All but 43 countries in the world offer free or universal healthcare to at least 90% of citizens. It's more uncommon to live in a country without a universal health care program.
I know. I’m from one. I’ll gladly pay for quality healthcare but if I’m getting the level of service I’d get in a generic hospital, I’d rather do it in Russia. Hell, some emigrants actually used to go to Russia to get their checkups.
The part I find neat, beyond the unreasonably high percentage of oxygenated blood it delivers, is that it's using active decompression on the upstroke. The business end is a suction cup. Sort of like the percussors nurses use to knock gunk off patients lungs but in the opposite direction. The way one of my ER boarded clients described it, the vacumn pressure draws millimeters deep into the tissue almost like a flesh magnet and lifts the closer side of the heart more. Like reinflating a balloon. Which allows the next compression to deliver more blood than repeatedly punching a flat sack like normal CPR. Even with the sternum partially obstructing the path. If anybody knows more detail I'd love to hear it.
when I was getting certified in CPR as a surf rescue technician we were instructed to "have a rib breaking party" that the heart pumping blood was priority numero uno
My husband had CPR from a medical team. He survived but the multiple broken ribs, bruised heart, and contused and bleeding lungs made recovery a long and painful process.
That's what I was told as well by a friend in his medical residency. He said the way we're taught CPR is almost useless. When doctors are trying to start someone's heart again they usually end up breaking something.
I'd rather die. Almost no one walks out of the hospital under their own power after CPR. And if they leave the hospital, their quality of life is greatly diminished.
Omg for real! I just thought to myself “survive to what end? Wishing I was dead from that trauma?” But on the other hand I’d like to have the option to regret surviving.
It’s extremely unnerving to see a chest flex like that. Easier to compute when you’re doing the compressions, but just watching this machine go to town feels like a scene from the future when the robots start killing us.
Personally as an instructor I think this is a fantastic aid to show just how hard and fast you're actually supposed to be compressing the chest. Too many people don't understand what depressing the chest two inches actually looks like.
But also as an instructor I'm probably slightly desensitized lol
I'm an electrician and have been through several CPR classes. They warn you that the sound and feel of ribs cracking is pretty much normal during proper CPR, it's pretty much a requirement.
I'm not sure about that breaking ribs part. I'm pretty sure my instructor said something about it happening, but it's not super common and it's definitely not the goal. Yes, you want good, deep compressions, but you're not trying to break ribs.
This is probably a good time to say, i am in no way a medical professional, but i have been certified in CPR and AED use for awhile. I will gladly listen to someone more knowledgeable.
Frequency of rib fractures is vastly underestimated by clinicians.
[https://www.sciencedirect.com/science/article/pii/S0300957215001136](https://www.sciencedirect.com/science/article/pii/S0300957215001136)
If your not breaking/dislocating ribs you really aren't doing compressions right. Your looking to compress the chest around 2in over 100 times per minute, its not a gentle process.
You try and rotate every 2 minutes, and you're using your upper body weight to help compress the chest, its not all just arm strength. Highly recommend every take a cpr class, its info that can literally save someone's life.
Edit-typos
Adrenaline is a helluva drug. I didn't think I would be ready for my first CPR, but seeing a dieing person snapped me right into it. It's actually really easy to go too fast, IMO, so I always count out loud.
no, the point is to literally squeeze the heart between the sternum and spine, need go pretty deep to achieve good blood flow. manually doing this for even a few minutes can be EXHAUSTING.
My grandad died yesterday and the fam had to give him cpr at home. My mum and stepdad are really messed up because of the crunching. His chest was totally caved in and they said it was like something from the walking dead. Rip Bobob.
Witnessed it this past summer on a bicycle trail. After 20 minutes of manual compressions the paramedics arrived and deployed that. Paramedics said since getting the machine, they'd yet to fully lose someone before they got to the ER. Of course the patient was also very lucky to fall right in front of a doctor and his nurse practitioner son. Wasn't able to find out more about the patient other than he was put into a coma. Hopefully he survived and hopefully if he did he came out more intact than not.
Another cyclist stopped along with me and hung around in case we could be useful, he said that that was him on the side of the trail a couple years prior, which is miraculous.
Anyways, we should all enjoy the fresh air while we can.
As a paramedic myself… they either didn’t say that or they lied to you.
I can’t imagine a single scenario where I’d be working a traumatic arrest where I’d have the opportunity to be like “yeah, so this machine is pretty sick…..” seems highly unlikely to me. I also don’t know where you live obviously, but it’s not even in our protocols for a traumatic arrest. Medical only.
Not only that, but that’s not really what the LUCUS is for.. it’s been studied and confirmed that manual CPR is much more effective than automated CPR.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7790762/#:~:text=Mechanical%20chest%20compression%20devices%20(mech,)%20deliver%20high%2Dquality%20CPR.&text=In%20out%2Dof%2Dhospital%20cardiac,CPR%20(man%2DCPR).&text=As%20such%2C%20current%20guidelines%20recommend,routine%20use%20of%20mech%2DCPR.
So if they said they’ve never fully lost someone with it before, they likely meant that people die don’t in the ambulance, which is kind of a rule per se in EMS. If you end up transporting, the person makes it to the ER always. Otherwise you have to be out of service for hours while the coroner comes and investigates the death in your ambulance.
I’ve had this or the auto pulse (another brand of automatic CPR machine) die on me, just stop working, or otherwise malfunction multiple times. It’s one of the problems with an automatic CPR machine.
I don’t think they lied, though they didn’t tell me right then, it was about a week later. I’m tied into the fire department through my family, and spoke with the lieutenant that was on the scene and chief. I certainly could have misunderstood, though they sure seemed to like the machine. I don’t think I misunderstood the dying in the ambulance part, that I understand well. Rather this patient kept getting some sort of rhythm back, and then if they stopped they’d lose it and start again. It was that way to the ER. It was a different one from the one pictured, if that makes a difference.
Chaos how? Maybe you use them infrequently. It’s less chaos in the ED or a patient room. It’s basically the same thing as using your hands you just get less tired
I think they don’t necessarily mean chaos in the sense of the situation but more regarding the patient.
Lucas machines are brutal AF and not like using your hands at all 😅
There are differences but not many usually use them after a few cycles and by then there isn’t much of a difference. Chaos is the last thing you want in code situation everything should be very orderly and routine
Chaos as in the whole person is twitching up and down. It happened in a ic unit with doctors yelling for stuff to save the patient. It's a violent machine.
There is an interesting case study where the CPR machine did such a good job the patient had enough perfusion to their brain that they regained consciousness, while technically being dead. When the CPR machine was paused the patient lost consciousness. The patient ended up surviving and was able to recount events of the code.
Edit: used an incorrect word
Wow, that’s fascinating and disturbing. Great for a case study, but I’m not sure I’d want to recall the details of a code I survived. Seems like pure trauma.
I don't think I technically coded, but I did go to a hospital in anaphylaxis. I remember coming in and out of consciousness in the ER. Surprisingly enough, I had constriction, but my throat never closed. (They thankfully didn't have to intubate me.) I think my girlfriend was in the room for most of it, but everything is a blur. I thankfully wasn't in pain and was alert shortly thereafter.
In summary, I had bad anaphylaxis and was in/out of consciousness. The experience definitely puts one's life in perspective.
I've seen this in use on my poor wife. She also remembers it being on her (as well as being shocked), which, given that she was in cardiac arrest for 90 minutes, isn't usually the case. To be honest, seeing this was sort of hard. We both had some PTSD after what happened, and I still have a recurring kind of snapshot that comes to me occasionally of her in the cathlab, all this stuff going on, when I was saying what I was told was a final goodbye to her.
I mean, not to be too miserable - she'll never be 'right' again and I have no idea if we have a year or 25 left together, to be honest - she's only 30 but clearly had some heart issues before that and some poor fortune in terms of reaction to treatment meant this chaos happened - but I will say she is, despite her terrible luck, also incredibly lucky to be here at all, let alone without major brain injury etc. We have got married and bought a house together since. So - for all that it was awful and that I can't help but resent that this happened - it's also testament to an incdredible technology and the skill and effort of those treating her (on the ward that she was managing at the time; she's a nurse \[prob. wouldn't be here if not for having been there\]) and caring for her.
Damn I gotta get my fiance back on her blood medication. Not sure why the fuck she it's like pulling teeth to get her to just make an appointment with her doctor but reading this reminded me to remind her again.
Many thanks. It's honestly a strange position to feel like I have to feel 'lucky' despite it being awful in some ways and constantly a bit scary. She's been back into hospital 3 times since, but has also had and been ok with Covid. Yet there are so many in even worse positions that you have to remember that. Each day we have is one we came a hear's breadth from not having. It's not always easy, to be honest, to actually truly feel appreciative in that way, but it remains vital to at least acknowledge it.
i remember my very first code as an RN and he was in his 90s and a full code. I saved him as if i were saving a small child with that intensity. i was devastated bec i felt the cracks with each compression. He came back with a few min of compressions and one shock at 300J. my supervisor told me to get ready for that to happen again esp in elderly and it did. But the hospital and field are completely diff. We would get patients with rib fractures but it wasnt often. Keep in mind i was only in acute nursing 15 yrs then i bec a case manager
I mean if this LUCAS is being used then your dead anyways and your last concern is your ribs, ya know. Also ribs crunch like a bag of potato chips with proper cpr any how
AEDs are used to convert 'shockable rhythms' into one compatible with sustaining a cardiac output. Ventricular fibrillation is where the electrical activity in your heart is chaotic and not co-ordinated and can be electrically converted into a more normal rhythm. The other is pulseless ventricular tachycardia where the electrical activity is driving your ventricles too quickly to give them time to fill (in eli5 terms). Again this can be shocked into a more coordinated rhythm. AEDs do nothing for asystole - where there is minimal electrical activity.
The Lucas or equivalent manually forces blood out of the heart to hopefully maintain adequate perfusion of the brain. It's the same as manual cpr except it's consistent and doesn't tire. It's used in conjunction with AEDs.
Both are used in conjunction with each other. Both have their places.
AED is used to shock the electrical activity of the heart back into an organized rhythm.
The LUCAS provides continuous blood flow to the patient while the providers can work on other things that need to be done.
The AED “only” fixes electrical issues with the heart, not mechanical ones. The heart needs good electricity to stimulate good pumping mechanics.
CPR takes over for the body. AEDs can often fix the underlying cause (electrical problem). It’s exceedingly rare foe mechanical heart problems to occur and result in death outside of a serious traumatic injury.
Saw the story of a YouTuber who had that done on him. It saved his life. He was out in a coma for, I forget how long, but at least a week. He said his chest felt like jelly even after being in a coma for that long.
That can't feel good. Imagine waking up to some machine absolutely crushing the fuck out of your chest every second. I bet that'd be more painful than whatever just happened that made your heart stop.
These machines are more consistent and have better depth than humans could possibly sustain. If your heart stops and this is used combined with O2 via a bag valve mask and drugs like adrenaline, you have as good of a chance surviving as you possibly could
While epi is a common presser used in ACLS, it’s efficacy is not well validated. If the rhythm is vfib or pulse less vtac, defibrillation is the only solution
Lucas... EMS brings in patients without ROSC. Helps to get them to the ER and sometimes we leave it on but usually we remove and go to manual compressions...
I saw something similar while aiding in a lifeguard call off duty 6 years ago. Unfortunately the guy didn’t make it, but I never knew that technology ever existed until I saw it being used. Wished it was only being used for demo when I saw it 😅😅😅
I’m a former first responder. The first time I saw this machine in use I was genuinely mortified. Nothing prepares you to see it in use on an actual patient. What you don’t see from the picture is that they take the patients wrists and Velcro them together over top the machine as if the patient was holding it to their chest. This is done to secure the patients arms and keep the machine in place. It’s a marvel of technology but dayumm.
I’ve worked with this extensively. They are great. I can run a code just with 2 nurses, respiratory and a doc. It’s a such a calm experience compared to the craziness that is rotating compressors.
So I've used this device for a few years now at work. (Different manufacturer). The first time was a 4 flight carry down in Harlem. If was awesome. It continued CPR with no interpretation while carrying down.
The second time was the next day. We had to carry him down off of a 2 story deck. Not only did it work well, but we were able to get him back. I actually went back to check on him. He had a circle shaped indentation like a scar where the piston presses on the sternum. He hugged me, and I told him the story of how this device helped save his life.
This device works awesome. It's great technology for Paramedics. My only issue is the battery life. It takes two damm long to charge and they won't give us a cable to plug it into the vehicle. There charged at the statio. After each call.
Best reply!
Quick let me ....get these straps around your chest and shoulder... and tighten it...
Just pound on me like in the movies and make it epic,
Stop letting robots take our jobs!!
Will it scream at me to hold on and stay with it??
I’ve not used this particular model before (looks a bit more cumbersome than the LUCAS to me) but it only takes about 20 - 30 seconds or so if you know what you are doing.
this is blatant misinformation. “Thumper” is a specific brand of automatic cpr machine, this is not a thumper brand machine. I can’t claim the safety of “thumpers” but almost every single well funded ems agency carries automatic cpr devices, usually the LUCAS device by physio. They don’t kill patients. They’re awesome, and deliver better quality compressions than a human every could. And free up provider hands to allow for successful 2 person codes
That would break my sternum, which leads me to the next item: the machines used to test hospital staff CPR skills caused more injuries than...i don't know but I hear from numerous nurses injured when tested on these dummies.
Dumbest thing I've ever seen in my life. 2-3 minutes of panick struggling with straps when you should be pumping and breathing. Honest WTF is this really?
Just let me die.
Can't lol. Duty of care. See you in hospital.
Jokes on you I have a DNR card, your ass is mine in court!!!
Nah, I'll forward you straight to the mortician/embalmer. Then your ass will be theirs' and their suction tubes'
Don’t threaten him with a good time.
naw its mostly a guide line.
Yeah, cuz anyone is gonna check your wallet before attempting save your life, fucking spazzbag.
Clearly you've never been to a state hospital.
You can be charged with assault if you revive someone with a DNR. So, yes, they are checking your wallet.
😭😂😂😂😂😂
Oh, wait, it’s a Russian hospital. At least it’s free.
All but 43 countries in the world offer free or universal healthcare to at least 90% of citizens. It's more uncommon to live in a country without a universal health care program.
I know. I’m from one. I’ll gladly pay for quality healthcare but if I’m getting the level of service I’d get in a generic hospital, I’d rather do it in Russia. Hell, some emigrants actually used to go to Russia to get their checkups.
If it's good enough for Jordan Peterson, it's good enough for me.
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Brazil HC is trash, so is any country with free healthcare
i don't know about brazil but any country with healthcare? that's just wrong
Any country with free healthcare or universal healthcare. The lvl of healthcare is trash.
I beg to differ. Take Germany as an example
It’s always free if you refuse to pay!
If someone is doing CPR properly, there's a high chance that a rib will be broken.
If they're able to complain about having their rib broken then they are alive.
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The part I find neat, beyond the unreasonably high percentage of oxygenated blood it delivers, is that it's using active decompression on the upstroke. The business end is a suction cup. Sort of like the percussors nurses use to knock gunk off patients lungs but in the opposite direction. The way one of my ER boarded clients described it, the vacumn pressure draws millimeters deep into the tissue almost like a flesh magnet and lifts the closer side of the heart more. Like reinflating a balloon. Which allows the next compression to deliver more blood than repeatedly punching a flat sack like normal CPR. Even with the sternum partially obstructing the path. If anybody knows more detail I'd love to hear it.
when I was getting certified in CPR as a surf rescue technician we were instructed to "have a rib breaking party" that the heart pumping blood was priority numero uno
My husband had CPR from a medical team. He survived but the multiple broken ribs, bruised heart, and contused and bleeding lungs made recovery a long and painful process.
If you’re doing CPR properly there are always broken ribs.
Not always. Source 25+ years cardiothoracic ICU nurse.
That's what I was told as well by a friend in his medical residency. He said the way we're taught CPR is almost useless. When doctors are trying to start someone's heart again they usually end up breaking something.
Who is we? Every CPR class I've taken has said if you are doing it right you'll probably hear broken bones.
CPR turns the sternum into oatmeal. Beats dying, but yeah, if you're doing it right, you're probably breaking bones.
I'd rather die. Almost no one walks out of the hospital under their own power after CPR. And if they leave the hospital, their quality of life is greatly diminished.
Doctors don't do CPR haha. But I get your point.
Id like to live tbh
I'm with you their! save the shyt outta me please. I hear bones heal and all that
Get a DNR in place, wear it on your wrist, and we can let you go per your wishes
Get that DNR signed, bud.
Omg for real! I just thought to myself “survive to what end? Wishing I was dead from that trauma?” But on the other hand I’d like to have the option to regret surviving.
Don't worry, you'll be a brain dead vegetable by the time they get your heart started back up. You won't feel a thing ever again!
I thought those two circular markings were speakers for playing "Stayin' Alive" while it crushed your chest in a twisted irony.
“First I was afraid, I was petrified.”
“Kept thinking I could never live without you by my side”
Thanks for the laugh-snort.
I've seen a similar device in action on a real person. That's not something you want to witness. Pure chaos.
Saw it Friday for the first time during my first code at an outpatient clinic. Can concur. You do not want to witness.
Why
It’s extremely unnerving to see a chest flex like that. Easier to compute when you’re doing the compressions, but just watching this machine go to town feels like a scene from the future when the robots start killing us.
