We use mechanical CPR. It is effective, frees up a provider to do other things, produces a palpable pulse and blood pressure, as well as makes the veins show up so that we can go with IV first and IO only if no suitable sites are available. We have found the plunger type exceptional in this role. We never go with the supraglottic airway first unless it was placed by a first responder unit. We have protocols for pronunciation in the field if the patient is not responsive to treatment. Otherwise our system works about the same as yours. We do have more hands available as a fire crew or volunteer firefighters will be on scene with us depending on where in our jurisdiction the call is at. We also get immediate post resuscitation BP and 12 lead EKG. The EKG is transmitted to the hospital. Love the video. Pretty cool. I like seeing various agencies and how their systems work. I am not criticizing so please don't take it that way, i am just discussing differences in protocol.
This video is a little out-of-date; NEAS frequently use Lucas devices during arrests these days, though they're only carried in the rapid response cars, not the box ambulances. IV is preferred to IO, but both are available and may be used in parallel. iGels are routinely used ahead of OPAs or NPAs, and ET tubes are rarely used these days. HCPC registered paramedics can "pronounce" patients in the field, though it's referred to as ROLE (recognition of life extinct) and one of the criteria is failure to resuscitate though ALS after a set amount of time administering ALS. The Ambulance Service rarely has outside assistance from Fire or Police in arrests unless they happen to witness the arrest, or the situation is such that their specific skills are required such as a serious RTC.
Very interesting video. Puzzled by the compressions. Resus council - "Maintain contact with the sternum." Unless there has been a change that I'm not aware of contact with the sternum between compressions on the video seems to be disengaged deliberately?
Coming off the chest can allow more effective filling of the ventricles which improves cardiac output from compressions, it makes sense if you think of the heart like a sponge under a running tap, loosening grip will allow more fluid into the sponge/heart.
Dispatch I applaud the quick hands on chest. But when did you take the address??? And no reassurance when the first responder stated “he’s still not breathing”.
We always confirm it in real life - We take all that information, pt's age and the telephone number first - For purposes of the video it is probably just missed so it doesn't take so long.
@@cheetoboiiii8212 More injuries better survivability outocme in my experience almost 70% of those that survive have strenum fracture which proves that pushing too har is actually benefitial .
@@cheetoboiiii8212 In a situation between breaking them and saving them is a thin line i worked in Red Cross EMS team and if someone is having cardiac arrest arrhythmia you really can't do anything that is gonna be worse than it is except leave him and not do anything even hitting him in chest sometimes Pericodial Thump can help defibrilate them but also make them asystolic but no i never cared if I brake their strenum in fact even more than half of 60% of the mddical team are not doing it hard enough just fast textbook CPR is Hard and fast let the chest raise after every pump not half raise its to let venous otflow to the heart but the point is to increase Blood pressure not just circulate faster .
very realistic and informative, many thanks UK
Not too sure about how the guy is performing CPR at around 9min... doesn't use any pressure at all.
you could of used the lucas 2 cpr machine but still very good.
Excellent work by everyone - very realistic and educational 👍
Many thanks
Absolutely brilliant calm and very professional xx
We use mechanical CPR. It is effective, frees up a provider to do other things, produces a palpable pulse and blood pressure, as well as makes the veins show up so that we can go with IV first and IO only if no suitable sites are available. We have found the plunger type exceptional in this role. We never go with the supraglottic airway first unless it was placed by a first responder unit. We have protocols for pronunciation in the field if the patient is not responsive to treatment. Otherwise our system works about the same as yours. We do have more hands available as a fire crew or volunteer firefighters will be on scene with us depending on where in our jurisdiction the call is at. We also get immediate post resuscitation BP and 12 lead EKG. The EKG is transmitted to the hospital. Love the video. Pretty cool. I like seeing various agencies and how their systems work. I am not criticizing so please don't take it that way, i am just discussing differences in protocol.
This video is a little out-of-date; NEAS frequently use Lucas devices during arrests these days, though they're only carried in the rapid response cars, not the box ambulances. IV is preferred to IO, but both are available and may be used in parallel. iGels are routinely used ahead of OPAs or NPAs, and ET tubes are rarely used these days.
HCPC registered paramedics can "pronounce" patients in the field, though it's referred to as ROLE (recognition of life extinct) and one of the criteria is failure to resuscitate though ALS after a set amount of time administering ALS.
The Ambulance Service rarely has outside assistance from Fire or Police in arrests unless they happen to witness the arrest, or the situation is such that their specific skills are required such as a serious RTC.
The manikin is so realistic, I want one
Me too
I done resuscitation and saved life's
this is so educational thank you
Very interesting video. Puzzled by the compressions. Resus council - "Maintain contact with the sternum." Unless there has been a change that I'm not aware of contact with the sternum between compressions on the video seems to be disengaged deliberately?
They are trying to fool the sensor I guess XD
Coming off the chest can allow more effective filling of the ventricles which improves cardiac output from compressions, it makes sense if you think of the heart like a sponge under a running tap, loosening grip will allow more fluid into the sponge/heart.
I basically had to lift the palm from the dummy to stop instructors from yelling at me "Recoil! Recoil! Allow more recoil!!!"
Love❤❤❤❤❤❤❤❤❤❤🎉
Thank you. Well done. Excellent job.
All of the compressions were bad !
Great Video
The chest compressions is of very bad quality.
And they spent time to trivial matters. If ROSC scoop and run to hospital.
Dispatch I applaud the quick hands on chest. But when did you take the address??? And no reassurance when the first responder stated “he’s still not breathing”.
We always confirm it in real life - We take all that information, pt's age and the telephone number first - For purposes of the video it is probably just missed so it doesn't take so long.
Where can u get the full body mannequin
Did you find out
James Cliffwood no
I believe these are SimBodies made by Prometheus
blue shirt guy cpr was terrible!
think he was acting, he works for ciphermed and I doubt he's that bad
why was an EZ IO used? Just so compressions didn't have to be stopped?
Faster, almost more reliable, better onflowing meds due to short distance and whatever is injected reaches the atrium pretty fast.
Okkmlokmilolpjijjnjn🕋🏬🚫🚻🚼🚼
Hey its in the bag....lets use it.
what is up with that cpr!!! the closes to actually work was the bystander
I study science and medicine
Wouldn't it be easier to jump on the patients chest to provide better quality CPR?
It would most definitely cause more injuries
@@cheetoboiiii8212 More injuries better survivability outocme in my experience almost 70% of those that survive have strenum fracture which proves that pushing too har is actually benefitial .
@@stevo7220 Yes but, at that point you're purposefully breaking them.
@@cheetoboiiii8212 In a situation between breaking them and saving them is a thin line i worked in Red Cross EMS team and if someone is having cardiac arrest arrhythmia you really can't do anything that is gonna be worse than it is except leave him and not do anything even hitting him in chest sometimes Pericodial Thump can help defibrilate them but also make them asystolic but no i never cared if I brake their strenum in fact even more than half of 60% of the mddical team are not doing it hard enough just fast textbook CPR is Hard and fast let the chest raise after every pump not half raise its to let venous otflow to the heart but the point is to increase Blood pressure not just circulate faster .
@@stevo7220 Oh thanks for the out-sight I understand it more now, thanks.
All your compressions are not effective. Your palms should never be lifted off the patient's chest.
You have to allow recoil for the blood to circulate around the body
I’m so glad I’m not the only one who noticed how piss poor the compressions were...
Amira