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Refusing CPR

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Aardvark154

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By the way a plug not such much for TERBites but parents etc. . . if you don't wish for them to perform CPR as a standard practice for the love of God have a DNR, and have a Medical Power of Attorney (Healthcare Proxy) on file at all the needed places (hospital, ambulance service, physician's office etc. . .).
You can always have a "living will" done.
Petzel we are discussing the same thing.
 

CapitalGuy

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hun, did I say university in that post?
Baby asleep? Hubby gone out for the night? No plans for spending any of your millions tonight? Are you so bored you are trolling Toronto news sites even though you're currently in the land of yachts and billionaires? Or are you simply back from your shift at 7-11 and hunkered down for the night, sir?
 

great bear

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Apr 11, 2004
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Baby asleep? Hubby gone out for the night? No plans for spending any of your millions tonight? Are you so bored you are trolling Toronto news sites even though you're currently in the land of yachts and billionaires? Or are you simply back from your shift at 7-11 and hunkered down for the night, sir?
7-11? When did she go upscale?
 

Aardvark154

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I just listened to the tape video again. Did you notice the woman was "barely breathing" and was "stopping breathing" ? Interesting. Heart had to be still beating. Lungs still working. I wonder why CPR was appropriate? Seems at most ventilation might be useful? But hey way too many facts missing to know what is really going on.
If there had been someone willing I'm sure the 911 Dispatcher would have gone down through the checklist which as I'm sure you know covers the points you are making.
 

colt

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hun, did I say university in that post?
Do tell, what other kind of institution has part-time faculty that require cpr/first-aid certification to retain their status. I admit to be guilty of an assumption based on Loki's previous posts that he was a part-time university professor.
 

johnnyjohn17

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Baby asleep? Hubby gone out for the night? No plans for spending any of your millions tonight? Are you so bored you are trolling Toronto news sites even though you're currently in the land of yachts and billionaires? Or are you simply back from your shift at 7-11 and hunkered down for the night, sir?[/QUOTE


LOL:)
 

mrsCALoki

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OK, His responce:

"Assuming colt is aware of best practices he already knows that many companies require all supervisors to have Safety Training. In addition he knows that most industrial or higher risk training facilities in developed countries commonly require their faculty and instructors have current First Aid training. The requirement for first aid training for their the training faculty is found in fields from forestry, to the military, to under water maintenance. He must also knows that using WSIIB approved training is the standards in Canada. So he is just jerking your chain and being an ass. "

:)
 

mrsCALoki

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Baby asleep? Hubby gone out for the night? No plans for spending any of your millions tonight? Are you so bored you are trolling Toronto news sites even though you're currently in the land of yachts and billionaires? Or are you simply back from your shift at 7-11 and hunkered down for the night, sir?[/QUOTE


LOL:)
Wow Capital Guy realllllllyyyy likes to talk to people who cannot see his comments. I guess it makes him feel something or another.

johny, did you think I would find his babbling interesting?

:)
 

Aardvark154

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so
I believe that it might add value to point out that even jurisdictions that have Good Samaritan laws almost always have a clause the limits the law with something like “unless it is established that the damages were caused by the gross negligence”. . . . . #5 I could have phrased better. But moving a person with a potential spinal injury “to make them more comfortable” has been found to be gross negligence in case law in some jurisdiction. Stupidity is not a good defense.
Those are both covered by what I mentioned as having a duty to act with reasonable care. In other words good faith efforts are covered, gross negligence (and it has to be the sort of thing a six year old would know better) isn't, neither is swimming out to the drowning person (so others do not bother to do so) and then saying oh the Hell with it and swimming back.

#4 is part of medical training in NY state. To treat a conscious, mentally-competent adult you need their permission or a court order.
That is changing the situation. You are absolutely correct in the above, but that is not the same as "If you do not ask first and get permission (or the person is unable to respond) you do become liable." Not to be a jerk, but CPR candidates are more or less by definition unable to give consent being unconscious and unable to respond, and that is the very sort of situation you want a Good Samaritan Law to cover.
 

mrsCALoki

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If there had been someone willing I'm sure the 911 Dispatcher would have gone down through the checklist which as I'm sure you know covers the points you are making.
probably. but makes it less news worthy.
 

mrsCALoki

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ventilation?? as in artificial respiration? Hey Doc ... do you know how long it's been since anyone used that term?? CPR in the combination of breathing and chest compressions. Cardio pulmonary .... heart and lungs.

