Goonhub
02-20-2014, 01:33 AM
Okay prepare for a LOOONG NERD WRITE UP
I'm in EMT schooling right now and it irks the fuck out of me how CPR is just ventilation's and no compressions, more so because of the medical changes with heart attacks, cardiac arrest, etc. Ventilation's are only used as often as they are now (though 1 breath every 5 seconds instead of the current 7) when the patient is not breathing on their own OR not breathing enough. Compressions are the prime CPR component now for a few reasons.
A) When you do a compression, you are creating a suction by increasing and decreasing blood pressure. Pushing down on the chest causes not just the blood to pump but for the patient to exhale, while letting go causes the patient to draw in a little air
B) Keeping the blood flowing like this means that the body is getting some oxygen to all components
C) Adding 2 breaths in per 30 compressions, which is standard for adults, makes it even more effective as blood is flowing with oxygen
So, lets switch the current CPR (breathing) to compressions. If the patient is wearing an on oxygen mask, it should help them more as they are getting more oxygen. Also adding a bag mask to pump in air with that would be neat.
Second, cardiac arrest where the heart has stopped and they have no pulse. The average adult can only be in this for a maximum of 4 to 6 minutes. If it's longer than that then they will likely have brain damage. So, if someone is in the YOUR HEART HAS STOPPED phase for more than 4 minutes, let them take brain damage.
Third, old people tend to have brittle rib bones, leading to them cracking when given compressions. So, have a chance for people with the age set over 70 to have a chance of ribs breaking during CPR. It could cause no damage as to not keep people from doing CPR on them but it would make a cool OH SHIT moment.
Fourth, the defibrillator. Right now you can zap any person in crit with it, regardless of their actual problems. It's really only used when the heart is in weird rhythm patterns where all parts that SHOULD be working in tempo are all firing at once, thus no blood is pumping. What the defib does is issue a charge to STOP the heart with the idea that it will pick its normal beating pace back up, basically, resetting the heart. So, if a players heart has stopped or it is showing a weird pace, the defib should be used as a "cure". Also splashing a liquid on someone and then defibbing them should cause burn damage.
Fifth and final piece for now, drugs. I can't recall any of the drugs in right now causing a lot of oxygen damage, but drug overdoses do cause the lungs to close, though this is mainly seen in opiate type drugs. So, have drugs do oxygen damage (if they don't right now I can't remember).
I'm in EMT schooling right now and it irks the fuck out of me how CPR is just ventilation's and no compressions, more so because of the medical changes with heart attacks, cardiac arrest, etc. Ventilation's are only used as often as they are now (though 1 breath every 5 seconds instead of the current 7) when the patient is not breathing on their own OR not breathing enough. Compressions are the prime CPR component now for a few reasons.
A) When you do a compression, you are creating a suction by increasing and decreasing blood pressure. Pushing down on the chest causes not just the blood to pump but for the patient to exhale, while letting go causes the patient to draw in a little air
B) Keeping the blood flowing like this means that the body is getting some oxygen to all components
C) Adding 2 breaths in per 30 compressions, which is standard for adults, makes it even more effective as blood is flowing with oxygen
So, lets switch the current CPR (breathing) to compressions. If the patient is wearing an on oxygen mask, it should help them more as they are getting more oxygen. Also adding a bag mask to pump in air with that would be neat.
Second, cardiac arrest where the heart has stopped and they have no pulse. The average adult can only be in this for a maximum of 4 to 6 minutes. If it's longer than that then they will likely have brain damage. So, if someone is in the YOUR HEART HAS STOPPED phase for more than 4 minutes, let them take brain damage.
Third, old people tend to have brittle rib bones, leading to them cracking when given compressions. So, have a chance for people with the age set over 70 to have a chance of ribs breaking during CPR. It could cause no damage as to not keep people from doing CPR on them but it would make a cool OH SHIT moment.
Fourth, the defibrillator. Right now you can zap any person in crit with it, regardless of their actual problems. It's really only used when the heart is in weird rhythm patterns where all parts that SHOULD be working in tempo are all firing at once, thus no blood is pumping. What the defib does is issue a charge to STOP the heart with the idea that it will pick its normal beating pace back up, basically, resetting the heart. So, if a players heart has stopped or it is showing a weird pace, the defib should be used as a "cure". Also splashing a liquid on someone and then defibbing them should cause burn damage.
Fifth and final piece for now, drugs. I can't recall any of the drugs in right now causing a lot of oxygen damage, but drug overdoses do cause the lungs to close, though this is mainly seen in opiate type drugs. So, have drugs do oxygen damage (if they don't right now I can't remember).
