Scotland forward Sam Skinner gives CPR & defibrillator demo

The Scotsman

Scotland rugby international Sam Skinner gives CPR & defibrillator demo at Murrayfield on World Restart a Heart Day

Transcript

00:00So quite aggressive, the table might actually break.

00:12Are we all ready if I start teaching now?

00:15Okay, first thing's important, you need to be able to recognise what's going on.

00:22So the key thing with this is that you have an unresponsive casualty.

00:26So if you're going to go out and you're going to shout their name,

00:28if you're going to give them something to tap on the shoulder,

00:30you're not going to get any response.

00:32The other thing that you're not going to have is you're going to have an unresponsive,

00:36not breathing casualty, or someone that's not breathing normally.

00:39So sometimes when people go into cardiac arrest initially,

00:42they have some very abnormal slow breaths, like push out of water.

00:46That's not normal, that's cardiac arrest, non-breathing, not breathing normally,

00:51and unresponsive as soon as cardiac arrest.

00:54So once you've done that, you're going to go,

00:56Hello, can you hear me? No, no response, okay.

00:59I'm recognising a cardiac arrest, I need help.

01:02I can't do this on my own, so I'm going to call for help.

01:04We're going to call 999, put our phone out on speakerphone,

01:08because we all carry our phones in our pockets these days,

01:10so get that out on speakerphone.

01:12The call handle will stay online and we'll talk you through everything I'll show you,

01:15but practice when this is the first thing to do when you're ready for this.

01:18Okay, so we're going to lock our hands together,

01:21and you're going to use the heel of your hand,

01:24and you're going to direct that pressure on the lower half of the breastbone.

01:28You can say sternum because this is Scottish,

01:30but everyone knows what the lower half of the sternum is these days, okay?

01:33So, lower half of the sternum, hands together,

01:36and you're going to push down, you want to push down the chest about a third of the depth,

01:40a rate of 100 to 120 per minute.

01:43Okay, so this little device here is going to give you some feedback.

01:46On you go.

01:49Okay, is that perfect?

01:52So you can see that you're lighting up white lights there,

01:54and that is in the dream zone, so you're in the right rate.

01:57It's really important that you are going at the right rate,

02:00and you're allowing enough time for your hands to come up.

02:03So what your pecs are doing there is squeezing the heart against the backbone,

02:06that's emptying the blood out.

02:08When you lift your hands up, the heart's being filled, and you're going down.

02:10So you're artificial circulation going on there.

02:13You've called for your ambulance, your call handle's on the phone,

02:16and hopefully help is going to arrive, bringing one of these devices.

02:20Okay, so the key is we need to minimise interruptions to compassion,

02:24so I need you to keep going.

02:25Okay.

02:26I'm going to work round you.

02:27How am I supposed to know what 120 beats per minute is?

02:29Well, it's roughly two per second, so one and two and one and two.

02:34Got you.

02:35Okay, so if you don't have one of these devices there, you can do that.

02:39Okay, so I'm going to get this out.

02:42All of these work in roughly the same way.

02:44We'll give you little instructions along the bottom.

02:46So we need to turn the device on.

02:49You keep going, you're doing a fabulous job there.

02:51I'll do that.

02:53Staying alive.

02:54Yeah, I know, it's Bee Gees, isn't it?

02:56That's it.

02:57Oh, so that's what I was kind of fishing for?

02:59Yeah.

03:00I'm not giving you that one.

03:01That's a very nice APM.

03:02Okay, go.

03:03No, you need to keep doing that.

03:04I need to work round you.

03:05Okay.

03:06I'm going to put these pads on.

03:08Just show me roughly where I'm going here.

03:12Okay, so this will have to put these pads on in the wrong order,

03:15as long as they're in the correct place.

03:17Okay, so you can put this in.

03:23Need to go a bit faster.

03:24That's it.

03:27Okay, so this is analyzed.

03:28I need you to come off the chest just now.

03:30I'm just going to listen out for what you need to do.

03:35Okay.

03:37So we need to make sure nobody's touching the patient while we're doing this.

03:40This will charge up.

03:43Okay, I'm going to push this button,

03:45and you need to go back on the chest.

03:48Now, you just go back on the chest.

03:49We want to minimize any interruptions to the CPR.

03:52This is what's buying us time and helping save a life.

03:55So have you just shot them?

03:56I've just shot them.

03:57So even if the shock has been successful,

03:59it's going to take a little bit of time before everything comes back online,

04:02so do carry on doing your CPR until you're physically exhausted,

04:06in which case someone will hopefully come and take over from you.

04:09Help arrives, or you can see physical signs that the person is returning to life.

04:15This will analyze every two minutes.

04:17There's two minutes of CPR,

04:18and two minutes feels like a really, really long time,

04:20so it's important that someone else can take over

04:22and answer those two questions for you.

04:24And again, you guys, if the gentlemen want to come and test out what they are,

04:27then you're very welcome.

04:29So there's no mouth in?

04:31No, we're taking that out.

04:32We know the important bits for survival is that early recognition and call for help,

04:37good quality CPR, minimizing interruptions,

04:40and getting this back on the shocking as quickly as you can,

04:43ideally within that 35 minutes after the person arrives.

04:46This is a lot quicker than I thought it would be.

04:48It's also a lot harder.

04:50It's getting a little tricky.

04:52It's getting tricky? Do you need me to take over?

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