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Micro-report of a witnessed cardiac arrest | CPR and DEA
It's the 19: 36 hours. There is a cardiac arrest witnessed by witnesses. The survival chain is activated, calling 112 and informing about the victim: adult male who does not respond or breathe.
Defibrillator: analyzing rhythm. First download (19: 39h)
The defibrillator is not long in coming. Meanwhile, facility workers are performing chest compressions. The AED is connected to the patient's bare skin. The defibrillator warns "not to touch the patient. Analyzing. " Tension is felt in the rescue group ... The defibrillator detects that the victim has a defibrillable rhythm so “a discharge is recommended”. Crossed looks that last a few seconds until the download button is pressed. The victim's body shakes on the ground. After downloading, the AED indicates “start CPR”.
Time to continue with chest compressions after discharge of the AED
Despite having been trained in performing a quality CPR, they never thought that they would be participants in a situation like the one presented. The well-aligned and tense shoulders guide sweaty and intertwined hands. They start performing CPR. The compressions are rhythmic, but not deep enough to perfuse the vital organs. Thus the defibrillator indicates “press harder”. Rescuers increase the compression force to reach those 5-6 cm depth indicated in the guides.
Defibrillator analyzing rhythm: second discharge (19: 41-19: 42h)
In the blink of an eye the first two minutes have passed. The ambulance is on its way and it is estimated that it will arrive in about 8 minutes ... CPR stops to give way to the rhythm analysis. These are moments of high tension in which the gaze is fixed on the defibrillator, waiting impatiently for your verdict. Again, touch “press the flashing download button”, saving the distances before downloading.
Yes now! Good compressions
After the second download our brave witnesses start the compressions again. They know that this time they have to compress harder. Compressions between 5 and 6 cm (2 to 2.4 inches) are recorded. The nerves and anxiety are reduced by hearing "good compressions", motivating them to continue giving the maximum. They begin to relieve themselves to prevent accumulated fatigue from reducing the quality of the compressions achieved. The adrenaline runs through their bodies, urging them to continue compressing until the ambulance arrives.
Defibrillator analyzing third download rhythm (19: 44h)
After 6 minutes there is silence to give way to the third download advised by the DEA. And again the compressions start again ...
After another minute of CPR, suddenly the expected happens: the victim begins to move. Euphoria takes over the environment, cheering and celebrations are heard: it is LIVE! They feel relieved to know that they have managed to save a life. The tears of emotion and the satisfaction of having done a good job are not lacking.
It is a day to remember, because that person who was lying on the ground has been reborn. Those friendly hands that compressed hard and hard have sown more than a smile. That lucky man and his family and friends can celebrate the celebration of life in style.
Saving a life without being sanitary with the correct training in CPR and having DEAs that ensure early defibrillation is POSSIBLE.
Today we want to pay tribute to those anonymous heroes who, as in this case, have saved a person's life. Those heroes who have been fighting for 7 for minutes, with a broken voice, cold sweats and widespread tension, performing quality compressions and applying discharges until the arrival of the sanitary service. Saving lives is possible and spreading more culture in CPR too.
Happy week of awareness in CPR!
Electrocardiogram discharged after actual use of the automated external defibrillator.