CPR

Yes but not always . Recent developments in in 2013 in America, Japan and Australia have meant that clinically dead people from 1 to 3 hours have been resurrected after cardiac arrest using mechanical CPR combined with ECMO treatment( extracorporeal membrane oxygenation - an artificial lung hat keeps oxygen and blood flowing to the brain and vital organs) . A new machine called "Äuto Pulse" uses a band that wraps around and squuezes the entire chest providing precise and consistent compressions.

Brain death is a different matter. Once someone has no activity in the brain stem or brain they are technically dead .However you can revive the body and keep it alive on a life support system BUT the person is considered dead. Keeping a body alive is occassionally done in order to be able to harvest organs or in unusual circumstances to keep a viable environment for a fetus to allow it to continue to develop until it is ready to be born when the mother has died.

Generally while health care professionals will do their best to revive someone, even then the success rate is low. Typically they'll perform CPR as long as needed or until a doctor call the time of death. But during CPR the brain is still being deprived of oxygen so if the person does survive they often have varying levels of brain damage.

The determination of death has always been a problem. In times prior to the 19th century a "'wake" was conducted for the dead. A wake is a period of lasting from 3 to 14 days so that people could observe the body to see if the victim was really dead rather than comatose. This was more than enough time for decomposition to set in which is absolute proof of death. Once decomposition begins ressurection is impossible.

Early morticians would often perform "tests" on the apparent cadavers, either something painful that might cause a response, or some act that would make sure the subject was truly dead.

In the 1980's the call on death was no EKG and flat EEG, or cessation of breathing for over 9 minutes or so. However, this wasn't always reliable either.

Sudden immersion in ice-water sometimes causes "diving reflex" to activate and victims can in rare instances be revived after appearing clinically dead . This is thought to be akin to the reflexive reaction marine mammals experience when they dive deeply and remain submerged for as much as an hour or more. During this time, blood transfuses, body processes decline sharply, breathing stops, and pulse can drop as low as 3 beats per minute, or less. In humans, the likelihood of diving reflex kicking in is dramatically improved with the coldness of the water, the youth of the victim, and the face being immersed.

An (AED) automated external defibrillator is a device that sends an electric shock to the heart that will restore the natural heart rhythm to the victim during a cardiac arrest.

When the AED electrodes are applied to the victim's chest, it automatically analyzes the heart rhythm and the rescuer is then advised whether a shock is needed to regain a normal heart beat. The heart has been defibrillated when the victim's heart resumes normal beating.

FOR MORE INFORMATION AND VIDEO GO TO:http://www.emergencysuppliesinfo.com/what-is-a-defibrillator.html

Do not use the AED if the person has a pulse.

Restoring the heart rhythm by using electrical shock is called defibrillation.

check pulse no pulse start cpr

Activate EMS after 2 minutes of care on the infant.

The emergency procedure is called a tracheotomy.

The age / weight limit that an AED can be used on a child is 8 years old or 55 pounds. If younger than 8 years old or 55 pounds, pediatric pads (which have reduced energy output) must be used.

get them out of the heat n into a cooler room and give them some water and call for help if it is serious and if you are not certified in that area of expertise

NEVER remove the AED pads when performing CPR on a patient. Once the AED pads are applied, only EMS should remove them. It's not that there is anything special about removing the pads, the reason is that the AED needs to periodically analyze the patient for a shockable rhythm. It cannot analyze if there are no pads connected. Taking off and re-applying pads take away valuable time. Also, the pads adhere to the skin by the adhesive backing. Pulling them off causes the pads to lose the adhesive quality. A pad that does not have good adhesion does not work. The pads are meant to stay on during CPR. Even if your patient is resuscitated and is talking to you, you should still leave them on. God may not be finished with him quite yet and the patient can easily lapse back into cardiac arrest. Always leave those pads connected! Another tip to keep in mind is to never have two pads in your hands at once. If the pads touch, the adhesive glue will stick the pads together. Once stuck together, they are NOT coming apart and cannot be applied to the patient. Think of it as letting the two sticky ends of a band-aid touch. It's almost impossible to get them apart and still have a usable band-aid. 12 years of teaching CPR/AED

Next you follow the direction given by the AED. It should tell you at this point to check pulse and check breathing; resume CPR if no pulse and no breathing. In 2 minutes it will reanalyze. Again, follow the instructions given by the AED. If patient has a pulse and is breathing, monitor until EMS arrives to take over.

