WEBVTT - How CPR Works 0:00:00.240 --> 0:00:04.760 Brought to you by Toyota. Let's go places. Welcome to 0:00:05.200 --> 0:00:14.400 Stuff you should know from House Stuff Works dot com. Hey, 0:00:14.480 --> 0:00:17.960 and welcome to the podcast. I'm Josh Clark with Charles W. 0:00:18.079 --> 0:00:20.720 Chuck Bryant, and you put the two of us together. 0:00:20.920 --> 0:00:23.600 It doesn't matter what, You're still gonna come up with 0:00:23.600 --> 0:00:26.319 stuff you should know. That's right. You're better or for worse. 0:00:26.440 --> 0:00:31.680 That's right, man, you're stuck with me. How are you, sir? Tickled? 0:00:32.320 --> 0:00:36.440 How are you? I'm great? I'm ready to to save 0:00:36.479 --> 0:00:39.320 some lives with it's your podcast today. You know, it's 0:00:39.479 --> 0:00:42.040 entirely possible that we could you never know, like we 0:00:42.080 --> 0:00:44.400 could tell somebody how to do the basics of CPR 0:00:44.479 --> 0:00:46.520 and we should see O A, I see you even 0:00:46.520 --> 0:00:51.080 have it written down, Like if you are interested in 0:00:51.200 --> 0:00:55.640 being a above average human being by taking the time 0:00:55.680 --> 0:00:59.720 to be taught how to UM save someone's life using 0:00:59.800 --> 0:01:04.039 car your pulmonary resuscitation, you should do that, totally should 0:01:04.160 --> 0:01:07.720 genuinely you are a better person for that. UM. You 0:01:07.760 --> 0:01:11.480 can go to heart dot org, the American Heart Association's website, 0:01:11.680 --> 0:01:14.600 type in your zip code and it will bring up 0:01:14.840 --> 0:01:17.959 tons of free classes that you can go to at 0:01:18.000 --> 0:01:21.960 your convenience and become certified in CPR. Yeah you should 0:01:22.000 --> 0:01:25.200 do that because not only could you maybe be a 0:01:25.240 --> 0:01:28.160 hero and save some stranger's life, but if you care 0:01:28.200 --> 0:01:30.440 about the people around you, wouldn't you love to be 0:01:30.440 --> 0:01:33.720 able to save their life exactly at a moment's notice. Exactly, 0:01:33.800 --> 0:01:36.520 Like it's almost to me, it's like giving blood. It's 0:01:36.560 --> 0:01:40.280 like it's almost a human requirement in this day and age. 0:01:40.800 --> 0:01:44.040 You give blood. Of course I do. I keep mind blood, 0:01:44.040 --> 0:01:46.399 give me gives blood. She's always like, don't you want 0:01:46.440 --> 0:01:51.840 to too? Yeah, you should get blood? I know I should. Yeah. Um, 0:01:51.880 --> 0:01:53.800 I don't even know what my blood type is. There's 0:01:53.800 --> 0:01:56.720 a pretty good reason to give blood just to find out. Yeah, yeah, 0:01:57.160 --> 0:01:59.440 can you test that too? Yeah? How am I doing? 0:02:00.320 --> 0:02:04.080 Might do? And where's the nutter butters? Yeah that's a 0:02:04.280 --> 0:02:06.320 that's a bonus too. I always feel guilty when you 0:02:06.440 --> 0:02:08.560 me shares their nutter butters with you, Like I didn't 0:02:08.560 --> 0:02:11.400 earn these? These are yours? What did she bring him home? 0:02:11.480 --> 0:02:12.679 Or do you like go and drop her off and 0:02:12.720 --> 0:02:14.760 then just sit with your arm scrossed while she gives blood? 0:02:15.600 --> 0:02:20.920 Be all right ready? Yeah, man, let's let's CPR. Oh so, 0:02:21.040 --> 0:02:22.480 we're still in the middle of the c o A 0:02:22.760 --> 0:02:26.960 UM like this is no way intended to replace one 0:02:26.960 --> 0:02:29.440 of those classes. Like you listen to this podcast. You're 0:02:29.480 --> 0:02:34.240 not certified, pal, you're possibly a bigger danger than you 0:02:34.280 --> 0:02:38.160 know before. You're certifiable, but you're not certified. So this 0:02:38.240 --> 0:02:40.600 is intended to, I guess maybe just kind of go 0:02:40.680 --> 0:02:44.800 over the absolute basics of CPR UM and hopefully pique 0:02:44.800 --> 0:02:46.320 you're interested enough to get you to go out and 0:02:46.360 --> 0:02:48.959 take a real class. That's what we're doing here today. Yeah. 0:02:48.960 --> 0:02:52.760 I took when I life Lifeguarded. Obviously