My dad died last year, the day before he passed the nurse at the hospital were asking us (me & my mum) questions about cpr etc because he was unconscious at the time. We both replied instantly NO! He always said when it's his time, let him go. He would never have forgiven us & we would never have forgiven ourselves if it had worked to see him in even more pain than he would have already been in. Not long after that, he rallied, we had a laugh & joke around, taking the mick out of each other, as always. The following day, he passed. Thanks to videos like this, i knew in my heart that when he came round, it wouldn't be permanent & i was able to tell him everything i needed to while I had the chance. He passed from sepsis & id like to think he was comfortable when he passed.
I did one first rescue course and the instructor was very blunt and honest with us (former first responder). He told us about the 10% stat and spent very little time training it. What we spent a bunch of time on is the practice of looking for and using emergency public defibrillators. They can be quite effective if used within a few minutes of a person falling into cardiac arrest. Of course, every minute drastically worsens chances. He also told us to never even try to feel for a pulse. As a lay person, you will be wrong basically 50% of the time. Instead, look for breathing and if not breathing, start cpr (if a second person is present) and run for the nearest defibrillator. The defibrillator will detect the heart status and deliver shock only if the heart is fibrillating. If either beating or flatlined, the defibrillator will do nothing, and it tells you to proceed with cpr until first responders arrive.
Before I became a nurse, I was a paramedic. My first in the field code was 6 weeks old. A bystander trained in infant CPR got started. We continued enroute to the hospital. Other interventions, including an IO line, were done in the ambulance. The child was delivered to the ED and discharged 2 days later with no deficits. I will happily perform futile CPR for this one case. That being said, your video is right on the money and important information for the general public.
Retired first responder here…yup, it looks awful AND feels awful for the provider (lots of cracking sounds if done right). Plus it’s a lot more tiring than the training leads you to believe. There is a real push in the U.S. for all public spaces and events to have an Automatic External Defibrillator (AED) readily available. Most Basic CPR training now includes a module on their use. The AED units are compact, easy to use, and in addition to use diagrams on the outside, usually also include voice prompts to guide users. The mantra now is immediate CPR with early defibrillation. Promptly doing so in response to a witnessed event in our area has increased survivability into the 10-15% range. It doesn’t seem all that much, but it’s certainly better than doing nothing.
Thanks for unlocking a new anxiety. I now know that CPR is highly unlikely to work, but feel more compelled than ever to do it if asked for fear of looking suspicious 😅
This also applies to your pets... CPR in dogs and cats fails about 95% of the time. If they do survive, they often need several days of intensive hospitalization. Clients will often insist that we keep trying to bring their pet back, all you're doing is causing more trauma to the pet (and to the care provider). I always update my pet's files to be a DNR if anything happens to them under anesthesia.
An important thing for pet parents/owners: *make death plans for your pets too.* We talk a lot about having your own ready, but it's just as important to make them for your pets, including DNR wishes. I always tell my vets, especially once my animals reach senior ages, to put DNR on their records.
My first aid training told us to do CPR unless the patient was "obviously dead" but wouldn't elaborate much on obviously dead. They meant injuries so horrific they were incompatible with life. They said being cold to the touch or stiff could be an indication of a recent heat attack.. personally if I came across somebody in rigor or with lividity set I'm not doing CPR...
Thank you for your blunt delivery demystifying this stuff, I have issues with mortal terror since nearly dying and the notion of a good death is something I strive for when that day comes. Thank you
RN here. Thank you for this greatly needed video. Even CPR performed by professionals such as paramedics, Dr's, nurses etc are rarely successful and even when successful, it's not unusual for the person to die in the next few days. Put simply, its the persons tie to die for any multitude of reasons.
My daughter who is a firefighter/EMT in training to become a paramedic would agree with you. I didn't realize how often CPR doesn't save the patient until she told me. She had a successful experience with an elderly woman who was then transported to the hospital, but died the next day. She has had success at least twice with AED
I was given CPR in hospital a few years ago. I woke up feeling like I'd been hit by a truck. I had broken ribs, a cracked sternum and bruises you wouldn't believe. Every breath felt like fire in my chest wall. I now have a DNR.
