u/GiorgioMDClinician communityin r/emergencymedicine • Recommends
Hands on CPR without stopping for delivery of shock.
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Hands On During Defibrillation
Larry B. Mellick, MD
717K subscribers • 4 videos on Rounds
- Recommended by 2 people, 2 of them clinicians or researchers, in r/emergencymedicine, across 2 different months.
- Presented by Larry B. Mellick, MD, as the video describes them
- May be out of date. Uploaded 14 years ago, in an area where guidance changes.
- Debated among experts. Its central claim is contested, so look for the other side.
Aimed at clinicians, students or researchers. Education, not medical advice.
138K views14 years ago2 recommendations
Clinical medicineHeart and metabolismEmergencies and first aidClinical skills and exams
Larry B. Mellick, MD, demonstrates that continuing chest compressions during biphasic defibrillation presents no apparent risk to the operator.
Rapid degradation of coronary perfusion pressure occurs when cardiac compressions are interrupted. Excessive delays in CPR commonly occur when compressions are interrupted for defibrillation. In this video we demonstrate that the continued contact with the patient during defibrillation with 200 J biphasic voltage results in no apparent risk to the operator doing chest compressions. Further evaluation of current recommendations for interrupting CPR during defibrillation should continue. Perhaps it won't be long before the warning, "All Clear, Stand Back" will soon be a thing of the past.Why it's here
2 people recommend thisWhat people say. Shared by emergency medicine professionals discussing the feasibility of continuous CPR during shock delivery.
u/IrunongamesClinician communityin r/emergencymedicine • Recommends
Continued CPR even when delivering 200J biphasic shock. Just a "small jolt".