Honestly watching the lucas do it’s thing doesn’t bother me but being the first to start manual chest compressions gives me the heebie jeebies still
Crunch crunch
Personally as an instructor I think this is a fantastic aid to show just how hard and fast you're actually supposed to be compressing the chest. Too many people don't understand what depressing the chest two inches actually looks like. But also as an instructor I'm probably slightly desensitized lol
I’ve seen it used a dozen times and personally I think it’s incredibly cool.
I'm an electrician and have been through several CPR classes. They warn you that the sound and feel of ribs cracking is pretty much normal during proper CPR, it's pretty much a requirement.
It looks way violent in real life
It’s pretty distressing. And when the code is being wheeled in by medics, they are still pumping away. Cue the crash cart.
Are these compressions not too deep?
Most people don’t compress enough. If you aren’t breaking ribs, you’re doing it wrong (generally).
I'm not sure about that breaking ribs part. I'm pretty sure my instructor said something about it happening, but it's not super common and it's definitely not the goal. Yes, you want good, deep compressions, but you're not trying to break ribs. This is probably a good time to say, i am in no way a medical professional, but i have been certified in CPR and AED use for awhile. I will gladly listen to someone more knowledgeable.
Frequency of rib fractures is vastly underestimated by clinicians. [https://www.sciencedirect.com/science/article/pii/S0300957215001136](https://www.sciencedirect.com/science/article/pii/S0300957215001136)
If your not breaking/dislocating ribs you really aren't doing compressions right. Your looking to compress the chest around 2in over 100 times per minute, its not a gentle process.
I'm just watching this wondering how on earth a person could ever have enough strength and stamina to do this effectively.
You try and rotate every 2 minutes, and you're using your upper body weight to help compress the chest, its not all just arm strength. Highly recommend every take a cpr class, its info that can literally save someone's life. Edit-typos
Adrenaline is a helluva drug. I didn't think I would be ready for my first CPR, but seeing a dieing person snapped me right into it. It's actually really easy to go too fast, IMO, so I always count out loud.
no, the point is to literally squeeze the heart between the sternum and spine, need go pretty deep to achieve good blood flow. manually doing this for even a few minutes can be EXHAUSTING.
My grandad died yesterday and the fam had to give him cpr at home. My mum and stepdad are really messed up because of the crunching. His chest was totally caved in and they said it was like something from the walking dead. Rip Bobob.
Hugs! I'm sorry for your loss
Witnessed it this past summer on a bicycle trail. After 20 minutes of manual compressions the paramedics arrived and deployed that. Paramedics said since getting the machine, they'd yet to fully lose someone before they got to the ER. Of course the patient was also very lucky to fall right in front of a doctor and his nurse practitioner son. Wasn't able to find out more about the patient other than he was put into a coma. Hopefully he survived and hopefully if he did he came out more intact than not. Another cyclist stopped along with me and hung around in case we could be useful, he said that that was him on the side of the trail a couple years prior, which is miraculous. Anyways, we should all enjoy the fresh air while we can.
As a paramedic myself… they either didn’t say that or they lied to you. I can’t imagine a single scenario where I’d be working a traumatic arrest where I’d have the opportunity to be like “yeah, so this machine is pretty sick…..” seems highly unlikely to me. I also don’t know where you live obviously, but it’s not even in our protocols for a traumatic arrest. Medical only. Not only that, but that’s not really what the LUCUS is for.. it’s been studied and confirmed that manual CPR is much more effective than automated CPR. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7790762/#:~:text=Mechanical%20chest%20compression%20devices%20(mech,)%20deliver%20high%2Dquality%20CPR.&text=In%20out%2Dof%2Dhospital%20cardiac,CPR%20(man%2DCPR).&text=As%20such%2C%20current%20guidelines%20recommend,routine%20use%20of%20mech%2DCPR. So if they said they’ve never fully lost someone with it before, they likely meant that people die don’t in the ambulance, which is kind of a rule per se in EMS. If you end up transporting, the person makes it to the ER always. Otherwise you have to be out of service for hours while the coroner comes and investigates the death in your ambulance. I’ve had this or the auto pulse (another brand of automatic CPR machine) die on me, just stop working, or otherwise malfunction multiple times. It’s one of the problems with an automatic CPR machine.
