CPR on stretcher

[goidf]

Would compretions be efective, when done to a patient on the strecher, or do you need to have a short board under the mattress?

 

[mikeylikesit]

Would compretions be efective, when done to a patient on the strecher, or do you need to have a short board under the mattress?

CPR board otherwise you can do damage to a trauma patient, or you have to work twice as hard. there is another post on this somewhere.

 

[Airwaygoddess]

Firm surface for effective chest compressions

If your patient was not packaged on a long spine, ( i.e. code blue) then yes you would need to have that short spine board under the gurney mattress for the firm surface that is needed for effective chest compressions. Better to have it ready to go.

 

[goidf]

so if a patient I was transporting decided to code on me, in the back of my bus (van) I would have to grab a short board and shove it under them (Or under the mattress) and only then start CPR.
Would I hook up the AED, or go staright for the board?

 

[knxemt1983]

I would say tell your partner to stop and let him get the board and come give you a quick hand, unless you just have a driver. I wouldn't delay the aed if possible. just my 2 cents though

 

[KEVD18]

"just a driver" could still help me manhandle a short board under the pt.

 

[Nycxice13]

The newer stretchers have a metal surface under the mattress for this reason.

 

[mikeylikesit]

AED hook up...don't delay the CPR thoguh thats whats keeping their brain alive...sorta.

 

[Ridryder911]

Would compretions be efective, when done to a patient on the strecher, or do you need to have a short board under the mattress?

Personally I have never streched or performed compretion anyone but I have placed them on a
stretcher and did compressions...

R/r 911

 

[MMiz]

What's wrong with doing compressions on a stretcher matress? They're tiny, and there is a solid piece of metal below them. They don't take a patient off of a trauma gurney to do compressions.

At a nursing home we use a CPR/compression board until we get them on our cot. I've found that many mattresses are air matresses, and have that quick emergency release valve (I found out the hard way).

Don't delay CPR or shocks.

 

[Grady_emt]

anyone we are pumping on gets a LBB, Medical or Traumatic

 

[stupie680]

You should be OK getting good compressions on most standard strechers. As for the bed sceniro its always best to quickly place the pt on the floor to ensure good compressions.

 

[WuLabsWuTecH]

If on scene, we'll backboard them, else if hes already on a stretcher well do CPR there.

 

[skyemt]

you need to get at least 1 3/4" to 2" of compression depth for CPR to be effective at all... every bit of energy absorbed by the mattress will ensure that you are wasting your time, unless the air is let out, as mentioned previously.

it helps to understand why you need a solid surface under the patient NOT the mattress... this is why patients are placed on the LSB prior to being moved onto the cot...

in regards to traumatic cardiac arrest, doesn't really matter what you do, as the chances of ROSC have been proven to be almost zero.

 

[goidf]

LSB? not sure what that is.
(I think every new EMT should be givin a 3 month grac period to ask all the quetions that he should allready know the answers to...)
I'm still not sure if I got a clear answer here, let me just clearfy that I am talking about the mattress on the stracher, it aint that soft and giving... the quetion again is if I should take that 30-45 secunds do grab the short board and jam it under the mattress (or patient), I'm talking about when one is in middle of a transport (putting the patient on the floor is not really an option).

 

[NC-EMT08]

LSB? not sure what that is.

Pretty sure that LSB = long spine board

 

[FireResuce48]

Ive found using the reeves stretcher tends to be allot easier then the long boards, ecspecially with the bigger paitents.

 

[CFRBryan347768]

LSB? not sure what that is.
(I think every new EMT should be givin a 3 month grac period to ask all the quetions that he should allready know the answers to...)
I'm still not sure if I got a clear answer here, let me just clearfy that I am talking about the mattress on the stracher, it aint that soft and giving... the quetion again is if I should take that 30-45 secunds do grab the short board and jam it under the mattress (or patient), I'm talking about when one is in middle of a transport (putting the patient on the floor is not really an option).

I have heard answers from both sides saying you can and can not. But why not it only takes that 30-45 seconds to grab it. So yes I usually grab it and put it under them.

 

[Airwaygoddess]

Pretty sure that LSB = long spine board

Yes you are right!

 

[MikeRi24]

my company uses this lovely piece of crap, so its never an issue

http://www.youtube.com/watch?v=2rP0CzKXxTw

i hate this thing, and unfortunately its company policy to use it.