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MUScoop => The Superbar => Topic started by: wadesworld on April 26, 2017, 11:04:51 PM

Title: Defibrillators
Post by: wadesworld on April 26, 2017, 11:04:51 PM
Amazing machines.  If someone collapses and one is available get the patches on and power it up.  It will tell you exactly what needs to happen.  If it's heart related it will tell you if/when you need to shock, when compressions are needed, etc.  If it is not heart related it will tell you not to shock.

Most importantly call 911 but getting it up and running cannot hurt.  At the very least YouTube how to use one.  Taking a CPR class can't hurt.

One of the guys we were playing basketball with went into cardiac arrest tonight.  Had I had to deal with it on my own I might not have thought to get it up and running because it seemed almost like a seizure and I wouldn't have been sure how it would've worked/if it could've actually hurt the situation.  It turned out to possibly have saved this person's life and took an unbelievable response by everyone who was there.  Incredible.
Title: Re: Defibrillators
Post by: 4everwarriors on April 27, 2017, 07:11:37 AM
Props kin. I'm a huge proponent of AED placement in public areas. Unfortunately, they cost money and are not always budgeted for and therefore are absent. Always aware in an airport, arena, mall, etc. if the universal sign is present, hey?
Title: Re: Defibrillators
Post by: tower912 on April 27, 2017, 07:25:26 AM
Good for you, wades.  Timely defibrillation is the best tool during a cardiac arrest.
Title: Re: Defibrillators
Post by: wadesworld on April 27, 2017, 08:15:24 AM
Can't say I did much in terms of the AED use or anything.  I called 911 immediately and was on the phone and then waiving down the ambulance and squad (entrance was in the back of the building off of the road that you take to get there).

More just want to get the word out that they are incredible devices that should be used if someone you are around collapses even if you don't think it's related to the heart at all.  If I were left to make the call on what it was I would've guessed seizure (he seemed to be choking a little bit and while some of the guys were moving him to try to keep his airways clear he seemed to be convulsing a bit, but turns out it was probably just that he was dead weight and they were moving him is my guess).  It has been a few years since I had to take a CPR course so I didn't really even remember that AEDs tell you if a shock needs to be used and if you should be doing compressions.  Basically no harm in patching someone up and turning the power on from what I can tell.

Props kin. I'm a huge proponent of AED placement in public areas. Unfortunately, they cost money and are not always budgeted for and therefore are absent. Always aware in an airport, arena, mall, etc. if the universal sign is present, hey?

I will definitely be much more aware of that as well now.  You never think it's going to be needed around you (or on you) until it is.
Title: Re: Defibrillators
Post by: MerrittsMustache on April 27, 2017, 09:05:13 AM
Well done, wades!

PulsePoint is an excellent app to have on your phone. It shows you where AEDs are located in public areas and allows users to register device locations and even upload a pic of the device so it's easier to locate.

Recent studies have shown that getting the heart going is more important than doing mouth-to-mouth or clearing the airways to get oxygen moving again. A person likely has 8-10 minutes of oxygen in their blood that will keep them alive. Compressions and a defib to bring back a heartbeat are much more important.

One other piece of advice that has stuck with me is calling out for a specific person to call 911. Too often, a person yells out "Call 911!" before starting compressions and the people around, many of whom are in shock, assume that someone else will call. If you know someone nearby, point to that person directly, call out his/her name and tell them to call 911. If you don't know anyone's name, point to a person, make eye contact and say, "You! Call 911!" Some people may take action on their own but it's better to have 6 people calling than 6 people thinking someone else will.

Title: Re: Defibrillators
Post by: Tugg Speedman on April 27, 2017, 09:20:20 AM
(http://i.imgur.com/e9AumF0.gif)
Title: Re: Defibrillators
Post by: Goose on April 27, 2017, 09:22:56 AM
Well done, Wades. Those are the kind of non ball threads I like to read.
Title: Re: Defibrillators
Post by: Warrior Code on April 27, 2017, 09:32:00 AM
Well done, wades.

