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Defibs at clubs.

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423zero View Drop Down
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Post Options Post Options   Quote 423zero Quote  Post ReplyReply Direct Link To This Post Topic: Defibs at clubs.
    Posted: 19 Feb 20 at 6:29pm
There is a Good Samaritan law, but its mainly to offer some support for off duty medical professionals, not very well written.
Robert
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423zero View Drop Down
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Post Options Post Options   Quote 423zero Quote  Post ReplyReply Direct Link To This Post Posted: 19 Feb 20 at 5:12pm
Member of the public.
Robert
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Post Options Post Options   Quote ian.r.mcdonald Quote  Post ReplyReply Direct Link To This Post Posted: 19 Feb 20 at 5:00pm
Originally posted by 423zero

Frightening, what we have come to, should I help this person?


I await proper advice from a medical professional, but I have a relative in a similar position. The requirement is to display clearly the relevant DNR form or to keep it in a very obvious medical file. I find it hard to believe that someone in this position would not come to a sailing club without making their position very clear to someone who would be with them at all times.
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423zero View Drop Down
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Post Options Post Options   Quote 423zero Quote  Post ReplyReply Direct Link To This Post Posted: 19 Feb 20 at 4:51pm
Frightening, what we have come to, should I help this person?
Robert
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Rupert View Drop Down
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Post Options Post Options   Quote Rupert Quote  Post ReplyReply Direct Link To This Post Posted: 19 Feb 20 at 4:48pm
No, we wouldn't.
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423zero View Drop Down
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Post Options Post Options   Quote 423zero Quote  Post ReplyReply Direct Link To This Post Posted: 19 Feb 20 at 1:07pm
How do you check for patients who do not want to be resuscitated? Do you have to? Does use of defibrillator constitute resuscitation? Would we be liable if we resuscitate a patient, who comes around and is paralysed, who is a do not resuscitate?
Robert
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Post Options Post Options   Quote NicolaJayne Quote  Post ReplyReply Direct Link To This Post Posted: 19 Feb 20 at 12:45pm
Originally posted by ColPrice2002

The one problem I see with the external units is that one needs a mobile phone to call for the unlock code...
How many of us have a mobile with them while around the sailing area? That is ready to sail or recover dinghies?

I also wonder how useful they are for a casualty at the far end of the lake. Given that the rescue team need to reach the casualty, recover to safety boat, then reach the clubhouse - even at full power it will take several minutes for the process.
Obviously, for members not sailing it's potentially useful.

Colin


calling for a code is  to do with two things 

1. security  for  a device  with  otherwise unrestriCted access 
2. ensures that  links 1, 3 +4  in the 'chain of survival' are in place  https://www.resus.org.uk/resuscitation-guidelines/adult-basic-life-support-and-automated-external-defibrillation/#chain

The GP surgery i am registered with has one of it;s defibs in one of these external cabinets by the   external door  to the surgery , on  every consulting room  wall and behind the reception desk  there is a poster with an aide memoire for  Emergencies  - on this is the defib box  code ... 

Ideal world  each  Rescue boat would be equipped with an AED in a suitably ruggedised  locker /  firmly  attached Peli case but that is ai cost / value  / benefit decision , having an AED available ashore still buys time compared to waiting for the 999 response  (  the possible  exception i can thnk of to that is  Hykeham if  Helimed 29  is  on  base at Waddington as  it could launch , barely  clear Waddington Circuit and put down at the club   faster than a road ambulance  would  get from the main road to the club never mind the response time to the gate   )

 it is  near impossible to do  decent CPR in a rescue boat ( vs doing it in a full on lifeboat  or similar sized workboat/ committee boat / yacht ), the optimal answer is casualt to nearest land and resources to casualty on that nearest land  ( it;s why ambulance crews will remove someone from a normal domestic bed to the floor  or their  trolley  to do CPR  - to provider the counter pressure of being on a solid base 



Edited by NicolaJayne - 19 Feb 20 at 12:48pm
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Post Options Post Options   Quote fleaberto Quote  Post ReplyReply Direct Link To This Post Posted: 19 Feb 20 at 12:13pm
Originally posted by ColPrice2002

The one problem I see with the external units is that one needs a mobile phone to call for the unlock code...
How many of us have a mobile with them while around the sailing area? That is ready to sail or recover dinghies?

I also wonder how useful they are for a casualty at the far end of the lake. Given that the rescue team need to reach the casualty, recover to safety boat, then reach the clubhouse - even at full power it will take several minutes for the process.
Obviously, for members not sailing it's potentially useful.

Colin

Yeah, that's the problem that I do talk about when we discuss this issue - Timings.
I've done defib training at our local village as we have one for the community and it was striking how little time you have for the machines to be useful in helping. You don't need to be overly remote for time to become a real issue.
However, with others onsite such as radio sailors (Who, without being too general) are on the more elderly side as well as a lot of grandparents keeping an eye on the kids when Mum & dad are sailing we're thinking that it may be a worthwhile investment.

We wouldn't need the whole phone-code thing as we're not publically accessible and wouldn't be a 'community' asset.
A local Search & Rescue group do train on our water though so they'll be a good source of help too.

Interesting to see that clubs do indeed invest though so something to look more into I think.

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Post Options Post Options   Quote ian.r.mcdonald Quote  Post ReplyReply Direct Link To This Post Posted: 18 Feb 20 at 7:24pm
Easy for us as the club ( where its stored inside ) as when people are there the club is open.

I was most surprised during my course of the huge increase in recovery compared to CPR.

And whilst the RIB is a pain to get out and get on the water, the speed of getting a casualty back compared to an easy to access onboard boat makes it totally the right choice.

And I hope that neither is used together, ever. But good that they are ready not to be used!
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Post Options Post Options   Quote ColPrice2002 Quote  Post ReplyReply Direct Link To This Post Posted: 18 Feb 20 at 7:08pm
The one problem I see with the external units is that one needs a mobile phone to call for the unlock code...
How many of us have a mobile with them while around the sailing area? That is ready to sail or recover dinghies?

I also wonder how useful they are for a casualty at the far end of the lake. Given that the rescue team need to reach the casualty, recover to safety boat, then reach the clubhouse - even at full power it will take several minutes for the process.
Obviously, for members not sailing it's potentially useful.

Colin
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