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  Topic Review (Newest First)
04-20-2004 06:35 PM

Eric, You mention being a belt & suspenders kind of person and I have that tendency myself. In thinking over our discussion I thought of a couple things that might serve you well.
1. CPR training - Other than CPR also ABC''s (airway, breathing, circulation,) & how to correct, always starting point for emergency medical care. Also Heimlich (sp?) and treatment for choking victims. American Heart Association, and Red Cross used to be licensing agencies they were slightly different, I know AHA still has classes not sure about RC. Used to be a short 4hr "heartsaver" class available but take a full 8 Hr. course if possible. Check with Public Relations people at local hospital, local Fire Dept., Community Colleges for classes.
2. First Aid Classes - If you haven''t already had some kind of first aid in military etc. classes available from Red Cross or EMT classes available at Community Colleges but may require more time than you have available.
04-20-2004 08:22 AM

and not that I thought it would ever need saying, but I know of an Exparamedic who acted as an object lesson. When you check to make sure everyones clear, that means dont be in a wet area with the subject or on a metal bench.

-- James
04-19-2004 03:49 PM

Oxygen, Aspirin, Nitroglycerine ..... most all else is administered via intravenous route.
04-19-2004 12:45 PM

Well I belive here specially in Spain and possibly in Europe Furlex is the main furler....I had one in each boat and never had a problem just do the minimun maintenance.
04-19-2004 11:59 AM

what meds for heart would you have on board?
04-19-2004 11:58 AM

Might add pretty common these days for people who have cardiac problems of this nature to have Pacemaker/Defib devices implanted that can be quite reliable, I just saw an apparently very healthy 33 YO male with one. It is important for current physical exams by your MD, adequate supplies of any meds required by those aboard etc.
04-19-2004 10:51 AM

thanks for the info-
when it comes to offshore sailing-i am a belt and suspenders type of guy
SM # 376 kimberlite
04-19-2004 10:28 AM

I tend to favor Heartstart and the Laerdahl - the ''technology'' is now quite well ''mature'' and well regulated (FDA) so one brand or other doesnt really matter.
If noone onboard has a Hx of cardiac problems I woundnt personally recommend having one ''just in case''. It takes routine retraining and ''recertification'' (every few months) to keep your skills up to par; without the constant re-training those skills degrade very rapidly.
If you have several ''hundred'' on board, then it might make sense to have an AED onboard.

Here''s the problem: Unless the defibrillation is rapidly followed up with oxygen administration and very aggressive drug therapy, etc. etc., the outcome usually is "not very good".

Prevention is the best course.

(Been a paramedic, ACLS Instr., etc. for nearly 30 yrs.)
04-19-2004 09:25 AM

dear rich,
no one on board has a history of heart problems. what is your opinion?
do you suggest a particular AED?
04-19-2004 08:39 AM

I disagree.
For a known/documented cardiac patient, early defibrilation is the BEST method of ''salvage'' from ventricular fibrilation or pulseless ventricular tachycardia. Yes, there should be immediate drug/therapy followup; but, in an extreme situation such as being far offshore if needed the AED is probably the ONLY (%) means of recovering such a person. For an otherwise ''healthy'' person who experiences VF/VT, sometimes (just sometimes) ALL thats needed is the AED.

If you just want to hang an AED ''on the wall'' in case ''someone'' ... ... ... then your money is probably better spent on "prevention" and a complete cardiac analysis before ever leaving the dock.
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