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PortaJohn

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Training on a stiff manikin with pressure detection or on a pulseless human with an arterial line in place? Prior to that experience, I had extensive training/ACLS on manikins like everyone else. It's definitely NOT the same; its also going to vary with the size of the person, amount of SQ fat etc. as well as surface the person is laying on. My training was long, long ago; before manikins offered advanced pressure feedback and their price point was lowered, but it's definitely still not the same. The LUCAS machines mentioned compress the sternum two inches. My point in bringing this up was just in the discussion of Damar Hamlin lifting his arms above his head so soon and with that vigor. Yes, CPR can be successful in the absence of rib fractures, especially depending on the age of the person (the younger, less likely to have fractures), but rib fractures from CPR should never be considered malpractice. Tiring? Absolutely, especially if you are wearing a lead apron too! Adrenaline helps us weaker folks in the moment, but you sure feel it later if you are deconditioned!

My other concern on this topic I didn't bring up before but others here alluded to is the effectiveness of CPR in the recent SADs scenarios we are encountering from that "thing" (you know, climate change and all). My understanding is even with ROSC, the amount of survival two weeks out from the recent Sudden Deaths is much less than previous Sudden Death scenarios. I would be interested to see the data on this topic.

It was a couple years ago. But as I remember we had two "dummies", from roughly the beltline up, I don't remember if they had arms to tell the truth. One was an "adult" the other was a child. They got hooked up to a laptop.....running windows XP to date it for you. And the guy could tell you if you are doing it right or not. We would go through do it, then get adjustments from "the teacher" and then go back to the seat for more instruction. We did this rotation a couple times. Like with most things, along these lines, I think I know what to do and would likely do better then someone that watched a youtube video. But I am not up to speed anymore. They still have them off and on, but I have other things I am responsible for now, and don't want to take up a slot, and shaft street guys out of time.

I need to schedule a refresher course on my own dime, they use to do sessions for the "office staff" and that is where I am now. But they have not done it in a while. Money is tight everywhere.
 
WEF Kabal racking up another win, eating bugs for the plebs

*Folks that think this will not be happening think for a moment most of you haven't eaten real cheese in any takeout or supermarket Pizza you ate last couple of years , if its cheap industry will use bugs in food.

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She saw it first-hand in Russia.

Before reading the book I did a LITTLE, very LITTLE research on her background. Tossed out of college by the commies, then back in as "the west" called them out on it, she saw the wrighting on the wall and bailed in the 20's IIRC.

Before I read Gulag by Solzhenitsyn (had to google the name to spell it) I have come away with thinking....these guys have an insight that few others do.

I knew a lady back in the 90's that got out of russia. Her stories of riding the train with toilet paper on a string around her neck and how everyone was....wow you got TP. Lucky duck. Along with other stories she had. Made me really think. Then every person you ever see interviewed or anyone that has written anything always say the same thing about the US. This place is great, why are you fucking it up.

Carries a lot of weight.

I went into her book knowing nothing about the story. I have no clue what is going to happen. I am reading this fairly slow, in a large part me. The "story" telling is just so slow, with good stuff here and there. But she builds on that story down the road....or track I should say. So you can't skim it you need to read it, and if I am not interested that is VERY hard for me to do.

I don't want to ruin it for someone after me so I will be really vague with my comments.

I have a feeling something is going to happen fairly quickly, she just had a talk with a guy about a bridge. When we first used steel did we build the bridges the same way we built them out of wood, no we built the bridges differently. Wow, what a picture.

That is roughly where I am. The hook has taken a long time to try to set, only to not quite make it. I have a feeling the hook is going to be set here pretty quickly and I will not be able to put it down.
 
WEF kabal racking up another win , eating bugs for the plebs

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Only very evil people would propagate lies to facilitate such a thing.

The lies come from the puppet masters. The officials that they control are simply stupid and corrupt.

Almost time to fire up Barter Town and let the corrupt economy die on the vine.

We were well warned.


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Getting interesting already. Prosecution has come out swinging - El Grande was top of the food chain for a long time.


Guaranteed Mex .gov is watching this very closely. No telling who gets incriminated next..
And I wouldnt be surprised if this trial leads to Mexico no longer extraditing big time narcos who can implicate half the Mexican government..
 
Before reading the book I did a LITTLE, very LITTLE research on her background. Tossed out of college by the commies, then back in as "the west" called them out on it, she saw the wrighting on the wall and bailed in the 20's IIRC.

Before I read Gulag by Solzhenitsyn (had to google the name to spell it) I have come away with thinking....these guys have an insight that few others do.

I knew a lady back in the 90's that got out of russia. Her stories of riding the train with toilet paper on a string around her neck and how everyone was....wow you got TP. Lucky duck. Along with other stories she had. Made me really think. Then every person you ever see interviewed or anyone that has written anything always say the same thing about the US. This place is great, why are you fucking it up.

Carries a lot of weight.

I went into her book knowing nothing about the story. I have no clue what is going to happen. I am reading this fairly slow, in a large part me. The "story" telling is just so slow, with good stuff here and there. But she builds on that story down the road....or track I should say. So you can't skim it you need to read it, and if I am not interested that is VERY hard for me to do.

I don't want to ruin it for someone after me so I will be really vague with my comments.

I have a feeling something is going to happen fairly quickly, she just had a talk with a guy about a bridge. When we first used steel did we build the bridges the same way we built them out of wood, no we built the bridges differently. Wow, what a picture.

That is roughly where I am. The hook has taken a long time to try to set, only to not quite make it. I have a feeling the hook is going to be set here pretty quickly and I will not be able to put it down.
Hang in there with your reading. Many of understand where you are.
If you equate your time spent reading with the real time line of earlier civilizations evolving.... It is similar to watching the trailer for a 6 part documentary.
 
Before reading the book I did a LITTLE, very LITTLE research on her background. Tossed out of college by the commies, then back in as "the west" called them out on it, she saw the wrighting on the wall and bailed in the 20's IIRC.

Before I read Gulag by Solzhenitsyn (had to google the name to spell it) I have come away with thinking....these guys have an insight that few others do.

I knew a lady back in the 90's that got out of russia. Her stories of riding the train with toilet paper on a string around her neck and how everyone was....wow you got TP. Lucky duck. Along with other stories she had. Made me really think. Then every person you ever see interviewed or anyone that has written anything always say the same thing about the US. This place is great, why are you fucking it up.

Carries a lot of weight.

I went into her book knowing nothing about the story. I have no clue what is going to happen. I am reading this fairly slow, in a large part me. The "story" telling is just so slow, with good stuff here and there. But she builds on that story down the road....or track I should say. So you can't skim it you need to read it, and if I am not interested that is VERY hard for me to do.

I don't want to ruin it for someone after me so I will be really vague with my comments.

I have a feeling something is going to happen fairly quickly, she just had a talk with a guy about a bridge. When we first used steel did we build the bridges the same way we built them out of wood, no we built the bridges differently. Wow, what a picture.

That is roughly where I am. The hook has taken a long time to try to set, only to not quite make it. I have a feeling the hook is going to be set here pretty quickly and I will not be able to put it down.

You've got a long read ahead of you.
Things don't happen fast because it's a volume of philosophy with a story plot woven in.
Don't so much think of it as reading a novel or a story but more like reading a book of philosophy and see what points you can apply to your life and what to skip.

Normally I recommend folks read The Fountainhead first before diving right in to the big epic main tome.

If you can stand more reading after you finish that one, go back and read The Fountainhead, then also try Anthem and then We the Living.

Just remember that like many isms and dogmas, there is both lots to learn from her works and dangers in going all in dogmatically on her ideas without properly understanding their weaknesses and problems in the actual real world.
 
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The GOP is kicking ass ! Once again , now that they have zero chance of making a single bill law.
Bread and circus for the small percentage. Who believe any of this is serious !
 
