Nice find subster. Should be shown at CPR/AED classes.

BronyMedic: WTFDYW: Nice find subster. Should be shown at CPR/AED classes.

[www.cardiauk.com image 629x259]

It's really rare to actually catch a cardiac arrest on Camera. Even rarer for it to make it onto TV in the States. HIPAA killed a lot of the shows, like Life in the ER and Paramedics: Life on the Streets which showed what REALLY happens when a person does.

When you work as a team, good things happen.

/really shocked this went green.

I'm shocked to. Simply because it's informative. That dummy just doesn't cut it.

/doing First Aid, CPR/AED retraining in a couple weeks

I purchased four AEDs for our company a year or so ago. I hope it was a "waste" of $6000.00.

Just forwarded it to the guy I occasionally teach CFR and EMT-B with. Nice find, subby.

WTFDYW: I purchased four AEDs for our company a year or so ago. I hope it was a "waste" of $6000.00.

My company turned me down in 2008 for a single AED purchase. They couldn't justify the $2k expense.

Seeing what they DID spend money on instead was, well, shocking. And not in the good way.

Happens in station more than you might think. But in order to survive, this is exactly how quickly CPR and defibrillation needs to happen.
I think it's funny because I give the same "Your EKG is a little odd" line when I see shiat I don't like.

WTFDYW: Nice find subster. Should be shown at CPR/AED classes.

It will be.

cretinbob: Happens in station more than you might think. B

Laws, yes. M-O-O-N spells "Firefighter/medics drop in station all the damn time." And on the fireground, too.

We've lost 5 or 6 firefighters/EMTs/Medics in station or on a fireground in the last 7 or 8 years. One guy was the last you'd ever think had heart issues. Ran marathons, didn't eat anything that cast a shadow, trim, about 5'8 and 140lbs, dropped on the golf course. 39 years old. Standing chatting with his guys (he was a Captain), his eyes rolled back and he went down like a sack of potatoes.

Bob The Nob: Strange how his arms raised slowly by themselves right after they laid him down and began the chest compressions.

Paging Dr. Fark ...

Judging by the rate, but not being able to see the EKG proper, he was most likely in vtach. He's unresponsive and pulseless and for all intents and purposes, he's dead (Jim).
There is still a bit of contractility to the muscles, though he has no control. I'm trying to think of an analogy. I'm sure I'll think of one later.

dramboxf: cretinbob: Happens in station more than you might think. B

Laws, yes. M-O-O-N spells "Firefighter/medics drop in station all the damn time." And on the fireground, too.

We've lost 5 or 6 firefighters/EMTs/Medics in station or on a fireground in the last 7 or 8 years. One guy was the last you'd ever think had heart issues. Ran marathons, didn't eat anything that cast a shadow, trim, about 5'8 and 140lbs, dropped on the golf course. 39 years old. Standing chatting with his guys (he was a Captain), his eyes rolled back and he went down like a sack of potatoes.

There was a medic who was transporting a patient around here who went into sudden cardiac arrest and died.
I also had a patient who was having a massive cerebellar stroke, and the closest hospital that could deal with it (requires surgery) was about an hour and a half away, so of course we flew him out. Came to find out later they had just finished working one of their own they found deceased in his bunk at the station.

But again, everyone thinking they need to go out and buy an AED, it was the chest compressions that did the most good here. It was a witnessed arrest and he was in a rythm that could be interupted. An AED will not reverse asystole or restart your heart. There was a lot that was cut out of this, and my only complaint is that the editing made it look too easy.

Why yes, I expect to die in the back of an ambulance myself. I just hope I'm not transporting at the time.

Wise_Guy: How does an AED work?

Kind of long, but worth a read because it's in laymans terms.

Short answer: It interupts a chaotic electrical signal that causes the heart to beat ineffectively, potentially returning it to an effective rhythm. However if the rhythm preceding the chaotic rhythm was asystole (not beating), then that's what you get back.

cretinbob: But again, everyone thinking they need to go out and buy an AED, it was the chest compressions that did the most good here.

QFT. Study after study is showing that ACLS, in the field, for the most part, is...well, not useless per se. But razor-sharp BLS skills (CPR and non-hyperventilating O2 support) are going to have a much better outcome than IVs and drug regimens, etc.

Not every time someone drops will they have a shockable rhythm, so good CPR skills are a must.