took CPR then, 0:02:52.880 --> 0:02:54.720 but it's been that's been a while. Yeah, it was 0:02:54.760 --> 0:02:57.280 like twenty years old, you know. So why are you 0:02:57.280 --> 0:03:00.160 always walking around and nothing but a bathing suit? I 0:03:00.160 --> 0:03:04.800 don't know, man, Yeah, I thought you still What are 0:03:04.840 --> 0:03:06.639 you doing then? I don't know. I just like to 0:03:06.720 --> 0:03:12.839 keep it the skin Mountain Malibu style, Malibu style. UM 0:03:13.080 --> 0:03:17.280 Skin to win is my friend says, are you ready? Yeah? Okay, 0:03:17.400 --> 0:03:22.160 So are you familiar with the heart? I am okay. Well, 0:03:22.160 --> 0:03:24.880 then this won't come as any surprise. The heart has 0:03:24.919 --> 0:03:28.280 a little part of it that's called the pacemaking area, 0:03:28.840 --> 0:03:33.320 the sinoatrial node the essay node, and the essay node 0:03:33.600 --> 0:03:38.080 produces a burst of electricity that stimulates the muscles in 0:03:38.120 --> 0:03:41.640 the heart that calls it to pump, usually about on 0:03:41.680 --> 0:03:45.600 the low side, once a second. That would mean that 0:03:45.640 --> 0:03:48.120 you have a heartbeat of about sixty beats per minute, 0:03:48.440 --> 0:03:52.320 which is low on the that's good for resting. Um, 0:03:52.400 --> 0:03:55.200 if you're active, it's a little low. But you have 0:03:55.320 --> 0:03:58.520 this this thing, this essay no, that that produces electricity, 0:03:58.560 --> 0:04:03.080 and it produces it in a reliable rhythm. But certain conditions, 0:04:03.080 --> 0:04:07.640 say like dehydration, uh, stress, all sorts of things can 0:04:07.680 --> 0:04:10.880 cause your essay no to go a little haywire and 0:04:10.920 --> 0:04:14.520 all of a sudden, it's shooting out bursts of electricity 0:04:14.880 --> 0:04:18.880 in a really weird pattern, no pattern at all. And 0:04:19.000 --> 0:04:23.039 when that happens, usually your heart, the pump weakens, the 0:04:23.080 --> 0:04:27.719 pump mechanism weakens, so it's going to do and it's 0:04:27.760 --> 0:04:29.920 not really beating at all. I mean it's beating, but 0:04:29.960 --> 0:04:32.440 it's not really pumping any blood. What you're in the 0:04:32.480 --> 0:04:37.000 middle of is called sudden cardiac arrest. Yes, and that 0:04:37.160 --> 0:04:41.760 is uh different, this article points out than a heart attack. Right, Um, 0:04:41.800 --> 0:04:43.440 if you have a heart attack, that is something that 0:04:43.480 --> 0:04:46.880 happens very slowly over time. Uh, and then you will 0:04:46.920 --> 0:04:50.040 eventually have the heart attack. That's sort of the end 0:04:50.120 --> 0:04:54.200 result of that slow build. And usually it's your heart's 0:04:54.240 --> 0:04:57.520 not pumping blood because it's backed up. Yeah, with the 0:04:57.600 --> 0:05:01.400 sudden cardiac arrest, your heart is going haywire. It's trying 0:05:01.400 --> 0:05:03.320 to pump blood, but it doesn't have the strength to 0:05:03.360 --> 0:05:08.280 anymore because the electrical current is being distributed incorrectly. Are 0:05:08.279 --> 0:05:11.520 you familiar with defibrillators. I am. You know they have 0:05:11.560 --> 0:05:13.520 one here in the office in a d well. They 0:05:13.680 --> 0:05:18.279 save lives. Um, if you hit somebody with an a 0:05:18.440 --> 0:05:20.560 d with a defibrillator, which is another thing you need 0:05:20.640 --> 0:05:22.600 to be trained on before you really try using it. 0:05:22.720 --> 0:05:26.039 Clear that's all I can do. And you want to 0:05:26.040 --> 0:05:27.719 be clear to you don't want to be touching the 0:05:27.760 --> 0:05:30.160 body when it goes off. But you put one paddle 0:05:30.160 --> 0:05:32.279 over the heart and one paddle over the other side, 0:05:32.320 --> 0:05:34.560 so the middle of the chest, and then on the 0:05:34.600 --> 0:05:37.800 left side of the person, and you, you know, shoot 0:05:37.839 --> 0:05:40.560 the charge through and what you're doing is not starting 0:05:40.560 --> 0:05:43.160 the heart, You're actually turning the heart off. Yeah. I 0:05:43.160 --> 0:05:48.280 think everybody that doesn't know about the defibrillators know it's 0:05:48.279 --> 0:05:49.960 gonna have trouble that. It's a tough word. I think 0:05:50.000 --> 0:05:52.320 most people think that, Yeah, your heart stopped and it 0:05:52.400 --> 0:05:55.479 kicks it back, kick starts it back up, right. Not true. No, 0:05:55.640 --> 0:05:58.200 it turns it off in the hopes that it will 0:05:58.240 --> 0:06:00.919 start back up at a norm normal rhythm. Yeah, like 0:06:00.960 --> 0:06:03.920 it resets the pace right, and it frequently works. Um, 0:06:03.960 --> 0:06:06.400 but that's just so surprising to mean, it's such a gamble. 0:06:06.480 --> 0:06:09.400 It's like, well, the heart's not doing very well right now, 0:06:09.400 --> 0:06:11.840 so it's gonna shut it off and see what happened. Yeah, 0:06:11.920 --> 0:06:16.000 that is weird. Um. Sadly, if you have a sudden 0:06:16.040 --> 0:06:20.120 cardiac arrest, you have about a five percent chance of 0:06:20.160 --> 0:06:23.280 surviving because it is out of the blue. It can 0:06:23.320 --> 0:06:27.760 occur to a very healthy person. Um. It can occur 0:06:27.880 --> 0:06:30.920 with young people, old people, any kind of person. Yeah, 0:06:30.960 --> 0:06:34.000 it's not just like heart disease. It's not. It's a 0:06:34.040 --> 0:06:36.680 part of heart disease frequently. But like like I said, 0:06:36.720 --> 0:06:40.600 it can result from dehydration when your electrolytes are off. Yeah. Um. 0:06:40.640 --> 0:06:43.200 The good news if if you have a heart attack 0:06:43.320 --> 0:06:46.480 or a myocardial infarction, um, is that you have pretty 0:06:46.520 --> 0:06:49.839 good chance of surviving. That actually, and you know, turning 0:06:49.839 --> 0:06:52.239 your life around with diet and maybe get some stints 0:06:52.279 --> 0:06:57.760 thrown in there and teaching English to prisoners. Maybe so. Uh, 0:06:58.000 --> 0:07:01.679 But all of this is leading up to the fact 0:07:01.720 --> 0:07:06.320 that CPR is something that you can increase somebody's chances 0:07:06.360 --> 0:07:09.000 who has sudden cardiac arrest. Right, here's the whole point 0:07:09.000 --> 0:07:13.040 of CPR, the moment somebody drops dead in front of 0:07:13.040 --> 0:07:16.680 you or you come across somebody who's dying or dead 0:07:17.480 --> 0:07:19.120 or unconscious. I guess it is a better way to 0:07:19.160 --> 0:07:22.760 put it, Like time is of the essence. Their blood 0:07:22.800 --> 0:07:24.880 is no longer pumping through their body, their brain is 0:07:24.920 --> 0:07:28.280 becoming starved. There they they're at risk of becoming brain damage. 0:07:28.720 --> 0:07:31.119 And usually you hear it's there's like a five minute 0:07:31.160 --> 0:07:34.360 window where like you really have the opportunity to save 0:07:34.440 --> 0:07:39.760 someone's life. Right, So, whether it's running, if somebody's running 0:07:39.800 --> 0:07:43.040 and get the defibrillator, or waiting for nine one one 0:07:43.080 --> 0:07:45.880 to arrive, waiting for the paramedics to arrive, the whole 0:07:45.880 --> 0:07:48.600 point of CPR is to pump blood through the body 0:07:48.640 --> 0:07:52.800 to keep this person in this basic, minimal, artificial state 0:07:52.840 --> 0:07:58.480 of life so that real medical help can be administered. Yeah, 0:07:58.520 --> 0:08:03.040 you're just trying to dave off uh death basically for 0:08:03.080 --> 0:08:05.560 as long as you can until you can get some help. 0:08:05.640 --> 0:08:09.840 And and this is nothing new, right, No, it's not. Uh, 0:08:09.880 --> 0:08:12.080 there's a little bit of history I dug up. Apparently 0:08:12.680 --> 0:08:17.280 the prophet Elisha in the Bible is described as performing 0:08:17.360 --> 0:08:21.560 mouth to mouth on a child. Who knows what that meant? Uh? 0:08:21.600 --> 0:08:25.720 In seventeen forty, the Paris Academy of Science is like, 0:08:25.760 --> 0:08:27.880 you know, it's the Bible. It said he placed his 0:08:27.960 --> 0:08:30.680 mouth upon the child's mouth and stuff like that. But 0:08:30.720 --> 0:08:34.199 who knows if it was you know, did they describe 0:08:34.200 --> 0:08:36.559 what was wrong with the child or you know, I 0:08:37.120 --> 0:08:40.199 don't know. I'm sure child was not doing well. Uh. 0:08:40.240 --> 0:08:43.840 In the seventeen forty the Paris Academy of Sciences first 0:08:43.880 --> 0:08:47.480 recommended mouth to mouth for drowning victims. Yeah, because apparently 0:08:47.559 --> 0:08:49.400 up to that point, I was like, Oh, you're drowned, 0:08:49.440 --> 0:08:51.880 so that's it for you. We're not even gonna try anything. 