The GOP is kicking ass ! Once again , now that they have zero chance of making a single bill law.
Bread and circus for the small percentage. Who believe any of this is serious !
Yes....None of it will get past the senate or the retard. Dreamland. Repubs just smoking hopium. It's just show business. Give them what they want.
 

Edit:
Unbelievable, they are saying myocarditis is occurring from improper injection technique, representing failure to aspirate to make sure the injection wasn't directly into a vein. You can't make this stuff up.

Quote:
Yet this appears to be the CDC opinion on the topic:

“Aspiration before injection of vaccines or toxoids (i.e., pulling back on the syringe plunger after needle insertion but before injection) is not necessary because no large blood vessels are present at the recommended injection sites, and a process that includes aspiration might be more painful for infants...
If the mRNA vaccine is to be an IM Injection, isn’t it possible that, with poor syringe techniques, vaccine gets injected into a vessel, at least in part, with the resultant spike protein in the vascular system causing an inflammatory response that destroys the vascular endothelium eventually resulting in the Sudden Death effects we are seeing?"

FDA gaslighting y'all. Ignore the at least 300k you have seen of your friend, family, and (ex) co-workers drop dead. Its not from what you think.
Can't wait to see responses from Doctors Malone, McCullough, and Ryan.
 
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Most people have no idea how to do chest compressions correctly. In my training there was a young woman in full arrest in our ER with arterial-line; her family (in medicine as well), seeing the futility of her situation, allowed every single staff member to do compressions to verify they could generate a wave-form (effective pulse) during CPR. I was astounded at the amount pressure you need to apply for successful CPR. Such a gift that family gave.
Your post kind of hit home for me. A few months ago my neighbor flopped over in the street in front of my house, I didn't have CPR training but another guy that was a few houses down did have training. He started it, then instructed me on what to do. The EMT's were 20 minutes out (we're a little remote) we were pretty sure it was a drug overdose, meth, fentanyl but I kept pumping for 20 minutes. He didn't make it even with the Narcan stuff. My friend is a nurse and a CPR instructor talked to me about it and said that only about 2-4% of people that need CPR actually make it. Is that true? And yes I'm signing up for CPR and Stop The Bleed class.
 
Hang in there with your reading. Many of understand where you are.
If you equate your time spent reading with the real time line of earlier civilizations evolving.... It is similar to watching the trailer for a 6 part documentary.
I will finish it, so tempted to do a "cliff notes" read on it, but I think it will ruin it.
 
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You've got a long read ahead of you.
Things don't happen fast because it's a volume of philosophy with a story plot woven in.
Don't so much think of it as reading a novel or a story but more like reading a book of philosophy and see what points you can apply to your life and what to skip.

Normally I recommend folks read The Fountainhead first before diving right in to the big epic main tome.

If you can stand more reading after you finish that one, go back and read The Fountainhead, then also try Anthem and then We the Living.

Just remember that like many isms and dogmas, there is both lots to learn from her works and dangers in going all in dogmatically on her ideas without properly understanding their weaknesses and problems in the actual real world.

I don't want to give too much away, but I am finding little things here and there and just laughing my butt off. The anniversary party was great with James and "Frisco". And I was yelling at it after the thing in Mexico. Then a little later the light bulb came on.

I think those little exchanges in the book are what is keeping me going. Also all the building up of the people in the book made me like/dislike them more.

Hope I am not giving too much away.

I am so in the dark as the order of the books I did not know what came first when I started. That one seemed "more popular" that is why I choose it.

Sitting here at work and I am ready to get home and read more. Why did Rearden leave her "standing at the airport". I have a feeling I am going to find out pretty quick.
 
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Your post kind of hit home for me. A few months ago my neighbor flopped over in the street in front of my house, I didn't have CPR training but another guy that was a few houses down did have training. He started it, then instructed me on what to do. The EMT's were 20 minutes out (we're a little remote) we were pretty sure it was a drug overdose, meth, fentanyl but I kept pumping for 20 minutes. He didn't make it even with the Narcan stuff. My friend is a nurse and a CPR instructor talked to me about it and said that only about 2-4% of people that need CPR actually make it. Is that true? And yes I'm signing up for CPR and Stop The Bleed class.

