When I Was Doing CPR The Patient Began To Revive…But I Heard They Didn’t Make It. What Gives?

I received a really good email from a rescuer who provided CPR to a person and before the emergency services arrived, the patient was exhibiting signs of revival.  Later, the rescuer discovered that the patient did not survive after all.  This person had a valid question about how or why this would happen and I wanted to include my reply so that it may help others who may in the future or  have already had the same experience.

Dear “Rescuer”,

There are so many reasons why a person may start to revive or does revive from initial cardiac arrest only to arrest again later and die. This fact that he later died should in no way be connected to your heroic actions you performed. By getting involved you increased his chance of survival by attempting to circulate some percentage of oxygenated blood to his vital organs in order to slow down the clinical to biological death process.

Of course, we never want to think that our rescue efforts will not change the end result. But in expressing compassion, you gave this individual one of the greatest gifts one can give, your care, compassion and your love for a fellow human.

Whomever that gentleman was, for a certain amount of time, you were able to give him the care he needed in order to have a chance to survive. Statistics and data show us this to be true. This does not mean however, that his condition would allow him to survive for the long term. The cardiac related disease that he may have suffered from chronically, the pulmonary embolism that may have occluded a vital vessel in the circulatory system or any other serious medical problem could have still determined that he was not going to survive his cardiac event.

Your efforts were completely successful because they did exactly what CPR is suppose to do… buy time! Be at peace knowing that you were successful in that you did buy him time and your efforts were not in vain. His last hours of life were spent knowing that someone he didn’t even know intimately cared enough to try and save his life. That’s an incredible gift to give someone.

I hope that this in some way can help bring you comfort.

Peace,

Roy

Email Questions and Answers Part 1

Hello Everyone!

In this episode of RoyOnRescue, Roy takes some time to catch up on different emailed questions and comments that have come in over the last few months.  The two different emailed questions that were answered were; “won’t laying a person down while choking only make it worse?” and “I thought we were always suppose to control arterial bleeding before beginning cpr!”.   Roy takes his time to discuss these two different topics and explain the reasons why we do what we do in rescue in detail.

Be sure to join Roy in Part 1 of several parts as he works his way through a list of different topics that have been sent in by viewers like you.

Remember,  If you’ve got a question or comment that you would like Roy to answer or give  a response, please send it via email to:  royonrescue@gmail.com.  Be sure to follow Roy on twitter at:  @royonrescue

Remember, your actions make a bigger difference than you realize and you can change the course of history.

Keep On Rescuing,

The RoyOnRescue Team

Heat Wave!

Hello Everyone!

In this RoyOnRescue Video blog, Roy takes a look at the record breaking heat that most of the Country has been experiencing and gives a few tips on recognition and treatment of heat related emergencies like; heat exhaustion, heat stroke, dehydration, electrolyte problems etc.  So learn what to do, and how to survive the severe summer heat.  Don’t miss this episode of RoyOnRescue!

P.S.  Below, I’ve included some really clear signs and symptoms of heat related injuries, compliments of WebMD.  Click on the WebMD link for more information.

 

What Are the Symptoms of Heat-Related Illnesses?

Heat cramp symptoms include:

  • Severe, sometimes disabling, cramps that typically begin suddenly in the hands, calves, or feet
  • Hard, tense muscles

Heat exhaustion symptoms include:

Recommended Related to First Aid

  • Fatigue
  • Nausea
  • Headaches
  • Excessive thirst
  • Muscle aches and cramps
  • Weakness
  • Confusion or anxiety
  • Drenching sweats, often accompanied by cold, clammy skin.
  • Slowed or weakened heartbeat.
  • Dizziness
  • Fainting
  • Agitation

Heat exhaustion requires immediate attention but is not usually life-threatening.