Oh, Sam! Maybe you'll see this, or someone with the possible answer or where to look.... If a bystander, like myself, or anyone that might find themselves faced with giving CPR... but, see a DNR bracelet, or statement... we should follow that instruction, regardless if we're first responders, etc? What if someone doesn't see something like that prior to attempting life saving measures... can that person face legal repercussions, civil or otherwise? I'm a big Advanced Directive, Living Will, Death plan having, question asking kinda gal.
Good question! It really depends on the situation and what country/state you are in... and if you are the one who caused them to need cpr in the first place. But typically if you see them 'go down' you would want to be attempting CPR (most places a bystander is not required) and then tell the professionals when they take over. Because it all needs to be documented for legal purposes and you can't do that. But if we have a police/legal professionals here, let us know what the law is where you are! I'm curious too
In general you can never get in trouble for attempting life saving measures (even if you cause harm). And if you didn't know about a DNR you cannot get in trouble for still attempting to save. This may be different for medical professional depending on how much due diligence is expected of them in their system. As for not helping if you find a DNR bracelet. I think your best bet is to call an emergency line, mention the bracelet and ask them for instructions. That way, the emergency operator is responsible/liable for the decision (and they should know the laws in your country better).
Thank you. Yesterday I told my doctor that I wanted a DNR even though I am young. They said that the success rate was higher than you said and nothing about the brain damage. That's why I couldn't have it captured. but I'm going to give it another try. especially with this information
A lot of doctors, especially GPs aren't aware of the stats because they don't use the technique regularly and like we said in our over-medicalisation vids, it's not a massive part of their training. Definitely give it another shot
Slow down! You watched a youtube video! This isn't a peer-reviewed paper with citations looking at CPR across populations and sorting out how the statistics might be relevant to your particular situation. I'm an RN. It is literally my job to tell you that you *DO NOT* make major decisions based on youtube. Not about this or anything else. Your GP at least knows you and your medical history and has been to med school. I can assure you they've participated in a code or two or twenty or a hundred at some point in their career. Residency kind of demands it. Now...this video may inspire you to go look at *peer reviewed* research done in the past 5 years so you can better inform your decision, but for the love of god, you have no idea where these people makingthis video are getting this information. Also, consider if you're my patient and you drop right in front of me with some arythmia that's totally fixable (which we wouldn't know unless we code you) ...which is one of the few reasons I can imagine having to do CPR on a young, healthy person in a situation where a DNR would come into play, we have plenty of time to code you and get you back...but I wouldn't be able to do anything but watch your body get cold and give your family a call to ask what to do with your body. And also, re the brain damage. If you are able to do quality CPR you are keeping blood moving and keeping the brain oxygenated. That's the point. It isn't perfect, but you have longer than 4 minutes if we're working on you in the hospital. All that said, being a DNR is totally appropriate for many pts. Talk it over with a *health care professional* and they can offer you guidance.
@@TabooEducation I see no citations or credentials on your video. You clearly have no experience in healthcare and minimal education in statistics. If you consider how often CPR is done on full-code 80+ year olds in terrible health in a hospital setting, you'll understand why you get low overall survival rates. This will be shocking but most CPR is done on VERY SICK PEOPLE. I'm an RN. I've been in many codes. The fact is, unless you try CPR there is no way to know if the person has gone into some deadly arythmea or has suffered cardiac arrest from some other cause that CPR isn't going to help much with. So, you don't tell a young healthy person to be a DNR. There are absolutely people who are poor candidates for CPR. I have a license and experience and I can assess, educate, and answer questions to help people make a choice. You do not have these things. You have an opinion that you're presenting as if its statistically informed when its actually informed by cherry picked bits of 3rd hand data from pop-science click bait.
@davethurlow3674 "the people making these videos" has always said you must go and do your own research and use your critical thinking skills. My videos I simply to start a conversation and have people think about things that they may not have thought of otherwise. As we have stated multiple times in other videos, only morons take info from the internet as gospel
@@davethurlow3674 why slow down. it's my choices my life. I only heard in the UK when I went there for an operation that I appear to have a choice. I live in the Netherlands so I have many more freedoms. there are plenty of examples in the sports world of healthy people who never wake up again. I could already request eutenasia due to a painful illness. but I have a combination of conditions. so I would make peace with it and certainly not want CPR.
