Cpr

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In Australia, the current standard is 30:2. But that's Australia. lol
 
Law2Doc, Hayden, other colleagues thank you for an expedient reply..It was freaking me out because the compression/ventilation ratio has changed numerous times!
Also give me info and I give info: As far as wounded in Iraq 90% of the wounded are saved compared to only 75% of the wounded in Vietnam being saved. This due to CPR, torniquet and "quick" medical evacuation. And I figured out this stat which they wont tell you. For every one soldier who expires in Iraq approx. 6 are wounded, mostly limb amputees big time and open and closed brain injuries. Also there is a "new" molded durable replacement plastic- type skull that is anchored to the remaining skull by titianium screws. Its so sad. I read this in December 06- "National Geographic Magazine"
 
i stand corrected, thanks for clearing that up for me too then.
 
Generally it's 30:2, but for two person CPR on a child I think it is 15:2

I did read an article somewhere saying that NO breaths may be even better, although this is not the official guideline. It might be better to continue compressions and not stop to give breaths. Also it makes people more willing to give compressions than give breaths.

If there was a stranger (although you can't judge a person's cleanliness by their appearance, let's for arguements sake say this person is not a hot chick, but grungy looking homeless person) that needed CPR and you had no mask or breathing bag, would you do mouth to mouth? I think I might just give compressions.
 
mjl1717 said:
As far as wounded in Iraq 90% of the wounded are saved compared to only 75% of the wounded in Vietnam being saved. This due to CPR, torniquet and "quick" medical evacuation.
Click to expand...
I'd put body armor in there way before CPR...
 
i thought the tourniquet has been around for ages...it's new since Vietnam?
 
Husky85 said:
i thought the tourniquet has been around for ages...it's new since Vietnam?
Click to expand...

No, Im not saying its new but being used even quicker with more efficiency!

By the way can anyone explain what a torniquet actually does anatomically?

#2 -If a soldier is shot in the distal calf where would you put the torniquet?

Moral of the story--Sometimes doing simple, elementary stuff (for lack of better wording) can do so much!
 
mjl1717 said:
No, Im not saying its new but being used even quicker with more efficiency!

By the way can anyone explain what a torniquet actually does anatomically?

#2 -If a soldier is shot in the distal calf where would you put the torniquet?

Moral of the story--Sometimes doing simple, elementary stuff (for lack of better wording) can do so much!
Click to expand...

According to my advanced trauma training course (I'm going to Iraq this fall) the answer is 2 inches above the wound. Medics are often taught to put it as high as they can get it, but this can lead to greater tissue loss than is necessary. Remember that a BKA is much much better for the patient than the AKA. One thing they stressed to us too was that it's OK to move the torniquet distally if it still works.

Ed
 
mjl1717 said:
No, Im not saying its new but being used even quicker with more efficiency!

By the way can anyone explain what a torniquet actually does anatomically?

#2 -If a soldier is shot in the distal calf where would you put the torniquet?

Moral of the story--Sometimes doing simple, elementary stuff (for lack of better wording) can do so much!
Click to expand...


While they say 2 inches above the wound, it should also be noted that others say that you should apply the tourniquet above the elbow for an arm injury or above the knee for a leg injury. This is because the artery can slide between the two bones of the forearm or the calf...therefore rendering the tourniquet useless. Instead, if you apply above these joints, you will occlude the artery because it is running beside the bone. So, in short, for a distal calf --- above the knee.
 
mjl1717 said:
Also give me info and I give info: As far as wounded in Iraq 90% of the wounded are saved compared to only 75% of the wounded in Vietnam being saved. This due to CPR, torniquet and "quick" medical evacuation. And I figured out this stat which they wont tell you. For every one soldier who expires in Iraq approx. 6 are wounded, mostly limb amputees big time and open and closed brain injuries. Also there is a "new" molded durable replacement plastic- type skull that is anchored to the remaining skull by titianium screws. Its so sad. I read this in December 06- "National Geographic Magazine"
Click to expand...

