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It's up to the neighborhood... |
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And no one in your neighborhood cares if you donate or not... |
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Thank you both for bringing some value to the conversation. |
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The training does not have you leave a patient to go get the AED. You are trained to stay with the patient and perform CPR (if necessary) until additional help arrives... They definitely have them at the rec center pools. The postal station pools don't, because there is no local group to respond. The pickleball courts are located by rec centers, so they should have them, as well.. |
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14 minute response time for EMT care BACK THEN. What is the value of saving a life now $50 to $100. Is saving a life worth it?? No idea if everyone participated in paying their fair or not fair "share". Happy to have seen it everytime I drove by as a 2x CABG zipper-club member. What does one waste on beer, wine, golf, painting their driveways while living in T V? FB drama... life is too fricken short to let that raise blood pressure. |
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They might not be comfortable breaking ribs as they do compressions, but they understand it happens and will continue. Performing CPR is very exhausting. Having more people there is always better then just one person. Multiple people splits up the work. Most do CPR, and others grab the AED. I look at the AED boxes in my neighborhood and would notice if one unit was missing. They are extremely reliable, and most likely to work when needed. If two were grabbed for a call, I'd say 100% reliable. What happens at locations like sports courts? There is a good chance that someone already there has been trained in CPR because of the AED programs. Even without an AED right there, trained people are critical to saving a life. An AED also monitors the chest compressions. It will instruct the responder to press harder, faster, etc, as needed. That alone improves the quality of CPR. There are plenty of what-if games people can imagine. Over the years of AEDs being available, and the nationwide data collection that happens from their use, guidelines are developed to make the overall system as best as it can be. Those what-if things are already considered and addressed. Is it 100% perfect - pretty close. |
CPR with AED
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Neighborhood AED programs
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Real concern do you think a 75yo volunteer even properly trained delivers correct comprehension and rhythm for possibly up to 10 minutes until help arrives. One can’t count on the spouse standing there because most likely they’re either in shock or not of helping. I would love to see yearly CPR classes with high tech Annie, that announces your compression is not correct, and you need to correct your rhythm. Twice a year it was a pain ReCert class for us. Since weekly we performed on humans, but always brought in perspective how even trained staff that can do CPR and fire up AED units and still need tweaking. Major reason why I retired because I fractured my humerus head. First day I was to return to work I requested, Annie, I performed CPR and four set not accomplishing but coming close. I returned second day performing four sets on Annie. I was very close, but in my mind if it was less than perfect would always wonder alone in that dark hall could I save that person. Management reminded me I was always with multiple people in OR I was good. I chose not to return. So you will not see me as a volunteer on programs here. |
Knowledge
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Yes cpr and aed’s are for maybe two different conditions. As mentioned 20 years in our village, many many AED,s on each street, many batteries replaced, lots of money etc and not a single ones used! I know personally of 1 case in the last 2 months that CPR brought back the person to life that had stopped breathing. ( that person later had tripled bypass surgery). Now the question: How many people’s lives have been saved by these AED’s that are being controlled by the Villagers? If we believe that even one persons life can be saved by the AED’s that The Villagers manage and that it is worth it , then we should have epi pens for severe reactions that stop people from breathing. We should have Narcan and the list goes on and on. So where does it stop? The better value is to teach everybody CPR in the village! It works everywhere, even places AED’s are not located.
Have a good beer! |
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Because you asked the questions.............................. |
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Good questions
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*If* having them in less accessible areas with fewer folks in the vicinity and/or likely to be able to utilize them in time would mean a greater chance for having more folks surviving with brain damage, then that debate might be worth having. My wife knows *my* preferences for such a situation. Even has it in writing. On another note, just read that a patient with ventricular fibrillation or "pulseless" ventricular tachycardia might still be breathing. While it's not likely to be "normal" breathing, I certainly don't feel trained enough to decide whether one's "level" of breathing, if present, is suitable for even initiating CPR. Heck, even a patient in fibrillation can have a "pulse" of sorts. Might even retain some level of "consciousness" (I just read) - however *that's* defined. Any handy "rules of thumb" on the subject out there to share? One last rather disturbing statistic that turned up was that 7% of those suffering SCA - sudden cardiac arrest - survive without CPR or defibrillation. No clue how *that* works. But, CPR "only" (no defibbing) jumps that number up only to 9%. Finally, the "kind of interesting" thing I learnt was that defibrillator "shock" is for *stopping* the heart and its electrical activity. Apparently this "pause" gives it a chance to "reorganize" itself electrically speaking. Way over my head, as is fine vs. coarse ventricular fibrillation. Oh, one more that I hadn't ever understood but had kinda wondered about! A "heart attack" (enough blockage of a coronary artery) can lead to a shut-off of normal electrical activity of the heart and SCA. |
Literacy
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Sounds like a money maker for someone. Why not let each individual Village do their own thing!
