what should you do if you find a patient entrapped in a vehicle who is in need of cpr? This is a topic that many people are looking for. bluevelvetrestaurant.com is a channel providing useful information about learning, life, digital marketing and online courses …. it will help you have an overview and solid multi-faceted knowledge . Today, bluevelvetrestaurant.com would like to introduce to you CPR and What To Do When Someone Collapses. Following along are instructions in the video below:
Whats going on dr. Buck in this video. Im gonna go over a a little bls or cpr.
Whatever you want to call it. And then maybe we talk about a little trauma based stuff. So yeah.
I appreciate all the requests and all that good stuff. Im gonna get to those just not today okay. Im gonna get them.
I did get a little. I did get a request actually for this one which was basically what do you do if you come upon somebody who is you know you think that they have a cardiac arrest like a heart attack or they got hit by a bus or something like that so kind of go over the cpr at the beginning. The basic stuff and then im gonna tell you what we do like in the trauma.
Bay and this would be not be for a heart attack. But if somebody gets hit by a car or they get shot or something like that ill go we have a little algorithm. Its pretty simple ill go through that very quickly nothing in depth.
But just kind of some fun stuff okay so first of all this is yeah not a certification or anything. Like that im just gonna go real quick through cpr. So what happens if you come up on somebody youre in the office and somebody you know just like tips over old frank.
Hes a hes a little you know soft around the edges. There he likes his bacon cheeseburgers and he walked up two flights of stairs and then just collapsed on the floor. So you go over to frank and first of all any time.
Youre youre the first responder you want to make sure that youre not endangering yourself. So you walk over there and even though youre pretty sure that youre youre safe safe. You know youre on the street and a piano falls on somebody.
And you go to save them from the piano you want to give to get them out of underneath. The piano you want to make sure theres not another pn im gonna fall on your on your head so you know theres only one victim and not two victims because one youre acting me ill help you yourself anyway so you make sure that the area is safe you walk over and you kind of shake him. And say frank are you okay because you know you were gonna do chest compressions.
Basically. Were get out and what were going to get at and then were gonna do also mouth mouths. And you dont want to give frank mouth to mouth.
If you dont have to give him mouth to mouth. Frank right so hes shake him and be like frank frank are you okay right and and he goes like like that so thats thats the universal sign that hes not okay so if frank is not okay all right what if you shake him. And he wakes everybody goes eh okay.
Im fine okay fine great two things if you shake him. And he doesnt do anything you can do a couple things if you know how to do if youre comfortable doing this thats great if youre not then well just skip that and go right on so you can check for a pulse. And you can check for their breathing.
So you can check and see basically what i do is look at their chest. And see if its going up and down symmetrically. Okay and you can feel their breath through their nose or you can put your ear down to their mouth or nose.
And feel so you can feel the breath on your on your face and also i look at the chest at the same time and see if its rising and falling. If nothing none of that is happening you assume that hes not breathing whatever reason. If you know how to check a pulse.
You can check a pulse. If he doesnt have a pulse. Then were assuming.
Hes had a heart attack. Something else something like that is going on so he needs basically cpr right. This is where we go.
But before we go do cpr. We want to make sure we call for help because if we start cpr. Then you really cant stop cpr.
Until somebody shows up and if you dont ever call anybody that nobody ever shows up and youre gonna get tired. And youre not gonna help frank at all so you want to call somebody make sure that either you somebody is in the office. And you go.
Oh okay you know go get help call 911. Something like that if theres nobody else around what you can do is dial. Nine.
One one on your cell. Phone hit. Speaker and then start doing chest compressions and then when they answer.
Theyre gonna tell you what to do so. And then no ones ever done chest compressions before this pretty simple. So you take the sternum.
Okay. This is the breastbone right here you go basically the the lower third of the breastbone and a little bit to the left of that and you place your palm right there and you cant really see. But anyways you can kind of i kind of do this thing like that right and you lock your arms out okay.
And you you kind of lean over the top of them like this and youre gonna do one two three like that and then how fast you do it its about a hundred to 120 a minute and a really easy way to remember that is the song never the stayin alive by the bee gees. Im that i good maybe that should be cut out. But anyway so you youre gonna think of stayin alive song in your head.
And youre gonna do that to the beat. Okay you want to make sure you keep your arms locked out mostly. Because you can thats not so you keep your arms locked out.
And youre gonna do the stayin alive to the bgs and then you push down about two to three inches on the chest. Okay you want to make sure it goes down about 2 3. Inches.
And then you want to make sure it recoils comes. All the way back up you dont want to come too far off. You dont want to come off and bounce around you want to be bouncing on their neck or stuff.
Like that but you want to come youre going to keep your hand on the chest. Come up go down two to three inches come back up 100 120 times. A minute bee gees easy right so youre asking about the mouths of mouths of frank.
So. Heres a deal. The recommendations currently are that you do 30 compressions to 2 breaths.
And however theres a little caveat. There the most important thing at this time. We think is the compressions and not so much the breath every time the oxygens.
The blood goes around the circulation about 25 is taken out 25 of the oxygen is taken out of the blood. So when it goes around one time you go from a hundred percent to 75 percent. You have a good amount left so its going to go around another time without any additional oxygen.
Youre gonna still have some some oxygen left so you can you can go for a while without any breaths and we think that right now. Most the most important thing that for the body to have is the circulation. Because if youre not getting good circulation.
Youre giving the breast. Thats really not doing anything cuz if bloods. Not going anywhere the oxygen to go into the lungs.
The blood basically goes as long as it doesnt move out of the lungs. And it doesnt give any oxygen. So that anything out any other organ.