Yesterday! Just yesterday, well, almost every day I find myself thinking of what I'd have to do if it came to CPR. I'm certified, but, I'm extremely weak in the arms, as well as being short. Not only do I force myself to think of how breaking ribs or chest plate might feel under my hands. I sing in my head "staying alive, ah - ah - ah, staying alive" that 1.2.3. Rhythm... second guess myself about everything. Imagining the dread of realizing I'm causing so much more harm, although, I'm doing what I'm supposed to. .. wait, has it been 3 minutes? Is it chest compression for 3 minutes straight, then 30 seconds of "mouth to mouth" but, what if an apparatus isn't available, so is it okay to go - raw lipped? Tongue to gums, my hot breath into their mouth hole - THE JOY IT WOULD BE TO FEEL THEIR VOMIT BEING FORCED BACK INTO MINE, because.... alive! But, everyone is covered in puke, slobber, tears, fears, breaks, brokes, i might have peed myself, idk. Yes, that is a thought wander I find myself having . . Every 48- 72 hours. Guaranteed. I hate it. I hate it.
Oh gosh, no joke. I'm a SAR worker and I train and handle cadaver dogs, but I have first responder training and am CPR certified just in case we stumble across a survivor. I deal almost exclusively with the lost, the dead, and trace remains, and I have no idea how much I'd panic if we located someone who was in such a sorry state that my dog thought they were dead by the smell of them, and they were still somehow alive, and how effectively I could handle that situation. I don't think it would be well. 😂
I had to take a CPR course as part of my health education in high school; *at no point* did they tell us (a bunch of 15-18 y/o teens) that we could potentially harm people by breaking their ribs or sternum in the process, or that after 4-5 minutes there would be brain damage, or that CPR done by bystanders has an abysmally low rate of success, or that there were situation in which you should NOT attempt CPR at all. Now that I'm an adult and work in a job in healthcare (specifically with very ill, injured, and elderly people) I see the end result of what happens when you don't tell people these things: traumatized healthcare workers who _blame themselves_ when CPR fails to save a patient. This *should not happen.* Our healthcare workers should NEVER feel like THEY are the reason someone is dead, because they weren't informed that the technique they were required to learn to be licensed does not have a magical 80% success rate, especially in their patient demographic. On a side note: every time I hear a story about how a 'heroic' bystander (or doctor/nurse) attempted CPR for 10, 20, or even _50 minutes_ even on a person with obviously fatal injuries, I want to slam my hand in a door. After five minutes, the best case scenario is a patient with brain damage; after ten, I've never heard of someone who wasn't put on life support and then taken off within a week. It's not heroic; it puts families through a horribly traumatic, costly (ICU and life support in the US are $$$) ordeal.
So true. I went through EMT training several years ago and was appalled at how brutally HARD I had to push on the training gadget to even touch the heart. Putting all my weight into it was barely enough. I had no idea! I’m a small person, and was exhausted within a couple of minutes. I just hope to God I’ll never have to perform CPR in real life. (Never pursued an EMT job, but did complete the training.) Good video.
I didn’t realise how many people didn’t know this! I learnt CPR as a kid through swimming lessons in a small country town, my mum was the head teacher and two of her best friends are nurses. She let us know exactly what you just said - chances are slim but doing something feels better than doing nothing. So I’ve always known it probably won’t make a difference, but the idea of doing nothing is really hard to stomach.
Another thing I'd note for the 'You just walked in on someone unresponsive.' situation. You have no idea how long they've been out. They may have literally just collapsed before you came in. You still may be within that precious 4 minute window. Right?
Of course. Unless they're cold, It's always worth a shot. And the 000 operator that you call will tell you to anyways. It's the paramedics all after that.
My dad is a retired Physical therapist and when my mom who had breathing issues due having been a smoker for decades had her heart stop my dad did CPR but he didn't break or damage my mom's ribs. She did come back that time and was diagnosed with Broken Heart syndrome because their was no heart blockage. This happened at the end of July 2023. My mom's heart stopped again at the end of September and this she didn't come back. I will never tell him that about saving her life just to make him feel better. My mom's death certificate says she died of Broken Heart syndrome, COPD and asthma but my dad didn't do an autopsy because there was no point.
vid has a point about the difference about a child who fell in a pool and an old person suffering cardiac arrest. I once looked at a large set of images(kaggle competition) of the heart. Some of those hearts are in really bad state, it's almost a miracle they're working at all. So if you do CPR on a really old guy, it's like kicking an old machine that's broken all over and expect it to start again like its brand new. I will more likely just fall apart.