There is a chapter on this subject in Atul Gawande's new book Better. From what he says, the reason for the decreased mortality rate is largely due to tactical changes rather than scientific advances. It's pretty interesting if you get a chance to read it.
 
mjl1717 said:
Also give me info and I give info: As far as wounded in Iraq 90% of the wounded are saved compared to only 75% of the wounded in Vietnam being saved. This due to CPR, torniquet and "quick" medical evacuation. And I figured out this stat which they wont tell you. For every one soldier who expires in Iraq approx. 6 are wounded, mostly limb amputees big time and open and closed brain injuries. Also there is a "new" molded durable replacement plastic- type skull that is anchored to the remaining skull by titianium screws. Its so sad. I read this in December 06- "National Geographic Magazine"
Click to expand...

I have to agree with notdeadyet, in putting body armor much higher on the list of reasons why the survival rate is so high. In my 14 months at Landstuhl Regional Medical Center (with the large Fallujah 1 and 2 battles occuring during my stay, as well as countless other skirmishes), I saw many soldiers, airmen, sailors, and marines with horrible injuries who would have been dead on the battlefield if it weren't for their body armor. It isn't perfect by any stretch of the imagination (There were quite a few neck and genital injuries from things coming in at an angle, in additition to the numerous extremity wounds). But with it, and with the rapid sequence from self or buddy care (including tourniquet use) to higher levels of medical care (ultimately reaching Landstuhl for stabilization for the long flight home) so many of the wounded survive. It was not rare to see a casualty come to our OR less than 10 hours from his or her battlefield injury (on occasion switzerland would permit the use of their airspace to reduce the travel time for someone particularly unstable). I think getting the wounded the appropriate medical care, so they don't arrest, is much more effective than performing battlefield CPR.
 
dpmd said:
I have to agree with notdeadyet, in putting body armor much higher on the list of reasons why the survival rate is so high. In my 14 months at Landstuhl Regional Medical Center (with the large Fallujah 1 and 2 battles occuring during my stay, as well as countless other skirmishes), I saw many soldiers, airmen, sailors, and marines with horrible injuries who would have been dead on the battlefield if it weren't for their body armor. It isn't perfect by any stretch of the imagination (There were quite a few neck and genital injuries from things coming in at an angle, in additition to the numerous extremity wounds). But with it, and with the rapid sequence from self or buddy care (including tourniquet use) to higher levels of medical care (ultimately reaching Landstuhl for stabilization for the long flight home) so many of the wounded survive. It was not rare to see a casualty come to our OR less than 10 hours from his or her battlefield injury (on occasion switzerland would permit the use of their airspace to reduce the travel time for someone particularly unstable). I think getting the wounded the appropriate medical care, so they don't arrest, is much more effective than performing battlefield CPR.
Click to expand...

Wow you were at Landstuhl! That must have been the epitome of seeing and evaluating big time trauma!! Thx for the info! {its almost impossible to see that level and quantity of trauma here in the states}
 
2004 and part of 2005. Definitely an incredible experience. The navy trains their medical personnel for combat at the hospital we train at for school (LAC+USC), but the pace of things was different (each time a plane landed was like a mass casualty incident for us in the ICU). Also, I hate to admit it but when you see the gangbangers shot up it doesn't cause the same emotions as seeing a fellow soldier injured (not that I don't still try to help the bad guys).
 
dpmd said:
2004 and part of 2005. Definitely an incredible experience. The navy trains their medical personnel for combat at the hospital we train at for school (LAC+USC), but the pace of things was different (each time a plane landed was like a mass casualty incident for us in the ICU). Also, I hate to admit it but when you see the gangbangers shot up it doesn't cause the same emotions as seeing a fellow soldier injured (not that I don't still try to help the bad guys).
Click to expand...

Geez-Talk about being calm, collected, unemotional, methodical, not be distracted, not get excited in an emergency room! [Id definitely have to take a few deep breaths and call on the deepest cognitive recesses of my being] for Landstahl.

Also guys thank you for the quick replies and straightening out the CPR and torniquet issue big time!
 
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