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Heart Disease (Expert Forum)
CPR w/pulse
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CPR w/pulse
by david, Oct 15, 1999 12:00AM
In our Paramedic class, a discussion emerged on when to begin adult CPR... before or after the pulse is lost
The students stated that it was cut and dry -- According to AHA
guidelines, compressions are started when there is no palpable carotid pulse.
The doctor proposed this situation -- You have an adult male with a weak and thready carotid pulse and a BP of 50-60/palp (no pulse rate was given).
Is that enough of a pressure to adequately perfuse oxygen to the tissues? May compressions be added to your list of treatments in order to circulate oxygen to the cells? Is there documentation either way stating why (or why not) you would do compressions in this scenario? Looking forward to your thoughts.
The students stated that it was cut and dry -- According to AHA
guidelines, compressions are started when there is no palpable carotid pulse.
The doctor proposed this situation -- You have an adult male with a weak and thready carotid pulse and a BP of 50-60/palp (no pulse rate was given).
Is that enough of a pressure to adequately perfuse oxygen to the tissues? May compressions be added to your list of treatments in order to circulate oxygen to the cells? Is there documentation either way stating why (or why not) you would do compressions in this scenario? Looking forward to your thoughts.
Doctor's Answer
by CCF CARDIO MD JMF, Oct 16, 1999 12:00AM
