Australian Dies In His Central Pattaya Apartment

[Basil B]

Thank you Smokie.

I would like to know where Bankha got his information from, there is no legislation on the application of CPR in the UK, but different organizations may have deferent recommendations that may often change, having for over 40 years done many first aid courses with a number of different organizations and every time it always seems to change 5:1, 10:2, 15:2, and I actually hav successfully revived someone many years ago so when I first heard of the compression only technique it certainly makes a lot of senses to me if you have no assistance.

I doubt anywhere in the world you would every be in trouble for appling CPR what everway you do it as long as you do not prevent anyone who is more quaified taking charge, if a person has stopped breathing and the heart has stopped or gone into fibberlation then anything is better than nothing.

This video show just how easy it is http://www.redcross....d-not-breathing

But in Thailand it is pointless dailling 999, always get assistance first, and if posible ensure they call the emergencey services first and not their freinds (or Pattaya One) to come and gawp.

On appliying CPR after first checking again for breathing I would give 2 quick and firm compresions to start with and again check for breathing and pulse before comencing continuse compresions.

Also in doing CPR it is possible to fracture the sternum, but it it is better the casualty is alive with a fractured sternum than dead with an un-fractured sternum.

Basil B only just got home from 12 hour shift being a paramedic in the uk enough said ok

What I chalanged you on was your statement:

Sorry to say you are incorrect you need to do 2 breaths to every 30 chest comps what is stated at this time in UK law.

Please what act of Parliament defines "2 breaths to every 30 chest comps", looking at web sites for SJAB, BRS, NHS & Resuscitation Council UK for the UK all differ in their advise.

Quote: NHS website http://www.nhs.uk/Co.../Pages/CPR.aspx

If you have not been trained in CPR or are worried about giving mouth-to-mouth resuscitation to a stranger, you can do chest compression-only (or hands-only) CPR.

I can only conclude that you meant that you as a professional failed to to adhere to definded employers instructions and training you could loose your job or even worse be found guilty of manslaughter if it was proved you were reckless or negligent in carrying out your duties.

As for my advice I still stand by my opinion that if one was on my own I would certainly do compressions only for the first minute or so, then maybe some breaths, but not forgetting before commencement of chest compressions to check the airways, and probably also 2 breaths after the initial 2 compressions.

Certainly if you have assistance I would probably opt for 15:2 full CPR, but remember unless you are extremely fit you will get exhausted very quickly, remember professional help can take a lot longer to arrive in Pattaya, Thai drivers just do not give way to emergency services.

I was looking at the cost of AED's (defibrillator's) in the UK and they are a lot cheaper than I thought, many for less than £1K (50K THB) though I would question the quality of the cheap ones but there again something is better than nothing.

So hopefully soon they will be a common fixture in all public buildings, supermarkets, gyms, offices, factories, places of entertainment and even on public transport.

Edited November 1, 2012 by Basil B

[Rimmer]

Some posts removed also quoted replies

[Tonski60]

I was recently passed this info; recommendation - take the tablet just before you go to bed at night. BTW Cardiprin 100 is reputably the best, specifically manufactured for the prevention of attacks - disolve under the tongue.

Mayo Clinic Aspirin

Dr. Virend Somers, is a Cardiologist from the Mayo Clinic, Who is lead author of the report in the July 29, 2011 issue of The Journal of the American College of Cardiology. Most heart attacks occur in the day, generally Between 6 A.M. And noon. Having one during the night, when the heart should be most at rest, means that something unusual happened. Somers and his colleagues have been working for a decade to show that sleep apnea is to blame.

1. If you take an aspirin or a baby aspirin once a day, take it at night. The reason: Aspirin has a 24-hour "half-life"; therefore, if most heart attacks happen in the wee hours of the morning, the Aspirin would be strongest in your system.

2. FYI, Aspirin lasts a really long time in your medicine chest for years, (when it gets old, it smells like vinegar).

Please read on.

Something that we can do to help ourselves - nice to know. Bayer is making crystal aspirin to dissolve instantly on the tongue. They work much faster than the tablets. Why keep Aspirin by your bedside? It's about Heart Attacks - There are other symptoms of a heart attack, besides the pain on the left arm. One must also be aware of an intense pain on the chin, as well as nausea and lots of sweating; however, these symptoms may also occur less frequently.

Note: There may be NO pain in the chest during a heart attack.

The majority of people (about 60%) who had a heart attack during their sleep did not wake up. However, if it occurs, the chest pain may wake you up from your deep sleep. If that happens, immediately dissolve two aspirins in your mouth and swallow them with a bit of water.

[SoCalChris]

I keep my Nitrogen sprays handy. 1 in the bedroom and one downstairs. Any chest pain and I spray it under my tongue. If the pain goes away, all well and good, if not then it is a trip to the doctor / hospital.

It is sometimes hard to tell the difference between minor heart pain (angina) and a build up of wind but always better safe than sorry.

I too take half aspirin daily on doctors orders since my heart attack several years ago.

Yes, his wife did the correct thing by calling for help and she at least did go to the pahrmacy too. That show to me that she did care.

I think you mean nitroglycerin. It's one of the best things you can take during a heart attack that will immediately provide a significant benefit. An intra-cardiac shot of epinephrine is better but should be left to the professionals. Caffeine is a no-no.

RIP.

Tip of the day: Keep full strength aspirin stocked in your home. If experiencing chest pains, etc., place one or two aspirins in your mouth and let dissolve.

No disrespect meant. We can't know if aspirin could have saved Mr. Greenfield, but it does save many people all over the world, everyday.

sorry JT but this advice is . being a cardiac patient with a "retreaded" heart i'm quite well informed that Aspirin does not help at all when a cardiac arrest is about to hit. in this case only fast working drugs can give some relief till the emergency crew arrives.

Thanks for sharing your opinion about this. However, I think people will find that it is now very mainstream medical advice for emergency suspected heart attack pain scenarios. Anyone can easily do their own research and find multiple mainstream medical sources giving the same advice. But good you brought this up as of course there are some people who shouldn't be taking the aspirin, as noted below.

Both of you are right, NSAID drugs such as aspirin, paracetamol (actually NSAID-like), napraxon, ibuprofen and etc. can reduce the severity of the heart attack or even save your life. I'm a molecular immunologist with 5yrs at Pfizer's imflammation drug discovery division and aware of their metabolic effects. Aspirin/Ibuprofen/napraxon are blood thinners and will allow an increased blood flow through an arterial blockage. Paracetamol acts through a different metabolic pathway.

Naam is correct when he said that there is no immediate benefit (ie, within a minute) when taking aspirin in someone who does not have a NSAID drug already in their system. It takes a bit of time for aspirin to exert it's effects. However, it will eventually have a preventative/attenuating effect for a heart attack. It's best when administered in a prophylactic manner.

JT is correct to suggest chewing the aspirin and letting it sit in your mouth for a bit before swallowing. This allows a least a small amount of it to quickly get into your bloodstream through the artery under the tongue even though it tastes really bitter. However, it will still take a while for it to assist with the current heart attack. If it's a mild heart attack, you're in luck as the aspirin will allow for improved circulation through the heart after an hour or so. The aspirin will also help with secondary heart attacks that sometimes happens later.

I always take 400mgs of ibuprofen 1 hour before I exercise......heart disease runs in my family.

Edited November 2, 2012 by SoCalChris

[pattayadingo]

I stand corrected on the actual name