Michael D. Herbert
Michael D. Herbert
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Please don't make us respond ... to your "TXT"!
Public Service Announcement (PSA) warning of the consequence from texting while driving.
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Відео

How fast are you?How fast are you?
How fast are you?
Переглядів 2 тис.9 років тому
How fast can you doff a firefighter in full turnout gear and SCBA? After training on FD-CPR, this crew did it in 12 seconds!
FD-CPR training with Pender EMS & Fire, Inc.FD-CPR training with Pender EMS & Fire, Inc.
FD-CPR training with Pender EMS & Fire, Inc.
Переглядів 7 тис.9 років тому
FD-CPR training with Pender EMS & Fire, Inc.
FD-CPR: 10-step Training VideoFD-CPR: 10-step Training Video
FD-CPR: 10-step Training Video
Переглядів 196 тис.10 років тому
When the unthinkable happens, and a firefighter collapses on an emergency scene, we need to be prepared to provide the highest level of care possible. We know that good neurological outcomes can be had in out of hospital cardiac arrest provided high quality chest compressions are initiated early. Unfortunately, the resuscitation of a downed firefighter presents a special concern: they're in ful...
Introduction to Firefighter Down: CPRIntroduction to Firefighter Down: CPR
Introduction to Firefighter Down: CPR
Переглядів 305 тис.10 років тому
Sudden cardiac arrest during firefighting operations is a big concern; therefore, when the unthinkable happens, we have to be ready to provide the best care we can. We know that there are a few basic principles that underlie a successful resuscitation: 1.) Early high quality compressions (HQ-CPR): The sooner we can initiate high quality compression the better. 2.) High Chest Compression Fractio...

КОМЕНТАРІ

  • @Rescue-mt7fl
    @Rescue-mt7fl Місяць тому

    It amazes me how we as an industry will look at a tactic with no basis in fact or science and adopt it so readily as gospel. There is absolutely no data tests that have been done to demonstrate the effectiveness of CPR through a bunker coat on an unstable surface. There is best case practices from AHA and European models that demonstrate best practices for civilians. We would never start CPR on a civilian wearing a heavy winter coat until that coat was open. We would never begin CPR on a civilian who has been non perfusing longer than a firefighter who’s crew removed them. We know from studies that those conditions listed create bad compressions. Yet we drive these drills like the one demonstrated as good practice. We have proven in training that two firefighters can pull the pack off of a firefighter and open the coat and begin compressions in less than 10 seconds. Compressions under that method are known to be solid perfusing compressions. There is solid data and studies proving this. Once coat is opened and compressions started, another rescuer may pop the helmet then mask and hood while compressions are working. Removing the coat is simply done by cutting it away with good construction shears like Wiss or others. There is zero interruption in compressions through cutting away coat while doing compressions. If we make an assumption that the compressions done in this method are not 100 percent effective (remember depth of compression is so vital to good CPR our monitors and AEDs now track compression depth) I would say that the less than 10 second delay to get solid compressions is far better than 30 seconds to a minute of ineffective compressions to perform these tactics. We need to stop putting into practice things that make us feel like we are good “salty” firefighters just because it was imagined on the training ground and looks cool, vs scientifically based best practice coupled with common sense.

  • @RMBOYD81
    @RMBOYD81 3 місяці тому

    Unfortunately for this firefighter he was simply having a diabetic emergency

  • @christopherblosenski2465
    @christopherblosenski2465 Рік тому

    Great video! I'm preparing a training session for my fire company and wanted to show your video (screen grab below) during the presentation after discussing the 10 steps and before they start doing the exercise. Do you have an issue with me showing it in class?

    • @michaeld.herbert6902
      @michaeld.herbert6902 Рік тому

      Not at all. Also feel free to use all the resources at fd-cpr.com or reach out to us for more help or questions.

  • @Rescue-mt7fl
    @Rescue-mt7fl Рік тому

    This is a very dangerous and irresponsible methodology to demonstrate or teach without data on effectiveness and perfusion rates. We would never train CPR in winter months while patients are wearing winter coats. Same here, while also wearing SCBA. There is no patient assessment and is going from a thought that you already know certain things. Prepping your patient can be done in seconds with two people. One straddles while the other is behind at the head. The one straddling pulls shoulder strap released all the way up in one motion, the one behind grabs patients hands and shoved one arm by the hand through one strap, then the other. He then grabs shoulder straps while straddling FF pops waist belt and grabs chest of coat and pulls patient up while rear FF Pulls pack back to his right. Straddling FF sets patient back down and opens collar and then knife hands down Velcro front closure with left hand while right pulls flap back. Left hand grabs zipper and pulls down rapidly then moves to position for CPR. Rear FF pops chinstrap on helmet and grabs hid and bottom of face piece and strips both off to n one move and immediately assesses ABC. This can be done in 10 seconds or less when trained. It is a great reason to spec zippers on coats and place a t handle on all zippers. Coat may be cut off up sleeves while performing treatment. Just be sure your AEDs or med bags have construction sheets vs trauma scissors to get through bunkers in a faster easier method.

