An Interesting Perspective on Isaan’s Version of C P R

[Bandung_Dero]

3 hours ago we had a very localised Thunder Storm go through, lasted about 30 minutes. Not a big deal about 8 mm of rain and moderate winds,

TW has just told me a 35yo man was struck by lightning less than 2 km where we live, he was in a rice paddy tilling the soil with a Kubota rotovator and is dead!

I asked her if someone attempted CPR she said yes, they took off his shirt and covered him in ‘Lao Kow’ and continued to explain the drink makes the body cool down very quickly and causes a breath. I can understand the cooling effect of quickly evaporating alcohol and know when jumping into cold water one does so – but dead??

I explained the heart massage, mouth to mouth re breathing and her immediate response was horror. We have been married near on 12 years and NEVER kissed each other on the lips -- well not tong kissed, not in their natural culture and I don’t care for it anyway.

So the bottom line is this poor sole didn’t have a chance! Where is the basic education system? RIP. [-o<

[Henrie]

Sad story. You ended where is the basic education system. Thai people are educated in thinking they are the best , the most intel gent people and it keep them in a close society. In other words they are not learned to look over their shoulder in a bigger world then Thailand. Of course it is their country and they can live like they want, who should say it is wrong or right, but it has it limits, so in this case not to give the right treatment in a case of live and death.

[Stantheman]

Here in the States it is now recommended doing the chest compressions only, so no more mouth to mouth in a lot of education classes. Do not know reason behind this, but maybe compressions work lungs a little along with pumping the heart.

[roland22]

Cardiopulmonary resuscitation by bystanders with chest compression only (SOS-KANTO): an observational study

Summary
Background
Mouth-to-mouth ventilation is a barrier to bystanders doing cardiopulmonary resuscitation (CPR), but few clinical studies have investigated the efficacy of bystander resuscitation by chest compressions without mouth-to-mouth ventilation (cardiac-only resuscitation).
Methods
We did a prospective, multicentre, observational study of patients who had out-of-hospital cardiac arrest. On arrival at the scene, paramedics assessed the technique of bystander resuscitation. The primary endpoint was favourable neurological outcome 30 days after cardiac arrest.
Findings
4068 adult patients who had out-of-hospital cardiac arrest witnessed by bystanders were included; 439 (11%) received cardiac-only resuscitation from bystanders, 712 (18%) conventional CPR, and 2917 (72%) received no bystander CPR. Any resuscitation attempt was associated with a higher proportion having favourable neurological outcomes than no resuscitation (5·0% vs 2·2%, p<0·0001). Cardiac-only resuscitation resulted in a higher proportion of patients with favourable neurological outcomes than conventional CPR in patients with apnoea (6·2% vs 3·1%; p=0·0195), with shockable rhythm (19·4% vs 11·2%, p=0·041), and with resuscitation that started within 4 min of arrest (10·1% vs 5·1%, p=0·0221). However, there was no evidence for any benefit from the addition of mouth-to-mouth ventilation in any subgroup. The adjusted odds ratio for a favourable neurological outcome after cardiac-only resuscitation was 2·2 (95% CI 1·2—4·2) in patients who received any resuscitation from bystanders.
Interpretation
Cardiac-only resuscitation by bystanders is the preferable approach to resuscitation for adult patients with witnessed out-of-hospital cardiac arrest, especially those with apnoea, shockable rhythm, or short periods of untreated arrest.

The Lancet 17.3.2007

[SJP17]

I just did a first aid course and it was 30 compressions 2 breaths , then just carry on repeating it , it can actually be quite tiring once youve done it for 15mins non stop , maybe an idea for a thai speaker to get a cpr dummy and take it around schools , college and unis and give them lessons on CPR , it might be something they would be intersested in ?

[jimboLV]

CPR demonstration. I'm sure the classes would be well attended with this teacher.

[JimboPSM]

The British Heart Foundation recently produced this advertisement where Vinnie Jones demonstrates how hard and fast Hands-only CPR to Stayin' Alive by the Bee Gees can help save the life of someone who has had a cardiac arrest.

The Hollywood hardman is starring in a British Heart Foundation TV advert urging more people to carry out CPR in a medical emergency.



Find out more at: http://www.bhf.org.uk/heart-health/life ... y-cpr.aspx

[roland22]

CPR is always worth a try, but the chance to survive is not as high as tv show people every day. Thats not realistic.

http://news.bbc.co.uk/2/hi/health/4633905.stm