When my wife passed in her sleep, and she was cold to the touch, 911 had me do chest compressions. I heard her ribs crack. She was pronounced dead after EMS completed their protocols.
I teach CPR to private jet pilots and scuba divers, probably two of the most useless groups to teach it to. The pilots admit, "I probably won't be doing this, I'll just keep flying the plane." I'm not sure some of the scuba divers realize that they are usually at least 30 minutes out from even land, let alone emergency services. When their 60-70 year old dive buddy has a heart attack underwater, the odds are not in your favor.
My mum had to have CPR the day she died. They broke her spine, every single rib and her sternum. The broken ribs perforated both lungs and penetrated her heart. They never got her back and she died in hospital
The reality is it is more often than not a show for the public sadly. I performed compression only CPR CPR on a person who was down in a convience store. The person was prone, I rolled them over did compressions & assisted the medics when they arrived. Tve stire never called 911 & of course the store didn't have an AED. Not that it would have mattered as I later found out tbe person was down for 10 minutes. I knew the out come when I rolled them over,
It was only at my last required First Aid refresher course, that the instructor told us that broken ribs, etc, are a most likely occurrence if we did CPR on someone. I've been doing first aid courses since I was a teen in St John's Ambulance cadets in NZ(so getting on for 40 plus years of training) . I am required by my work contract to do first aid training every two years. After last year's refresher, hearing of the death of an online friend's husband and how CPR failed on him, and now this I really, really, really do NOT want to ever be in the position of having to do this - and it's a skill I'd never wanted to have to use. During my last refresher the trainer had us doing CPR continuously for 6 minutes. I could barely keep it going for that long and boy, did I hurt for a couple of days after it. I knew I would hurt as an instructor back in my 20's had done CPR on someone and was given pretty strong pain medication afterwards and she didn't think she'd need it.
Permanent Brain Damage. I’m an old ER/ICU nurse. When a friend calls I ask the same question my doctor wants to know. How long was the patient down? OK I’ll add if the victim is cold (from a drowning NOT haven’t seen patient in a week
As someone who has saved the life of a family member afterva heart attack using CPR, yes, it rarely works, but it does sometimes, and since youvhsve effectively partially died at that point (and total brain death will shortly follow, what I would suggest is that you wait until your heart stops, ensure you have previously declined CPR, and then get back to me on how that worked out for you 😂😂😂 I honestly can't decline a 100% certain opportunity to find out what comes next 😂😂😂
It's as easy as this. If your heart stops you can either possibly survive with CPR or you can die without it. One option may have a low success percentage but the other has no success.
RE: Emergency operator not knowing exactly what is going on: Operator: Is he breathing? Caller: Yes Post mortem interview with the caller. Turns out they only witnessed one breath, and it was a agonal* gasp and not really a breath. Because they though the subject was breathing they did not instruct any life saving measures. *I think I am using that right. I know it in the context of agonal breathing.
Permanent Brain Damage. I’m an old ER/ICU nurse. When a friend calls I ask the same question my doctor wants to know. How long was the patient down? Also as an old ER nurse …we used to say we’d tattoo DNR on our chests. But of course that’s not legal. We used to call it a slow code. Follow the protocols.
So, you don't just use the rythm of "staying alive" but you also better stop, when the song is over, as it takes 4:10 minutes. Good to know, thank you,
Yes CPR is brutal. You could always do nothing and watch the person die. CPR is not a magic fix, it never was. It’s an effect in a dire life and death situation to keep that person alive long enough for medical professionals. Yes that person might only have 10% chance, that’s better than 0%.
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My dad died last year, the day before he passed the nurse at the hospital were asking us (me & my mum) questions about cpr etc because he was unconscious at the time. We both replied instantly NO! He always said when it's his time, let him go. He would never have forgiven us & we would never have forgiven ourselves if it had worked to see him in even more pain than he would have already been in. Not long after that, he rallied, we had a laugh & joke around, taking the mick out of each other, as always. The following day, he passed.
