CPR / First Aid Online Certification

Izo

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Depends on what caused the cardiac arrest. If it was something traumatic like a car accident, stabbing, fell out a window, etc. then they're dead and CPR is useless. If something just caused the heart's electrical system to get screwed up, then their survival chances are extremely high with quick CPR/AED.

If you actually see someone go down you can give them a solid punch right in the sternum and it acts like a mini-aed and can restore their heartbeat.
Laymen cannot make that call, pronouncing death, except in the event of decapitation, mashed skull, decay and the like. What you describe may or may not fall in that category. Laymen must do 30:2, assisted by an AED if possible, until relieved by a healthcare professional. The punch is non-existent in the ERC guidelines. Because it doesn't work, and laymen have no way of knowing whether this is the case or not.
 

Chukzombi

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when i was a boy scout for my first aid merit badge i learned how to do cpr, treating cuts and up to 3rd degree burns. i passed the tests. got my merit badge and some kind of award from the red cross. i dunno if that makes me certified and the fact i earned it in 1983 is passed he expiration date for such things. i do remember how to do all those things along with most of my knots.
 

Ambiturner

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In the US laymen have no obligation to perform CPR at all. And the precordial thump absolutely does work. Punched a fat old black lady out of V-tach before
 

iannis

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In the US laymen can actually be sued for performing CPR. Good Samaritan laws will notalwaysprotect a person.

"When in doubt, just wait until they pass out"
 

Kuriin

Just a Nurse
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Nobody fails CPR certification, you just pay the fee, show up, follow along, and get your card.
Wrong. You take a test at the end and have to get a specific amount to pass the class. I would be very skeered of an online CPR class, haha. Hopefully it has a skills portion iRL.
 

Gavinmad

Mr. Poopybutthole
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Wrong. You take a test at the end and have to get a specific amount to pass the class. I would be very skeered of an online CPR class, haha. Hopefully it has a skills portion iRL.
I either didn't take a test or it was so absurdly easy that I don't even remember taking it. At worst there might have been a practical test where you had to demonstrate proper technique clearing the airway and doing compressions, etc.
 

iannis

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I've always seen a written test at the end (that is drivers license easy) and a skills test. The skills test you would also have to try to fail.

TBH I'm pretty sure they take the written test as proof of attendance and use it to write the name on your card as they're printing them out. And they probably look at them to make sure you didn't just draw dicks on it.

Great. I think next time I'm gonna draw dicks all over it.
 

McQueen

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Not everyone is even capable of performing CPR. An older gentleman, who seemed perfectly healthy, in the last first aid/cpr/aed class I took suffered a massive heart attack while performing cpr. He ended up getting an emergency triple bypass later that night, but he survived.
 

Ambiturner

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If you fail the written test, they give you the test back and have you review what you got wrong and then you can retake the test immediately. The skills portion is the same way, but usually they'll just coach you through it and tell you what you did wrong and pass you anyways. Never actually heard of anyone failing the whole thing

CPR really is as simple as push hard and fast nowadays. They found that spending time looking for "land marks" on where to do compressions were unnecessary and that compression only CPR (no ventilation) actually had better outcomes than with ventilation. Really the only way you see people screwing up CPR is when they do it on people with pulses
 

Izo

Tranny Chaser
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In the US laymen have no obligation to perform CPR at all. And the precordial thump absolutely does work. Punched a fat old black lady out of V-tach before
It's different here, for sure - CPR is a must. PT is not part of BLS, it's considered a specialist procedure. When I say it doesn't work it's because it has no consistent effect, and may in fact worsen the rhythm, potentially killing the patient. Laymen are not supposed to make judgement calls like this. Thus it's not part of the ERC guidelines. Do you have formal medical training, or are you just picking up on procedures and applying them as you go?

http://www.cprguidelines.eu_sl said:
The role of the precordial thump is de-emphasised.
A single precordial thump has a very low success rate for cardioversion of a shockable rhythm237-239 and is likely to succeed only if given within the first few seconds of the onset of a shockable rhythm. There is more success with pulseless VT than with VF. Delivery of a precordial thump must not delay calling for
help or accessing a defibrillator. It is therefore appropriate therapy only when several clinicians are present at a witnessed, monitored arrest, and when a defibrillator is not immediately to hand.241 In practice, this is only likely to be in a critical care environment such as the emergency department or ICU.
 