    • @Rescue-mt7fl
      @Rescue-mt7fl 3 місяці тому

      @@RMBOYD81 I’m sorry to hear that. Keep up the fight. Your brothers and sisters deserve the best you can do.

  • @bdell1686
    @bdell1686 Рік тому

    I pray we never have to use this technique but thank you for the knowledge . I will be sharing and teaching this video

  • @triciathacker3786
    @triciathacker3786 2 роки тому

    Ch rtnlis

  • @firelitelight
    @firelitelight 4 роки тому

    Uhhh but hes in an SCBA so tbe air tank would break his fall

  • @izzy5347
    @izzy5347 4 роки тому

    Omg I thought it was a manican at first!!

  • @user-uy6em3hy6w
    @user-uy6em3hy6w 4 роки тому

    Aaaaaaqaqa

  • @kevadams1964
    @kevadams1964 4 роки тому

    Great video. Easier to understand than just reading the instructions. On a side note. Please, ditch the music.

  • @cassandraralph5906
    @cassandraralph5906 5 років тому

    Very clever and efficient! Well done indeed!

  • @marcssavagevlogs3622
    @marcssavagevlogs3622 5 років тому

    God bless firefighters of the world

  • @sgtsupemtcc
    @sgtsupemtcc 6 років тому

    dont take you gloves off, if they came out of a IDLH you could burn your hands and then your useless to help

  • @cgsai2008
    @cgsai2008 6 років тому

    Great video. Thank you for sharing.

  • @Eren-kk7yf
    @Eren-kk7yf 6 років тому

    Cool

  • @daddydoc1115
    @daddydoc1115 6 років тому

    Took me a minute to realize the FF legs were supporting the sides of the back so you aren't pushing directly against an SCBA. Very clever!

  • @margief1798
    @margief1798 8 років тому

    there's to be nothing between your hands and patient chest. no exceptions.

    • @nickdawn3985
      @nickdawn3985 8 років тому

      No exceptions? There is a whole different world when dealing with first responder emergencies.

    • @roygumpel8415
      @roygumpel8415 8 років тому

      "no exceptions" . where did you learn That?

    • @smally2187
      @smally2187 7 років тому

      I've done CPR hundreds of times..through t-shirts and body armour and everything in between. Every case of CPR presents an exception, while other crew members remove clothing and prepare Dfib pads. You don't stand and wait while clothing is removed. Immediate compressions means just that. Intervening clothing presents no effect, a compression of proper depth and cadence circulates oxygenated blood regardless of what's between your hands and the skin.

  • @ICEcoldSJ
    @ICEcoldSJ 8 років тому

    Im 14 and im certified in cpr....put some respek on my name sir

  • @Mgoodson
    @Mgoodson 8 років тому

    Song?

  • @itsslopy9856
    @itsslopy9856 8 років тому

    nice

  • @hary399
    @hary399 9 років тому

    is there copyright about this video? If you know it, pls tell me. I want to make another one from this.

    • @brandonculpepper4982
      @brandonculpepper4982 7 років тому

      If you just copy the video, you can't use it. If you take sections of the video to create something different it falls under fair use laws in the United States because you are taking that content to create more original content of your own. :)

    • @michaeld.herbert6902
      @michaeld.herbert6902 7 років тому

      Feel free to use all or part of it and just give credit to FD-CPR. creativecommons.org/licenses/by-sa/4.0/

  • @tedshistle777
    @tedshistle777 9 років тому

    Impressive system Mike. Well thought out and extremely useful. Hope to have it introduced in our area....

