What is CPR? (FAQS)

Posted by chris

 

 

What is CPR?

CPR (Cardio Pulmonary Resuscitation) is an emergency life saving procedure that is carried out when somebody is in cardiac or respiratory arrest. We combine rescue breaths and chest compressions to try and circulate oxygen around a casualty’s body to the major organs in preparation for defibrillation.

What is a cardiac arrest?

Cardiac – relating to the heart. Arrest – To stop.

Cardiac arrest is when the heart stops pumping blood (and therefor oxygen) around the body. This is often caused by an electrical or mechanical malfunction of the heart, an underlying heart condition, or following a medical emergency. During cardiac arrest, the vital organs are starved of oxygen and the casualty becomes unconscious and stops breathing.

Is a heart attack the same as cardiac arrest?

No. A heart attack is caused by a blockage in the arteries supplying blood and oxygen to the heart tissue. As the heart is a muscle, it requires oxygen to function correctly. If untreated, this can develop into a cardiac arrest as outlined above. Therefore, a heart attack could be the cause of a cardiac arrest

How effective is CPR at restarting the heart?

A common misconception is that CPR is designed to “re-start” the casualty’s heart. CPR is effective in circulating blood and oxygen to the vital organs until a defibrillator becomes available to shock the casualty (and theoretically restart the heart). Effective CPR within the first few minutes of cardiac arrest can more than double the chances of survival.

What is a ‘defibrillator’?

A defibrillator (or AED, which stands for Automated External Defibrillator) is a device that can deliver an electric shock to the heart of a casualty in cardiac arrest. The shock provides enough electricity to help “re-start” the heart under the right circumstances.

AED’s assess the casualties heart rhythm and “decide” if a shock is required. This makes them very safe and simple pieces of equipment for bystanders to use.

 

Can I use a defibrillator?

The simple answer is yes. Though it is highly preferred and recommended you have training before using a defibrillator, it isn’t a requirement. A defibrillator is a vital piece of life saving equipment that can be used by any bystander during cardiac arrest.

Defibrillators are becoming much more common in public places like supermarkets, train stations, public gyms, airports etc. These are referred to as PAD’s (Public Access Defibrillators). They are very effective at guiding the operator through the process of potentially shocking a casualty and will not allow you to shock someone who doesn’t need it.

There is no reason to be afraid to use a defibrillator if you suspect a casualty is in cardiac arrest.

Is CPR effective without mouth to mouth or rescue breaths?

Chest compressions combined with rescue breaths is still the recommended and most effective form of CPR.

However, if you have reason not to give mouth to mouth/rescue breaths e.g. the casualty has blood or vomit around their mouth, or you don’t know the casualty and are unsure as to the risks of infection, “hands-only” CPR is an acceptable alternative.

In casualty’s that have suffered cardiac arrest through a lack of oxygen (caused by drowning, asthma, anaphylaxis or in most children), “hands only” CPR is much less effective.

Chest compression's without rescue breaths are always still more effective than doing nothing at all!

How do I know if someone is in cardiac arrest?

Without an appropriate supply of blood & oxygen, the brain cannot function and shuts down. During cardiac arrest, the lack of oxygen to the brain will cause the casualty to become unresponsive or unconscious.

The casualty may make noisy, infrequent gasps or may show no signs of breathing. This is not normal breathing and would indicate the casualty is in cardiac arrest.

If the casualty is unconscious and has stopped breathing normally, they are in cardiac arrest. Call 999 and start CPR!

Will the casualty survive a cardiac arrest?

In the UK, fewer than 10% of people that suffer cardiac arrest, with an attempt of CPR outside of hospital, survive.

Where a cardiac arrest is recognised immediately, CPR is performed, and a defibrillator is used prior to medical professionals (Paramedics) arriving, survival rates of higher than 50% have been reported. This really highlights the importance of the recognition of signs and symptoms and importance of immediate CPR and defibrillation.

Can you be sued for doing CPR?

Nobody in the UK has ever been sued for attempting CPR. In 2015, the government introduced the ‘Social Action, Responsibility and Heroism (SARAH)’ act to protect those performing “acts of heroism”.

The link to this law is as follows:

http://www.legislation.gov.uk/ukpga/2015/3/introduction/enacted

Is adult CPR different from child CPR?

The ratio of compressions to rescue breaths in children is the same as the adult sequence, however, there are some modifications that make it more appropriate for children as follows:

·         Begin with 5 rescue breaths before the first 30 compressions.

·         Use one hand for compressions (or 2 if you find it difficult to compress with one hand) as children are smaller than adults.

·         Use two fingers to compress the chest of a baby (under the age of 1).

It is important to know that these modifications are not essential, and it is far more important that some form of CPR is given rather than nothing at all. There is a general fear that the “wrong” form of CPR given in children could make the situation worse. This is not the case and any attempts at CPR will have more benefit that doing nothing.

How effective is CPR at restarting the heart?