Tower, have you ever used a Lucas device?
Title: Re: Defibrillators
Post by: tower912 on April 27, 2017, 11:08:36 AM
We messed around with an early version of it 20-25 years ago.     I have not used that specific device.    We have not adopted it on my department.    One of the things our department has done that WAS considered cutting edge but in hindsight is common sense is to send a second crew to any reported cardiac arrests.    We have private ambulance companies who transport as well as give the drugs.    Sending a second crew allows us to do 2 minutes of really aggressive compressions and then tag out for the next one.    After a couple of minutes, no matter how hard you try, your compression depth gets worse.    Fatigue.    We have had a ridiculously high rate of getting patients,  who didn't have a heartbeat when we arrived, to the hospital with a heartbeat.     
   I can definitely see the virtues of a Lucas device if you are in a place that lacks manpower or is a long way from the hospital.   
Title: Re: Defibrillators
Post by: rocket surgeon on April 27, 2017, 01:01:42 PM
good on ya wades-one is never sure how we are going to react in situations as you were in.  fortunately, i haven't had to find out myself, but we still keep our CPR certification up to date including the AED.   this is what guys like tower and brew(right?) do every day-thank you!  hope i never need the real test. knock on wood, but the only thing i've needed my emergency kit was for glucose and benadryl

   
Title: Re: Defibrillators
Post by: Dr. Blackheart on April 27, 2017, 02:24:07 PM
Could have used one during a couple of games last year. Glad for the outcome. Marc could have used one to help save his life if he was still in the gym as he was just a minute before.
Title: Re: Defibrillators
Post by: Warrior Code on April 27, 2017, 03:33:32 PM
We messed around with an early version of it 20-25 years ago.     I have not used that specific device.    We have not adopted it on my department.    One of the things our department has done that WAS considered cutting edge but in hindsight is common sense is to send a second crew to any reported cardiac arrests.    We have private ambulance companies who transport as well as give the drugs.    Sending a second crew allows us to do 2 minutes of really aggressive compressions and then tag out for the next one.    After a couple of minutes, no matter how hard you try, your compression depth gets worse.    Fatigue.    We have had a ridiculously high rate of getting patients,  who didn't have a heartbeat when we arrived, to the hospital with a heartbeat.     
   I can definitely see the virtues of a Lucas device if you are in a place that lacks manpower or is a long way from the hospital.

The private ambulance company I worked for was starting to add them to every truck a couple years ago, but I left around then and never got to use one. I did a couple training sessions on them though, and they seem pretty legit.
Title: Re: Defibrillators
Post by: nyg on April 27, 2017, 03:48:03 PM
My friend had a mild attack few years ago, but did not require any device, cpr, etc.  went to hospital and had a blockage that was fixed with stent.  Doctors told him he was lucky, but scared the crap out of him.

Based on his cardiac event, and researching how the devices work, he bought a device and has it in his home.  Believe he spent $1,500 and he trained his wife how to utilize it. 

Maybe these things will be common device each family has at their residences in years to come. 
Title: Re: Defibrillators
Post by: WI inferiority Complexes on April 27, 2017, 04:08:45 PM
Well done, Wades.

Nearly 10 years ago, I lost a high school student due to a lack of knowledge on how to operate an AED.  Her tragedy led to the passing of an Illinois law.
http://www.kcchronicle.com/2013/12/16/former-st-charles-north-student-inspires-bill-to-require-aed-cpr-training/anofdo5/ (http://www.kcchronicle.com/2013/12/16/former-st-charles-north-student-inspires-bill-to-require-aed-cpr-training/anofdo5/)
Title: Re: Defibrillators
Post by: #UnleashSean on April 27, 2017, 04:10:22 PM
It's standard to use these in every emt and cpr class now. I can't remember the last public building I was in that didnt have an AED.
Title: Re: Defibrillators
Post by: tower912 on April 27, 2017, 05:12:07 PM
AED's are fairly straightforward to use.    However, having the presence of mind to remember them, get them, and follow the directions while under great stress is the challenge. 
Title: Re: Defibrillators
Post by: Benny B on April 27, 2017, 05:32:04 PM
AED's are fairly straightforward to use.    However, having the presence of mind to remember them, get them, and follow the directions while under great stress is the challenge. 

