this post was submitted on 09 Dec 2023
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If proper CPR involves compressing the chest so much such that the ribcage might break - doesnt that breakage risks a bone puncturing the heart?

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[–] BigDanishGuy@sh.itjust.works 2 points 11 months ago* (last edited 11 months ago) (1 children)

Depends on who you are listening to. I just checked with the mandated lesson plan ("Basal førstehjælp til børn", or "Basic first aid for children", published by the Danish First Aid Council (DFAC), December 2021). I have to adhere to this plan when teaching that course. Among other things, the main differences are:

  • 5 blows (page 6) then 30:2 at 100-120 BPM (page 7).
  • If you're alone, then you do 1 min of CPR before calling emergency services (page 7).

It's the current lesson plan, and the council tends to follow the European Resuscitation Council's guidelines... Most of the time. While I haven't read up on the ERC's guidelines for some time now, I also know that the DFAC may take other aspects into consideration when creating their lesson plans.

[–] crashoverride@lemmy.world 1 points 11 months ago (1 children)

I'm a CNA in a hospital, our guidelines are always call for help first, then start 15:2 CPR.

[–] BigDanishGuy@sh.itjust.works 1 points 11 months ago* (last edited 11 months ago)

Exactly, as a CNA you have different guidelines, and resources. I used to work as a temp CNA (a job med students can train for in my country), and naturally we were expected to not just do the layman's CPR.

But the courses I teach are designed for non-medical persons, and they, more than anything, need to not freeze up in the moment. So they are taught to do it one way, and one way only. Is it optimal in every case? Of course not, but in most cases there's a net positive effect.