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Real
Examples of Resuscitation Do Not Resuscitate
(DNR) means that if the heart stops, the
patient does not want Cardio-Pulmonary Resuscitation (CPR) to try
restarting the heart. DNR is only supposed to come into effect when the heart
stops, which is rare, but long before that, most doctors give less
treatment to people who choose DNR (details in the pamphlet and below). Giving someone CPR
is described at: University
of Washington, American Heart Association, Red Cross, Mayo Clinic. Patients who live to leave the hospital (a
sixth to a quarter) usually usually stay alive for
years, mostly without injury or mental decline, as discussed in the
pamphlet and below. CPR allows organ donation in those who do not live. There
are several videos at the bottom of this web page, giving people's experience
with CPR.
Click
for a PAMPHLET,
and print pages 1-4. Pages
from 5 to the end give the source notes and more information on each topic.
It has far more information than this web page. (Calculations are in a spreadsheet.)
Please send questions and comments to medfacts@globe1234.com Here
are some of the tradeoffs between DNR and CPR:
A Regina Saskatchewan orientation video shows a team coming to revive a
"patient" in a hospital. They use an actor and a dummy, showing a
wide array of techniques available. The doctor handles timing of an AED,
which is handled automatically by the AED outside a hospital. 14 minutes. youtube.com/watch?v=U1zq4T7MEWw
U of California
San Diego (UCSD) orientation video on how a trauma center helps patients.
They do not show resuscitation, since it seems patients would be resuscitated
by ambulance crew, though it may be needed again in the trauma center. They
show how they evaluate the various wounds. 16 minutes. youtube.com/watch?v=HcR4enuaEK0
Images of heart
& blood flow during CPR https://www.youtube.com/watch?v=DUaxt8OlT3o and with AED https://www.youtube.com/watch?v=FSiDT5P0ZlI
RELATED
EXAMPLE OF AUTOMATED TOURNIQUET
Discussion with
company and emergency physicians, 2024 trials https://www.medscape.com/viewarticle/new-tourniquet-aed-bleeding-2024a1000eth
and review by police https://www.police1.com/police-products/tactical/tactical-medical/product-review-autotq-automated-tourniquet
REAL EXAMPLES OF RESUSCITATION
The Heart
Association has training videos. The PulsePoint app lets 911 call
citizens near a cardiac arrest who've been trained in CPR. 52-year-old Tony
Gilliard from South Carolina narrates a video of his heart stoppage while
playing basketball in 2013. CPR and AED brought him back. 2 minutes. youtu.be/v=YrBq_sFV3LA
62-year-old John
Ellsworth's heart stopped in a British street. He needed 3 AED shocks to
revive, then was taken to a hospital where they treated him, and eventually
placed a defibrillator in his chest. 10 minute video narrated by the BBC
series Real Rescues. youtu.be/nxpYuVr53zQ
71-year-old
Nebraska lobbyist Tom Vickers collapsed in 2008 from a heart attack at the
state Capitol. CPR and AED administered by a doctor on duty revived him. He
was taken to a hospital, where they found 99% blockage in an artery. Video
from security camera. no sound. 3 minutes. Video: youtube.com/watch?v=fNdDzmcwA0w
51-year-old Chris Solomons in Britain had a heart
attack and felt his hands shake and his limbs tingle. He worked at a site
which dispatched helicopter medics, and he was still not feeling well when he
got there. The medics there took an EKG, which did not look right so they
were getting ready to get him to a hospital, but he collapsed. They used CPR
and 2 AED shocks to revive him, and flew him to a hospital where doctors
found a blocked artery and opened it with a stent. 13 minutes. He says,
Text: heartrhythmcharity.org.uk/www/media/files/130213-sh-1-Chris_Solomons_case_study.pdf Video: youtube.com/watch?v=w32PUDL2lb8
A man collapsed in a car, and police arrived to pull him from the car.
They and a passing nurse gave CPR and AED. The wife panicked, swore, prayed,
and yelled at her husband not to leave her. An ambulance arrived and took
over. The man lived and left the hospital in a few days. The nurse and police
were given awards for their fast action. It seems to be filmed from a camera
mounted on the first police car. 4 minutes. youtube.com/watch?v=HxlIAQj4IWY
An Augusta Georgia video shows two patients in the emergency room at
the same time. Many of the comments heard on the video use abbreviated
medical language. 11 minutes. 45-year-old runner who collapsed at a race got CPR immediately from
other runners, and AED after 12 minutes. He was taken to the hospital and
revived with cooling treatment. Revival required a breathing tube, which was
removed 2 days later. 65-year-old woman collapsed at home with husband, went several minutes
without CPR. An ambulance crew got some response from her heart, using sodium
bicarbonate and another medicine, but she died in the emergency room. youtube.com/watch?v=NWKyXYnvlpM
Ken is a Utah
firefighter who has saved lives himself. He had a cardiac arrest in 2006
after practicing soccer with his wife and 5 children. His wife gave him CPR
for 14 minutes, after telling the only bystander to call 911. Ken revived,
and they are interviewed in this video. https://www.youtube.com/watch?v=Rb4sU-Zt7CA
CPR saved the life
of reporter Steve Lopez, and he wrote how it saved an ex-judge who collapsed while driving alone. 39-year-old saved
in a bar. Story
told by the bystander-doctor who gave him CPR, but medics cited HIPAA to
refuse to tell the doctor where they
were taking the patient |
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