Hands On Defibrillation

I received a link to this video the other day, and have engaged in quite a bit of discussion of it.

The link came with another link to the discussion below:

Emergency Medicine News

Is hands on defibrillation safe? Or will we all end up with curly hair?

Theoretically, it makes a lot of sense. Donít stop CPR. But I think we all need a little more safety information before we start doing it (and of course safety permission from our employers).

The other morning when I came in to work there was a company memo addressing the issue. The bottom line was do CPR right up until you defibrillate and then clear. At least until further nortice.

1 Comment

  • Andrew says:

    Certainly an interesting idea, and well worth pursuing. As an EMT-B, I can’t use the manual defibs like you medics can, but — if nothing else — it’s good to know someone PROBABLY wouldn’t be hurt if inadvertently touching a patient during an AED shock.

    Seems to be carrying on in the general direction that CPR training has been following for years: make it easier and easier (i.e., standardizing lay responder CPR at 30 and 2 for all pateints), and increasing emphasis on compressions (from 15 and 2 to 30 and 2 to hands only, etc).

    Anything that has the potential for saving more lives should be thoroughly investigated, and, if proven, implemented as rapidly as possible.

    But your company memo was probably right: till we know more, err on the side of safety.

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Peter Canning

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  • Comments
    Mike
    You Don't Have to Put on Your Red Lights
    I totally understand what you guys are saying and how you feel. It's a shame that because there are bad apples in a basket, we as people think the whole basket is bad and this is so far from the truth. I was an EMT for a little while, it was my part time job…
    2015-03-29 15:05:53
    Sandy
    The Ideal Medic
    As a 24 year medic, I finally figured out it wasn't me. Thank you for your article. You can't teach that in any classroom. I have always found that empathy is a great tool. Use it to benefit the patient and teach others what it is all about.
    2015-03-24 22:24:30
    Joseph Eriksen
    The Ideal Medic
    As a 30 year, now retired medic I completely agree. There is nothing wrong with second guessing although one should go with their gut. There are times to be aggressive and times to not. Also humor is one of the most powerful pre-hospital tools in the toolbox although it can't be taught. When appropriate it…
    2015-03-24 19:37:25
    Shawn McCormick
    The Ideal Medic
    I totally agree. To me those make great paramedics. I work as a Operation Supervisor and encourage teamwork/backup whenever the situation calls for it. I encourage feedback from a difficult call my crews responded to. 1) they have the chance to recall the events that took place and they may self evaluate the call. 2)…
    2015-03-24 17:14:14
    Sean Fitch
    The Ideal Medic
    Totally agree Peter, For too long I had the same interpretation and like you now, I would by far take your current description.
    2015-03-24 17:05:33

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