Thanks to videos like this, i knew in my heart that when he came round, it wouldn't be permanent & i was able to tell him everything i needed to while I had the chance. He passed from sepsis & id like to think he was comfortable when he passed.
I did one first rescue course and the instructor was very blunt and honest with us (former first responder). He told us about the 10% stat and spent very little time training it.
What we spent a bunch of time on is the practice of looking for and using emergency public defibrillators. They can be quite effective if used within a few minutes of a person falling into cardiac arrest. Of course, every minute drastically worsens chances.
He also told us to never even try to feel for a pulse. As a lay person, you will be wrong basically 50% of the time. Instead, look for breathing and if not breathing, start cpr (if a second person is present) and run for the nearest defibrillator. The defibrillator will detect the heart status and deliver shock only if the heart is fibrillating. If either beating or flatlined, the defibrillator will do nothing, and it tells you to proceed with cpr until first responders arrive.
Before I became a nurse, I was a paramedic. My first in the field code was 6 weeks old. A bystander trained in infant CPR got started. We continued enroute to the hospital. Other interventions, including an IO line, were done in the ambulance. The child was delivered to the ED and discharged 2 days later with no deficits. I will happily perform futile CPR for this one case. That being said, your video is right on the money and important information for the general public.
Retired first responder here…yup, it looks awful AND feels awful for the provider (lots of cracking sounds if done right). Plus it’s a lot more tiring than the training leads you to believe.
There is a real push in the U.S. for all public spaces and events to have an Automatic External Defibrillator (AED) readily available. Most Basic CPR training now includes a module on their use. The AED units are compact, easy to use, and in addition to use diagrams on the outside, usually also include voice prompts to guide users.
The mantra now is immediate CPR with early defibrillation. Promptly doing so in response to a witnessed event in our area has increased survivability into the 10-15% range. It doesn’t seem all that much, but it’s certainly better than doing nothing.
as someone who plays the lotto, I must say 10% is a nice chance.
Thanks for unlocking a new anxiety. I now know that CPR is highly unlikely to work, but feel more compelled than ever to do it if asked for fear of looking suspicious 😅
This also applies to your pets... CPR in dogs and cats fails about 95% of the time. If they do survive, they often need several days of intensive hospitalization.
Clients will often insist that we keep trying to bring their pet back, all you're doing is causing more trauma to the pet (and to the care provider).
I always update my pet's files to be a DNR if anything happens to them under anesthesia.
An important thing for pet parents/owners: *make death plans for your pets too.* We talk a lot about having your own ready, but it's just as important to make them for your pets, including DNR wishes. I always tell my vets, especially once my animals reach senior ages, to put DNR on their records.
My first aid training told us to do CPR unless the patient was "obviously dead" but wouldn't elaborate much on obviously dead. They meant injuries so horrific they were incompatible with life. They said being cold to the touch or stiff could be an indication of a recent heat attack.. personally if I came across somebody in rigor or with lividity set I'm not doing CPR...
Thank you for your blunt delivery demystifying this stuff, I have issues with mortal terror since nearly dying and the notion of a good death is something I strive for when that day comes. Thank you
RN here. Thank you for this greatly needed video. Even CPR performed by professionals such as paramedics, Dr's, nurses etc are rarely successful and even when successful, it's not unusual for the person to die in the next few days. Put simply, its the persons tie to die for any multitude of reasons.
My daughter who is a firefighter/EMT in training to become a paramedic would agree with you. I didn't realize how often CPR doesn't save the patient until she told me. She had a successful experience with an elderly woman who was then transported to the hospital, but died the next day. She has had success at least twice with AED
Great content good for everyone to be educated on the facts about CPR. Thank you.
I was given CPR in hospital a few years ago. I woke up feeling like I'd been hit by a truck. I had broken ribs, a cracked sternum and bruises you wouldn't believe. Every breath felt like fire in my chest wall. I now have a DNR.
I don't want CPR ever, under any circumstance.
Another video that should be required viewing.
Oh, Sam! Maybe you'll see this, or someone with the possible answer or where to look....
If a bystander, like myself, or anyone that might find themselves faced with giving CPR... but, see a DNR bracelet, or statement... we should follow that instruction, regardless if we're first responders, etc? What if someone doesn't see something like that prior to attempting life saving measures... can that person face legal repercussions, civil or otherwise?