Newer stats are up to a 10% survival of witnessed out of hospital arrests (before the "thing"), depending on: 1) prompt activation of EMS, 2) correct chest compressions of at least two inches with minimal interruption, and 3) prompt defibrillation for shockable rhythms. (Prior to you know - that "thing"; the most common cause of codes was pulseless ventricular tachycardia.) Edit: How good can it be in the right setting? The CCU I was in had 2/3 ROSC out of a code. That's impressive but that was a well-organized machine with everything right there.

The Adult Out-of-Hospital Chain of Survival Steps Are:

  • Activation of Emergency Response System
  • High-Quality CPR (emphasis on chest compressions)
  • Rapid Defibrillation
  • Advanced Resuscitation by healthcare providers
  • Post-Cardiac Arrest Care
  • Recovery

The Pediatric Out-of-Hospital Chain of Survival Steps are:

  • Prevention
  • Activation of Emergency Response
  • High-Quality CPR (emphasis on chest compressions)
  • Advanced Resuscitation by healthcare providers
  • Post-Cardiac Arrest Care
  • Recovery
All I can say, doing compressions you really can't press too hard. As stated by someone else above: deeper, harder, faster.
 
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I don't want to give too much away, but I am finding little things here and there and just laughing my butt off. The anniversary party was great with James and "Frisco". And I was yelling at it after the thing in Mexico. Then a little later the light bulb came on.

I think those little exchanges in the book are what is keeping me going. Also all the building up of the people in the book made me like/dislike them more.

Hope I am not giving too much away.

I am so in the dark as the order of the books I did not know what came first when I started. That one seemed "more popular" that is why I choose it.

Sitting here at work and I am ready to get home and read more. Why did Rearden leave her "standing at the airport". I have a feeling I am going to find out pretty quick.

As a Rush fan, I first read Anthem and then Atlas Shrugged at the tender age of 13. And when your done with the book, the entire novel is broken down into three movies usually available on Youtube (warning - they change the actors with each movie).
 
Newer stats are up to a 10% survival of witnessed out of hospital arrests (before the "thing"), depending on: 1) prompt activation of EMS, 2) correct chest compressions of at least two inches with minimal interruption, and 3) prompt defibrillation for shockable rhythms. (Prior to you know - that "thing"; the most common cause of codes was pulseless ventricular tachycardia.) Edit: How good can it be in the right setting? The CCU I was in had 2/3 ROSC out of a code. That's impressive but that was a well-organized machine with everything right there.

The Adult Out-of-Hospital Chain of Survival Steps Are:

  • Activation of Emergency Response System
  • High-Quality CPR (emphasis on chest compressions)
  • Rapid Defibrillation
  • Advanced Resuscitation by healthcare providers
  • Post-Cardiac Arrest Care
  • Recovery

The Pediatric Out-of-Hospital Chain of Survival Steps are:

  • Prevention
  • Activation of Emergency Response
  • High-Quality CPR (emphasis on chest compressions)
  • Advanced Resuscitation by healthcare providers
  • Post-Cardiac Arrest Care
  • Recovery
All I can say, doing compressions you really can't press too hard. As stated by someone else above: deeper, harder, faster.
I think the current compression to breath ratio is 30:2
 
Been many years since I had my first responder class. Short version of chest compressions, recipient must be on a hard surface. You interlace your fingers with one palm over back of the other hand. Squeeze your fingers together like trying to make a fist but with one hand behind the other. This is to make as wide and ridged of a surface as possible. Lock out your elbows and thrust downwards with your upper body weight. If done correctly high probability of breaking rib bones. The rib cage is shielding to heart, so you have to get your force past that or it’s all for nothing. Also your heart is not in the center of your chest. Halfway between left nipple and center of rib cage.

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