0:08:51.920 --> 0:08:55.160 Maybe we'll hit you with some sticks. Eight ninety one, 0:08:55.600 --> 0:09:00.079 Dr Frederick Moss performed the first documented chess compressions to 0:09:00.200 --> 0:09:07.000 human and sadly it was nineteen wenty three years later. 0:09:08.600 --> 0:09:13.360 Four years later that Dr George Cryle first reported a 0:09:13.440 --> 0:09:17.880 successful resuscitation from chess compression. Well, yeah, it's a it's 0:09:17.880 --> 0:09:20.120 a it was a working progress. It was very much 0:09:20.240 --> 0:09:24.000 was because and it wasn't until even though mouth to 0:09:24.080 --> 0:09:28.000 mouth was a thing that Peter H. Saffar and James 0:09:28.000 --> 0:09:32.880 Elam are credited with inventing it as modern CPR in 0:09:32.920 --> 0:09:36.559 the fifties and sixties is where they really uh perfected it. 0:09:36.679 --> 0:09:41.480 Like nineteen sixties when CPR was officially like named and developed, right, 0:09:41.480 --> 0:09:44.800 and then shortly after that came RASA ay, yeah, and 0:09:44.880 --> 0:09:48.440 the little kid with the jumpsuit, that's right. Um, all right, 0:09:48.480 --> 0:09:50.800 so that's just a little background, right, So it's it's 0:09:50.800 --> 0:09:52.880 been around for a little while, but the points always 0:09:52.880 --> 0:09:55.600 been the same. It's like somebody's in an emergency situation 0:09:56.160 --> 0:09:59.760 and you need to basically stave off death. That's right. 0:10:00.679 --> 0:10:04.199 So Chuck, let's say that you come into the podcast 0:10:04.280 --> 0:10:07.920 recording booth and uh, you see me just laying on 0:10:07.920 --> 0:10:10.480 the floor. What what are you gonna do? Well? I 0:10:10.520 --> 0:10:17.079 would scream and cry out and in agony and shock. Firstly, 0:10:17.720 --> 0:10:20.920 I'll be very upset, and then the first thing I 0:10:20.960 --> 0:10:24.760 would do would say would be to say, Jerry, for 0:10:24.880 --> 0:10:28.360 God's sakes, put down the beer and call Mine one 0:10:28.360 --> 0:10:31.679 one immediately. See, I would I would suspect that Jerry 0:10:31.720 --> 0:10:34.559 would have known I was in here unconscious. That's why 0:10:34.600 --> 0:10:37.360 she's drinking the beer. She's just she's celebrating. She got 0:10:37.400 --> 0:10:40.839 it from my desk. Yeah, uh so, yeah. First first 0:10:40.880 --> 0:10:43.439 thing you want to do is is call mine one 0:10:43.480 --> 0:10:49.200 one and get some experienced, some experience help there from 0:10:49.200 --> 0:10:52.760 a Well that's that's after you've poked me in the 0:10:52.800 --> 0:10:56.319 face and said Josh, Josh and looked at my chest 0:10:56.679 --> 0:10:59.400 seeing that it's not rising or falling, and noted that 0:10:59.520 --> 0:11:01.920 I'm little more blue than usual. Yeah, I would yell 0:11:01.960 --> 0:11:04.959 the call, and I went to one first. But yeah, 0:11:04.960 --> 0:11:07.760 you're supposed to check the person. If it's a child 0:11:08.160 --> 0:11:11.920 or a baby. They say, never ever shake them, just 0:11:11.960 --> 0:11:16.640 stroke them and see if they respond. Baby. Yeah, do 0:11:16.720 --> 0:11:18.680 something like that. See if you get a response, and 0:11:18.720 --> 0:11:21.959 if it is clear that this person is not breathing 0:11:22.040 --> 0:11:24.840 and they're don't look like their heart is beating. Another 0:11:24.880 --> 0:11:27.040 big one is that chest rising and following make sure 0:11:27.040 --> 0:11:29.440 you could come across somebody and they're just dead drunk, 0:11:30.080 --> 0:11:35.240 that's different from dead. Yeah, that's true. And I've seen 0:11:35.280 --> 0:11:39.240 that took not from you, but not in the podcast. Uh. 0:11:39.240 --> 0:11:41.360 And there's a couple of different types of or there's 0:11:41.400 --> 0:11:44.640 different types of CPR. UM, and depending on how trained 0:11:44.679 --> 0:11:48.760 you are, is one you would which one you would undertake? Right? 