> Many people think of CPR as a reliable lifesaver when, in fact, the results are usually poor. I’ve had hundreds of people brought to me in the emergency room after getting CPR. Exactly one, a healthy man who’d had no heart troubles (for those who want specifics, he had a ‘tension pneumothorax’), walked out of the hospital.
This point has been made by many medically trained people over decades. It's a very energetic intensive process, it cracks ribs. If it's not done promptly the brain has been starved of oxygen.
While I understand people not wanting to drag politics into everything I invite you to think about this and the situation of the senior senator for Kentucky.
> It's a very energetic intensive process, it cracks ribs.
I feel like lately this is becoming more common knowledge - but still something most people don't realize.
Part of it is probably the fact that it's impossible to depict "real" CPR in popular culture (movies, TV shows, etc) unless the production goes to extreme lengths to use a fake dummy. Even on The Pitt (which seems to make a point of being hyper realistic) I've seen them do "fake" CPR with shallow compressions.
so on Lost when Jack is really upset about Charlie, and he beats the shit out of his lifeless body, ... and it worked, did he do real or fake CPR? These comments make it sound very real.
Fake. You can't have fire without oxygen, but that doesn't mean you can't have oxygen without fire. Breaking someone's ribs doesn't necessarily mean you're performing CPR.
Yeah, akin to the Gell-mann Amnesia Effect, we notice a few things where we're experts but then forget everything else is likely just as bogus. Apparently one reason "Queen's Gambit" was a big deal was that most pop culture chess isn't just not very good chess (as you might innocently assume), it's literally nonsense. Like, pieces on the wrong squares, illegal moves, even simple continuity errors where pieces move between camera shots. So QG begins scoring points for chess fans when it remembers stuff like the White Queen starts on a White square...
> Early CPR (+AED if available) absolutely saves lives. Article is from 2011 by a family med doctor.
You have to provide a denominator to make this statement. 30-day survival for out-of-hospital CPR is 10%, and discharge from the hospital (let alone functional status) is even lower.
CPR is thus a great example of the OP's thesis that doctors refuse certain things based on their poor efficacy.
Okay. And what is the 30-day survival for cases where CPR would be otherwise indicated but are not performed?
It is a bit like complaining that jumping out of a burning airplane with a parachute is dangerous. Yes, it is. But jumping out of a parachute, or burning inside, is even more dangerous.
Did you read what you linked? It's not a study of the effects of cpr, it's a list of facts about cardiac arrest that occurs outside a hospital. It explicitly says cpr is life saving:
>Survival chances decrease by 10% for every minute that immediate CPR and use of an AED is delayed.
> Did you read what you linked? It's not a study of the effects of cpr, it's a list of facts about cardiac arrest that occurs outside a hospital. It explicitly says cpr is life saving:
Oh my goodness, did YOU read anything on the page? Here's a literal quote with a link to a study you could have followed if you weren't just here for outrage points:
"For the past 20 years, the survival rate for cardiac arrest has hovered around 10 percent for out-of-hospital incidences and 21 percent for in-hospital events, yet research shows that high-quality CPR has a significant impact on survival outcomes, whether inside or outside the hospital."
100%. CPR initiated within 2 minutes of cardiac arrest increases survival rate by 81%. The fact that CPR is rarely initiated so quickly (and thus survival rates are extremely low), says nothing about the efficacy of CPR. In the best cases where CPR is initiated < 2 mins, and AED shock within < 5mins survival rate can be as high as 50%.
Cardiac arrest is an incredibly heterogenous condition. A witnessed VF arrest in a young person with an inherited electrical type heart condition who gets compressions and a shock on a gym basketball court can wake up and walk away normal. A 98 year old who codes from sepsis or a fentanyl OD who is profoundly hypoxic or acidemic who gets enough Narcan and CPR to start having a heartbeat again after 15 minutes is very different. The statistics reflect this but you can’t generalize from the general to the specific in this case.
