4/30/2020 Continue Cpr
A new study has found that keeping resuscitation efforts going for longer could improve brain function in survivors. The sooner that CPR is started after someone’s heart stops, the better. That we can all agree on. Now, Japanese researchers report that continuing CPR for a half-hour or more may help victims survive with good brain function – even after a full 38 minutes – according to a study presented at the American Heart Association’s Scientific Sessions 2013.But how did the researchers come to these conclusions?They reviewed data on more than 280,000 people who had experienced cardiac arrest outside a hospital.
When the patients’ hearts stopped, there had been at least one other person nearby. Next, they narrowed that large group down to those whose hearts started beating on their own after resuscitation. Doctors call this “return of spontaneous circulation.” This group included almost 32,000 people.When the researchers examined those patients 30 days after their cardiac arrest, they found that just more than 27 percent had good brain function. Those who had good brain function averaged 13 minutes from the moment their heart stopped until their heart started beating again on its own. Those with less favorable outcomes averaged almost 22 minutes of resuscitation efforts before their hearts started beating again. Some people even had favorable outcomes after as long as 38 minutes of resuscitation efforts. Sarah HeadThe brain stops receiving oxygen after about 4 minutes.
After a few more minutes you start to get brain hypoxia (brain damage due to not getting enough oxygen to your brain). Just a few minutes after that, your brain hypoxia turns into anoxia – which is obviously much worse. So I don’t see how performing CPR for 30 minutes is at all effective. People usually stop performing CPR after about 10 minutes because, after that, there’s already too much irreversible brain damage – which essentially leaves and individual brain dead.BTW, my dad passed away (the day after I posted my original comment) due to severe anoxic brain damage (because of not getting any oxygen to his brain for 16 minutes). DanielDear Sarah my deepest condolences.I lost my mother in hospital recently by massive PE,they did simply do no cpr:young doctor found her to old and with false statistics.There is a difference between in- hospital patients and out- of -hospital patient in good outcome with cpr.I think that those doctors were incompetent.Did they gave thrombolysis to remove the clot,oxigen and other things?The compressions must be deep all the time,they must be enough people to take over every 2 minutes. StephanieI wonder if anyone of you could shed light on an episode that occured to my elderly mother a few years ago, while she was an outpatient at my local hospital. She was extremely weak because of a therapy she was following on a day hospital basis and collapsed while being fitted with a IV cannula.
Immediately following the shock, begin CPR for 5 cycles (or approximately 2 minutes). Begin CPR for 2 minutes (5 cycles). Perform CPR for 5 cycles of 30 compressions to 2 breaths. Note: Do not remove the AED pads to perform CPR. Leave them in place. Check the victim's rhythm. Use the AED to analyze the victim's rhythm after 2 minutes of CPR.
At that point (we later discovered from her hospital records) she had cardiac arrest and was given CPR by the ward doctor. She very quickly recovered but was kept in hospital for two days, to check on her I suppose. The fact is that I discovered that she had been resuscitated only because I noticed a massive bruise on her chest and asked a nurse how she’d got that.
I then made enquiries with a (different) doctor but he said that there never was cardiac arrest, that she had been given CPR as a precautionary measure. Is it possible? We had the impression the doctors didn’t want us to know about the cardiac arrest, maybe they were afraid of litigation. It seems to me that no one would perform CPR if the heart is still beating. PinkyStephanie- People do CPR all of the time for people who aren’t breathing, but still have a pulse to also help prevent Cardiac Arrest, it doesn’t mean they went into cardiac arrest. I don’t understand why you would think anyone would think it’s appropriate to sue the doctor who saved your mother’s life. Are you implying that if your mother’s heart stopped that it didn’t go into cardiac arrest by itself?
That it went into arrest because of something they had done? There is also a difference if someone was worried that she did go into cardiac arrest but then they realized she did not. The Emergency Room functions much differently.
Comments are closed.
|
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |