well this story did what it was meant to do and grab the public attention, while i dont condone what the operator told the man to do and think that the result is an injustice, i still think the person might be a little more anxious and making aditional noise due to their own lack of info about BBV/STI.
transmission info table;
overdose response training
as for the resusitation of people there are a few ways it can be done by your normal everyday person, the better you are trainined at CPR the more likely you will have a reusus shield on you to act as the barrier. but for opioid overdoses the first thing to go is respiratory depression, then circulation so i can understand why the operator would be asking the person to breath for the paitent. but if the heart is stopped there is another way;
Hands-Only CPR simplifies saving lives for bystanders
American Heart Association scientific advisory report
New statement from the American Heart Association puts life-saving skills in your hands
DALLAS, April 1 — Chest compressions alone, or Hands-Only Cardiopulmonary Resuscitation (CPR), can save lives and can be used to help an adult who suddenly collapses, according to a new American Heart Association scientific statement.
View the Science Advisory here
The statement, from the association’s Emergency Cardiovascular Care (ECC) committee, is published in Circulation: Journal of the American Heart Association.
Hands-Only CPR is a potentially lifesaving option to be used by people not trained in conventional CPR or those who are unsure of their ability to give the combination of chest compressions and mouth-to-mouth breathing it requires.
“Bystanders who witness the sudden collapse of an adult should immediately call 9-1-1 and start what we call Hands-Only CPR. This involves providing high-quality chest compressions by pushing hard and fast in the middle of the victim’s chest, without stopping until emergency medical services (EMS) responders arrive,” said Michael Sayre, M.D., chair of the statement writing committee and associate professor in the Ohio State University Department of Emergency Medicine in Columbus.
About 310,000 coronary heart disease deaths occur out-of-hospital or in emergency departments each year in the United States. Of those deaths, about 166,200 are due to sudden cardiac arrest – nearly 450 per day.* Without immediate, effective CPR from a bystander, a person’s chance of surviving sudden cardiac arrest decreases 7 percent to 10 percent per minute. Unfortunately, on average, less than one-third of out-of-hospital cardiac arrest victims receive bystander CPR, which can double or triple a person’s chance of surviving cardiac arrest.
By using Hands-Only CPR, bystanders can still act to improve the odds of survival, whether they are trained in conventional CPR or not, Sayre said.
“Many times people nearby don’t help because they’re afraid that they will hurt the victim and aren’t confident in what they’re doing,” he said. “We want people to know that they can help many victims, just by calling 9-1-1 and doing chest compressions. Don’t be afraid to try it. We are sure many lives will be saved if the public does Hands-Only CPR for adult victims of sudden cardiac arrest.”
The new recommendation for Hands-Only CPR for adults who suddenly collapse is an update to the 2005 American Heart Association Guidelines for CPR and ECC, which previously recommended that lay rescuers use compression-only CPR only if they were unable or unwilling to provide breaths. The update puts Hands-Only CPR on par with conventional CPR when used for an adult who has suddenly collapsed. This change was supported by evidence published from three separate large studies in 2007, each describing the outcomes of hundreds of instances of bystanders performing CPR on cardiac arrest victims. None of those studies demonstrated a negative impact on survival when ventilations were omitted from the bystanders’ actions. Hands-Only CPR is easier to remember and results in delivery of a greater number of chest compressions, with fewer interruptions, until more advanced care arrives on the scene.
Conventional CPR is still an important skill to learn, and medical personnel should still perform conventional CPR in the course of their professional duties. The new recommendations apply only to bystanders who come to the aid of adult cardiac arrest victims outside the hospital setting.
Hands-Only CPR should not be used for infants or children, for adults whose cardiac arrest is from respiratory causes (like drug overdose or near-drowning), or for an unwitnessed cardiac arrest. In those cases, the victim would benefit most from the combination of chest compressions and breaths in conventional CPR.
The public is still encouraged to obtain conventional CPR training, where they will learn the skills needed to perform Hands-Only CPR, as well as the additional skills needed to care for a wide range of cardiovascular- and respiratory-related medical emergencies, especially for infants and children.
The new statement is intended to increase how often bystander CPR is performed. It emphasizes the importance of “high-quality” chest compressions — deep compressions that allow for full chest recoil, at a rate of about 100 per minute — with minimal interruptions.
More information on CPR training can be found at
www.americanheart.org/handsonlycpr.
Co-authors are: Robert A. Berg, M.D.; Diana M. Cave, R.N., M.S.N.; Richard Page, M.D.; Jerald Potts, Ph.D.; and Roger D. White, M.D.
and some research about how affective bystander CPR is for opioid overfdoses
Bystander resuscitation attempts at heroin overdose: does it improve outcomes?
Paul DietzeCorresponding Author Contact Information, E-mail The Corresponding Author, a, Kate Cantwellb and Stephen Burgessc
a VicHealth Public Health Research Fellow, Turning Point Alcohol and Drug Centre Inc. and Deakin University School of Health Sciences, 54–62 Gertrude Street, Fitzroy, Vic. 3065, Australia
b Metropolitan Ambulance Service, Melbourne, Australia
c Department of Paramedic Sciences, Victoria University, Australia
Received 6 September 2001;
accepted 21 March 2002.
Available online 29 April 2002.
Abstract
Study objective: To document the characteristics and effectiveness of cardiopulmonary resuscitation (CPR) at non-fatal heroin overdose events in Melbourne, Australia. Methods: A retrospective analysis of a computerised database of ambulance attendance records at non-fatal heroin overdose cases for the period 1/12/1998 to 31/7/2000 was undertaken. Main outcome measures: The main outcome measure was the rate of patient hospitalisation. The rate of CPR administration at heroin overdose cases was also examined, along with characteristics of the attendance, such as the age and sex of the overdose case, the relationship of person providing CPR to the overdose case as well as the location, time and date of the event. Results: CPR was administered prior to ambulance arrival in 579 heroin overdose cases (9.4% of total heroin overdose cases attended) between 1/12/98 and 31/7/2000. A greater proportion of female overdose cases were administered CPR than males and CPR administrations were evenly distributed across attendances occurring in private and public locations.
Bystander administration of CPR prior to ambulance attendance resulted in a significantly lower rate of heroin user hospitalisation (14.5%) compared to cases where bystander CPR was not administered (18.8%). Conclusions: While CPR administration prior to ambulance attendance at heroin overdose events is relatively uncommon (especially compared to out-of-hospital cardiac arrest), such administration was associated with a statistically significant improvement in clinical outcomes in cases of non-fatal heroin overdose. These findings suggest that the provision of CPR training to people likely to come into contact with heroin overdose events may be an effective strategy at minimising consequent overdose-related harm.