Have any of you seen a person revived with CPR ONLY, no AED?

PeterB

PeterB

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I understand the chances of a person reviving with CPR only are about 5%.
And obviously, when we arrive, we bring an AED. But I am curious if you guys and gals that have experience have ever seen or heard of any documented cases where a person was revived with CPR only?
 
They exist, but are extraordinarily rare. Typically if someone doing CPR on a person and they wake up, it's probably wasn't a full blown VF arrest but instead something like cardiac syncope (sudden onset asystole).

Had a Medtronic rep talk about one case in which a woman experienced cardiac syncope, bystanders did CPR, and she recovered before EMS arrival. The case is featured here:
http://www.medtronic.com/physician/reveal/results_epilepsy.html


Study that talks about CPR-only survivors (about a 10,000 patient study pool):
CPR-only survivors of out-of-hospital cardiac arrest: implications for out-of-hospital care and cardiac arrest research methodology.

http://www.ncbi.nlm.nih.gov/pubmed/...nel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum
 
Yes, with CPR so passionate that it was like a series of precordial thumps. Witnessed, of course.
 
Once, ever.

Pt was choking on food, we were ten blocks away, when we got there she had just shut down. Immediately cleared airway, started CPR and split for hospital. En route she developed a good pulse and began breathing. About four minuts after that we received DNR via radio from hospital. Two weeks later she's up and around and getting a place to live away from her no-good family who malnourished her let her choke then called their doc for a DNR.

Other than that: never.
 
Yes, in fact I have only seen more with CPR than with AED's. As most of the time, I have seen AED's applied on patients in late stage of an arrest.

R/r 911
 
I have seen it in an electrical injury (pt struck by lightning, witnessed). We could not palpate a pulse, but it may have been VF. Patient came back after just about a minute and a half of compressions. I cant say I understand much more about how it happened.
 
My two codes I have responded too, I have brought them both back with a BLS airway and CPR. The first time was a drug overdose. He must of just coded before I got there. He was brought back with 2 rounds of CPR + and no shock needed by the AED. The second was a GI bleed. It was unclear how that caused the arrest. We were dispatched for a Sz that turned into CPR in progress. We beat our first responders there. This was also very quick down time before CPR was started. We got him back with one round plus and still no shock. I guess I am 2 for 2.
 
first code: shocked once got a pulse back eventually, died within 24 hour
Second code: traumatic arrest. Died with no shocks. Asystole from Ems arrival until brig called by doc in ed
Close to third. Coded prior to arrival in ed prior to arrival. No shocks but survived. Still olive I believe.
 
re

Ive been part of a few CPR only codes that were effective. My first code as a paramedic was a 60ish YO male delivered to me by fire rescue who was emaciated ALOC, with a known HX of esophageal CA. They neglected to obtain a DNR on scene and no family around. He had a F/bgl of 7 mg/dL with NO IV access after 5 attempts between my medic partner and myself. After the first failed IV gave him 1mg glucagon SQ as he had no muscle mass. While enroute C3 to ED patient went into PEA. After about 5 minutes of compressions with bagging as i could (no help in the back of the truck with me) came around with a gasp that startled the heck out of me. Repeat glucose afer the 45m trip to the ED was 17. Once a line was placed D50 given and he became vocal and confirmed he was DNR. I knew it from the start but had no other choice with no DNR in hand. So yeah they happen and like someone else already stated more often then most know or realize.
 
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