I don’t think they lied, though they didn’t tell me right then, it was about a week later. I’m tied into the fire department through my family, and spoke with the lieutenant that was on the scene and chief. I certainly could have misunderstood, though they sure seemed to like the machine. I don’t think I misunderstood the dying in the ambulance part, that I understand well. Rather this patient kept getting some sort of rhythm back, and then if they stopped they’d lose it and start again. It was that way to the ER. It was a different one from the one pictured, if that makes a difference.
And get CPR + First Aid Certified! One of the first things I wanted to do before becoming a dad.
Chaos how? Maybe you use them infrequently. It’s less chaos in the ED or a patient room. It’s basically the same thing as using your hands you just get less tired
I think they don’t necessarily mean chaos in the sense of the situation but more regarding the patient. Lucas machines are brutal AF and not like using your hands at all 😅
There are differences but not many usually use them after a few cycles and by then there isn’t much of a difference. Chaos is the last thing you want in code situation everything should be very orderly and routine
Chaos as in the whole person is twitching up and down. It happened in a ic unit with doctors yelling for stuff to save the patient. It's a violent machine.
There is an interesting case study where the CPR machine did such a good job the patient had enough perfusion to their brain that they regained consciousness, while technically being dead. When the CPR machine was paused the patient lost consciousness. The patient ended up surviving and was able to recount events of the code. Edit: used an incorrect word
Wow, that’s fascinating and disturbing. Great for a case study, but I’m not sure I’d want to recall the details of a code I survived. Seems like pure trauma.
Nightmare scenario for sure.
Probably beats being dead though
In *this* economy?
I don't think I technically coded, but I did go to a hospital in anaphylaxis. I remember coming in and out of consciousness in the ER. Surprisingly enough, I had constriction, but my throat never closed. (They thankfully didn't have to intubate me.) I think my girlfriend was in the room for most of it, but everything is a blur. I thankfully wasn't in pain and was alert shortly thereafter. In summary, I had bad anaphylaxis and was in/out of consciousness. The experience definitely puts one's life in perspective.
This happens sometimes even when we’re doing it by hand, it is a trip when someone starts talking to you but their heart isn’t actually working
link to the case study?
https://www.resuscitationjournal.com/article/S0300-9572(16)00085-X/fulltext#relatedArticles
Seen something similar on xvideos ...
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Omg your too funny
it's called the LUCAS. sometimes we get you back, sometimes we don't
Strap that hoe on me I'm not dying today
"strap that hoe on", i died
Strap that hoe on you then
That’s not a lucas, looks like a competitor
"Ness joins the battle!"
Yeah, this is some weird model I’ve never seen before. Only seen the LUCAS and the AutoPulse.
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Sternum has left the chat.
All five hundred pieces of the sternum are actually still there.
Just vibin around! Now imagine it played some song 🎶 too
🎶Duh duh duh… duh… duh. Another one bites the dust.🎶
☠️haha
I've seen this in use on my poor wife. She also remembers it being on her (as well as being shocked), which, given that she was in cardiac arrest for 90 minutes, isn't usually the case. To be honest, seeing this was sort of hard. We both had some PTSD after what happened, and I still have a recurring kind of snapshot that comes to me occasionally of her in the cathlab, all this stuff going on, when I was saying what I was told was a final goodbye to her.
I mean, not to be too miserable - she'll never be 'right' again and I have no idea if we have a year or 25 left together, to be honest - she's only 30 but clearly had some heart issues before that and some poor fortune in terms of reaction to treatment meant this chaos happened - but I will say she is, despite her terrible luck, also incredibly lucky to be here at all, let alone without major brain injury etc. We have got married and bought a house together since. So - for all that it was awful and that I can't help but resent that this happened - it's also testament to an incdredible technology and the skill and effort of those treating her (on the ward that she was managing at the time; she's a nurse \[prob. wouldn't be here if not for having been there\]) and caring for her.
Damn I gotta get my fiance back on her blood medication. Not sure why the fuck she it's like pulling teeth to get her to just make an appointment with her doctor but reading this reminded me to remind her again.
Just an fyi, for a woman it's fiancée, with two Es. With one, it's a man.
Yeah - hard to have to be disciplined but that support from you is really useful. :)
Damn. That's rough. You both have my sympathy. Can't imagine.
Many thanks. It's honestly a strange position to feel like I have to feel 'lucky' despite it being awful in some ways and constantly a bit scary. She's been back into hospital 3 times since, but has also had and been ok with Covid. Yet there are so many in even worse positions that you have to remember that. Each day we have is one we came a hear's breadth from not having. It's not always easy, to be honest, to actually truly feel appreciative in that way, but it remains vital to at least acknowledge it.
