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Success does not matter
A bunch of times actually, but the one that always sticks in my head was the first time I broke ribs. Good God, I still remember the patient's name.
Funny thing about breaking ribs, it's not just one "crack" like I had expected, it's like a sequence of snapping with every compression. Of course, if you want to achieve anything close to optimal perfussion, sometimes it has to happen, and you have to just suck it up and accept it. I still get goosebumps when I think about that first time.
A bunch of times actually, but the one that always sticks in my head was the first time I broke ribs. Good God, I still remember the patient's name.
Funny thing about breaking ribs, it's not just one "crack" like I had expected, it's like a sequence of snapping with every compression. Of course, if you want to achieve anything close to optimal perfussion, sometimes it has to happen, and you have to just suck it up and accept it. I still get goosebumps when I think about that first time.
A bunch of times actually, but the one that always sticks in my head was the first time I broke ribs.
yes, on a dummy in cpr class
sorry toddYou stole my answer.
More times than I can even count, but I can count the number of no disability, fully recovered pts on one finger.
spinoff: how many times does CPR actually save lives in this country? We should be getting defib training and using the Red Cross training money to buy more defibs for corridors and bathrooms and bingo halls.
spinoff: how many times does CPR actually save lives in this country? We should be getting defib training and using the Red Cross training money to buy more defibs for corridors and bathrooms and bingo halls.
I also happen to do prehospital cardiac arrest research, and CPR actually does save lives in this country. Early defibrillation also saves lives, but patients in a shockable rhythm will maintain that rhythm longer when bystander CPR is performed. Those in a non-shockable rhythm may convert to a shockable rhythm when CPR is performed. Sudden cardiac death (SCD) is the leading killer in the US, as a subset of heart disease, and the vast majority of these events occur outside of the hospital. It may be true that the handful you'll see inside the hospital will be more successfully resuscitated with defibrillation. However, as the AHA reflects in their new guidelines, high-quality CPR is more crucial to patient outcomes that defibrillation....regardless of where the patient presents.
More times than I can even count, but I can count the number of no disability, fully recovered pts on one finger.
More times than I can even count, but I can count the number of no disability, fully recovered pts on one finger.
Sorry, our job is just to get them to the hospital in the best possible condition we can. If they didn't die while they were with us, we probably did a decent job.Thank you. I can't count the number of times the EMTs/paramedics dump a "corpse-with-a-pulse" in the ER, walk out congratulating themselves, and never get to see their quote-unquote "patient" kick the bucket an hour or two later.
Sorry, our job is just to get them to the hospital in the best possible condition we can. If they didn't die while they were with us, we probably did a decent job.
I see what you're saying, I just don't get why it's relevant. Our "success" isn't based on what happens hours after they're out of our care.That's not what he's saying. I've been on both side of this; in the field you have no idea what will happen to a patient when you drop them off. In the hospital, I've seen patients go from OK to dead in a day. People in the field are notorious for telling stories, with the worst being instructors.
Not as often as most people think. The NEJM found that on medical TV shows, CPR was successful about 75% of the time. In reality:spinoff: how many times does CPR actually save lives in this country?
Agreed. This was a big mental hurdle for me to get over. Instead of feeling like I was inadequate, I had to realize that they were going to die if I wasn't there, so at least I gave it a shot.You do not do CPR to a person, you do CPR to a corpse. You can't "lose" the patient, the patient was dead when you started.
That's not what he's saying. I've been on both side of this; in the field you have no idea what will happen to a patient when you drop them off. In the hospital, I've seen patients go from OK to dead in a day. People in the field are notorious for telling stories, with the worst being instructors.
Yeah, but none of them are worse off than you found 'em.No one I've ever performed CPR on has lived
Actually it's not a slap at the quality of the care delivered, but a statement that perhaps we should not be so quick to congratulate ourselves for "saving a life" prematurely when the pathophysiology underlying the arrest is unlikely to yield a positive outcome even with the best of care. However, to walk out of the resuscitation bay slapping each other on the back going "We saved them!" certainly does not help improve the image of EMS personnel among more educated persons who look at us, roll their eyes and chuckle at our apparent ignorance.I see what you're saying, I just don't get why it's relevant. Our "success" isn't based on what happens hours after they're out of our care.
That's not what he's saying. I've been on both side of this; in the field you have no idea what will happen to a patient when you drop them off. In the hospital, I've seen patients go from OK to dead in a day. People in the field are notorious for telling stories, with the worst being instructors.
I certainly wasn't trying to take a shot on you or the front-line EMS providers.
Man I dunno, I never felt that way. Of course all of my patients died, so.. haha.Actually it's not a slap at the quality of the care delivered, but a statement that perhaps we should not be so quick to congratulate ourselves for "saving a life" prematurely when the pathophysiology underlying the arrest is unlikely to yield a positive outcome even with the best of care. However, to walk out of the resuscitation bay slapping each other on the back going "We saved them!" certainly does not help improve the image of EMS personnel among more educated persons who look at us, roll their eyes and chuckle at our apparent ignorance.
Well, I'm in a similar boat to Nick and Greyt (although they are both medics and I'm an EMT-I), and I've seen very few saves over the past 10 years. I think I could count them (including in-hospital saves at my other job) on one hand, so you're not alone in not having (m)any saves....Man I dunno, I never felt that way. Of course all of my patients died, so.. haha.
I still see it more as a "They didn't die when they were with me" rather than "I saved a life"
Good point.That, and it provides excellent practice for the 5% y'all work on who will actually benefit from it.
Same here. I've gotten pulses back a lot of times, but then again, if you dumped enough enough epi into a meatloaf, it would probably get a pulse, too. But I've only had one patient who I got a pulse back on that made a full recovery.
High dose or standard dose?One meatloaf with a side of epi please.
Success does not matter
Rats eh? I've done CPR on a dog before.....and made an EMT student work on a squirrel that was electrocuted on a power line next to our stationOn humans and rats. Succesfully.
Rats eh? I've done CPR on a dog before.....and made an EMT student work on a squirrel that was electrocuted on a power line next to our station
Interesting......I never thought of that.....I know one of the ambulance services and at least two fire departments around here carry O2 masks for animals that are pulled out of fires.Oh yeah, almost daily. You get a little syringe that fits over their nose and go to town.
Success does not matter
For me, just on rats.On humans and rats. Succesfully.