Monday, April 16, 2012

His life....sigh. Knowing ur CPR

Just sitting in my consulting room thinking about who i am.
….I’m a doctor with interest in psychiatry, an event manager(CEO of Made On Earth Events) and director of communications and branding in an NGO, I thought to  myself which was the most interesting and most lucrative. by the way i have passion for all the aforementioned.
I am also passionate at being successful. I crave for professional and business success.
I might not strike you as the regular doctor who sits behind a desk with coat from morning till night, i am one of those dynamic ones who feels a need to impact in other places aside the four corners of the palace of healing. yeah... doctors are kings
i'm also one of the few doctors who does not believe in relocating abroad causing the brain drain.... I’m staying back in Nigeria by choice and not because of circumstances. I’m good at what I do of course I graduated from Obafemi Awolowo university medical school, so I def  must be good.
From the thoughts of who I was, i jumped to evaluation of myself @ my work place which I had been doing  for about  6months in lekki. People I've met, cases I've managed and one particular case stood out... John Doe. a man who died because Nigerians were Nigerians.
a certain young man was jugging in a high class estate, when he suddenly collapsed, when he was noticed people just gathered to LOOK.
until some1 courageous (yeah an ife grad too)  came down to the rescue started CPR and put him in a recovery position while he was brought to my hospital.
as an American heart association trained basic life support and advanced cardiac life support provider  ,I swung into action to resuscitate the young man but it was a little too late. i declared him dead after about 30minutes
autopsy revealed a myocardial infarction
Lessons learnt were that
1. before you start working out check your health status if you are fit to do so
myocardial infarction and hypertrophic cardiomyopathy are conditions that can cause sudden death in young athletic people
2. everybody should be proactive in health emergencies and have a good knowledge of first aid CPR
(cardiopulmonary resuscitation) due to how the death of such young, upcoming man, i will be posting some first aid in medical emergencies.
Here's How:

1.    Attempt to wake victim. If the victim is not breathing (or is just gasping for breath), call 123 ( here in lagos)immediately and go to step 2. If someone else is there to help, one of you call 123 while the other moves on to step 2.

   If the victim is breathing, see the Tips section at the bottom of this page for what to do.
2.    Begin chest compressions. If the victim is not breathing, place the heel of your hand in the middle of his chest. Put your other hand on top of the first with your fingers interlaced. Compress the chest at least 2 inches (4-5 cm). Allow the chest to completely recoil before the next compression. Compress the chest at a rate of at least 100 pushes per minute. Perform 30 compressions at this rate (should take you about 18 seconds).
    If you are not trained in CPR, continue to do chest compressions until help arrives or the victim wakes up.
    It's normal to feel pops and snaps when you first begin chest compressions - DON'T STOP! You're not going to make the victim worse.
3.    Begin rescue breathing. If you have been trained in CPR, after 30 compressions, open the victim's airway using the head-tilt, chin-lift method. Pinch the victim's nose and make a seal over the victim's mouth with yours. Use a CPR mask if available. Give the victim a breath big enough to make the chest rise. Let the chest fall, then repeat the rescue breath once more. If the chest doesn't rise on the first breath, reposition the head and try again. Whether it works on the second try or not, go to step 4.
    If you don't feel comfortable with this step, just continue to do chest compressions at a rate of at least 100/minute.
4.    Repeat chest compressions. Do 30 more chest compressions just like you did the first time.
5.    Repeat rescue breaths. Give 2 more breaths just like you did in step 3 (unless you're skipping the rescue breaths).
6.    Keep going. Repeat steps 4 and 5 for about two minutes (about 5 cycles of 30 compressions and 2 rescue breaths).
    If you have access to an automated external defibrillator (AED), continue to do CPR until you can attach it to the victim and turn it on. If you saw the victim collapse, put the AED on right away. If not, attach it after approximately one minute of CPR (chest compressions and rescue breaths).
7.    After 2 minutes of chest compressions and rescue breaths, stop compressions and recheck victim for breathing. If the victim is still not breathing, continue CPR starting with chest compressions.
8.    Repeat the process, checking for breathing every 2 minutes (5 cycles or so), until help arrives. If the victim wakes up, you can stop CPR.


1 comment:

  1. Nice one... now i have an idea of cpr, hope i can save lives with it

    ReplyDelete