If proper CPR involves compressing the chest so much such that the ribcage might break - doesnt that breakage risks a bone puncturing the heart?

  • BigDanishGuy@sh.itjust.works
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    11 months ago

    The person is dead if you don’t do something. You cannot fuck their day up any worse than it already is.

    Don’t think about it, just act!

    • Make sure that you are safe. If no one else is taking charge, you are in charge!
    • Get emergency services on the phone.
    • Clear the airways.
    • Get going with 30:2 at 100-120 BPM.
    • Get some help from the people around you.
    • Send someone for an AED.
    • Send someone to meet the ambulance.

    You can think about it later.

    • MeanEYE@lemmy.world
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      11 months ago

      And to make things clear for people who don’t know it’s 30 compressions, 2 blows of air. For very young children it’s faster though, 15:1.

      • BigDanishGuy@sh.itjust.works
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        11 months ago

        Depends on the material, I have to teach 30:2 so that people don’t freeze. There’s a special course for people who are responsible for children, they learn a different algorithm, but I haven’t taught that course, so I’d have to read up on it. I believe that it’s still 30:2, but with 5 blows initially.

        So I guess, just do 30:2 and don’t worry about the age part.

        • MeanEYE@lemmy.world
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          11 months ago

          When I was taking my drivers exam we were taught this in first aid. Am quite surprised other countries don’t have this. We have a somewhat short lecture of 2h and we have to pass written and practical exam in first aid. It’s not huge amount of knowledge but it’s better than nothing. We are taught to recognize burns, lacerations, different type of bleeding, CPR and few other things.

          • BigDanishGuy@sh.itjust.works
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            11 months ago

            Am quite surprised other countries don’t have this

            Careful dealing in absolutes there, a Danish driver’s license requires an 8hr first aid course.

            • model_tar_gz@lemmy.world
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              11 months ago

              Here in Amuricastan, we don’t need no stinking class to learn how to drive a 3000 pound death missile. A signature, a 70% on a multiple-choice exam, and a cursory vision check (can you see through your eyes) is all we need for our FREEDUM MACHINES. First aid is for sissies.

              • BigDanishGuy@sh.itjust.works
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                11 months ago

                There’s so many things, where your country has decided to go “you guys are doing x? We’re doing x^-1 because fuck you, that’s why!”

                One of the most baffling things is your driver’s ed. I spent the equivalent of 2.8K USD to get a license, I had to attend

                • a medical exam
                • an 8hrs first aid course,
                • 29hrs of theoretical driving ed (laws, signage etc),
                • 4hrs on a closed circuit to learn how to start and park,
                • 16hrs of practical driving, and
                • 4hrs on a closed circuit with slippery conditions

                before being allowed to even attempt a multiple choice exam (which 28% fail on the first try) and then a practical exam.

                All the while you can get a license at 16yo, and it’s wham bam thank you mam easy to get. While a Danish teen can’t drive alone before they’re 18 and have spent all that time and money… Smh and don’t get me started on guns, that’s even more different.

          • BigDanishGuy@sh.itjust.works
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            11 months ago

            Depends on who you are listening to. I just checked with the mandated lesson plan (“Basal førstehjælp til børn”, or “Basic first aid for children”, published by the Danish First Aid Council (DFAC), December 2021). I have to adhere to this plan when teaching that course. Among other things, the main differences are:

            • 5 blows (page 6) then 30:2 at 100-120 BPM (page 7).
            • If you’re alone, then you do 1 min of CPR before calling emergency services (page 7).

            It’s the current lesson plan, and the council tends to follow the European Resuscitation Council’s guidelines… Most of the time. While I haven’t read up on the ERC’s guidelines for some time now, I also know that the DFAC may take other aspects into consideration when creating their lesson plans.

              • BigDanishGuy@sh.itjust.works
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                11 months ago

                Exactly, as a CNA you have different guidelines, and resources. I used to work as a temp CNA (a job med students can train for in my country), and naturally we were expected to not just do the layman’s CPR.

                But the courses I teach are designed for non-medical persons, and they, more than anything, need to not freeze up in the moment. So they are taught to do it one way, and one way only. Is it optimal in every case? Of course not, but in most cases there’s a net positive effect.