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Younger people are far more likely to have CPR attempted on them before the arrival of emergency medical services. [148] [155] Bystanders more commonly administer CPR when in public than when at the person's home, although healthcare professionals are responsible for more than half of out-of-hospital resuscitation attempts. [149]
Austrian-born Peter Safar, a University of Pittsburgh anesthesiologist was a CPR pioneer who helped create the modern hospital Intensive Care Unit (ICU). His daughter died in 1966 from an asthma attack during transport from her home to the hospital. In response, he designed an ambulance with the necessary medical equipment and a paint scheme.
The LUCAS can be used both in and out of the hospital setting. [6] [7] The 2015 European Resuscitation Council Guidelines for Resuscitation does not recommend using mechanical chest compression on a routine basis, but are good alternative for situations where it may be difficult or to maintain continuous high-quality compressions, or when it may be too strenuous on the medic to do so. [8]
Importantly, this training can be conducted by an EMT-Basic with some field experience—which is a resource available "in-house" for many volunteer fire departments who do not have the resources for full EMT training. The first responder training is intended to fill the gap between First Aid and Emergency Medical Technician.
CPR consists of chest compressions followed by rescue breaths - for single rescuer do 30 compressions and 2 breaths (30:2), for > 2 rescuers do 15 compressions and 2 breaths (15:2). The rate of chest compressions should be 100-120 compressions/min and depth should be 1.5 inches for infants and 2 inches for children.
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They are trained in CPR, advanced first aid, automated external defibrillator usage, and patient assessment. Most police and fire services require their employees to be emergency medical responders at a minimum. This course is usually 40–60 hours in length. [14]
It has been well documented that the likelihood of return of spontaneous circulation and furthermore eventual discharge from hospital, after ten minutes of CPR falls significantly. [ 3 ] [ 4 ] [ 5 ] Once circulation is established, the patient is able to be transferred, for further investigation and intervention, to facilities such as a cardiac ...
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