Also, those medics in the vid weren't using an AED. That was a medic-fired defib.

Bf+: BronyMedic: really shocked this went green.

Oh, that's very punny.

;)

after reading the intro i couldn't watch the video. it upset me just to read what happened. i don't know how emergency responders and health professionals do what they can do. i consider them hero angels and i thank God they live among us.

dramboxf: Also, those medics in the vid weren't using an AED. That was a medic-fired defib.

Yeah, camew back to say that. It does have an automatic mode.
It's a Life-Pak 15 made by PhysioControl. They are damn good (I use LifePak 12s, piss on Zoll, don't even think about Phillips)
They'll set you back, depending on options $25k-$35k. That's without all the cables and extra batteries too. To be fair I was looking at a state bid sheet, so they may be a bit more depending on the dealer.

It'll monitor pulse O2 sat, B/P, do 3 lead and 12 lead EKG. You can monitor CO2 and CO levels depending on the model. In addition to defibrillation and synchronized cardioversion (which is probably what they did to this guy, not defibrillate) you can perform transcutaneous pacing.
They are worth every penny.

a guy I worked with had a video of himself having a heart attack. He worked in public safety and they have cameras in their offices. it was kind of creepy.

He went out on disability because he couldn't do the job anymore.

cretinbob: It'll monitor pulse O2 sat, B/P, do 3 lead and 12 lead EKG. You can monitor CO2 and CO levels depending on the model. In addition to defibrillation and synchronized cardioversion (which is probably what they did to this guy, not defibrillate) you can perform transcutaneous pacing.

Wow. They've come a long way from a LifePak 3.

I thought you only cardioverted afib or EMD/PEA.

BronyMedic: EMD/PEA.

Well, the fact that I called PEA EMD should tell you how long ago I read an ACLS protocol. LOL.

Have you been reading about any of the ground-shifting changes coming in ACLS? Abandoning epy?

Or some of the BLS stuff coming down the pike, like not boarding every single patient that might have even just heard of someone having a spinal jolt?

Fascinating stuff.

BronyMedic: That's been coming down the line for years

I helped teach a CFR class as recently as fall of 2011 and we were still All About The Long Board. I also hear a lot of medics whining about possibly losing ETI in favor or King or other advanced airways.

BronyMedic: We might just be trading in the Epi for Sodium Nitroprusside as a front line cardiac arrest drug.

FTL: Sodium nitroprusside-enhanced cardiopulmonary resuscitation improves resuscitation rates after prolonged untreated cardiac arrest in two porcine models.

Wow. I didn't know Christina Hendricks was doing medical research.

Back in 1998, I was living in Tucson, AZ. I was 33 years old. I was about 100lbs overweight. I fell asleep one night on my left side, fully dressed. Side note: My father died of a massive MI when he was 47.

I woke around 2:30am, feeling very hot and sweaty and dizzy with my left arm hurting. I felt a tightness, a pressure in my chest.

I had my roommate drive me to the ER since the hospital was only about 3 blocks away. Walked into a triage nurse yakking on the phone. She points to a chair. I shake my head. "Chest pain, left-arm pain, sweating." She directs me to a treatment room. They get me hooked up to the 12 lead, and as I'm shifting on the gurney to make myself more comfortable, I let out a belch that probably rattled the 3 floors above me. ER resident comes in, sees my EKG is a nice NSR (if a touch tachy, LOL) and correctly determines that my left arm hurts because I slept on it, my chest is tight because I have gas, and I'm sweaty because I fell asleep in Tucson fully dressed.

....thiiiiis close to getting discharged and she asks some personal history questions. "Both parents alive?"

"Dad's dead...47, MI."

"Welcome to an overnight stay in our telemetry unit."

FARK.

Stress test 3 days later revealed I have the heart of an Ox. My doctor now hates me. My bloods are great, my EKG is fantastic, and I'm still 75lbs overweight. (Losing quickly though...) My resting bp is usually 110/80 or so.

I emailed this video to my work email. it will come in handy with training sessions.

Thank you subby

Great find, BronyMedic!

cretinbob: Life-Pak 15

I went searching for info, found this:
http://gizmodo.com/5192188/lifepak-15-defibrillator-so-cool-youll-fo rg et-youre-having-a-heart-attack

the video they post on there actually does make me want to cart one around all the time.  (and I wish I knew where the music in video is from).