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Now let's cover something that I call the five fears.
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First, let's go through the number one fear, and I believe that's lawsuits.
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You, as the rescuer, whether you are a professional or a lay person, are fearful of getting sued
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because someone thinks you did something wrong.
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The Good Samaritan Law went into effect over two decades ago
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and has done a great job of protecting people who get involved in emergency situations
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and they are immuned from getting sued... not necessarily getting sued, but losing the lawsuit.
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You can get sued for looking at somebody wrong, or maybe they think you called them a name.
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So, getting sued is one thing, but losing the lawsuit is another.
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And since 1985, we have almost zero accounts of anybody getting sued and losing
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because they helped a person in need and tried not to make the condition worse.
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The only guidelines you have to make sure of there is that you're not trying to hurt the person
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and you don't do anything above and beyond your scope of training.
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Lawsuits -- they're no longer a fear if you realize we have a Good Samaritan Law protecting us.
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Number 2 -- people fear the unknown.
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It's been a long time since I got my training. I'm not sure what to do next.
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What if I forget how many compressions to give?
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What if I forget how to put the air in correctly?
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I'm just not confident, and now I'm panicked.
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Either because I haven't used it in a long time, I haven't been in my class in a long time.
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Or maybe it's a loved one, or someone you care about, and the emotions are going crazy inside of you.
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We have seen, over the last 50 years of CPR, so many changes in how to deliver CPR,
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that we've changed the number sequences from 1-5-20; to 2 breaths, 15 compressions, for 4 cycles;
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to now, the current, 30 compressions for 2 breaths.
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And it changes often. That's because there isn't any set golden numbers to effective CPR.
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Whether you put in a couple of breaths and X amount of compressions, something is always
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better than nothing. If a person doesn't know what to do, that leads us to our next fear.
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The fear of hurting or maybe even killing the patient.
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If I do it wrongly because I don't remember what to do, maybe I'll make it worse.
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Maybe I'll actually kill the person by breaking a rib, puncturing the lung,
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puncturing the heart, and so on and so forth.
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Or, if the person doesn't survive, maybe it's because I didn't know what I was doing,
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and I wasn't doing it enough. Let me also cure this fear.
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You cannot kill someone who is already dead.
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When they are not breathing and they don't have a pulse, they are already clinically dead.
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It only goes one more step from there, and that is to biological death, which is permanent.
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Putting air in and sloshing that oxygen around, which is virtually what CPR is,
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buys time for emergency medical responders to get there with AEDs or
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defibrillators and advanced cardiac life support, in hopes that your CPR has bought time --
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time biologically. That we have a patient that could be revived, possibly, with the right treatments.
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The next fear is disease. I'm afraid that I might catch a disease from this person
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on the floor, or on the ground.
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They might have HIV, or hepatitis B, or hepatitis C.
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They might have tuberculosis, or meningitis, or herpes.
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And if I give mouth-to-mouth resuscitation or if I get blood in my mouth,
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I might catch that disease. And that is accurate. You could.
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But, it's so easy to protect yourself from that, we're going to help you through it.
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Number 1 is to have a CPR shield with you all the time.
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And that doesn't make any sense if you're thinking of the CPR shields that are big and bulky.
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But now there are rescue keys that fit right on your keychain.
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And most of us, at least in this country, always have a key with us.
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And, if you have your keys, you will your packet attached to the keys,
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which have gloves and a one-way valve CPR shield.
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And as long as you use that CPR shield, especially as a healthcare provider,
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knowing how to give rescue breaths, which is very good for the survivability of
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a person in cardiac arrest, you will have a barrier between you and the bug.
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So, unless you have your personal protective equipment, you may want to do
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hands-only CPR, which we're going to cover next, which is showing great benefit
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for a cardiac arrest victim.
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But, if you are trained in CPR, it's too easy to get the personal protective equipment
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and give the optimal rescue for that patient.
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Lastly, unsafe scene. I saved this for last because unsafe scene is the only valid reason not to rescue.
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If this scene is unsafe because of electrical hazards,
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because of chemicals in the area, because there is someone who is violent,
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they have a gun, a knife...
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Those are reasons not to get involved until the scene becomes safe.
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So, if the scene is unsafe, activate emergency medical services or 911,
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wait for the scene to become safe, and then help any way you can.
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Even if all you can do is call 911, that's better than nothing.
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It gets the emergency medical services on the way and you've performed your part
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in the rescue scenarios.
