Defibrillators, the resuscitation trolley and doing CPR

In our Coronary Care Unit (CCU) alone, we have 3 resuscitation trolleys and 4 defibrillators...the extra one is used to transport patients needing continous monitoring. With 11 catheterisation labs, each room will have a resus trolley and a defibrillator. It is a necessity to have those and no procedure must be done without these emergency equipments.

With Marie and @lodeekue8

Resus trolley checks

Before the shift starts, this is everyone's responsibility, that if and when an emergency arises, the equipments are functioning and complete. From airway adjuncts, emergency medications, IV fluids and other items listed that are needed in an emergency. Any malfunctions and missing items that can delay the resuscitation efforts is tantamount to negligence for the person who last check the resus trolley.

Seriously.

Although we take this to heart, in real life, I still have to see as such. Regular audits are a bitch and compliance is a MUST. Understandably as it is for SAFETY reasons. 

Double 2, double 2 aka 2222

It can happen anytime, and when it does, the whole ward gets disrupted. Just this one, and no matter how smoothly the ward is running, everyone too goes running to the patient. 

There was a research years ago where it found out that a healthy individual can deliver effective chest compressions in doing CPR.

Really? 

A research was needed to find that out? I can only last a minute in doing compressions. Honestly it's hard work! The size of the patient  do determines on how long a person can last in doing so. 

6 Noradrenaline, 1 amiodarone, 1 atropine...

Chest compressions when doing CPR

Can anyone do this without any experience?

Definitely!

Just slap your dominant hand on the chest, between the nipples, interlocking hands over the other and using the heel of your palm, do compressions, ideally for an inch to 1 1/2 depth. Aim to do 1 compression every second. Try not to RUSH.

We have had patients brought in by the ambulance where a family member started CPR, even with just chest compressions. There is such a thing as ADRENALINE RUSH, where a mere man becomes SUPERMAN. It gives you that super strength to physically do things that you're unable to do normally. Especially when it involves a loved one.

This video of Vinnie Jones is advising 2 compressions in a second, amounting to 120 compressions per minute. Ideally as this is the new update from ACLS and Basic Life Support. For medics.

I only want to show you on how to get the rhythm when doing so. With the normal heart rate of 60-100 beats per minute, 1 compression per second is sufficient. Less tiring and effective.

The newest update is as what it's shown, for medical staff, in a hospital setting where there are a lot of personnels to swap with when a staff gets tired.

Trivia: What is banana rich for that can prevent deadly rhythms?

All images are mine, taken with my Samsung Galaxy S7.