  • @K1ngDre-DMZ
    @K1ngDre-DMZ 9 років тому

    Funny, not one time did anyone check for a pulse to confirm he was in cardiac arrest and not respiratory arrest or ever open his airway. Yeah it's training, but do it the right way before some fancy technique to get his pack off

    • @michaeld.herbert6902
      @michaeld.herbert6902 9 років тому

      Andre Morales When do we check a pulse? This is a great question! One that we've certainly considered ourselves while creating this technique. The FD-CPR process is the missing link in the rescue of a downed firefighter - a complex, dynamic and multi-faceted event. It serves as a bridge form extrication from the hot zone by a rapid intervention team to the ultimate medical attention provided by medical providers - without compromising further no-flow time in a potential cardiac arrest. We've decided upon the common AHA guideline of: unconscious and not breathing or not breathing normally as an indication that somebody is pulseless. The initial assessment of a downed firefighter (DF) will be by the firefighters that find and perform the extrication from the hot zone. The RIT or FAST members will establish if the DF is responsive in any form. Breathing can be assessed through the regulator; however, pulse checks are usually not performed in extremis environments while the firefighter is donned in full turnout gear. Not only will it be difficult to palpate a pulse point in a firefighter with full PPE, the rescuer would have to remove his glove to perform this task. Something that we would not recommend in a hazardous environment. In the case of an unresponsive firefighter, we feel the likelihood of cardiac arrest is high if: • no audible breathing through the SCBA can be noted • the air alarm is ringing • the gauge is empty • the facemask was removed in a toxic environment, or • rescuers witnessed a sudden collapse of a firefighter In these situation, we believe that delaying chest compressions is of greater consequence than performing CPR on someone with a pulse. The evidence out there shows that CPR is unlikely to cause harm to a victim who happens to be only deeply unresponsive. Similar practices are performed nationwide with dispatch-directed CPR for lay people. Two of the most common Emergency Medical Dispatch (EMD) questions upon receiving a 911 call are: • Is the patient conscious? And, • Is he/she breathing normally? If the caller advises that they are unresponsive and not breathing, not breathing normally or gasping, the pre-arrival instructions (PAI) are to perform chest compressions until trained providers arrives. Since public lay rescuers cannot reliably detect the absence of a pulse in a timely fashion, the requirement to identify the absence of a pulse to start CPR was removed in the 2000 and 2005 AHA CPR Guidelines (Circulation 2005; 112(24): IV-3). Another thing to consider in support of the AHA guidelines were a few studies of healthcare providers of all levels (EMT through MD) that found pulse checks only a bit more accurate than a coin toss; thus, if there is any doubt it is best to begin CPR. Our advice, based on the best available evidence and the AHA guidelines, is that this technique is a special means of extrication and as such will necessitate some deviation from the standard algorithms. Thankfully this is only for a short duration, perhaps 30-45 seconds. Once the firefighter is successfully doffed, the usual resuscitation bundle can begin with a pulse check if that is common in your area, and continue with 30:2 C.A.B. ordering, or 10:1 with upstroke ventilation, or even continuous compressions manually or via mechanical devices. If the firefighter was not thought to be in cardiac arrest, instead of compressions the second rescuer will work to remove the firefighter quickly with rescuers 3 and 4. In our conversation with other departments, many have adopted this technique to help them remove any unresponsive / semi-conscious firefighters from their gear (such as during rehab or other areas). Either way, it seems to be the fastest method to doff an unresponsive firefighter in turnout gear. Hopefully this answers your fancy statement. Should you have further questions, please stop by any professional fire department and ask for more advise on current, evidence-based practices. Thank you!

    • @nickdawn3985
      @nickdawn3985 8 років тому

      Well said. People with basic CPR training will have a hard time to understand the complexity and circumstances this would take place under.

    • @laceygilmour2216
      @laceygilmour2216 7 років тому

      Michael Herbert that is true.. i am no firefighter or medic... but i know a lot of First aid. delaying CPR can be fatal. now if someone saw the collapse then CPR can be started once gear is off... but if no one saw it then CPR should be started right away....

  • @sallysprowl8041
    @sallysprowl8041 9 років тому

    Number one cause of LODD is cardiac. Michael is correct, this will be a short term deviation from the standard AHA algorithms, that said, without it our brother or sister is DEAD. The entire goal of CPR, ACLS, and all of our advanced training, expertise, experience, gut knowledge, and the love we have for our individual Brothers and Sisters on the fire ground is to make our downed brethren less dead. This is a phenomenal tool in the box. Sally Sprowl, RN, Emergency Services, and Firefighter.

  • @Ls3bandit
    @Ls3bandit 9 років тому

    Great job, definitely something that needs to be trained !