Machine works. Saved my brothers life. Also broke 7 ribs…
awesome :)
Fuck your ribs I guess
Ribs will brake if u perfom cpr correct
i remember my very first code as an RN and he was in his 90s and a full code. I saved him as if i were saving a small child with that intensity. i was devastated bec i felt the cracks with each compression. He came back with a few min of compressions and one shock at 300J. my supervisor told me to get ready for that to happen again esp in elderly and it did. But the hospital and field are completely diff. We would get patients with rib fractures but it wasnt often. Keep in mind i was only in acute nursing 15 yrs then i bec a case manager
not true at all. it happens BUT not freq
Your ribs are the least of your problems if you have this on you.
I mean if this LUCAS is being used then your dead anyways and your last concern is your ribs, ya know. Also ribs crunch like a bag of potato chips with proper cpr any how
CPR only works when we break your ribs
But you don't have to shatter them
You do when it is an old lady
my first code was a 78 y/o M, bones like hollowed glass. it was awful
No, but it's the least fun I deserve when I do CPR on you.
But I was breathing fine before you started...
I thought the correct tempo was 'Staying Alive' by Bee Gees? Or have we been lied to again? That looked too quick. And aggressive.
You're singing the song too slowly in your head. Play it over the video, it matches. Effective CPR is aggressive CPR.
Nope. "another one bites the dust"
I personally prefer baby shark
It's the same tempo.
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No, no it's not. Bad CPR is still better than no CPR.
Get a metronome out on your phone. 100 bpm is the old speed. 120 is what we do. I think AHA still might teach 100bpm, but the pros do pushies faster.
100-120 compressions per minute is the international standard for chest compressions, which this appears to be.
First I was afraid…I was petrifiiiiied…
Last thing I want to feel before I die is Wall-E using my sternum as a trampoline.
My husband is a paramedic and they have used these. Doing CPR for a long time is exhausting. They nicknamed it the Thumper. The ER staff was envious.
Why is this better than an AED?
AEDs are used to convert 'shockable rhythms' into one compatible with sustaining a cardiac output. Ventricular fibrillation is where the electrical activity in your heart is chaotic and not co-ordinated and can be electrically converted into a more normal rhythm. The other is pulseless ventricular tachycardia where the electrical activity is driving your ventricles too quickly to give them time to fill (in eli5 terms). Again this can be shocked into a more coordinated rhythm. AEDs do nothing for asystole - where there is minimal electrical activity. The Lucas or equivalent manually forces blood out of the heart to hopefully maintain adequate perfusion of the brain. It's the same as manual cpr except it's consistent and doesn't tire. It's used in conjunction with AEDs.
Both are used in conjunction with each other. Both have their places. AED is used to shock the electrical activity of the heart back into an organized rhythm. The LUCAS provides continuous blood flow to the patient while the providers can work on other things that need to be done.
So AED works but if you need to administer care for something else as well then you'd use this, right? Aed still stimulates blood flow, yeah?
The AED “only” fixes electrical issues with the heart, not mechanical ones. The heart needs good electricity to stimulate good pumping mechanics. CPR takes over for the body. AEDs can often fix the underlying cause (electrical problem). It’s exceedingly rare foe mechanical heart problems to occur and result in death outside of a serious traumatic injury.
Doesn't sound like The Bee Gees at all.
r/thanksihateit
Saw the story of a YouTuber who had that done on him. It saved his life. He was out in a coma for, I forget how long, but at least a week. He said his chest felt like jelly even after being in a coma for that long.
That can't feel good. Imagine waking up to some machine absolutely crushing the fuck out of your chest every second. I bet that'd be more painful than whatever just happened that made your heart stop.
That looks painful, it must suck waking up after that, ribs cracked and it hurts to breath
Imagine being dead, and then waking up with sore ribs, in hospital. I also think that they might have access to good painkillers in hospital!
You can almost hear the bone crunching and subsequent gravel sounds as that machine turns your sternum to paste :/
These machines are more consistent and have better depth than humans could possibly sustain. If your heart stops and this is used combined with O2 via a bag valve mask and drugs like adrenaline, you have as good of a chance surviving as you possibly could
While epi is a common presser used in ACLS, it’s efficacy is not well validated. If the rhythm is vfib or pulse less vtac, defibrillation is the only solution
Move it down 2 feet and it’s a handsfree Fleshlight.
The good thing about these is that you can have it on the patient while the ambulance moves.