Which is the most important one is basically your brain right so that is the current thinking so 30 impressions. Two breaths. However.
You dont have to give the breaths if you cant do it or you dont know how to do it or you dont want to do it. And you got help on the way. The compressions are the most important thing.
So. Thats the thats the short version of cpr. Bls.
Which is basic life support so that in thats assuming heart attack. And a bunch. Im assuming a lot of things i skipped a whole bunch of stuff.
This is not a certification if you if you like this stuff. If you think its cool and youre like hey i can do that i should do that you can do it in one day. So you could go get certified.
It its you know its a fun course and you get good some good knowledge alright. So next thing. I want to talk about is what happens when those patients come to the trauma base they like its a car accident and the the paramedics pick pick him up and they bring him to the trauma bay or you know old george.
He was sitting on his porch. Reading his bible and he got shot his duze walked up and just shot him for no reason. He didnt never seen these dudes in his life.
He just was like chillin renas bibles grandma was sitting there drinking lemonade he got shot so what happens in the trauma bay. We get already hopefully before they come we know and the ms or the medical of the emts bring them in and we do a like a little bit extended version of an algorithm of the of the bls. So or the cpr pos.
So basically we do the abcde and the which is what i like because its very simple i can remember that so the airway breathing circulation disability and exposure thats our abcde and this is gonna be like i said very short abbreviated version of this so a is airway so we i generally ask somebody hey you know you can you tell me your name and so i did introduce myself my names dr. Parker can you tell me your name. And you remember what happened.
So i like to do that at the same time. I put my finger on the radial pulse to see that make sure they have a pulse and then if its obvious that they have a pulse. Who theyre talking i will want to know what that pulse is because if you do this enough.
Then youre gonna say you put your finger on a pulse. And go. This is over a hundred or under 100.
Which is important because over 100 is abnormal and under and under 100 is normal of course. Too low is abnormal too and you can probably feel that if you do it enough. But i like to know those things and they because thatll tip me off right.
Ill say while hes talking. He says much my name is george and i got shot and i feel his pulse and ii go and i go lets like around 120 130. Okay.
Somethings up or where i go. This is 85. And im not as worried about george so if he says if you got in a car accident and he kind of goes.
Blah blah blah. Cough then his airway is what we call not really intact and hes not going to be able to get air to his lungs or oxygen to as long as to get the around the circulation get oxygen to his organs so in that point. We would have to get an airway for him which is the tube and all that good stuff.
Im gonna were gonna do this quick so that well assume his airways intact. My name is george i got shot dude shot me when i was reading a bible so his airways intact and i go to his the b. Which is the breathing.
I look at the chest rise and fall and make sure its symmetrical. We take two take their shirt off and you look at the chest. If one is moving and the other one is not maybe.
Theres an injury here okay the tips you off. I listen i put the stethoscope in the only time i put. The stethoscope in is for this i listen to the breath sounds bilaterally make sure theyre equal.
And that then im not too concerned about the having a chest injury of course. If i see a big bullet hole. There and then thats a problem if i see a big caved in chess on one side for after a motor vehicle accident and thats a problem obvious signs.
But though thats the beef short version c. Is circulation. Now kind of changed.
Some stuff around sometimes recently some entities are talking about putting the c first. Because if somebody comes in the door and they are exsanguinated right there bleeding to death. Then you need to stop that before you do the a.
But were gonna stick to the abcs guys. I think its like its for me to remember anyway. So the c is you want to look for bleeding okay.
So if theyre theyre hosing out of their groin. Because they somebody got they got stabbed in the groin or they have you know an amputation from a motor vehicle accident and theyre bleeding out of that you want to stop that bleeding as soon as you can and then you go get to the next one okay so the other thing we do with the c. Though is we get iv access and that allows us to give them blood if they need it right away or and we usually give them a little fluid at the at the same time or initially and then at this a lot of these things are going on at the same time too.
But well get well get blood and check their blood counts and electrolytes and all that other good stuff. Too to see kind of where theyre at how sick they are if theyre sick. That was c.
And then whats next d. So d is next and these disabilities. So this is like kind of checking for a head injury.
And that we have this little scales called the glasgow coma scale and 15 is the normal three is the minimum you can get like this remote control right here has a three gcs of 3. So basically we were checking the their eye response. So are their eyes open right.
There. Verbal response are they communicating is it normal and then their motor response is that normal and if those things are not normal. Then we kind of assume that they have some kind of a head injury so thats are their neurologic disability.
So thatll tip us off to say well maybe they have a head bleed or maybe they got knocked out or something like that so thats d and then e is exposure. You take their clothes off your roll side to side you look at everything make sure youre not missing anything. Thats obvious if they get shot over here one time and everyone goes.
Yeah. Hes shot right there he shot right there you take their clothes off you look at their back. And they got four holes on this side.
And then youre like oh crap you know we didnt see that stuff so you got to make sure that that you look at everything. So thats e exposure. Thats the quick version of course.
I totally before. But maybe thatll help you like when youre you know come up on a motor vehicle accident thatll help you kind of sort things out or or at least get started. Im not i dont know so you guys want to hear this stuff.
I dont i think its fun. I think its cool thats what im kind of doing these videos if you like this kind of stuff you should subscribe to my channel. You should totally subscribe.
Were gonna have fun. Im gonna do some more. Im gonna do the requests that you guys had i know theres some snakebites a lot of people want to talk about snakebites.
Well talk about that some other things i cant remember what theres a lot of requests. Which is cool. I really appreciate all the comments and stuff and hopefully youre having fun.
Im having fun doing them i want to do more of them. But im only to do them if im not bothering you guys too much so awesome. Thats it for today and well see you on the next one take care.
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