Did you say you attended this course with Loki? you didn't pay much attention. Recently it was decided that 'ventiation' as you put it isn't even necessary. The amount of oxygen carried in the blood is enough to keep the brain alive if chest compressions are continued. UNLESS the person went down fighting for air.. ie drowning or choking.

Better brush up on that ... you still need these skills even if you have an AED as you claim.
Damn, I thought you had me on ignore. :)

I have to go be mommy, but may answer when I get back. You think applying full force CPR on a breathing subject is a good idea? Ventilation is not CPR :) lol
 

GPIDEAL

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Jun 27, 2010
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The lady in the nursing home may have chosen not to be resuscitated if she had heart problems.
Exactly. There are various degrees or levels of resuscitation that a resident or their legal representative would pre-select.
 

colt

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OK, His responce:

"Assuming colt is aware of best practices he already knows that many companies require all supervisors to have Safety Training. In addition he knows that most industrial or higher risk training facilities in developed countries commonly require their faculty and instructors have current First Aid training. The requirement for first aid training for their the training faculty is found in fields from forestry, to the military, to under water maintenance. He must also knows that using WSIIB approved training is the standards in Canada. So he is just jerking your chain and being an ass. "

:)
You really would be better served focusing your attention on your other battles. But l'll play along and assume that "Loki" provided that oh so haughty response, and will reply as follows:

1) I am quite familiar with Health and Safety best practices, which is why I knew your original suggestion that he needed to be first-aid/CPR certified to be a "faculty member" at a university was b.s. - and lets be clear, that is exactly what you meant, when you got called on it and couldn't back it up you back pedalled and came up with the suggestion that:

2) Industrial companies refer to their trainers as "faculty" - which is more bs - it is not a term used in Canada outside institutions of higher learning and "think tanks" style instutions;

3) I also know something of pay scales - "supervisors" and "training faculty" do not earn enough to give their wife their weight in gold or spend five years travelling the oceans - executives are not considered "Supervisors" or "training faculty" and I defy you to show me any major Canadian corporation that requires its executives (vp and above) to be first aid/CPR certified

4) WSIB is certainly NOT the standard in "Canada" - it is the standard in Ontario where it is the only province with any authority - every other province has their own equivalent agency
 

Aardvark154

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As an aside, the last time I was trained, they told us that with a stoppage caused by heart disease, CPR alone has a 0% success rate. Survival requires drugs and a defibrillator/AED (which an old age home should have IMO) within the first 10/15 minutes to get the heart re-started. CPR just keeps the blood circulating until paramedics can get there.
I was wondering if that home had a heart defibrillator, and if they did, why wasn't it used? BTW: Our local hockey rink has a defibrillator named "MIKEY".
Aside or not it is a very good point.
 

Hiding

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May 9, 2007
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From what I understand (which is limited mind you), some longterm care facilities have policies against CPR, given the complications associated with it: low survival rates and even then, greatly diminished quality of life.

I'm constantly re-certifying my first response through SJA and in the nurse's situation, I may have refused too. The chances are so low and the risks are so high.
 

Aardvark154

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From what I understand (which is limited mind you), some longterm care facilities have policies against CPR, given the complications associated with it: low survival rates and even then, greatly diminished quality of life.

I'm constantly re-certifying my first response through SJA and in the nurse's situation, I may have refused too. The chances are so low and the risks are so high.
Which are all basically arguments for "Grandmother" having a DNR. Not for my refusing to perform CPR or hooking up a AED.
 

basketcase

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Dec 29, 2005
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ventilation?? as in artificial respiration? Hey Doc ... do you know how long it's been since anyone used that term?? CPR in the combination of breathing and chest compressions. Cardio pulmonary .... heart and lungs. ...
Breathing hasn't even been as major part of training in the last year or two. They realized that there is already enough oxygen in the blood to sustain the heart and brain while waiting for paramedics and the ratio is 2:30 now (IIRC).
 

Thunderballs

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Once you are in the nursing home stage, a lot of residents (and their families) just hope they go peacefully. There is not much hope or dignity left in those places so sometimes a smooth exit is best.
 
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