0:11:48.840 --> 0:11:52.320 So you've just you've determined I'm unconscious. Yeah, you don't 0:11:52.320 --> 0:11:55.319 know what's wrong with me, but I'm blue. Um. Jerry 0:11:55.480 --> 0:11:59.200 as off dialing nine on one, finishing her beer. Um. 0:11:59.320 --> 0:12:02.760 And you are Let's say that you have never done 0:12:02.800 --> 0:12:06.959 anything but heard of CPR. What kind of CPR should 0:12:06.960 --> 0:12:09.440 you employ? That means and this is from the Mayo Clinic. 0:12:09.520 --> 0:12:11.240 They know a thing or two about this. That would 0:12:11.280 --> 0:12:14.959 be what's known as an untrained person. And I would 0:12:15.080 --> 0:12:20.240 only perform the hands only resuscitation, which will will describe 0:12:20.240 --> 0:12:23.760 in detail. That's right. Um. And then let's say that 0:12:23.800 --> 0:12:25.680 you've had some training before, but it's been a while. 0:12:25.720 --> 0:12:29.600 Well that's me. I'm trained, but rusty. Um. And they say, 0:12:29.920 --> 0:12:32.680 still just use the hands only. Don't get cocky, Yeah, 0:12:32.720 --> 0:12:35.800 don't don't think you remember all that lifeguarding stuff. Let's 0:12:35.840 --> 0:12:39.079 say you had just gotten out of a CPR class 0:12:39.080 --> 0:12:43.120 and this happened. You would be trained but confident. That 0:12:43.320 --> 0:12:46.200 is right, and that means that you can perform full 0:12:46.200 --> 0:12:52.800 CPR with rescue breathing, and you know that's great. That 0:12:52.800 --> 0:12:57.760 means you're confident and you're delivering of your knowledge. Right. 0:12:57.800 --> 0:12:59.880 And then if you have access to an A E D. 0:13:00.160 --> 0:13:02.360 Where is the one in this office? Well, I know 0:13:02.360 --> 0:13:05.240 where it used to be until we redid the kitchen. 0:13:06.800 --> 0:13:10.320 Used to be in the break right by the don't 0:13:11.280 --> 0:13:17.000 massage your coworker poster. What's that called the you know 0:13:17.040 --> 0:13:21.240 when you the warning basically like the drawings and all 0:13:21.320 --> 0:13:25.160 that inappropriate touching. I always, I always was caught. My 0:13:25.160 --> 0:13:29.080 my um attention was always gotten by the labor laws 0:13:29.440 --> 0:13:32.240 poster for some reason. Yeah, yeah, I don't know why. 0:13:33.160 --> 0:13:36.199 Maybe yeah, Um, that's where it was. I don't know 0:13:36.240 --> 0:13:37.640 where it is now. It's probably in there in our 0:13:37.720 --> 0:13:40.880 new smaller break around. Yeah, you're right. Um, So if 0:13:40.920 --> 0:13:43.000 you have access to an A D you want to 0:13:43.080 --> 0:13:47.800 actually deliver one shock and then start CPR. And that's 0:13:47.800 --> 0:13:49.599 if you know absolutely in your train you know what 0:13:49.640 --> 0:13:54.040 you're doing, but you don't want to waste time looking 0:13:54.080 --> 0:13:56.880 for a pulse. They used to always say, check for 0:13:56.920 --> 0:13:59.679 a pulse, don't bother no, because they found out that 0:13:59.720 --> 0:14:02.280 people we're spending a lot more time than they should 0:14:02.760 --> 0:14:06.439 trying to find a pulse and just basically wasting time. 0:14:06.520 --> 0:14:08.680 I think basically, if you can look at somebody, see 0:14:08.679 --> 0:14:11.160 their chess isn't moving, you don't need to look for 0:14:11.160 --> 0:14:13.400 a pulse. Yeah. I mean, if I was on the ground, 0:14:13.400 --> 0:14:15.000 the last thing I would want to hear is I'm 0:14:15.040 --> 0:14:17.240 fading out. Is I can't quite tell us that of pulse? 0:14:17.320 --> 0:14:18.920 All right, come here, what does that feel like? A pulse? 