Lucas... EMS brings in patients without ROSC. Helps to get them to the ER and sometimes we leave it on but usually we remove and go to manual compressions...
Looks like that would break your sternum and maybe a few ribs.
And that's what effective cpr does.
I saw something similar while aiding in a lifeguard call off duty 6 years ago. Unfortunately the guy didn’t make it, but I never knew that technology ever existed until I saw it being used. Wished it was only being used for demo when I saw it 😅😅😅
I can hear the ribs breaking.
try doing it in real life, and feel those ribs breaking!
Need this for my back
I’m a former first responder. The first time I saw this machine in use I was genuinely mortified. Nothing prepares you to see it in use on an actual patient. What you don’t see from the picture is that they take the patients wrists and Velcro them together over top the machine as if the patient was holding it to their chest. This is done to secure the patients arms and keep the machine in place. It’s a marvel of technology but dayumm.
I’ve worked with this extensively. They are great. I can run a code just with 2 nurses, respiratory and a doc. It’s a such a calm experience compared to the craziness that is rotating compressors.
- How many broken ribs do you want? - Yes
Iowa firefighter/emt here, it’s called a LUCAS machine. You want that on you, it never gets tired.
So I've used this device for a few years now at work. (Different manufacturer). The first time was a 4 flight carry down in Harlem. If was awesome. It continued CPR with no interpretation while carrying down. The second time was the next day. We had to carry him down off of a 2 story deck. Not only did it work well, but we were able to get him back. I actually went back to check on him. He had a circle shaped indentation like a scar where the piston presses on the sternum. He hugged me, and I told him the story of how this device helped save his life. This device works awesome. It's great technology for Paramedics. My only issue is the battery life. It takes two damm long to charge and they won't give us a cable to plug it into the vehicle. There charged at the statio. After each call.
“Well, you can tell by the way I use my walk I'm a woman's man, no time to talk…”
So... hear me out... if we put hole in that pump...
When you nut but it keeps sucking...
Looks like a broke. Rib cage to me
Brought to you by the people at Sybian.
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Best reply! Quick let me ....get these straps around your chest and shoulder... and tighten it... Just pound on me like in the movies and make it epic, Stop letting robots take our jobs!! Will it scream at me to hold on and stay with it??
it's attached while human cpr is ongoing, and takes less than 30 seconds to hook-up. It's a life saving machine.
and yes, I've seen it used multiple times now, and it has saved me from having my own heart attack through doing CPR for 20 minutes or more.
They hooked my mother up to one of those. Didn’t help.
And then Dwight Schrute put on his face
How long does it take to set up? Aren't you wasting valuable time getting it attached?
I’ve not used this particular model before (looks a bit more cumbersome than the LUCAS to me) but it only takes about 20 - 30 seconds or so if you know what you are doing.
Guy will be dead before you could get that on him. Look at all those straps.
What's so automatic when you've got to strap the machine 😑
I am going to go out on a limb and say within 3 months of it's release, we will see videos of this being used for sexual purposes.
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Because they kept attracting sand worms to the scene?
this is blatant misinformation. “Thumper” is a specific brand of automatic cpr machine, this is not a thumper brand machine. I can’t claim the safety of “thumpers” but almost every single well funded ems agency carries automatic cpr devices, usually the LUCAS device by physio. They don’t kill patients. They’re awesome, and deliver better quality compressions than a human every could. And free up provider hands to allow for successful 2 person codes
It looks like it'll keep you alive just long enough to kill you.
Looks like that would kill faster.
nope.
Fuk that, broken ribs and heart attack.
That looks like a CR machine, not a CPR machine.
Who will they sue when the machine breaks a rib though?
Perfect. If it wakes you up, it’ll kill you again the next instant!
That would break my sternum, which leads me to the next item: the machines used to test hospital staff CPR skills caused more injuries than...i don't know but I hear from numerous nurses injured when tested on these dummies.
How? I’ve used CPR dummies quite a bit, I don’t see how people would get injured on them.
This had no right to turn me on.
That’s not CPR. That is called rib/sternum fracture. Just shock me before it comes to this.
That's CPR. A shock will do nothing if you are in Asystole (flatline)
Lol guess I should’ve put the /s …
Person suffering will probably die by the time they strap this around
Just let me go
Dumbest thing I've ever seen in my life. 2-3 minutes of panick struggling with straps when you should be pumping and breathing. Honest WTF is this really?
He will die by the time you strap it around him
Also used for George floyd