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Drown and rescucitation: Empty the lungs first?

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Drown and rescucitation: Empty the lungs first?

Old 08-09-2009, 01:00 AM
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Question Drown and rescucitation: Empty the lungs first?

Hi All,

I have a wonder...

When someone is not breathing after drowning:

before proceeding to artificial breathing, shall we first empty the lungs or is the water inside insignificant?

If yes, how shall we proceed?

Thanks

Pierre
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Old 08-09-2009, 05:18 AM
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"First thing you need to do is call 911. Then clear airway of any obstructions." Water would be an obstruction and unless you get it out, you're not going to have much success.
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Old 08-09-2009, 05:29 AM
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....does 911 respond in Vietnam??? Even stateside, would you be doing the right thing by dialing a phone and explaining a situation before trying to save the victim?

I'm guessing that every second counts when getting oxygen to the brain is concerned....but is that true?
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Old 08-09-2009, 05:33 AM
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There is no 911 in Vietnam...that said, when you go through the CPR steps, like look, listen and feel for breathing and a pulse, in the abscence of a pulse, you would start the breathing for the patient and chest compressions...the chest compressions will force out any water in the lungs, so you would proceed as you would any victim of cardio pulmonary arrest.
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Old 08-09-2009, 06:23 AM
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Originally Posted by Capt Jack Sparrow View Post
There is no 911 in Vietnam...that said, when you go through the CPR steps, like look, listen and feel for breathing and a pulse, in the abscence of a pulse, you would start the breathing for the patient and chest compressions...the chest compressions will force out any water in the lungs, so you would proceed as you would any victim of cardio pulmonary arrest.
Thanks all,

The time any emergency ambulance arrive will take an hour

I am not talking about heard arrest but just breathing arrest.
If I compress his chest, not sure this will take the water out (when there is a choke, we compress the belly upward).

But being a fluid, is there not a natural draining position? If a kid I would think to shake him feet up .

Thanks again Pierre
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Old 08-09-2009, 09:53 AM
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Before CPR, we had artificial respiration, the old back press/arm lift method. In that, you laid the victim on their belly, with the head turned to one side, and the first back compressions were supposed to clear the water. I would think that it would be harder to clear the lungs with the person on their back for CPR.
How much water in the lungs does it take to actually drown a person, a cup, a quart?

I believe the latest recommendation from the Red Cross, or someone similar, is that the victim is better off if you concentrate your energy on doing 90 chest compressions per minute, and forget about trying to breath for the victim, especially if you are alone in your rescue attempt. The chest compressions will get sufficient air into the lungs for the bloodstream to carry to the brain.
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Old 08-09-2009, 05:45 PM
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Originally Posted by glacierbaze View Post
Before CPR, we had artificial respiration, the old back press/arm lift method. In that, you laid the victim on their belly, with the head turned to one side, and the first back compressions were supposed to clear the water. I would think that it would be harder to clear the lungs with the person on their back for CPR.
How much water in the lungs does it take to actually drown a person, a cup, a quart?

I believe the latest recommendation from the Red Cross, or someone similar, is that the victim is better off if you concentrate your energy on doing 90 chest compressions per minute, and forget about trying to breath for the victim, especially if you are alone in your rescue attempt. The chest compressions will get sufficient air into the lungs for the bloodstream to carry to the brain.
Thanks Glacier,

I understood fresh water with a lower volume could faster drown than more of sea water. Maybe a matter of osmosis pressure or surfactant dissolution or surface tensions.

So from you I understand that laying on belly and compressing this one with an arm from underneath would clear the water.

Chest compressions are actually very difficult to achieve properly, however, i agree that this also ventilates the drown one. However I also do not know how sooner the breathing stops before the heard does.
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Old 08-09-2009, 07:14 PM
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Pierre, Not all drownings have water in the lungs [ Some will suffocate and NOT breath water ] and as said above Chest compressions are the most important and they will force the water out .
If chest compressions are done right you will hear ribs crunch on a Adult.

Have you OR can you take a CPR course ?
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Old 08-09-2009, 07:16 PM
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I think that you misunderstood me. I was only pointing out that the old method of artificial respiration, with back compressions, addressed the question. I do not know how the question is addressed with chest compressions, or CPR. It is something that we all should know, and I will find out for myself. I suggest that you Google 'drowning resuscitation', or similar keywords.
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Old 08-09-2009, 07:42 PM
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OK thanks,

Yes, I got trained as Padi rescue diver. I was good at CPR, but remains that wonder about water content.

However, I imagine that on my boat, due to many facts (rescue facilities - forget choppers- and their training, only one onboard that can handle the boat), I am not sure what I would do first.


Seems that most appropriate would be to call mayday on 16 and inform them I am heading for the nearest port (count 30 minutes to an hour).

Then I probably CPR and my 9 YO son "steering about" the boat




Yes Glacier, I will have a look or study further this point.

Thanks all

Pierre
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Old 08-09-2009, 09:34 PM
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Not sure about Vietnam, but here, the "911" or a ch 16 mayday call will get you someone who can "walk" you through the right procedure to save the person.
There are many stories of youngsters saving lives with a call to 911 and the operator telling them what to do.

Here's what I remember...
Once you get the victim on land/ boat you should see if he is breathing and if also see if he has any spine/neck injuries. If not breathing, start CPR appropriate to his spine/neck condition. If his spine and and neck is ok and he is breathing, put him on his side to help clear his airway in case he vomits.
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