Here I go away from Scoop for a few weeks, and God must hate me that this is the 1st topic I come back to on the Superbar.


I took it upon myself to learn how to use an AED a couple years ago, and I suggest everyone else do the same.  All of the units today are self-operating with pictograms showing how to use - most even have voice prompts in multiple languages.  I honestly believe that a chimpanzee could be trained to set one of these things up if tragedy struck.  Nevertheless, it's unequivocally true that when an emergency strikes, it's not that easy to follow the directions and voices no matter how intelligent or grounded you are (or think you are)... in fact, it might not be a bad idea to train chimpanzees since they'd have more presence of mind than most humans in that situation.

At the very least, everyone should watch a YouTube video or some sort of online demonstration of how these things work.  Like right now.  Grab a friend, spouse, co-worker, or even a random stranger, just type "AED Demonstration" or "AED Training" into YouTube and take a few minutes of your time because Wades probably won't be there next time.
Title: Re: Defibrillators
Post by: rocket surgeon on April 27, 2017, 07:10:52 PM
Here I go away from Scoop for a few weeks, and God must hate me that this is the 1st topic I come back to on the Superbar.


I took it upon myself to learn how to use an AED a couple years ago, and I suggest everyone else do the same.  All of the units today are self-operating with pictograms showing how to use - most even have voice prompts in multiple languages.  I honestly believe that a chimpanzee could be trained to set one of these things up if tragedy struck.  Nevertheless, it's unequivocally true that when an emergency strikes, it's not that easy to follow the directions and voices no matter how intelligent or grounded you are (or think you are)... in fact, it might not be a bad idea to train chimpanzees since they'd have more presence of mind than most humans in that situation.

At the very least, everyone should watch a YouTube video or some sort of online demonstration of how these things work.  Like right now.  Grab a friend, spouse, co-worker, or even a random stranger, just type "AED Demonstration" or "AED Training" into YouTube and take a few minutes of your time because Wades probably won't be there next time.

100% agree, but quite literally, the problem is you can't teach or prepare someone for how to react when the deal is real.  yes, preparedness should alleviate much of that, but once again, just as tower stated, when the heat is on...
Title: Re: Defibrillators
Post by: wadesworld on April 28, 2017, 06:47:21 AM
Quadruple bypass surgery today for the guy so prayers up for him.
Title: Re: Defibrillators
Post by: Benny B on April 28, 2017, 09:50:36 AM
My friend had a mild attack few years ago, but did not require any device, cpr, etc.  went to hospital and had a blockage that was fixed with stent.  Doctors told him he was lucky, but scared the crap out of him.

Based on his cardiac event, and researching how the devices work, he bought a device and has it in his home.  Believe he spent $1,500 and he trained his wife how to utilize it. 

Maybe these things will be common device each family has at their residences in years to come.

https://www.amazon.com/s/ref=nb_sb_noss_2/137-2279816-6110539?url=search-alias%3Daps&field-keywords=philips+heartstart

Only $1,200 now @ Amazon.  Costco sells them, too... won't save you any money, but lifetime guarantee.

Seems that AED's are also FSA/HSA eligible w/o Rx (but don't quote me on that).
Title: Re: Defibrillators
Post by: Spotcheck Billy on April 28, 2017, 10:33:58 AM
Plenty of good discussion in this topic.

1 of the road captains in our HOG chapter carries an AED on every ride we take and to be honest, our chapter is chock full of old timers potential candidates.
Title: Re: Defibrillators
Post by: warriorchick on April 28, 2017, 12:18:28 PM
https://www.amazon.com/s/ref=nb_sb_noss_2/137-2279816-6110539?url=search-alias%3Daps&field-keywords=philips+heartstart

Only $1,200 now @ Amazon.  Costco sells them, too... won't save you any money, but lifetime guarantee.