I'm a big Advanced Directive, Living Will, Death plan having, question asking kinda gal.
Good question! It really depends on the situation and what country/state you are in... and if you are the one who caused them to need cpr in the first place. But typically if you see them 'go down' you would want to be attempting CPR (most places a bystander is not required) and then tell the professionals when they take over. Because it all needs to be documented for legal purposes and you can't do that.
But if we have a police/legal professionals here, let us know what the law is where you are! I'm curious too
In general you can never get in trouble for attempting life saving measures (even if you cause harm). And if you didn't know about a DNR you cannot get in trouble for still attempting to save.
This may be different for medical professional depending on how much due diligence is expected of them in their system.
As for not helping if you find a DNR bracelet. I think your best bet is to call an emergency line, mention the bracelet and ask them for instructions. That way, the emergency operator is responsible/liable for the decision (and they should know the laws in your country better).
Thank you. Yesterday I told my doctor that I wanted a DNR even though I am young. They said that the success rate was higher than you said and nothing about the brain damage. That's why I couldn't have it captured. but I'm going to give it another try. especially with this information
A lot of doctors, especially GPs aren't aware of the stats because they don't use the technique regularly and like we said in our over-medicalisation vids, it's not a massive part of their training. Definitely give it another shot
Slow down! You watched a youtube video! This isn't a peer-reviewed paper with citations looking at CPR across populations and sorting out how the statistics might be relevant to your particular situation. I'm an RN. It is literally my job to tell you that you *DO NOT* make major decisions based on youtube. Not about this or anything else. Your GP at least knows you and your medical history and has been to med school. I can assure you they've participated in a code or two or twenty or a hundred at some point in their career. Residency kind of demands it. Now...this video may inspire you to go look at *peer reviewed* research done in the past 5 years so you can better inform your decision, but for the love of god, you have no idea where these people makingthis video are getting this information. Also, consider if you're my patient and you drop right in front of me with some arythmia that's totally fixable (which we wouldn't know unless we code you) ...which is one of the few reasons I can imagine having to do CPR on a young, healthy person in a situation where a DNR would come into play, we have plenty of time to code you and get you back...but I wouldn't be able to do anything but watch your body get cold and give your family a call to ask what to do with your body. And also, re the brain damage. If you are able to do quality CPR you are keeping blood moving and keeping the brain oxygenated. That's the point. It isn't perfect, but you have longer than 4 minutes if we're working on you in the hospital. All that said, being a DNR is totally appropriate for many pts. Talk it over with a *health care professional* and they can offer you guidance.
@@TabooEducation I see no citations or credentials on your video. You clearly have no experience in healthcare and minimal education in statistics. If you consider how often CPR is done on full-code 80+ year olds in terrible health in a hospital setting, you'll understand why you get low overall survival rates. This will be shocking but most CPR is done on VERY SICK PEOPLE. I'm an RN. I've been in many codes. The fact is, unless you try CPR there is no way to know if the person has gone into some deadly arythmea or has suffered cardiac arrest from some other cause that CPR isn't going to help much with. So, you don't tell a young healthy person to be a DNR. There are absolutely people who are poor candidates for CPR. I have a license and experience and I can assess, educate, and answer questions to help people make a choice. You do not have these things. You have an opinion that you're presenting as if its statistically informed when its actually informed by cherry picked bits of 3rd hand data from pop-science click bait.
@davethurlow3674 "the people making these videos" has always said you must go and do your own research and use your critical thinking skills. My videos I simply to start a conversation and have people think about things that they may not have thought of otherwise. As we have stated multiple times in other videos, only morons take info from the internet as gospel
@@davethurlow3674 why slow down. it's my choices my life. I only heard in the UK when I went there for an operation that I appear to have a choice. I live in the Netherlands so I have many more freedoms. there are plenty of examples in the sports world of healthy people who never wake up again. I could already request eutenasia due to a painful illness. but I have a combination of conditions. so I would make peace with it and certainly not want CPR.