A common misconception is that CPR is designed to “re-start” the casualty’s heart. CPR is effective in circulating blood and oxygen to the vital organs until a defibrillator becomes available to shock the casualty (and theoretically restart the heart). Effective CPR within the first few minutes of cardiac arrest can more than double the chances of survival.

 

5 ways to get prepared for Suturing & Wound Management

 

A clash of heads or studs to the leg, suturing is one of the most common skills required for pitch side medical staff.

But acquiring the knowledge and skills alone isn’t enough.

It can be a daunting feeling taking responsibility for your first wound, but you should be able to manage with confidence even under pressure.

How can you ensure you are fully prepared for wound management and suturing?

  • Specialist Training

Suturing is a skill that should be taught by a medical professional with experience in the field. Ensure any training you want to attend covers the content required for your role. Do your research and, if necessary, speak with the provider to confirm the content is right for you!

  • Regular Practice

You can’t put your skills to the test without regular practice. Although nothing prepares you better than experience, it may sound cliched, but practice definitely makes perfect. Oranges and chamois leather sponges are good substitutes for the real thing. Take the time to practice suturing, stapling and gluing different types of wounds.

  • Suitable Kit

Make sure your kit is up to scratch. Get to know your equipment and use kit that is similar or the same to the kit you train and practice with and are comfortable using.

It is time consuming and often expensive trying to locate and compile individual suturing items into your own kit.  With Lubas Medical you can purchase ready made bags that include all the equipment used on our course.

  • Communication within your team

Communication is key throughout your pitchside medical team. Only members of the team with suturing qualifications, insurance and experience should manage serious wounds.

Never work outside your scope of practice and always work within your team, organization or employer’s guidelines. It should be made clear to everyone within the team who is responsible for all suturing and assessment of more serious wounds.

  • Consider the worst-case scenario

Always prepare for the worst-case scenario. There is always a possibility you could be dealing with a major wound/bleed. Know your limits and ensure you have an action plan in place for an emergency.

We believe that following a training course you should be able to contact us for advice and ongoing support when required. We offer suture courses that cover a range of closure techniques taught by highly qualified medical professionals.

Trying to source high quality suture equipment from various providers is a time consuming and daunting task.

Our ‘Wound Management & Suture kit’ provides the equipment you have trained with and will feel comfortable with using in a real-life situation.

 

The kit includes;

·        3 x Suture removal kit

·        2 x Staple gun + remover

·        2 x Small/medium/large latex medical gloves

·        2 x Anchored skin closure kit

·        2 x Topical skin adhesive 0.5 g

·        3 x Standard suture pack (containing; 1 x Treves forceps 13cm, 1 x Iris stitch scissors 11.5 cm, 1 x Kilner needle holder cm, 1 x T.O.E dissecting forceps 13 cm)

·       1 x 20 ml Normal Saline solution

·       1 x Sharps box

·       1 x Clinical waste bag

·       3 x 18 mm Sutures

·       3 x 27 mm Sutures

·       A training kit to practice your suturing skills. (contains; 2 x 4-0 18mm sutures, 1 x 3-0 27 mm suture, Soft leather sponge.)

 

·       The training kit also includes a fine suturing pack plus containing; 1 x Kilner holder 14cm, 1 Iris stitch scissors 11.5cm, 1 x Toothed forceps 10 cm, 1 x Iris Non-toothed forceps 10cm, 1 x Crepe sterile paper, 1 x Tray with 2 integral pots, 2 x Dressing towels 43cm x 38 cm, 5 x Swabs 4 ply 7.5cmx7.5cm.

 

                                                             

 

                                      .            

 

Are you a medical professional looking to update your suturing skills or perhaps learn a new skill altogether? Why not attend one of our wound management course’s, follow the link to visit the website or call the office on 02921 304 101.

 http://www.lubasmedical.com/lubas-medical-courses/course-info/wound-management---suturing

 

 

 

LUBAS MEDICAL FILM AND EVENT MEDIC FULL TIME JOB VACANCY

We love what we do and are a constantly growing and evolving family of staff. We’re always looking to improve and innovate in the way we deliver our services. 

We are looking for a new Production & Event Medic to add to our vibrant and ever-growing team. We want applicants who are hungry to learn more and develop both themselves, and the company, and embrace the Lubas Medical culture.


Lubas Medical Production & Event Medic Job Description & Specification


Role:                  Production & Event Medic
Salary:               £19,217 - £22, 458 - basic 40 hours office work
                          (£24, 024 - £28, 462 - 50 hours on set production medic.)
                          Basic salary is based on a 40-hour week – pro rata when on set


Office Location:  Lubas Medical, Pinewood Studio Wales, Cardiff

Hours:                 Variable (minimum 10 hour days on set) 

Benefits:             Use of Lubas company car during work hours
                           Auto enrolment into Lubas Pension Scheme
                           Additional paid Christmas Holidays (following successful probation)
                           Free eye care (up to £100)
                           Healthy eating programme – free fruit

Job Description

Lubas are offering the rare opportunity to for you to use your medical skills in a sociable and creative environment.
The Lubas Production & Event Medic role will primarily consist of providing medical care and assistance, consultancy and aid on set (Productions) or during local, national and international events. The hours on set would be 50 hours minimum and the wage is pro rata.