It's important to get people to realize the benefits of early CPR and more people should be trained on how to do it, or else it won't be prompt and the outcomes will be worse. That's what the Red Cross and AHA promulgate to the public, in so many words.
I've never heard the term "load-bearing" used outside of the civil engineering world until the more recent versions of Claude suddenly decided everything was "load-bearing".
Did you internalize Claude terminology, use Claude to write/translate your post, or lead Claude into temptation by being the OG?
Asking out of genuine curiosity and not at all trying to throw shade.
"Load bearing beliefs" is a thing in the podcast/YouTube world at a minimum. Perhaps you're not as online as some other folks (probably a good thing!).
I watch a lot of tech adjacent YT videos mostly. I really haven't heard this being used. So weird the different bubbles we all live in and just don't realize. Is the usage recent or historic? What contexts is it used in? Is it common in American English, British English, or one of the several other groupings?
I have heard it in the way that Claude uses it going way back. Since I have to use Anthropic models for work, and they use that term prodigiously, it's been added to the list of "perfectly fine phrases that have been ruined" to me. It's really frustrating too because I don't know what other phrase I would use.
I don't suppose you recall where you picked it up? I really am curious on this, regardless what all the downvoters happen to think. The linguistics that surface in the training mixed with the system prompts is really interesting. Annoying as well, but still interesting.
Technically not civil engineering but similarly enough in the home-reno space. You can knock down a retaining wall relatively willy-nilly but a load-bearing wall needs a replacement thought out ahead of time.
So extended to concepts it always seemed a natural fit. I think where I picked it up in this regard was when used to describe Religion, in that you don't necessarily need the religions we have to "fill the god hole" but you need something of similar fortitude in order to maintain balance. The idea is that you can't just remove religion and then not replace it because it bears so much weight.
It's funny you're being grumped at about it, but yeah "load-bearing" outside of civil eng is my "nails on a chalkboard" slop signal. Well, one of many.
CPR is simply buying time, at best it can delay death in the hope the doctors can do something about whatever caused the heart to quit. Usually they can't.
AED is different. Despite what Hollywood would have you believe the shocker does not start your heart and it is never used on a stopped heart. Shocking is about the heart beating ineffectively. It has a chance of actually treating the problem, not merely buying time. If the heart is stopped the AED just sits there and says continue CPR. And people blame it for being defective.
My only point was that this article shouldn’t be considered authoritative, wanted to put it in perspective for someone surfing hn and just reading the comments
The person closest to me was saved by CPR after cardiac arrest (and cooling at the hospital), with no neurological deficits
If CPR is done right ~10% will walk out of the hospital. But that's a big if! Must be near a trained bystander. AED is much better on shockable rhythms, ~70%. Unfortunately most out-of-hospital cardiac events occur in homes which rarely have access to a device.
In 2021, a drone-delivered AED was used to successfully shock a 71-year-old man back into a stable rhythm in Sweden. The drone delivered the AED in just over three minutes from a 911 call.
Studying years of emergency drone data back up the anecdotes. The AED gets there 10-15 min ahead of medics and boosts survival 70%.
I have a friend who had a spontaneous pneumothorax. He even wrote a song about it after he recovered.
I myself punctured and collapsed both lungs. My thinking is: if there's a reasonable chance I'll survive, go for it. If there's not, stop trying to prolong the inevitable. That said, when I had the accident they told my wife to get there as fast as she could because I was likely not going to make it, and that was thirty years ago. So: if they're confident I'm going to die, don't try to prolong it :-)
No I have no more information than anyone else. But, even at normal response times he was incapacitated for more than 2-3 minutes before CPR and after that, reportage is divergent with frankly bizarre variances around talking to somebody and talking with somebody.
This point has been made by many medically trained people over decades. It's a very energetic intensive process, it cracks ribs. If it's not done promptly the brain has been starved of oxygen.
While I understand people not wanting to drag politics into everything I invite you to think about this and the situation of the senior senator for Kentucky.