Simple BLS question

[wamcp]

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During a code blue today, I was performing compressions and my senior told me to not stop for delivery of breaths via bag valve mask. I had thought without an advanced airway, you do 30 compressions, pause for 3-4 seconds to allow 2 breaths at 1 second each via bag valve mask, then resume compressions and repeat. Is this correct or am I just flat out wrong and should go back to a BLS course (which was 1.5 years ago now)??

 

[Instatewaiter]

New ACLS is no longer ABC--> it is CAB. As always, the heart is the most important. A lone rescuer doesn't stop for breaths. The compressions will passively move air in and out of the lung and the amount of oxygen in the lungs doesn't drop markedly for multiple minutes.

 

[Instatewaiter]

New ACLS is no longer ABC--> it is CAB. As always, the heart is the most important. A lone rescuer doesn't stop for breaths. The compressions will passively move air in and out of the lung and the amount of oxygen in the lungs doesn't drop markedly for multiple minutes.

With an advanced airway, you don't stop. Continuous CPR is for the best. Without an advanced airway, 30:2

 

[Raryn]

Compression only CPR is also acceptable, though in an ACLS situation (such as a code blue in a hospital), you really should be getting the advanced airway sooner rather than later.

 

[jdh71]

Eff doing your own chest compressions get a LUCAS

 

[rokshana]

Eff doing your own chest compressions get a LUCAS

what's a LUCAS?

 

[jdh71]

what's a LUCAS?

http://www.lucas-cpr.com/en/lucas_cpr/lucas_cpr

 

[bananas85]

cool stuff, any studies on Lucas compared to regular chest compressions, seems like the 20 seconds it would take and most likely more to attach it would have a negative effect

 

[bananas85]

Duh I looked at the website more closely

 

[jdh71]

cool stuff, any studies on Lucas compared to regular chest compressions, seems like the 20 seconds it would take and most likely more to attach it would have a negative effect

Studies comparing it to high quality human CPR do not show any benefit. The problem is . . . I RARELY see "high quality" CPR in a code, especially as it draws on. It actually much easier on everyone and the code to just hook this sucker up and let it go. It also allows me to kick more people out of the room.

 

[gutonc]

Studies comparing it to high quality human CPR do not show any benefit. The problem is . . . I RARELY see "high quality" CPR in a code, especially as it draws on. It actually much easier on everyone and the code to just hook this sucker up and let it go. It also allows me to kick more people out of the room.

I do love that it took 6 people to respond to the fake EMS call in the video on the site though. I can see this being added to the Rapid Response cart and allowing codes to be easily and efficeintly run by 2 or 3 people rather than the 8 or so it seems to take now.

Also...LOL at "interrupting CPR for 20 seconds" being an issue. Unless you're physically in the room, watching the monitor at the time of arrest, I assure you that way more than 20 seconds had elapsed without effective compressions before the code even started.

 

[jdh71]

I do love that it took 6 people to respond to the fake EMS call in the video on the site though. I can see this being added to the Rapid Response cart and allowing codes to be easily and efficeintly run by 2 or 3 people rather than the 8 or so it seems to take now.

Also...LOL at "interrupting CPR for 20 seconds" being an issue. Unless you're physically in the room, watching the monitor at the time of arrest, I assure you that way more than 20 seconds had elapsed without effective compressions before the code even started.

In training they would take guys to
The cath lab with it going. Do stenting without stopping it. I've used it in four or fives codes now. It's very very cool. I'm bought and sold on it though I don't (and wish it did!) have any financial stake in the contraption. I think all things taken together it's much much superior to having people do compressions.

 

[joeDO2]

works well, but its very tough on chunky/obese people. not a lot of room between the arms of the device

 

[jdh71]

works well, but its very tough on chunky/obese people. not a lot of room between the arms of the device

natural selection

 

[Osteomania]

Joking aside jdh71, obese persons are a result of natural selection. Once we started sitting around (civilization) instead of constantly moving (hunter/gatherer), those of us with genetics better predisposed to putting on weight got obese/overweight. And it would seem ironic that these individuals had the advantage when long periods of hunger/drought were a norm. I can safely blame civilization for this epidemic.

And for those of you who don't have a LUCAS (which is probably most of you), you better get up on that bed and use a board. Don't stop more than 10 seconds if you can help it.

However, the idea of having that thing running on route to the cath lab and not even stopping during intervention is pretty cool. Wish I could see one in action.

 

[jdh71]

Joking aside jdh71, obese persons are a result of natural selection. Once we started sitting around (civilization) instead of constantly moving (hunter/gatherer), those of us with genetics better predisposed to putting on weight got obese/overweight. And it would seem ironic that these individuals had the advantage when long periods of hunger/drought were a norm. I can safely blame civilization for this epidemic.

And for those of you who don't have a LUCAS (which is probably most of you), you better get up on that bed and use a board. Don't stop more than 10 seconds if you can help it.

However, the idea of having that thing running on route to the cath lab and not even stopping during intervention is pretty cool. Wish I could see one in action.

We need more wild cheetahs in the streets or something.