0:14:18.960 --> 0:14:21.160 What do you call pulse? Thread? Yeah? And then you're 0:14:21.200 --> 0:14:25.080 down there just going just please start compressions. So the 0:14:25.080 --> 0:14:27.840 the American Heart Association said, you know what, let's just 0:14:28.560 --> 0:14:31.560 go around this and really focus on the chests compressions. 0:14:31.560 --> 0:14:34.920 Over time, they've they've in two thousand ten, they really 0:14:35.000 --> 0:14:39.360 changed everything. And so just do chess compressions. Anything else 0:14:39.480 --> 0:14:43.680 is like additional, but just do chess compressions. And um, 0:14:44.720 --> 0:14:47.360 so let's let's talk about chess compressions. Well before we 0:14:47.360 --> 0:14:49.800 do the chess compressions. If I came in here, luckily 0:14:49.880 --> 0:14:53.280 we have a nice flat, uh first grade carpet type 0:14:53.280 --> 0:14:56.080 of scene in here, um so I would not have 0:14:56.160 --> 0:14:59.640 to move you. Um, but I do want to get 0:14:59.680 --> 0:15:02.720 you on your back on a flat, hard surface. If 0:15:02.720 --> 0:15:06.720 you're face down, then that's sad for you, and I 0:15:06.720 --> 0:15:10.880 would gently roll you. Actually, i'd probably do it like quicker. Well, 0:15:11.000 --> 0:15:13.360 you want to really be careful to support the neck, 0:15:13.840 --> 0:15:17.000 because if somebody already has a neck injury, you can 0:15:17.080 --> 0:15:19.600 make it way worse if you just flop them around. 0:15:20.000 --> 0:15:21.800 Or if they have a you know, a piece of 0:15:22.120 --> 0:15:24.320 steak stuck in their throat, you know you don't want 0:15:24.320 --> 0:15:26.280 to get it lodged further. So you want to support 0:15:26.320 --> 0:15:28.680 the head and neck as you pull the person towards 0:15:28.720 --> 0:15:32.320 you so that they're on their back. Now, that's right, 0:15:33.120 --> 0:15:35.680 all right. And since two thousand and ten, it used 0:15:35.680 --> 0:15:39.040 to be the A B C method airway breathing circulation. 0:15:39.400 --> 0:15:42.800 They have now revised that to the CAB method. Yeah, 0:15:42.920 --> 0:15:45.360 airway meant that you would stick your finger down the 0:15:45.360 --> 0:15:47.960 person's throat to see if there was anything you could dislodge, 0:15:48.240 --> 0:15:51.600 but they passed out from choking. Now it's just basically 0:15:51.680 --> 0:15:55.560 chest compressions in the A b um come second, Yeah, 0:15:55.680 --> 0:15:58.800 and like like scraping out the airway and then breathing 0:15:58.840 --> 0:16:01.360 rescue breathing. You don't even do those. If you don't 0:16:01.360 --> 0:16:03.920 know what you're doing, it's all chest compression, that's right. 0:16:03.960 --> 0:16:07.200 But the new order once again, just remember thank cab, 0:16:07.320 --> 0:16:11.120 I gotta call a cab. Don't don't call a cabin. 0:16:11.440 --> 0:16:13.320 Just waste time. They won't know what you're talking about. 0:16:13.360 --> 0:16:15.640 That's right. So with chest compressions, we talked a lot 0:16:15.680 --> 0:16:18.880 about it. What you want to do is you want 0:16:18.920 --> 0:16:23.080 to kneel near the neck and shoulders. You've probably seen 0:16:23.120 --> 0:16:27.040 this on TV. It's pretty accurate. Usually. Uh, put the 0:16:27.080 --> 0:16:30.080 heel of your hands on top of one another in 0:16:30.120 --> 0:16:32.280 the center of the chest, midway between the nipples. So 0:16:32.400 --> 0:16:34.840 one palm down, the heel of your hand in the 0:16:34.840 --> 0:16:37.600 middle of the chest, your other hand over it. It's 0:16:37.920 --> 0:16:42.480 really forming this really solid piece of hand. That's right. Uh. 0:16:42.600 --> 0:16:44.720 You want to keep your elbow straight like they do 0:16:44.800 --> 0:16:46.720 on TV, so you're not using all of your arms. 0:16:46.720 --> 0:16:51.680 You're actually using your body weight to compress the chest. Um. 0:16:51.720 --> 0:16:55.160 I think how many inches one to two inches for 0:16:55.200 --> 0:16:57.400 an adult? You want to compress it down one to 0:16:57.440 --> 0:17:01.520 two inches, which that's gotta seem like a lot. What 0:17:01.600 --> 0:17:03.360 if you're the person on the ground, No, if you 0:17:03.440 --> 0:17:07.000 like yeah, if you're making a compression like pushing somebody's 0:17:07.040 --> 0:17:09.679 chest in two inches. That's significant, you know, and that's 0:17:09.720 --> 0:17:11.520 why you gotta put all your body into it. Keep 0:17:11.520 --> 0:17:15.160 those arms, elbows locked and uh nice and rigid. Oh 0:17:15.200 --> 0:17:17.280 and if you're in Canada or the UK, you want 0:17:17.280 --> 0:17:20.680 to compress someone's chest two point five four centimeters to 0:17:20.760 --> 0:17:24.120 five point eight centimeters, that's what that's what we're saying. 0:17:24.119 --> 0:17:26.399 When we're saying when the two inches it's in this 0:17:26.440 --> 0:17:29.400 case it is much easier to learn inches, I think. So, uh, 0:17:29.560 --> 0:17:32.520 you want to make these chess compressions about a hundred 0:17:32.560 --> 0:17:35.080 times a minute, which is not We have a what 0:17:35.280 --> 0:17:39.359 a base sixty minute sixty second minute, so a hundred 0:17:39.400 --> 0:17:42.280 seems weird to us. Right, how do you how do 0:17:42.320 --> 0:17:46.040 you keep that rhythm in your head? It sounds unbelievable, 0:17:46.680 --> 0:17:50.200 but you want to hum the song in your head 0:17:50.320 --> 0:17:54.119 Staying Alive by the Beaches, right, It actually is a 0:17:54.200 --> 0:17:56.520 hundred and three beats per minute. So if you can 0:17:56.600 --> 0:18:03.720 hit that song, stay at pump, you will pump, stay 0:18:03.720 --> 0:18:06.760 in a love pump, pump pump, And don't like that, 0:18:07.000 --> 0:18:09.320 don't hold that pump on the a lot. You want 0:18:09.320 --> 0:18:11.960 to keep it going. You're gonna hit a hundred a 0:18:12.040 --> 0:18:15.959 hundred and three chest compressions a minute. It's so awesome 0:18:16.000 --> 0:18:19.680 that it's staying alive, I know. And they they chose 0:18:19.680 --> 0:18:21.720 a great song because most people know that song, and 0:18:21.760 --> 0:18:25.320 they say most people can remember the pace of that song. 0:18:25.800 --> 0:18:27.639 And it's right, you know, kind of right at the 0:18:27.720 --> 0:18:30.280 hundred to one or three beats per minute. So you're 0:18:30.320 --> 0:18:33.240 doing pretty well there. And if you have a baby 0:18:33.320 --> 0:18:37.000 on your hands, um, you want to do chest compressions 0:18:37.560 --> 0:18:40.520 using the same techniques, but you only want to compress 0:18:40.600 --> 0:18:44.760 the chest about um, one inch I believe one and 0:18:44.800 --> 0:18:47.639 a half inches, and you're using your two your middle 0:18:47.640 --> 0:18:50.879 finger in your index finger rather than you're the heels 0:18:50.880 --> 0:18:53.399 of your hands. But you're still doing it in the 0:18:53.400 --> 0:18:55.800 middle of the chest, in between the nipples. One and 0:18:55.800 --> 0:18:58.760 a half inch compressions a hundred a minute, yeah, and 0:18:58.880 --> 0:19:01.560 just less aggressive, you know. And you want to support 0:19:01.600 --> 0:19:03.480 the baby's head while you're doing it too. Basically you 0:19:03.520 --> 0:19:06.000 want to lay them across like the length of your 0:19:06.040 --> 0:19:09.040 forearm with their head in your hand. I cannot imagine 0:19:09.040 --> 0:19:12.760 anything more horrifying than performing CPR on a baby, but 0:19:13.000 --> 0:19:17.359 it's good to know for sure, um, what you're doing 0:19:17.400 --> 0:19:21.000 here is you are basically squeezing the heart between the 0:19:21.000 --> 0:19:25.479 breastbone and the backbone to artificially get blood out of 0:19:25.520 --> 0:19:29.080 it moving through the body that oxygen eated blood and 0:19:29.359 --> 0:19:32.720 uh like, are you literally trying to get the heart 0:19:32.720 --> 0:19:35.840 going again or just deliver oxygen until someone gets there? 