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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    BH
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    Two of my major hospitals now employ scribes that accompany their assigned MD all day for the sole purpose of recording their H&P with the patient. It not only makes the doctor/patient interaction more... interactive, but since all the scribes have to worry about is documentation and not patient care, the reimbursements for the doctor's…
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    I just want to thank you for doing what you do. Your book "Rescue 471" is what inspired me to start my career in EMS. I am currently 16 and working for an urban ambulance service as an EMR, and your blog has been really insightful into skills and knowledge that any healthcare provider should…
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    You're absolutely right. We don't grow if we don't see the outcomes of our work. ...Or at least, we're less likely to grow in the right direction. You're in a pretty good spot to change some of this in your hospital job. Why not set up a system where paramedics can flag patients they'd be…
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