As I was working on media projects, this wonderful public awareness announcement made it into my consciousness. I was so moved by it, I had to share it with you. I am reminded that life is short, and we are going too fast. Mistakes happen to all of us, but let’s try and eliminate the ones we can. Especially those that we can’t survive. I’m going to think about this a bit.
Heimlich procedure and if it’s okay to do it on a person who may have recently had a surgery on their back. The quick answer is YES! If you think about it, what’s more dangerous, the Heimlich on a sore back or letting the person die from a blocked airway? I wanted to take a couple minutes and answer this question directly and I hope it helps.
In this episode I revisit an annual subject that can never be taken too lightly. Safe driving in winter snow and ice. Too many times people follow too closely and don’t leave enough room to evade a crash or to stop at an intersection. If you want to be prepared to survive this winter’s icy driving, be sure to watch this episode of RoyOnRescue and learn what RoyOnRescue is preparing for the new year!
I was sent a tweet from our friends across the Ocean who are involved in rescue. It appears that a teenager was washed out to sea and the brave men and women who make up the UK Coast Guard, risked their lives to try and save this child. Regardless the outcome, I wanted to thank them personally by featuring their rescue video.
I saw a comment come in this morning from our training feedback report that read, “in your trainings, why do you say, ‘not breathing normally’ instead of ‘not breathing,’ period, for starting CPR?” I thought this was a valid question and so I thought I’d try to reply with a valid answer! The following is my reply to their question. I hope it helps.
Thank you for taking the time to give feed back regarding the ProTrainings certification program. You mentioned that the phrase “not breathing normally” versus “not breathing” was confusing. I can appreciate your thoughts regarding this phrase. The reason that the phrase is now “not breathing normally,” is in response to studies that show many sudden cardiac arrest victims still having some agonal respirations for the first minute into arrest. This slow gasp for air is purely an autonomic reflex, and does not relate to having a pulse. This form of insufficient respiration is inadequate to oxygenate, and the patient is usually pulseless as well. Due to this, the latest consensus guidelines changes the verbiage to, “not breathing normally”, so as to encourage early CPR compressions. In the past, rescuers, especially lay rescuers, were confusing agonal respirations for normal respirations and thought CPR was not needed.
I hope this helps clear up the confusion, and hope that you will email me if you have any further questions.
I wanted to get a video update out before the long Holiday weekend. I’ve had an incredibly busy summer but am excited to get the RoyOnRescue series updated and back on track. Make sure you reach out to me with questions and comments using email and twitter.
I received a question via email about using an adult AED on a pediatric patient if there were no pediatric AED pads available. The quick answer? Yes, you can. Remember, many newer AED’s are now attenuated and will usually give as much electricity as needed to accomplish de-fibrillation. If at all possible, use an AED with pediatric pads and place them correctly on the chest and back of the pediatric patient. If no pediatric pads are available, place the adult size AED pads on the front center of chest and in the middle of the child’s back approximately between the shoulder blades to ensure most effective de-fibrillation even with adult AED. In the end, when a person is suffering sudden cardiac arrest, the majority of the time, they are in a some form of de-fibrillatable rythm and an AED is of great benefit, even if the size of the pads don’t match. Ages for the child ranges between 1-8 or first signs of puberty, after that, treat as an adult and if under 1 year of age, treat as an infant. There’s some question as to the effectiveness of de-fibrillation in infants under 1 year. See the above links for more details regarding this subject.
As in all accidental deaths, the more we know about how to prevent them, the better off we will all be. In this episode, I answer an email that asked if I could combine training with some more realistic visuals about how a person may actually look when they’re drowning vs. the hollywood melodramatic look. The rescue fan was concerned that many people may not even realize that a drowning victim could be very quiet and not really even yell for help.
I hope this training helps us all have a much safer summer of fun!
I received an email a couple of weeks ago by a well known television news show. They asked if I could help them with the topic of choking and specifically on hot dogs. I liked the idea and though they didn’t need the training I put together, I thought you all might benefit from it. In producing this training, I found that kids choke 60% of the time on food! Did you also know that of that 60%, 17% of the time it’s a hot dog? I thought it would be helpful for you rescue fans so I thought I’d share it with you. In this episode we discuss why kids choke on hot dogs, how kids choke on hot dogs, how to help prevent kids from choking and what to do if it happens. Get summer safe by catching up on this latest episode of RoyonRescue right now!
In this episode, I take a closer look at the reasons that tourniquets were so important during the Boston Marathon bombing aftermath. Injuries were similar to those seen on the battle field and the battle field has trauma that requires immediate hemorrhage treatment and usually includes a long transport time. In the case of the bombing, we saw a very similar landscape. Though we don’t use tourniquets often in peaceful situations, there can and may be times where a tourniquet could mean the difference between life and death. Watch this episode to sharpen your skills on how to apply an effective tourniquet.