Yesterday! Just yesterday, well, almost every day I find myself thinking of what I'd have to do if it came to CPR. I'm certified, but, I'm extremely weak in the arms, as well as being short. Not only do I force myself to think of how breaking ribs or chest plate might feel under my hands. I sing in my head "staying alive, ah - ah - ah, staying alive" that 1.2.3. Rhythm... second guess myself about everything. Imagining the dread of realizing I'm causing so much more harm, although, I'm doing what I'm supposed to. .. wait, has it been 3 minutes? Is it chest compression for 3 minutes straight, then 30 seconds of "mouth to mouth" but, what if an apparatus isn't available, so is it okay to go - raw lipped? Tongue to gums, my hot breath into their mouth hole - THE JOY IT WOULD BE TO FEEL THEIR VOMIT BEING FORCED BACK INTO MINE, because.... alive!
But, everyone is covered in puke, slobber, tears, fears, breaks, brokes, i might have peed myself, idk.
Yes, that is a thought wander I find myself having . . Every 48- 72 hours. Guaranteed.
I hate it.
I hate it.
Oh gosh, no joke. I'm a SAR worker and I train and handle cadaver dogs, but I have first responder training and am CPR certified just in case we stumble across a survivor.
I deal almost exclusively with the lost, the dead, and trace remains, and I have no idea how much I'd panic if we located someone who was in such a sorry state that my dog thought they were dead by the smell of them, and they were still somehow alive, and how effectively I could handle that situation.
I don't think it would be well. 😂
I had to take a CPR course as part of my health education in high school; *at no point* did they tell us (a bunch of 15-18 y/o teens) that we could potentially harm people by breaking their ribs or sternum in the process, or that after 4-5 minutes there would be brain damage, or that CPR done by bystanders has an abysmally low rate of success, or that there were situation in which you should NOT attempt CPR at all. Now that I'm an adult and work in a job in healthcare (specifically with very ill, injured, and elderly people) I see the end result of what happens when you don't tell people these things: traumatized healthcare workers who _blame themselves_ when CPR fails to save a patient. This *should not happen.* Our healthcare workers should NEVER feel like THEY are the reason someone is dead, because they weren't informed that the technique they were required to learn to be licensed does not have a magical 80% success rate, especially in their patient demographic.
On a side note: every time I hear a story about how a 'heroic' bystander (or doctor/nurse) attempted CPR for 10, 20, or even _50 minutes_ even on a person with obviously fatal injuries, I want to slam my hand in a door. After five minutes, the best case scenario is a patient with brain damage; after ten, I've never heard of someone who wasn't put on life support and then taken off within a week. It's not heroic; it puts families through a horribly traumatic, costly (ICU and life support in the US are $$$) ordeal.
So true. I went through EMT training several years ago and was appalled at how brutally HARD I had to push on the training gadget to even touch the heart. Putting all my weight into it was barely enough. I had no idea! I’m a small person, and was exhausted within a couple of minutes. I just hope to God I’ll never have to perform CPR in real life. (Never pursued an EMT job, but did complete the training.) Good video.
Old ICU nurse here. So often if the patient made it to us they didn’t survive the ICU experience or leave the hospital.
I didn’t realise how many people didn’t know this! I learnt CPR as a kid through swimming lessons in a small country town, my mum was the head teacher and two of her best friends are nurses. She let us know exactly what you just said - chances are slim but doing something feels better than doing nothing. So I’ve always known it probably won’t make a difference, but the idea of doing nothing is really hard to stomach.
Another thing I'd note for the 'You just walked in on someone unresponsive.' situation.
You have no idea how long they've been out. They may have literally just collapsed before you came in. You still may be within that precious 4 minute window. Right?
Of course. Unless they're cold, It's always worth a shot. And the 000 operator that you call will tell you to anyways. It's the paramedics all after that.
@@TabooEducation I love your channel by the way! You and Caitlin Doughty have taught me so much! Thank you. ❤
My dad is a retired Physical therapist and when my mom who had breathing issues due having been a smoker for decades had her heart stop my dad did CPR but he didn't break or damage my mom's ribs. She did come back that time and was diagnosed with Broken Heart syndrome because their was no heart blockage. This happened at the end of July 2023. My mom's heart stopped again at the end of September and this she didn't come back. I will never tell him that about saving her life just to make him feel better. My mom's death certificate says she died of Broken Heart syndrome, COPD and asthma but my dad didn't do an autopsy because there was no point.
