First Time To Use Efr

Please register or login

Welcome to ScubaBoard, the world's largest scuba diving community. Registration is not required to read the forums, but we encourage you to join. Joining has its benefits and enables you to participate in the discussions.

Benefits of registering include

  • Ability to post and comment on topics and discussions.
  • A Free photo gallery to share your dive photos with the world.
  • You can make this box go away

Joining is quick and easy. Log in or Register now!

ch0ppersrule

Contributor
Messages
1,587
Reaction score
1
Location
Colorado
# of dives
200 - 499
Hello all,
I got to use my EFR training today, for the first time in real life. We, friends and I, took our kids to Ko'Olina today for some fun in the sun and it ended in a tragidity. We were just letting the air out of the floaties when a kid yelled "help". It wasn't a loud or very distressing call so we looked arounud to see if he was serious or not. It looked as though he was playing until we noticed a man swim to the floatie he was attached to. Well, the next thing we see this man swimming backwards with someone in his arms. I called 911 and told them to send an ambulance. The rescue swimmer was pulling an elderly man onto the shore and his face, fingers and feet were blue. At that time the 911 operator asked if he was unconscious-- Uh yeah and blue, send an ambulance to Ko'Olina Lagoon 4. Hung up on the operator and immediately checked vitals--none. I started chest compressions and another lady had a pocket mask and gave rescue breathes. There was a lot of white and greenish colored foam coming out of his nose and mouth. We rolled him several times to clear everything out. After 10 minutes of rescue cpr the color returned to his extremities. His eyes, unfortunately, were glossy and pupils were fixed and his pupils were fixed and dialated. He never blinked or became responsive. It took everything I had to not cry right then and there, but his wife was in shock and just standing watching us. He did get a strong pulse in his neck and blew snot bubbles from his nose, but no coughing or anything to strong for a good lung clearing. He continued to have the foam coming out of his nose and mouth for most of the time we tried to help him. The ambulance finally arrives and puts him on the bus. I looked for his wife so I could drive her to the hospital and she went running to her car from the ambulance, very panicky. I told her he would be okay then she told me he turned purple all over his body. The Fire Dept. gave her directions (she refused a ride) and she took off. The ambulance didn't leave for another 8minutes. Unfortunately when they left, they were not running code (no lights or sirens). I am not 100%, but I do not think he made it. They were here on vacation with their 3 young boys(15, 13 and 10). He was/is 65. It is still so much more emotionally stressful than I could have ever imagined. I think I broke one of his ribs from compressions. I felt a snap, but kept going anyways. Thanks for letting me tell my story and I hope nobody has to go through this.
 
Thanks for trying... having to do this is always emotionally draining, especially when the outcome looks bad.

A couple of things to remember...

He was dead when you got to him... you had no real control over his destiny at that point.

CPR is not meant to revive a person... too many think it is. It is meant to oxygenate the tissues (especially the brain and heart) so that the other measures used to resuscitate the individual can be more effective. IOW, you were SUCCESSFUL in your endeavor. You gave the man a better chance to live and that was all you could give him. Only God could have done a "better job" and then only by changing the rules.

In scenarios like this, the CPR provider rarely sees the victim revive... the EMTs get to see that (if it happens). Their CPR provider's contribution is that they stopped brain and tissue damage caused from a lack of oxygen. Don't beat yourself up over the outcome... you did your job!
 
ya did good! Many people in your position wouldn't be able to do what you did.
Thanks for posting, I'm sure there will be something in the paper tomorrow or the day after....
 
Thanks for posting, I know how hard it is when you have to do CPR for real, talking about it is one of the only ways to really get to grips with the fact that you did what you could at the time, and that was more than others at the scene could or did. So you were sucessful in your attempts at recussitation, and the outcome was already determined before you started (positive or not). You did the right thing, which was help in a way that you could.

As for the breaking of the ribs, I recently taught the EFR instructor course to an ER/Intensive care nurse, and he told me "if you dont break ribs, you are not doing it hard enough". This shocked me a little as I had always taught and thought, that it doesnt really matter if you do, but he explained that we are trying to pump blood, so the more we pump, the better. It was a good point, and it changed my point of view a lot regarding this.

One last thing. Dont let anyone monday morning quarterback you, or second guess you. You did what you could under the conditions that existed at the time and NO ONE can tell you otherwise. They were not there.

Good job and thanks for sharing.
 
good effort, great job, if you hadnt done what you did then the outcome would of been death, YOu gave him the best chance you could of. Hope you are ok, and we can only hope he pulled thru.
 
Thank you for your post. I agree with the other posters, you did a good job, remained calm, and acted within the capabilities of your training.
 
You did the best you could do. You did all you could do.

If it continues to bother you, seek help. Don't try to "be a man" about it, get help.

Even the pros in rescue and emergency medicine get help.

Good job,

TwoBit
 
First off, excellent job at taking skills that you learned and putting them to use. As a former reserve FF/EMT who spent a lot of time on an ambulance, it would have been nice to have had more people like you at scenes we went to.

Second thing to note. You did absolutely everything you were taught how to do and thats all anyone can ask of you. The cracking or breaking of ribs is not uncommon in older people as their bones are more brittle.

If he didnt cough or do any of the natural clearing reflexes, I'm going to guess he was unable to respire on his own?

An ambulance leaving the scene without lights and sirens could mean many things as well. We never used it with heart patients, it creates anxiety and could bring on another episode or entice one that is border line.

As has already been stated, whether or not the person made it was already out of your hands at that point.. you just gave him a better chance for when the ambulance arrived. There needs to be more people like you around.

C~
 
You did well, CPR for 10 mins is tough.
 
Geez, find out if he made it and give us a report please. You certainly made an heroic effort and hopefully it was enough.
 

Back
Top Bottom