed in order to defibrillate properly than that will need to be done.  If there are bystanders, those bystanders could turn their backs to the patient and try to make a human curtain around the patient in order to protect the patients privacy and dignity.  Think about if this is in a public workplace or location where the person is known.  They may survive if everything goes the way it should and if they do, they will probably return to this workplace.  We must make sure that as far as we can control, we protected their dignity and helped them as much as possible without complicating or slowing down the rescue process.

I hope this helps.

Best Wishes,

Roy

www.royonrescue.com
royonresccue@gmail.com

2010 AHA Updates From Chicago

Hi Everyone,

I’m here at the 2010 American Heart Association instructor conference hosted at the McCormick Place. It was a wonderful weekend in the “Windy City” and worked out well for Jody Marvi(ProTrainings.com Compliance and Accreditation Manager) and I to attend the new guideline roll-out for BLS, ACLS, PALS and NeoNatal Resuscitation. I’m glad to announce that in the end, I don’t see any serious issues to any of the latest guidelines for resuscitation. I was afraid there was going to be some changes that were going to cause ethical issues for end of life issues but thankfully to the best of my knowledge, this didn’t materialize for 2010. So take a peek and let me know what you think of the latest ECC/ILCOR recommendations for resuscitation.

AVPU for Deciding to Start CPR?

In this episode of RoyOnRescue, Roy offers an answer to an email question about using the assessment of Awake, Verbal, Painful Response, Unconscious(AVPU) method for deciding to begin CPR.   He sheds some light on what AVPU is and how it can be blended with the guidelines to decide to start CPR.

Roy On Location at the 2010 Video Training Updates

I wanted to update everyone on the progress of the ProTrainings update video shoot.

I had come in early one morning and thought I’d have a cup of good coffee and let you see the on-site video location where the production team and I were shooting the new updated video trainings for the ProTraining websites. It’s important for ProTrainings to be a leader in the area of this type of training and though the video trainings are not required to be updated for a long time, we thought we’d get them out to you as soon as possible. If there’s enough benefit to change the guidelines then there’s enough benefit to get them to the ProCPR.org and ProFirstAid.com students as fast as possible.
On a side note, the production team and I have been having a lot of fun while working really hard on the set. I hope you’ll like some changes we’ve made for the new guidelines and I know that the team and I are very excited to get these updates edited and uploaded to our website in the next month or so.

Feel free to email me any questions you may have about what goes into our video production of these trainings or what it’s like behind the scenes at ProCPR.org and ProFirstAid.com.

Until next time,

Be A Rescue Hero For Someone’s Loved One,

Best wishes,

Roy