Heat stroke symptoms include:

  • Nausea and vomiting
  • Headache
  • Dizziness or vertigo
  • Fatigue
  • Hot, flushed, dry skin
  • Rapid heart rate
  • Decreased sweating
  • Shortness of breath
  • Decreased urination
  • Blood in urine or stool
  • Increased body temperature (104 to 106 degrees)
  • Confusion, delirium, or loss of consciousness
  • Convulsions

Heat stroke can occur suddenly, without any symptoms of heat exhaustion. If a person is experiencing symptoms of heat exhaustion or heat stroke, GET MEDICAL CARE IMMEDIATELY. Any delay could be fatal. Seek emergency medical care for anyone who has been in the heat and who has the following symptoms:

  • Confusion, anxiety, or loss of consciousness
  • Very rapid or dramatically slowed heartbeat
  • Rapid rise in body temperature that reaches 104 to 106 degrees Fahrenheit
  • Either drenching sweats accompanied by cold, clammy skin (which may indicate heat exhaustion); or a marked decrease in sweating accompanied by hot, flushed, dry skin (which may indicate heat stroke)
  • Convulsions
  • Any other heat-related symptom that is not alleviated by moving to a shady or air-conditioned area and administering fluids and salts

What Do I Do If I Find Someone In Anemic Shock?

Hello Everyone,

In this Vlog, Roy replies to an emailed question regarding someone’s friend who apparently has anemic complications. Due to this, she goes into shock, most likely due to the lack of Red Blood Cells which are required to carry oxygenated blood to the body’s tissues. Roy wanted to make sure and reply to this before the weekend. Hope it helps.

Keep On Rescuing,

RoyOnRescue Team

P.S. The following is the explanation of anemia per MedScape Reference(http://emedicine.medscape.com/article/780334-overview)
Anemia is characterized by a reduction in the number of circulating red blood cells (RBCs), the amount of hemoglobin, or the volume of packed red blood cells (hematocrit). Anemia is classified as acute or chronic. Acute anemia denotes a precipitous drop in the RBC population due to hemolysis or acute hemorrhage. In the emergency department (ED), acute hemorrhage is by far the most common etiology. This article also discusses other causes of acute anemia.

They’re Choking And I Can’t Get Them Out Of The Wheelchair!

Maybe you work with patients that are wheelchair bound and may, at times, be too large or have disabilities that limit your ability to get them out of the wheelchair in a hurry. Especially when they begin to choke during meal time. I received a phone call message regarding this very situation and though we had a great discussion about what to do for the patient over the phone, the person I was talking with thought it would be a great idea for it to be made into a video training. So, here you go Maria! I hope it helps.

Best Wishes,

Roy

Why CPR During Traumatic Cardiac Arrest Doesn’t Work Very Often

In this episode of RoyOnRescue, Roy talks about why cardiac arrests secondary to traumatic injuries, especially rapid deceleration accidents are so hard to resuscitate.  Roy goes a bit  more in depth about how every deceleration or rapid acceleration accident really is more like three different collisions.  Car hits wall, body hits car and organs hit inside of the body…that’s 3.  Now take a closer look at how it happens in this episode of RoyOnRescue.

Follow Up Answer Based On Question Regarding “How To Find The Brachial Pulse”

Hello Everyone,

Great follow up question came in on how to locate the “brachial” artery.

It’s located on the inside of the upper arm between the biceps and triceps muscle along the humerus bone.   Use the flat part of your four fingers to press moderately against the inside of  the arm at this location.  This is a skill that needs practice with a baby who has pulses so as to be confident when looking for a brachial pulse on a child without a pulse.  Remember, when in doubt, if the patient is unconscious, not breathing normally and appears dead…we treat them as they are.  Begin CPR!

Hope it helps.

Roy

When A Person’s Choking, How Do I Know When It Comes Out?

In this episode of RoyOnRescue, Roy answers a question that came in via email regarding a situation where the person did the abdominal thrusts but the object did not come out to the best of their knowledge. Should they keep doing chest compressions or is there something else that can be done to get the foreign body out of the victim’s airway. Be sure to watch this episode to get the answer.

 

CPR With A Knife In The Chest?

Hello Everyone!

On this episode of RoyOnRescue, Roy answers a question that came in some time ago about how to do CPR if the person has an object imbedded in their chest.  Roy sheds some light on the simple yet affective way to rescue without causing harm to yourself and to the patient.  If you’ve ever wondered what to do if a person had a knife in the chest and was in cardiac arrest, you’ll want to watch this video blog.

RoyOnRescue Team

Turkey, Road Rage and Trauma Oh My!

What does Turkey, Trauma, and Road Rage have in common? Black Friday! In this episode of RoyOnRescue, Roy shows how crazy it can be when waiting in line for that “perfect” gift that one could just die for?

Don’t miss this episode of RoyOnRescue where Roy sheds some light on how to stay safe while getting those Black Friday bargains.