Izo

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If you fail the written test, they give you the test back and have you review what you got wrong and then you can retake the test immediately. The skills portion is the same way, but usually they'll just coach you through it and tell you what you did wrong and pass you anyways. Never actually heard of anyone failing the whole thing

CPR really is as simple as push hard and fast nowadays. They found that spending time looking for "land marks" on where to do compressions were unnecessary and that compression only CPR (no ventilation) actually had better outcomes than with ventilation. Really the only way you see people screwing up CPR is when they do it on people with pulses
The revised ERC guidelines of 2010 reflects the 'keep it simple' approach, CPR > no CPR, forget about two fingers with below processus xiphoideus, although the recommendation is still 30:2.

ERC European Resuscitation Council
-> free guidelines
ERC Guidelines 2010

United States AHA participate in theInternational Liaison Committee on Resuscitation (ILCOR), twice a year.

AFAIK the AHA 2010 guidelines largely reflect the ERC 2010 guidelines.
http://www.heart.org/idc/groups/hear...ucm_317350.pdf
 

Kuriin

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Yeah, when I took CPR (and have to every 2 years) it's still 30:2, and they are now focusing on compressions. I think it's now BCA - Breathing, Compression, Airway.
 

Ambiturner

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I'm sure in a few years they'll go compression only. AHA has endorsed it for years even if they don't teach it outright. Your metabolic oxygen needs are extremely low when you're in cardiac arrest and your residual oxygen will last quite a while as long as you keep the blood circulating. There also is a small amount of oxygen exchange just from the chest compressions themselves.
 

Sulrn

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Have any of you received CPR / First Aid Certs. online?

Are they scams or legitimate? I need a CPR and First Aid certificate to work on a fishing vessel in Alaska. I really would prefer doing it online, but I don't want to waste my time. Also, I live in the rural north woods, not a lot of hands on training sessions around my area.

Anyone have any helpful suggestions? Thanks-
The only legit online only courses I've seen are for recertification from American RC/AHA for professionals (those in settings that use it frequently), but even then it's provided via an institution (regional trauma center) paying for the liability. Every other legit course has a skill portion that you have to get checked off on prior to receiving the certification (most hospitals). I've received a pencil whipped recert before, but that's more of knowing a local instructor willing to vouch/fudge paperwork for you.
 

Tuco

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I thought CPR was sort of bullshit until I saw


What's really incredible is how many repetitions it took to resuscitate. It was definitely way passed the movie threshold where they pronounce them dead forever.
 

iannis

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It can take a pretty long time to die. We're a million percent better at recognizing it when it happens, the mechanisms and stages of it which are recoverable and which are irrecoverable, but there's still that element of Poe's era in it.

When mold starts to grow in your belly... you dead, bitch.
 

Eomer

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I'm sure in a few years they'll go compression only. AHA has endorsed it for years even if they don't teach it outright. Your metabolic oxygen needs are extremely low when you're in cardiac arrest and your residual oxygen will last quite a while as long as you keep the blood circulating. There also is a small amount of oxygen exchange just from the chest compressions themselves.
Pretty sure it's been that way for awhile. Shit, even in Breaking Bad Walter tells Tuco "they don't teach that anymore" when he tells him to breath in to the big dude he beat to death.
 

Kuriin

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No. They teach ABC/BCA. You still check airway and still breathe. However, they teach you not to use mouth-to-mouth.
 

AngryGerbil

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Pretty sure it's been that way for awhile. Shit, even in Breaking Bad Walter tells Tuco "they don't teach that anymore" when he tells him to breath in to the big dude he beat to death.
Compression-only CPR is meant for laymen and bystanders more than for professionals. It's easy to remember and the fear of people thinking you're a cock sucking faggot queer gay boy whenever you give mouth to mouth to another man is no longer there so the likelihood of early CPR being delivered is higher.