  • @zkrato2
    @zkrato2 10 років тому

    I saw your video and since then have trained 2 out of the 3 shifts so far. Great job. Can happen to any of us.

  • @EricWhosoever
    @EricWhosoever 10 років тому

    We just did this training at our dept and if this ever happened in that unfortunate event, this would be the best way to get them out of their turnout and SCBA. My group did it our way and finished in 1 min and 7 sec, with this method we went down to 44 seconds of uninterrupted CPR. Great training. The question we had was how do we determine if they are having a cardiac event or just passed out, yes we could hear for their breathing in the SCBA mask but if your on a active fireground then that may be difficult at times. Non the less, this was great training!!

  • @Huskerfire1
    @Huskerfire1 10 років тому

    exelent job !

  • @patitabarrio
    @patitabarrio 10 років тому

    How do you make sure in a first instance, with all the equipment on, that CPR maneuver should be started?

    • @michaeld.herbert6902
      @michaeld.herbert6902 10 років тому

      That is a great question - one that has been asked by many. If a firefighter is unresponsive and not breathing or not breathing normally, assume they are in cardiac arrest and begin resuscitation starting with chest compressions. Our advice, based on the best available evidence and the AHA guidelines, is that the FD-CPR technique is a special means of extrication and as such will necessitate some deviation from the standard algorithms. Thankfully this is only for a short duration, perhaps 30-45 seconds. Once the firefighter is successfully doffed, the usual resuscitation bundle can begin with a pulse check if that is common in your area, and continue with 30:2 C.A.B. ordering, or 10:1 with upstroke ventilation, or continuous compressions manually, or even via mechanical devices. The FD-CPR process is the missing link in the rescue of a downed firefighter. It serves as a bridge from hot zone extrication by a rapid intervention team to medical attention without further compromising no-flow time in a potential cardiac arrest. The initial assessment of a downed firefighter will be by the firefighters that find and perform the extrication from the hot zone. The RIT or FAST members will establish if the FF is responsive in any form. Breathing can be assessed through the regulator; however, pulse checks are usually not performed in extreme environments. Not only will it be difficult to palpate a pulse point in a firefighter with full PPE, the rescuer would have to remove their gloves to perform this task. Something that we would not recommend in a hazardous environment. In the case of an unresponsive firefighter, we feel the likelihood of cardiac arrest is high if any of the following are true: -Rescuers witnessed a sudden collapse of a firefighter -No audible breathing through the SCBA can be heard -The air alarm is ringing -The air gauge is empty -The facemask was removed in a toxic environment The evidence available shows that CPR is unlikely to cause harm to a victim who happens to be only deeply unresponsive. In support of this guideance are a few studies of healthcare providers of all levels (EMT through MD) that found pulse checks only a bit more accurate than a coin toss; thus, if there is any doubt it is best to begin CPR. In these situation, we believe that delaying chest compressions is of greater consequence than performing CPR on someone with a pulse. Similar practices are performed nationwide with dispatch-directed CPR for laypersons. Two of the most common Emergency Medical Dispatch questions upon receiving a 911 call are: -Is the patient conscious? -Is he/she breathing normally? If the caller advises that they are unresponsive and not breathing, not breathing normally or gasping, the pre-arrival instructions are to perform chest compressions until trained providers arrives. If the firefighter is not thought to be in cardiac arrest, instead of compressions the second rescuer will work to remove the firefighter quickly with rescuers 3 and 4. In our conversation with other departments, many have adopted this technique to help them remove any unresponsive / semi-conscious firefighters from their gear (such as during rehab or other areas). Thanks again for the question!

  • @nostalgictherapy2013
    @nostalgictherapy2013 10 років тому

    sick

  • @bgreen636
    @bgreen636 10 років тому

    Great vid, awesome technique! Definitely something that could happen on the fire ground so good on you guys for developing this method!

  • @josephnalevaiko5934
    @josephnalevaiko5934 10 років тому

    Awesome knowledge

  • @antagus159
    @antagus159 10 років тому

    Good job!!!, Congratulations!!!

  • @Kevin-uh4km
    @Kevin-uh4km 10 років тому

    Scary thought, AED goes off. But this is a awesome video! I will see if we can get some training done using this method.

  • @PrimeMedicalTraining
    @PrimeMedicalTraining 10 років тому

    Awesome stuff, guys! Very impressive system you came up with.

  • @chris24542
    @chris24542 10 років тому

    Smooth, good work guys