Uninterrupted chest compressions 'feasible' during shock delivery

Discussion in 'Pre-Hospital [ EMS ]' started by pseudoknot, May 15, 2008.

  1. pseudoknot

    Physician PhD Faculty Lifetime Donor Verified Account 10+ Year Member

    Joined:
    Jan 1, 2004
    Messages:
    2,925
    Likes Received:
    5
    Status:
    Attending Physician
    I guess this is yet another reason to wear gloves during CPR :eek:

    http://www.medwire-news.md/38/74943...pressions_feasible_during_shock_delivery.html

     
  2. docB

    docB Chronically painful
    Physician Moderator Emeritus Lifetime Donor Verified Account 10+ Year Member

    Joined:
    Nov 27, 2002
    Messages:
    7,742
    Likes Received:
    213
    Status:
    Attending Physician
    If someone is pumping away while you're shocking how do you know what rhythm you're zapping?
     
    Stop hovering to collapse... Click to collapse... Hover to expand... Click to expand...
  3. pseudoknot

    Physician PhD Faculty Lifetime Donor Verified Account 10+ Year Member

    Joined:
    Jan 1, 2004
    Messages:
    2,925
    Likes Received:
    5
    Status:
    Attending Physician
    Probably you'd still have to have brief interruptions for analysis. That wasn't addressed in the paper, nor the accompanying editorial (which is worth a read if you have access, and very short).
     
  4. leviathan

    leviathan Drinking from the hydrant
    Physician Moderator Emeritus 15+ Year Member

    Joined:
    Sep 30, 2003
    Messages:
    2,419
    Likes Received:
    48
    Status:
    Attending Physician
    It's going to be hard to convince people to do this, but if it IS safe, why not? Then, you only need to get off the chest for 2-3 seconds to take a look at the rhythm and confirm it is shockable. In my area we already compress while the machine is charging and only get off the chest to analyze + deliver the shock.
     
  5. pseudoknot

    Physician PhD Faculty Lifetime Donor Verified Account 10+ Year Member

    Joined:
    Jan 1, 2004
    Messages:
    2,925
    Likes Received:
    5
    Status:
    Attending Physician
    I won't have a problem with it. I'm not afraid of electricity. Or bacteria. I think I have trouble believing in things I can't see :)
     
  6. greytmedic

    greytmedic Faster than you
    10+ Year Member

    Joined:
    Dec 17, 2005
    Messages:
    313
    Likes Received:
    2
    Status:
    Resident [Any Field]
    I want to know who volunteered to participate in this study? When I was a kid my brother got a jolt of electicity when he touched a nail in the wall that must have penetrated some electrical wiring. When he told me he just got shocked from the nail I, of course, went ahead and touched it, too. I learned me lesson after that: don't touch anything that may zap you with electricity. It has worked well so far.
     
    Stop hovering to collapse... Click to collapse... Hover to expand... Click to expand...
  7. pseudoknot

    Physician PhD Faculty Lifetime Donor Verified Account 10+ Year Member

    Joined:
    Jan 1, 2004
    Messages:
    2,925
    Likes Received:
    5
    Status:
    Attending Physician
    Read the editorial! Apparently this continued the great tradition of self-experimentation in medicine :eek:
     

Share This Page