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The reality is that we're getting older and CPR is getting harder for us to maintain effectively, so we need many people trained in BLS because maintaining CPR for 12 minutes or so ain't easy. After my bilateral knee replacements I can't kneel down....(if I'm there hand me a pillow please!) By the time someone comes with the AED your compressions might already be ineffective. My initial post was not against AED's and I don't believe the OP was complaining about AED's but was just saying ....why didn't this group address the neighborhood first? Someone suggested I should ask for a meeting of this AED committee, but I believe it would have been proper for the person that wants to lead to ask to meet with everyone first and brainstorm. Not after they've decided what they are doing. You remember the Stages of Group Development? Lol. Pokeefe I think we should train for the AED Team and when Im there I can look into establishing neighborhood BLS training. I'm guessing the AED training is just BLS training, and absolutely everyone should train asap, but we'll find out eventually. I'm guessing they want the AED's in place first......but I will always say CPR first |
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I was on the receiving end in the ED as the RN doing CPR, pushing ACLS drugs, and running the defibrillator. We only saw positive outcomes when EMS was activated and CPR was immediately started. We're lucky to have Healthcare professionals amongst us bringing decades of know how....but it's on all of us to know what to do and how to do it because EMS and the ED are TOO far, at this point in time. I just re-read all of the posts in this thread and I am disgusted by some posts that I can only assume are male Physicians claiming that no one is getting out of bed and that all Nurses are female, and the AED costs less than getting our nails done. Let me assure you than Nurses are not weak, they are all not female, and don't confront me about this post, if you are the male chauvinist pig, if you value your orbital bones.....think Laforte 4....I jest somewhat but please don't discount my female coworkers. Looks really bad on you |
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Consider yourself lucky... |
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And each Village IS doing their own thing. That is EXACTLY how the program is being set up... Village by Village... |
I will say the 6 times 911 was called to our home by parents, EMS was at the house a full 4 minutes before the first AED volunteer arrived. Of course each call was between 1am and 3am. Prime time lights no sound.
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Importance of CPR
Thank you to Big Dawg and others for talking abt the importance of initiating CPR immediately
I am a Red Cross certified BLS- CPR/AED/ first aid instructor trainer and high quality CPR is critical High quality CPR means using the correct hand position and correct depth and tempo for compressions. The manikins that we use for training have lights that indicate the correct depth and tempo to help students understand how to do the compressions correctly So some referred to Hands Only or Compression Only CPR - no rescue breaths Keep compressions going without stopping until the area is unsafe or some relieves you or EMS arrives If using rescue breaths The ratio is 30 compressions to 2 rescue breaths We recently had a class at First Responders rec center |
Pulsepoint App
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First responders
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My pondering is about the practicality of this particular type of AED program. I have no problem with rational discussion of such subjects. But, I would be interested in hearing here about those lives saved to date, as well as maybe how specific situations have played out - especially "if ever" over 20 years as has been reported in specific programs. Googling for such information has not yielded much so far. |
Nurses
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Have heard an AED "speak" in practice. Knew that the "A" was for "automated" rather than "automatic", but found it interesting that the article I just read kept switching back and forth between the two. Any thoughts on standing and using one's foot for the compressions? Two fake knees here, too. . . |
Corrections for misinformation posted...
The AED program gets many people trained. Volunteers head to the victim first. If someone further away is passing an AED, they grab it and continue on. There is not only one person responding, and wasting time to fetch the AED instead of starting CPR. Older people can do CPR. Having multiple people to swap is a tremendous help. Having an AED hooked up helps do CPR better. It monitors compression depth and rate, and speaks commands to correct poor form. If I ever need CPR, I would welcome 12 trained retired people coming to help instead of one untrained guy that will tire out after 4 minutes of ineffective CPR learned by watching television. Survival rates with CPR are not like what television shows. In reality, CPR might lead to a save, and when that happens all the responders are really thrilled that they made a difference that time. What happens in the real world - before someone reaches an ER doctor - is choreographed chaos. Nobody is perfect and they do the best they can under extremely stressful situations. The goal of CPR is to prolong life sufficiently enough to get the patient to an ER where they have a chance of recovery. People living across from a fire station should see help arrive within 2 minutes of the 911 call. People 2 miles away should see help arrive within 5 minutes. That is consistently not happening here for some reason. I'd like to know why. If it takes >4 minutes for CPR to begin, the likelihood of survival is virtually zero. When the FD is taking 5 or 8 or 10 or 15 minutes to arrive, that is why the program is necessary and valuable. Many of the what-if things posted are covered in training. That's why people get trained - to know what to do. Saving just one human life is worth it. |
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AED distance and time issues
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So far only once has information posted on how many times AED was used in a neighborhood. Wondering for those who are lead in your neighborhood, do you keep stats on calls, use, and volume of non used pad disposals?
Would be great information for new startups how many AEDs, and actual use, and losses on expired pads and change of batteries. |
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