Seems that AED's are also FSA/HSA eligible w/o Rx (but don't quote me on that).

One nice thing is that it won't "zap" you unless it has determined that you are actually having cardiac disrhythmia.  Therefore, no one has to be afraid of hooking someone up because they aren't sure and they are worried they might do more harm than good.

Also, I could imagine the hijinks that would occur in a dorm with one of these if it didn't have that safeguard.
Title: Re: Defibrillators
Post by: 4everwarriors on April 28, 2017, 03:43:13 PM
Yeah, don't wanna hook up while chittin' yo Haggards, hey?
Title: Re: Defibrillators
Post by: rocket surgeon on April 28, 2017, 06:47:54 PM
i heard they could be effective remedies for constipation too...clear!  ehh ehhhh ehhhhhn'aaaaahhhhhhhhh
Title: Re: Defibrillators
Post by: tower912 on April 28, 2017, 07:27:22 PM
nm
Title: Re: Defibrillators
Post by: wadesworld on April 28, 2017, 07:43:31 PM
I assume that the first 2 questions are the address of the emergency and what type of assistance is needed (medical, police, etc.) so that they can get a crew on the road as quickly as possible and then as they get the rest of the needed information (what the actual emergency is and what is happening) they radio that on to a crew that is already en route?
Title: Re: Defibrillators
Post by: ZiggysFryBoy on April 29, 2017, 05:44:33 PM
serious question.  what is the theft rate on these devices?  My youth baseball league has one, and we are trying to figure out where the best place to keep it.  right now, we have it in the equipment room, which all of the coaches have access to.  how often are these things nicked if it was kept in a more publicly accessible area?
Title: Re: Defibrillators
Post by: rocket surgeon on April 29, 2017, 05:54:40 PM
serious question.  what is the theft rate on these devices?  My youth baseball league has one, and we are trying to figure out where the best place to keep it.  right now, we have it in the equipment room, which all of the coaches have access to.  how often are these things nicked if it was kept in a more publicly accessible area?

my guess would be when in doubt...anything that looks to be of value even though the scofflaw may not even know what it is or worth-gone.  i know it's sad, but today with the drug abuse, specifically, the opioids, they might get $25 for it, but that'll get rid of the shakes
Title: Re: Defibrillators
Post by: 4everwarriors on April 29, 2017, 06:45:46 PM
serious question.  what is the theft rate on these devices?  My youth baseball league has one, and we are trying to figure out where the best place to keep it.  right now, we have it in the equipment room, which all of the coaches have access to.  how often are these things nicked if it was kept in a more publicly accessible area?




Gone thru puberty yet dawg? Aren't ya ovar da age limit ta still bee playin' youth baseball, ai na?
Title: Re: Defibrillators
Post by: tower912 on April 29, 2017, 06:51:43 PM
serious question.  what is the theft rate on these devices?  My youth baseball league has one, and we are trying to figure out where the best place to keep it.  right now, we have it in the equipment room, which all of the coaches have access to.  how often are these things nicked if it was kept in a more publicly accessible area?

I would go with 2.   One in the equipment room, one in the concession stand.   
Title: Re: Defibrillators
Post by: Benny B on May 02, 2017, 03:20:39 PM
my guess would be when in doubt...anything that looks to be of value even though the scofflaw may not even know what it is or worth-gone.  i know it's sad, but today with the drug abuse, specifically, the opioids, they might get $25 for it, but that'll get rid of the shakes

Dumb/obvious answer, but I suppose it depends mostly on where it is.  The units in high-end office buildings could probably sit untouched forever, but the units in 4ever's office will probably be jacked within a few hours.

My experience is that if the janitor forgets to lock the feminine dispenser in the ladies bathroom, your entire stock is gone within a day... but the unlocked first aid kit that sits on the wall right next to it only needs to be re-stocked when the supplies hit expiration dates.  So fortunately, I think people's sense of decency multiplies when medical/emergency is involved, so it's simply a formula of how many people are hanging around that remind us rule about multiplying times zero.