Coyote Blog

7 Comments

1. Fred Z:

   This is from a Canadian lingerie company. Who knew?

   I'm in Canada and I had no idea we had this much fun.

   June 4, 2010, 1:24 pm

2. Greg Merrill:

   Too bad in real life the victim is not a mostly naked supermodel. Usually its an older person or a druggie who has already vomited their lunch and you have to work through the vomit/alcohol/bad body odor smell. All the time you are trying to count compressions/get the damn defrib on them FAST and hoping this one person is the exception to the very common rule that the vast majority of people who receive cpr will remain dead.

   I loved the last part where they show signs of life. You only do cpr on dead people. They usually remain dead.

   This may sound like a rant and it semi is. I'm all for more people knowing cpr but the quick application of auto defribilators are what saves lives.

   Greg
   (From 7 years as a volunteer fire fighter)

   June 4, 2010, 3:33 pm

3. Mesa Econoguy:

   You don't "find a landmark between the nipples" - you slide up the rib cage, then put 2 fingers past the xiphoid process.

   If you don't do this, the sternum will break, possibly lodging the xiphoid in the victim's liver, killing them.

   [ex-EMT]

   June 5, 2010, 11:22 am

4. Fred Z:

   I just can't believe we got two fairly serious comments to this post.

   Dudes, what are you doing, just look at the girls, serious thought is not necessary or desired.

   June 6, 2010, 4:02 pm

5. Billster:

   Mesa
   Latest technique: The landmark is now between the nipples. The old school was concerned with the xiphoid process compressing into the liver lacerating it....not so much breaking the sternum. Using the nipple-line places the compressions far enough north to alleviate the xiphoid concern. Of course, if your pt. resembles this, nipple/areolar palpation/pinch is requisite in determining level of consciousness. (I just made that up....I crack myself up sometimes.)

   Cheers, dewd.
   28yr. critical care RN

   June 7, 2010, 1:08 pm

6. Steve, RN in CT:

   Nipple line in some of my elderly clients would have me compressing between the liver and the spleen - not a good landmark! Mesa Econoguy has a better guide. I also agree with Greg about the use of the defib - it's the best choice for a shockable rhythm, but . . . not all rhythms are shockable. In the hospital, we expect to do some damage to the sternum in the older, osteoporotic population. Current practice for adults is 30 compressions and 2 breaths (after the proper intro moves, clearing airway, etc.) Hope that the EMTs or the Rapid Response Team (In-house) get there fast, though, with the AED and the drugs.

   June 7, 2010, 1:44 pm

7. Greg Merrill:

   Fred Z
   I think you are just seeing some PTSD from all the emergency medical people. You see death so often it is jarring to see HOT women in that situation. Medical people are a strange lot with gallows humor. Even though it was so wrong on several levels 'Bringing out the Dead' with Nicolas Cage is still one of my favorite movies.

   June 7, 2010, 3:32 pm