So after years of studying and technique analyzing... I have grown to like the blood pressure cuff method.... learned in the 80's... rebirthed it in the late 90s when my success rate for critical patients and the elderly was not great.
Gotta take a BP anyway for med admin.... so why not save...
It does happen, even with the best CPR. I have a few code summaries that show that.... V-fib pre defib.... and asystole post.
Still workable. Does not mean they are any "deader". I wish they would come back with pacing during CPR.... it seemed to work.
Sounds oddly familiar.... lets see if I can shove my hallucinations into words.
About 8 or so years ago, there was a study using new ultrasound technology showing that each time CPR was stopped, there was a forward blood flow that continued because of a pressure gradient between aortic...
Google.....
http://cmbi.bjmu.edu.cn/uptodate/critical%20care/embolic%20disease/air%20embolism.htm
"....(Durant maneuver) and Trendelenburg position. This helps to prevent air from traveling through the right side of the heart into the pulmonary arteries, leading to right ventricular...
Protocol should dictate that. For instance, ours advises that <18 y/o get fully immobilzed based on a fall/mechanism of injury indicating spine/head trauma.
This kid would get immobilized for me.
Peds can be tough to immobilize, and on top of that you have emotion that tends to get in the...
I noticed that from AHA... seems like it is not being used as much as it used to be. Depending on what ER doc you talk to, is what answer you will recieve. Such inconsistancy.....:glare:
NAVEL-G is the acronym we used to use back in the day. Narcan, Atropine, Valium/Versed ( water based versions only ), Epi, Lidocaine and Glucagon.
That route these days are a last resort option in a person who has brittle bone disease without arms and legs, no central line and poor jugular...