0:19:37.040 --> 0:19:39.439 Is what gets the heart going. All you're doing is 0:19:39.440 --> 0:19:44.040 distributing oxygenated blood through the body. Like when the heart pumps, 0:19:44.560 --> 0:19:47.560 it doesn't make a whole circuit through your body. It 0:19:47.680 --> 0:19:50.040 just pumps the blood a little bit, a little bit, 0:19:50.040 --> 0:19:52.800 a little bit, and then eventually this little segment of 0:19:52.840 --> 0:19:55.800 blood which with each pump will follow the course through 0:19:55.840 --> 0:20:00.280 the body. So you are um oxygen eating you You're 0:20:00.320 --> 0:20:03.080 pumping oxygenated blood through the body. And you can go 0:20:03.119 --> 0:20:06.560 to hands only CPR dot org. It's a good website 0:20:06.560 --> 0:20:10.720 to reinforce this. But again, American Red Cross is where 0:20:10.720 --> 0:20:13.840 you want to go to get a regular class, get certified, 0:20:13.880 --> 0:20:17.120 and they will teach you also rescue breathing too, because 0:20:17.680 --> 0:20:21.080 you're I guess then oxygen eating the blur. You're allowing 0:20:21.080 --> 0:20:26.439 the blood to be oxygen eated by introducing air into 0:20:26.480 --> 0:20:29.680 the lungs. That is very true. So yeah, all you're 0:20:29.680 --> 0:20:33.600 doing is just keeping like the body, like probably specifically 0:20:33.680 --> 0:20:41.320 the brain fed with blood CPR, that's what you're doing. So, um, 0:20:41.440 --> 0:20:45.560 why wouldn't somebody want to do this? Uh? Well, one 0:20:45.640 --> 0:20:47.919 of the first things I looked up was lawsuits because 0:20:48.560 --> 0:20:50.119 I don't I never knew if it was true or not. 0:20:50.119 --> 0:20:52.359 But you always hear about people like I'm not you know, 0:20:52.400 --> 0:20:54.240 I don't want to get sued. I don't want to 0:20:54.280 --> 0:20:57.280 perform CPR on that person. There's something called the Good 0:20:57.280 --> 0:21:00.920 Samaritan laws. Have you heard of these? The remember the 0:21:01.200 --> 0:21:06.240 last episode of Seinfeld they all got law. Yeah, there's 0:21:06.280 --> 0:21:09.280 various uh incarnations of Good Samaritan laws. But in the 0:21:09.320 --> 0:21:13.280 case of CPR, it protects people that perform CPR if 0:21:13.320 --> 0:21:20.320 they are generally if they are UM medically trained. Oh 0:21:20.320 --> 0:21:23.840 so like if you have a CPR certification, you'd be protected, 0:21:23.960 --> 0:21:27.159 you would be protected and um, and it has to 0:21:27.280 --> 0:21:30.880 be uh, it must be the persons just it must 0:21:30.920 --> 0:21:33.080 be like if you try to save me, it's gotta 0:21:33.080 --> 0:21:34.800 be your idea, like, Hey, I'm just gonna go save 0:21:34.840 --> 0:21:37.040 this guy. And someone didn't drag you over there and 0:21:37.040 --> 0:21:39.639 say he's a doctor, and you can't actually be a doctor. 0:21:39.720 --> 0:21:42.760 And be still be protected like in the hospital. Like 0:21:42.840 --> 0:21:45.480 it doesn't cover you know, hospitals and stuff obviously, because 0:21:45.480 --> 0:21:47.960 that's their job. They're not SENI. Yeah, it's gotta be 0:21:48.080 --> 0:21:54.200 entirely voluntary. And um, certain states is a state thing. Obviously, 0:21:54.440 --> 0:21:57.320 certain states are now enacting laws that protect anyone. I 0:21:57.359 --> 0:22:00.480 know Pennsylvania passed one last year that even if you're 0:22:00.480 --> 0:22:03.080 not certified, if you give it the old college try, 0:22:03.160 --> 0:22:05.680 then you can't be sued. That's good, which is which 0:22:05.760 --> 0:22:07.440 is great. You know you want people diving in there. 0:22:07.520 --> 0:22:09.760 Thank you. Imagine like you saved my life. But I 0:22:09.760 --> 0:22:12.919 didn't ask you too, so I'm suing you. Um. I 0:22:12.920 --> 0:22:14.800 also went to the freakonomics site because you know how 0:22:14.840 --> 0:22:17.800 they always break things down in interesting ways like racially 0:22:17.840 --> 0:22:21.400 in and as far as like income goes, and out 0:22:21.400 --> 0:22:27.200 of fourteen thousand two cardiac arrest patients, by standard initiated 0:22:27.200 --> 0:22:32.440 CPR was provided point six percent of the time, and uh, 0:22:32.520 --> 0:22:36.600 that's it. Yeah, And in low income black neighborhoods, low 0:22:36.640 --> 0:22:41.960