I had no idea the recovery stats were so low. Perhaps my perception has been coloured by watching "Bondi Rescue '
vid has a point about the difference about a child who fell in a pool and an old person suffering cardiac arrest. I once looked at a large set of images(kaggle competition) of the heart. Some of those hearts are in really bad state, it's almost a miracle they're working at all. So if you do CPR on a really old guy, it's like kicking an old machine that's broken all over and expect it to start again like its brand new. I will more likely just fall apart.
When my wife passed in her sleep, and she was cold to the touch, 911 had me do chest compressions. I heard her ribs crack. She was pronounced dead after EMS completed their protocols.
I teach CPR to private jet pilots and scuba divers, probably two of the most useless groups to teach it to. The pilots admit, "I probably won't be doing this, I'll just keep flying the plane." I'm not sure some of the scuba divers realize that they are usually at least 30 minutes out from even land, let alone emergency services. When their 60-70 year old dive buddy has a heart attack underwater, the odds are not in your favor.
🤣🤣 ok that gave me a good laugh. Oh boy!
Another great, thought provoking video.
😊TH-cam must have known I saw your TT last night, because it’s suggested the full video today.
My mum had to have CPR the day she died. They broke her spine, every single rib and her sternum. The broken ribs perforated both lungs and penetrated her heart. They never got her back and she died in hospital
The reality is it is more often than not a show for the public sadly. I performed compression only CPR CPR on a person who was down in a convience store. The person was prone, I rolled them over did compressions & assisted the medics when they arrived. Tve stire never called 911 & of course the store didn't have an AED. Not that it would have mattered as I later found out tbe person was down for 10 minutes. I knew the out come when I rolled them over,
It was only at my last required First Aid refresher course, that the instructor told us that broken ribs, etc, are a most likely occurrence if we did CPR on someone. I've been doing first aid courses since I was a teen in St John's Ambulance cadets in NZ(so getting on for 40 plus years of training) . I am required by my work contract to do first aid training every two years. After last year's refresher, hearing of the death of an online friend's husband and how CPR failed on him, and now this I really, really, really do NOT want to ever be in the position of having to do this - and it's a skill I'd never wanted to have to use.
During my last refresher the trainer had us doing CPR continuously for 6 minutes. I could barely keep it going for that long and boy, did I hurt for a couple of days after it. I knew I would hurt as an instructor back in my 20's had done CPR on someone and was given pretty strong pain medication afterwards and she didn't think she'd need it.
Permanent Brain Damage.
I’m an old ER/ICU nurse.
When a friend calls I ask the same question my doctor wants to know.
How long was the patient down?
OK I’ll add if the victim is cold (from a drowning NOT haven’t seen patient in a week
As someone who has saved the life of a family member afterva heart attack using CPR, yes, it rarely works, but it does sometimes, and since youvhsve effectively partially died at that point (and total brain death will shortly follow, what I would suggest is that you wait until your heart stops, ensure you have previously declined CPR, and then get back to me on how that worked out for you 😂😂😂
I honestly can't decline a 100% certain opportunity to find out what comes next 😂😂😂
It's as easy as this. If your heart stops you can either possibly survive with CPR or you can die without it. One option may have a low success percentage but the other has no success.
RE: Emergency operator not knowing exactly what is going on:
Operator: Is he breathing?
Caller: Yes
Post mortem interview with the caller. Turns out they only witnessed one breath, and it was a agonal* gasp and not really a breath.
Because they though the subject was breathing they did not instruct any life saving measures.
*I think I am using that right. I know it in the context of agonal breathing.
This is true in some places. Though not what I was referring to. But still relevent
Permanent Brain Damage.
I’m an old ER/ICU nurse.
When a friend calls I ask the same question my doctor wants to know.
How long was the patient down?
Also as an old ER nurse …we used to say we’d tattoo DNR on our chests. But of course that’s not legal.
We used to call it a slow code. Follow the protocols.
So, you don't just use the rythm of "staying alive" but you also better stop, when the song is over, as it takes 4:10 minutes. Good to know, thank you,
Yes CPR is brutal. You could always do nothing and watch the person die.
CPR is not a magic fix, it never was. It’s an effect in a dire life and death situation to keep that person alive long enough for medical professionals. Yes that person might only have 10% chance, that’s better than 0%.
i invoke @DoctorMike i am sure he will have something to say about this.