Part of the role also includes 9 – 5 office work assisting the film and events team. The basic wage is based on the minimum hours the medic would be required to work (40 hours).
We pride ourselves on our flexible services to suit each different event and production. We have built up many long-standing relationships by offering an adaptable, professional and friendly approach that all our medics are expected to project when representing Lubas.


Job Specification    

Prospective applicants should understand that the Production & Event Medic role requires the following specification:

Essential

• Applicants must firstly be fully prepared to embrace the Lubas Medical culture, and maintain and abide by our principles of work.
• It is essential that applicants have experience and hold a valid qualification in advanced first aid as a minimum.
• Applicants must hold a valid UK driver’s licence.
• Applicants must be adaptable – different productions & events require different approaches that are specified by the organiser.
• We require our Production & Events Medics to be personable and approachable – we excel at building relationships and trust with our customers. To continue this medics must be friendly and helpful to every customer.
• Organisational skills are essential to maintain a high attention to detail.
• Medics must be self- sufficient and capable of planning the week ahead.
• Travel will be required on most working days. Applicants must therefore be flexible and willing to travel.
• Shifts will vary and may include evenings, nights and weekend work. Applicants must also be flexible with shift patterns.
• Applicants must be keen to take initiative. Medics are responsible for ensuring they have full information regarding the event/production they are working on.
• All Lubas staff are ambitious and keen to develop their roles within Lubas Medical. We expect applicants to feel the same way and take the same approach to work.
• We rely on all our staff to look for opportunities to be innovative in the way we deliver our services. This also includes looking for ways of increasing and customising our services to suit each individual customer.
• Production & Event Medics should always be looking at ways to improve their own skills along with the development of the company
• Medics will be working in a social environment. Applicants should have excellent communication skills and look to always interact with the customers where appropriate.

Desirable

• Ambulance Technician, A&E Technician or Nurse would be preferable
• Any previous experience as a Unit and/or Event Medic would be advantageous
• Additional C1 driving licence and/or blue lights trained
• Any additional skills and qualifications that we do not currently have within Lubas Medical.
• Evidence of up to date Continual Professional Development
• Qualifications in Advanced Life Support

 

If you are interested in joining our team, please send your C.V. to rebecca@lubasmedical.com

Closing date for applications: 14th August 2017

Start date: 4th September 2017 

 

 

Hi guys, we'd just like to provide you with some links regarding current guidelines 2017.

Firstly this is the new SCAT5 assessment tool 2017; 

http://bjsm.bmj.com/content/bjsports/early/2017/04/26/bjsports-2017-097506SCAT5.full.pdf

Here is the child SCAT5 assessment tool 2017;

http://bjsm.bmj.com/content/bjsports/early/2017/04/26/bjsports-2017-097492childscat5.full.pdf

Also here is the consensus statement on concussion in sport from the Berlin conference november 2016;

http://bjsm.bmj.com/content/early/2017/04/26/bjsports-2017-097699

We have updated our Sports trauma management course to comply with the latest guidelines. 

There has also been updates from the British Thoracic Society

Here are the all guidelines;

https://www.brit-thoracic.org.uk/standards-of-care/guidelines/

Here are the guidelines for emergency oxygen use in ambulances, community and pre‐hospital settings;

https://www.brit-thoracic.org.uk/document-library/clinical-information/oxygen/2017-emergency-oxygen-guideline/web-appendix-5-summary-for-ambulance-and-prehospital-settings/

We hope this has been useful for you and we're happy to answer any questions you may have regarding these guidelines.

All Lubas course's are up to date with all current guidelines at the time of the course. 

Hi guys, we'd just like to provide you with some links regarding current guidelines 2017.

Firstly this is the new SCAT5 assessment tool 2017; 

http://bjsm.bmj.com/content/bjsports/early/2017/04/26/bjsports-2017-097506SCAT5.full.pdf

Here is the child SCAT5 assessment tool 2017;

http://bjsm.bmj.com/content/bjsports/early/2017/04/26/bjsports-2017-097492childscat5.full.pdf

Also here is the consensus statement on concussion in sport from the Berlin conference november 2016

http://bjsm.bmj.com/content/early/2017/04/26/bjsports-2017-097699

We have updated our Sports trauma management course to comply with the latest guidelines. 

There has also been updates from the British Thoracic Society

Here are the all guidelines;

https://www.brit-thoracic.org.uk/standards-of-care/guidelines/

Here are the guidelines for emergency oxygen use in ambulances, community and pre‐hospital settings;

https://www.brit-thoracic.org.uk/document-library/clinical-information/oxygen/2017-emergency-oxygen-guideline/web-appendix-5-summary-for-ambulance-and-prehospital-settings/

We hope this has been useful for you and we're happy to answer any questions you may have regarding these guidelines.

All Lubas course's are up to date with all current guidelines at the time of the course. 

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