Message from Erika in MacGuyver - Skills & Academics #medical

2017-08-14 22:40:11 UTC  

Breaking a rib is minor compared to dying of an infarction

2017-08-14 22:41:46 UTC  

So have I, work on an ambulance full time, hospital part. I've seen plenty of newbys to CPR try purposely to break ribs because someone told them they have to.

2017-08-14 22:42:13 UTC  

Then they need to retake anatomy

2017-08-14 22:42:32 UTC  

Amd should be fired

2017-08-14 22:51:43 UTC  

Or, we could teach them the depth without saying "if you don't break ribs, you're not doing it right". It leads to pigeon religion like when people put a spoon in a seizing persons mouth.

2017-08-14 22:54:06 UTC  

Literally everytime I see a code, someone is doing CPR atrociously wrong. That's the reason I brought it up. It is the most basic thing, and it's usually done wrong.

2017-08-14 23:08:29 UTC  

@Deleted User do they still teach ABC?

2017-08-14 23:13:38 UTC  

ABC for a regular code, CAB for trauma.

2017-08-14 23:20:14 UTC  

Honestly though, if you are a bystander doing CPR, just open the airway with a head tilt (if no signs of spinal trauma), make sure someone calls 911, and do the chest compressions. If you get an assistant, you can worry about the rescue breaths, but building up blood pressure, and keeping it circulating is more important.

2017-08-14 23:36:39 UTC  

@everyone Did anyone talk to the guys we used home remedies for pepper spray on? Did anything seem to work more than just water and air?

2017-08-14 23:37:37 UTC  

@Deleted User milk, Maalox, and baby shampoo.

2017-08-14 23:37:55 UTC  


2017-08-14 23:38:25 UTC  

Data shows most important things to surviving arrest is quality compressions and how quickly someone can be cardioverted

2017-08-14 23:38:59 UTC  

If someone goes down, start compressions and get AED asap.

2017-08-14 23:40:30 UTC  

My only concern with the milk is if we are out in the heat, not sure someone would like stinky hot milk on their face.

2017-08-14 23:44:43 UTC  

1:3 baby soap to water in a spray bottle. Scrub scrub scrub. Then 1:1 maalox to water in a spray bottle. Make sure to get both the soap mixture and maalox in the patient's eyes. Rise with water good. Repeat the process. Don't use milk. That's gross

2017-08-14 23:45:13 UTC  

^ this is a Richard Spencer approved method, btw. Got to test it on him a couple times

2017-08-14 23:48:19 UTC  

@ErikaI saw you using it, i was using just normal saline for an eye flush which didn't seem to help much.

2017-08-14 23:49:39 UTC  

OC spray is oil based. Milk. Water. Saline. Etc. won't do anything to strip away the oil. Stripping away the oil is something that needs to happen before you can neutralize the capsaicin.

2017-08-14 23:57:01 UTC  

Baked A. Freaked when I gave him my baby shampoo and water solution.

2017-08-14 23:59:04 UTC  

Richard. McLaren. Freiberg. Ajax. And several others all said my method for neutralizing OC spray worked wonders. Richard also shouted out my efforts on the latest Shoah. I'm now known as the "guardian angel" lol

2017-08-14 23:59:30 UTC  

@Havamal baked got a totally different level of pepper spray than what I treated.

2017-08-15 00:06:09 UTC  

Was it even pepper spray or some type of acid?

2017-08-15 00:17:06 UTC  

He received something at ultra high pressure. It's possible it was bear mace, or it could have been draino

2017-08-15 00:26:46 UTC  

I talked to Baked. It was apparently something called class 4 bear mace. Nasty stuff.

2017-08-15 00:31:55 UTC  

I though bear mace was weaker?

2017-08-15 00:32:22 UTC  

Which sounds odd but I swear I've read it in multiple places

2017-08-15 02:57:21 UTC  

It is weaker.

2017-08-15 02:58:15 UTC  

But if you get anything shot into your eyes at high pressure at close range, eye damage is a distinct possibility.

2017-08-15 03:17:16 UTC  

Makes sense.

2017-08-15 03:17:51 UTC  

Especially considering bear mace often times has a shot distance of 30 feet

2017-08-15 14:26:45 UTC  

@Deleted User, whatever @Erika used on me seemed pretty effective.

2017-08-15 14:29:02 UTC  

Good deal, i had heard online that everything was kind of just placebo effect. I didn't really believe that because i would think removing the agent would help.

2017-08-15 14:37:18 UTC  

@Louis Loire - NY @Erika did you guys have anything other than pepper spray? Had a cut with urine in it, that looked like it needed a couple stitches, and blunt trauma to the forearm proximal to the elbow.

2017-08-15 15:59:08 UTC  

@Deleted User I had two hypoglycemia cases to work with. The majority of what I dealt with was pepper spray.

2017-08-15 15:59:55 UTC  

@Deleted User was happy to be of service. I felt bad for the entire VIP crowd and you PSDs. Y'all got it rough and the corrupt police didn't do a damn thing.

2017-08-15 18:10:08 UTC  

I had multiple facial lacerations acid attacks oven cleaner attacks and cracked skulls

2017-08-15 18:10:19 UTC  

I treated about 15 people

2017-08-15 18:10:36 UTC  
2017-08-15 18:11:04 UTC  

I was also in the park till the very end i treated a few wounded at mc intryw as well

2017-08-15 18:15:32 UTC  

Lessons learned? @Erika @Louis Loire - NY i honestly didn't expect as much pepper spray as was there. We also need to plan an actual triage point next time, I think. What helped with the oven cleaner? Were there any Neuro symptoms with the skull fracture?