LiteratureIt's been a while since I recerted my CPR, but these sorts of differing opinions are what I find so confusing.
On one hand, I feel like the no breaths thing is just some Heart Association initiative to get people to actually do CPR, when that's not a huge barrier for me. On the other, if it truly doesn't matter to give breaths, then I'll save the pack space.
casual, could you speak to this distinction a bit more? I'm all ears here.
All I can really base my information on is my training (which is EMT and standard American Heart Assoc cert,) and the fact that I am in a family of nurses and I work around paramedics with whom we do our "continuing education" with, but also the kind of people who call me over to look at an EKG and discuss shapes of someone's rhythm, and why he was concerned. I am a 4th year patroller in CO, I have been a primary rescuer in 2 back country avalanches, one of which with 5 fatalities and extensive review, case study, etc. I've also been involved in (giving compressions, using an AED, using a 12 lead) 3 other instances of all hands on deck CPR, chopper go, holy shit. So, my experience is limited, particularly compared to people I work with, but also compared with I'd imagine a seasoned ambulance crew in Aurora, or Philly or something.
When I got my cpr cert, I was taught 30 compressions offset by two breaths.
Two years ago, our 20 year in paramedic did a CE and went over a case study of a woman who cored. The moral of the story was that we were to give AT LEAST 200 compressions before even thinking about breathing, and that in single rescuer cpr to just forget it. The thinking is that there is ample oxygenated blood in the body to prevent tissue death or infarc or whatever, as long as blood continues to move throughout the body due to effective compressions at the right rate. I want to say that they also found that it was so common to incorrectly open the airway upon giving breaths in a dynamic environment that the utility in those breaths vs effective compressions is limited, but maybe I made that up. So, we have been coached as a unit to focus on effective compressions, lots of them.
In none of the handful of life or death situations in that professional context I've been in (so not just my patrol, 3 different department medics from the greater Denver area, Summit SAR, Alpine SAR....think that's it, can't remember) has anyone produced a cpr mask in order to rescue breathe. In the two instances where the rescue was taking place in a trauma/iso room, breaths were given with a bag valve mask (so, not a pocket mask where you breathe into it, but a big rubber ball you squeeze) but only after x amount of minutes and after cpr was ongoing for maybe something like ten minutes already, IV started, first round of epi in, 12 lead analyzing rhythm, etc.
Long story short: If we have lots of hands, of course someone will be on breaths (but never with a personal shield or with a "golf ball sized mask" (which I've personally not seen...doesn't mean they aren't out there), but that's more a function of the luxury of help, and less about what has been stressed to me in training.
On the topic though, I still personally think it's not very crucial to pack a cpr mask because I don't think it's much value added in your pack. Yes, it forms a tighter seal and is easier to use than nothing, but there's a lot of things that I think that volume would be better spent on.
Maybe I'm cynical but fuck...has there ever been an instance...ever...of non-professionals (or even professionals!) managing to locate, uncover, assess, treat (meaning they're pulseless and breathless) and transport a travel partner to higher care alive?
I'm saying, has there ever been a time where someone "died" in the back country and through CPR they were either revived and/or kept viable long enough to be flown out or transported out? Maybe there has been, but I don't know....
Hey, if someone has a mask, I'm not going to scoff and roll my eyes, so if I came across that way, i apologize, i was a little drunk and fired up last night. I'm just not going to pack one in a touring environment. I'm also not going to bring an AED, a backboard, epinephrine, morphine, etc.
Maybe from here on out I'll start touring with my breath shield ;).
Sorry for the derail, and sorry for getting all defensive. I know different people are taught different things, and protocols are different everywhere.