I Can Perform CPR, But How Reliable Is My Expertise?

Introduction:

Emergency situations can often find individuals in dire circumstances, needing quick and effective action. Cardiopulmonary resuscitation (CPR) is a critical skill that can make a life-saving difference. However, as Sandra Anneman, a DNP with extensive experience in CPR, highlights, the relevance and application of CPR training can vary significantly over time. This article explores the reliability of CPR skills, personal experiences in administering CPR, and the ongoing importance of CPR training in various emergency response teams.

Personal Experiences in CPR Training and Administering CPR

Uncertainty and Preparedness:

I have had mixed experiences with CPR training. While I attended several combat first aid classes in my youth, the relevance of the techniques learned is questionable. The phrase 'Stop the bleeding, start the breathing' is a guiding principle, but situations differ greatly. Rain ponchos and other tools can be found in certain emergency scenarios, yet the best way to proceed is not always clear.

Despite the uncertainties, I have taken CPR courses and plan to attend another soon. When I see someone in need, I am prepared to administer chest compressions. Mouth-to-mouth resuscitation, however, is a different matter. In past situations, I have responded well to first aid needs, though these were not always in emergency settings. A photograph of my participation in a Community Emergency Response Team (CERT) drill serves as a testament to my readiness.

Real-Life CPR Experiences

Success and Tragedy:

My experiences with CPR have been a mix of success and tragedy. I have performed CPR twice, both times as a member of St. John Ambulance. One instance involved a park and bowls club, where the CPR administered resulted in a positive outcome. It was one of the best evenings of my life. In contrast, the second experience was met with a tragic outcome, with the patient's death prompting me to cry myself to sleep that night.

Both these incidents underscore the unpredictable nature of CPR. The outcomes can be as varied as the situations they are administered in. While I am willing to perform CPR again, there is also a peace of mind in knowing that I would be okay with not having to administer it.

The Role of CPR in Emergency Response Teams

CHECKs and STRIDES:

In order to be a member of a cardiac response team, one must be ACLS (Advanced Cardiovascular Life Support) certified by the American Heart Association (AHA). ACLS certification ensures that responders are equipped with the comprehensive skills needed for critical care. Here’s a breakdown of the responsibilities:

CHECK: The team must respond to the call for a Code Blue, which occurs when a patient's heart has stopped. RESPOND: All nearby nurses and doctors must respond to the situation, while the 5 members of the cardiac response team must respond without fail. ASSESS: The team assesses if they are needed and each member has a specific responsibility, such as working with the defibrillator. STABILIZE: Upon fair stabilization, the patient is moved to the emergency room or critical care unit, where further intervention may be necessary.

It is crucial to note that CPR is not only required for inpatients but also for patients' visitors who may experience cardiac arrest outside of hospital settings.

The Cardiac Response Team (CRT) plays a vital role in ensuring that critical care is provided in a structured and efficient manner. The combination of ACLS certification and the structured roles within the team ensures that CPR is administered effectively and safely.

Conclusion

CPR is a valuable and life-saving skill that should be continually honed and updated. Personal experiences in administering CPR highlight the importance of ongoing training and the unpredictable nature of emergency situations. For those looking to enhance their emergency response capabilities, CPR certification is an essential step in preparing for the unexpected. Whether in a professional setting or as a community member, CPR training can mean the difference between life and death.