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From: Murray (no email)
Date: Mon Nov 01 2004 - 00:51:44 EST
-----Original Message-----
From: Murray [mailto:]
Sent: Sunday, October 31, 2004 6:58 PM
To:
Subject: RE: RE: Defibrilators
Just a few thoughts that came to mind while reviewing this thread and
having updated my CPR, ACLS (Advanced Cardiac Life Support), ATLS
(Advanced Trauma Life Support in the last 2 years - to maintain my
physician ER qualifications. My experience working in several different
ERs and using AEDs a couple of times in the field also comes in handy.
First of all, some excellent points were given from the other
postees on this subject.
I strongly feel that all boaters should not even consider an AED
unless they have up to date CPR training. There are so many reasons why
a person may lose consciousness and as boaters we are usually alone when
our spouse collapses. With CPR training you will be able to go through
the proper steps to assess whether they are breathing and then how to
check the pulse. In the excitement even trained individuals can have
difficulties detecting a faint pulse. After the initial assessment (I've
kept it brief) then the AED might have a role. If it doesn't have a role
or if it ineffective you still have to be able manage the other concerns
related to the event. (i.e. continuing CPR, contacting help in an
efficient manner, etc.).
Lastly, a practised drill for dealing with this type of event
will greatly decrease the anxiety that freezes some people.
Don't be afraid to take a CPR course. I keep this updated and
use the skills even in the ER dept. The courses are well run, not that
hard and the instructors will even give you advice about how you can
deal the specific problems related to boating. As for AEDs, they are
excellent tools in specific situations, if you can recognize those
situations. But ventricular arrythmias are rare and the health of your
boating partner is far better served by having CPR training first. Don't
waste your money unless you are prepared to use the AED and use it
properly.
Murray Archdekin
Kullan
42 ft Monk Trawler
Saltair, B.C.
-----Original Message-----
From:
[mailto:] On Behalf Of
Bob Austin
Sent: Sunday, October 31, 2004 1:08 PM
To: ; 1Trawler world
Subject: T&T: RE: Defibrilators
A couple of comments of posts which may seem to be in conflict from
members of the list.
For those who do not know, I have been a physician for over 44 years, am
board certified in Internal Medicine, was a professor at a major medical
school and also directed a athletic medicine program at a large
university. I also gave a deposition reference the Hank Gather's death
and met with the physicians who attended him--as well as having taught
paramedics in the past. I have extensive experience both manual
defibrillators--less with automaticl
The American Heart Association is the basic standard in the US for
AED's. The protocol is fairly standard thruout the US, with levels of
power at 200, 300 and 360 Joules of energy for the external shock. This
is standard for adults, but not for children. I have administered up to
720 Joules and successfully restarted an unresponsive heart in an ICU
setting--thus my comment that hospital manual defibrilators are more
powerful than the AED.
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