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Rescue or ???

Discussion in 'Advanced Scuba Discussions' started by MissBehavin, Oct 10, 2019.

  1. happy-diver

    happy-diver Skindiver Just feelin it

    # of Dives: 2,500 - 4,999
    Location: same ocean as you
    1,154
    699
    113
    Hey man brilliant that's admirable you gotta do what you can do in as many circumstances
    as you can do them, but if I find a diver at depth, reg out unconscious and unresponsive it's
    my welfare I'm addressing and if we get to the surface and I have any energy left to perform
    CPR or anything else I'll also be ready for the first person that comes across that arcs up and
    says why didn't you perform cpr longer more than likely I'll tie a line around the dead guys toe

    In context


     
  2. TMHeimer

    TMHeimer Divemaster

    # of Dives: 500 - 999
    Location: Dartmouth,NS,Canada(Eastern Passage-Atlantic)
    12,526
    2,852
    113
    I think what you're saying is that an unconscious diver at depth with reg out is very likely dead and that your own safety is now the priority. Agree. Only exception may be if it's your buddy who goes unconscious and you are right there when it happens. Need more punctuation in your post.
     
  3. wetb4igetinthewater

    wetb4igetinthewater Instructor, Scuba

    # of Dives: 500 - 999
    Location: Seattle
    4,049
    2,395
    113
    Punctuation? Who needs punctuation?

    "Let's eat Grandma!" :D
     
    Zef likes this.
  4. pauldw

    pauldw Solo Diver

    415
    491
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    Nope. Your sample is too small to prove anything (apart from that in your experience with CPR, two out of three cases were successful). Do a survey of hundreds of cases, and maybe you can draw a more accurate conclusion. I suspect it won't find 67% successful resuscitations from in field CPR. But that's not even the point. The point is that good people try. Regardless of whether it's hard or might be futile.
     
  5. wetb4igetinthewater

    wetb4igetinthewater Instructor, Scuba

    # of Dives: 500 - 999
    Location: Seattle
    4,049
    2,395
    113
    From: CPR Facts and Stats

    Bystander CPR improves survival.


    According to 2014 data, nearly 45 percent of out-of-hospital cardiac arrest victims survived when bystander CPR was administered.

    The majority of Out of Hospital Cardiac Arrests (OHCA) occurs at public settings (18.8 percent), mostly homes/residences (69.5%) and nursing homes (11.7%).



    My uneducated, pulling this hypothesis out of a dark place, thinks that cardiac arrest during scuba diving brings down the survival rate (though just slightly due to the percentage of time cardiac arrest happens then vs. other scenarios).
     
    Esprise Me likes this.
  6. MrBigfins

    MrBigfins Manta Ray

    # of Dives: 100 - 199
    Location: Pittsburgh Pa
    504
    281
    63
    I'm not saying my personal experience is a good sample size. I believe my training stated that it is around 40% success rate for lifeguard rescues involving CPR. But I can tell that my personal success rate made a world of difference to the 67% that were successful.
     
    pauldw and Rooster59 like this.
  7. wetb4igetinthewater

    wetb4igetinthewater Instructor, Scuba

    # of Dives: 500 - 999
    Location: Seattle
    4,049
    2,395
    113
    From: Survival of out-of-hospital cardiac arrest with early initiation of cardiopulmonary resuscitation. - PubMed - NCBI

    The benefit of this early CPR, however, appears to exist within a rather narrow window of effectiveness. It must be started within 4-6 minutes from the time of collapse and must be followed within 10-12 minutes of the collapse by advanced life support in order to be effective.

    No information on how quickly success rates decline each minute, and I won't say that there is no diver who suffered cardiac arrest who was successfully brought to the surface and reached shore/a boat in 10 minutes who didn't survive. I just don't think it is likely. It is exhausting to haul someone out of the water in cold water gear. But that doesn't mean that we shouldn't try, but just teach our students to seek assistance in the likely event that the person doesn't make it.
     
    Esprise Me likes this.
  8. Lt CHEG

    Lt CHEG Nassau Grouper

    # of Dives: 50 - 99
    Location: Rensselaer County, NY
    77
    38
    18
    I’m 0 for 20 in performing CPR for what it’s worth. That’s as a cop, a former EMT and a 20 year volunteer firefighter. I give good CPR as confirmed by the EKG and I’ve even had shockable rhythms and been able to use an AED a couple times. At the end of the day, if you’re giving someone CPR then you need to mentally accept that the person won’t be coming back.
     
    eleniel and Zef like this.
  9. Storker

    Storker Divemaster

    # of Dives: 100 - 199
    Location: close to a Hell which occasionally freezes over
    13,532
    10,046
    113
    And sometimes they come back, which is why one should always try to perform CPR until trained medical personnel have arrived.

    One of my colleagues had a rather massive heart attack some years ago. He was kept "alive" by CPR until the EMT crew showed up and is now back to work after a triple (or quadruple, I'm not sure) bypass operation.
     
    eleniel likes this.
  10. happy-diver

    happy-diver Skindiver Just feelin it

    # of Dives: 2,500 - 4,999
    Location: same ocean as you
    1,154
    699
    113
    Hey man brilliant that's admirable

    you gotta do what you can do

    in as many circumstances

    as you can do them


    but if I find a diver at depth reg out

    unconscious and unresponsive

    it's my welfare I'm addressing

    and if we get to the surface

    and I have any energy left to perform

    CPR or anything else


    I'll also be ready for the first person

    that comes across that arcs up

    and
    says, why didn't you perform cpr longer


    more than likely I'll tie a line around the dead guys toe

    In
    context


    Spoken to the tune of “Tie a yellow ribbon round the old oak tree”

    Tony Orlando and Dawn - Google Search

    See what you've done, now it looks terrible
     

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