In English & Welsh courts - it stands for Civil Procedure Rules.

Check for signs of life (breathing, pulse). If no signs of life, continue CPR.

The AED delivers a shock energy, with units of joules (see the related link). There is not a direct conversion from joules to volts. I have read that the AED has the capability of about 1000 volts.

For a comparison of some AEDs and their energy output, see the other related link. An AED with child pads delivers less energy per shock; as low as 50 joules whereas some for an adult will deliver 360 joules or 400 joules.

You may still get good results; but maybe not. With the pads on wrong it is not shocking across the heart properly; don't chance it and remember white upper right and red to the ribs (on the victim) for pad placement.

The AED could pick up the heart rhythm of the person touching the victim and not shock when a shock is required.

Place pads upper right & lower left to ribs like an adult; if pads are too large, place on front & back. The pad icons will show where the pad is to be placed. See related link for pictures.

No you can not use one adult and one child aed pad.

You should remove the patches, with a gloved hand, before placing AED pads on patient. You should also wipe off the skin with a piece of cloth in order to make sure all of the medication is off of their skin.

Because first aid if properly applied will stabilize a victim or keep him or her alive for the time being, but it will take a doctor to properly treat whatever is the underlying cause of the victim's situation.

trachea

You only check for a pulse in people that are breathing on their own, otherwise skip it as it wastes valuable time that you could be giving life-saving chest compressions. This has been the case for the last 5 years and continues forth even with the latest guidelines.

One exception would be for the healthcare provider end of things, their protocol is difference compared to the layperson - they still check for the pulse.

If you need to check their pulse, you only need to do it for 30 seconds and double whatever number you get. If it's somewhere between 60-80 beats per minute they are usually fine. Also, try this first at the wrist then the neck because the pulse will often be strong on the neck but a weak pulse at the wrist could indicate circulation problems.

Shah Mundell

Training Director - SoCal-CPR

Most defibrillators are automatic; that is, once they are applied they will analyze the patient's heart rhythms and advise if a shock is necessary or not. Once a shock is advised, one simply presses a button to shock. Most AEDs have instructions on the machine or in the case on how to use them.

Whether a victim should attend a pretrial conference depends on their individual circumstances and comfort level. Attending can provide them with insight into the legal process and allow them to express their concerns or desires regarding the case. However, it's essential for the victim to consult with their attorney to understand the potential implications and whether their presence could impact the proceedings. Ultimately, the decision should prioritize their emotional well-being and legal interests.

MMV stands for Mandatory Minute Ventilation. It is a derivative IMV (Intermittent Mandatory Ventilation). "with V" refers to the option to vent in this mode using volume as a set target rather than pressure.

The term "Mandatory Minute Ventilation" is just that; the user sets a minimum target minute volume (MV) by setting the rate (f) and Vt (tidal volume). The ventilator will then guarantee that the patient receives AT LEAST this predetermined MV. If the patient is doing no spontaneous breathing, the vent recognizes this and will provide full support for the patient, giving them that set MV. As the patient begins to breathe more on their own, the vent also recognizes this and will begin taking away mechanical breaths, allowing the patient to perform the work necessary to achieve the set MV.

Like SIMV w/ volume, in MMV, spontaneous breathing can be supported with pressure support (PS). UNLIKE SIMV, however (and as stated above), as the patient begins to breathe more on their own, the vent will provide fewer and fewer mechanical breaths providing that the patient is reaching at least the predetermined set MV.

This mode is a good choice for rapid weans, such as post-op patients, because as the patient begins to wake, the vent challenges the patient to maintain adequate ventilation on their own. The "mandatory MV" provides a safety net so that if the patient becomes more sleepy or begins to fatigue, the vent will recognize this and add support. This mode provides a less time consuming and controlled method of rapid weaning.

Important to note is that although this mode will guarantee that a minimum MV is reached, the vent user still must monitor the patient for signs of distress and respiratory fatigue. Spontaneous, rapid shallow breathing, for instance, may achieve your set MV, but achieving a MV with very small Vts and high rate is obviously not suitable for extubation.