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Category All / Comics
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I just went through a class on using the automated ones. They generally either have a razor to take the hair off, or two sets of sticky pads. If it's got two sets of pads you stick the first set on and see if it's got good enough skin contact. If not, you rip them off (they take the hair with them) and then stick the second set down on the newly bald area.
This is true for the manual defibs as well, though I should note, while this world is fictional, in the real world a defib would NOT be used, instead an AED or heart monitor would be deployed while CPR is being preformed. This is because defibs only work on certain heart rhythms, but mostly Ventricular Fibrillation otherwise known as V-fib. Shocking other rhythms could stop the heart, and shocking a completely stopped heart [flat-line] would do nothing at all. Sucks that I know all this info :(
It means automatic external defibrillator. And in any case, if her heart is stopped then defibrillation won't help. Defibrillators are for when your heart is basically firing muscles at all the wrong times, making it so it can't pump blood. They stop your heart with the intent that the muscles all get back in sync. CPR would have a *slim* chance of helping. But that's basically to try and keep blood flowing until the heart (hopefully) restarts on its own. A shot of adrenaline would probably be what you administer if the heart is actually stopped.
"I'm curious, is there a RE-fibrilator? Defibs shock your heart into stabilizing but is there a machine that shocks it into status again? "
Yes and no, more so no.
There have been times that a heart was brought into V-fib or other rhythm using CPR, or a heart massage technique [normally preformed during heart surgery] but the reality is it is very very rare. I've been on quite a few CPR incidents and only had 1 survival. Shocking a heart in any other rhythm than V-fib can cause damage, or stop the heart completely. The only reason why we do shock the heart is to basically reset the electrical pulses that cause the four chambers to constrict and relax. The same is done with a pace-pace maker only it is internal and connected right to the heart.
Thats not to say other rhythms can not be corrected by other means. CPR has been known to change some rhythms into V-fib, which is shock-able. There are also various medications that can be given which cause neurological impulses that can bring the heart into a more survivable rhythm. Epinephrine is a common and well known med that can do such things. Again, these things are not 100%, and despite what many places like AHA or Blue Cross or the AMA say, I would say maybe 10% survive 24 hours after a cardiac event which is up from 6% without care.
Yes and no, more so no.
There have been times that a heart was brought into V-fib or other rhythm using CPR, or a heart massage technique [normally preformed during heart surgery] but the reality is it is very very rare. I've been on quite a few CPR incidents and only had 1 survival. Shocking a heart in any other rhythm than V-fib can cause damage, or stop the heart completely. The only reason why we do shock the heart is to basically reset the electrical pulses that cause the four chambers to constrict and relax. The same is done with a pace-pace maker only it is internal and connected right to the heart.
Thats not to say other rhythms can not be corrected by other means. CPR has been known to change some rhythms into V-fib, which is shock-able. There are also various medications that can be given which cause neurological impulses that can bring the heart into a more survivable rhythm. Epinephrine is a common and well known med that can do such things. Again, these things are not 100%, and despite what many places like AHA or Blue Cross or the AMA say, I would say maybe 10% survive 24 hours after a cardiac event which is up from 6% without care.
Either way, We are NOT trying to get you to change the page or anything, again its fiction, or is that non-fiction..... which one means events that are not occurring IRL >.< I can never remembers.
Also, to my knowledge, Cardiac arrest means your cardio-vascular system is not functioning properly, another words, V-fib is a form of Cardiac Arrest When your heart stops completely, you are considered dead, but the only way to know if the heart stopped is again, with a monitor. So saying Cardiac Arrest, or "Code B" or yelling for a "crash cart" [a cart that carries the meds and defib and O2 and such needed for revival efforts] or "crash team" [a team of doctors and nurses specifically trained in emergency cardiac procedures for resuscitation efforts] would be realistic. Either way we are going outside of the realm that the average person reading this comic would understand or know unless they are in the medical field. >.< Puppy feels bd having started all this heh
Also, to my knowledge, Cardiac arrest means your cardio-vascular system is not functioning properly, another words, V-fib is a form of Cardiac Arrest When your heart stops completely, you are considered dead, but the only way to know if the heart stopped is again, with a monitor. So saying Cardiac Arrest, or "Code B" or yelling for a "crash cart" [a cart that carries the meds and defib and O2 and such needed for revival efforts] or "crash team" [a team of doctors and nurses specifically trained in emergency cardiac procedures for resuscitation efforts] would be realistic. Either way we are going outside of the realm that the average person reading this comic would understand or know unless they are in the medical field. >.< Puppy feels bd having started all this heh
In a normal hospital, I would agree that there would be a crash cart, or a crash team, but remember, this is a mental health hospital, and as such, wouldn't necessarily be equipped to handle a cardiac event.
Doctor should have started CPR before the machine got there, to keep blood pumping and AR to keep the oxygen in the blood system. If indeed Gem's heart did stop, it would at least stand the chance of bringing it back to V-fib. Furthermore, if he's going to do an epinephrine shot, he still needs some circulation to get it through the various chambers of the heart.
Doctor should have started CPR before the machine got there, to keep blood pumping and AR to keep the oxygen in the blood system. If indeed Gem's heart did stop, it would at least stand the chance of bringing it back to V-fib. Furthermore, if he's going to do an epinephrine shot, he still needs some circulation to get it through the various chambers of the heart.
Depends on the type of psyc building she is in. Given the story line its likely she is PEZ which can be brought to many normal hospitals. Also, at least in NJ, all major hospitals have some form of psyc ward [normally called lock-down units] I would guess she is not in a LTCF and likely in a lock down unit for evaluation and testing.
Basically cardiac arrest (heart stops, flat line) - > CPR to try and get the heart beating again and if possible give a shot of epinephrine. The goal is to get the heart to start up a rhythm again, and keep blood circulating.
Arrhythmias (irregular beating patterns) -> Defib/AED to force all the cells to fire at once, and then follow up with CPR to keep blood circulating while seeing if defib worked or if it's needed again.
The only thing you could change if you wanted to would be the very last panel if you wanted to show CPR starting rather than defib, or you could change the wording of the earlier part to be something other than "has no pulse" - like "Going into v-fib" would work. That'd show an arrhythmia, and would be treated with the defib...and is just as life-threatening.
http://www.heart.org/HEARTORG/Condi.....63_Article.jsp > v-fib
/Non-medical professional here, just someone who watches way too many medical shows and has done research to point out inconsistencies in such shows lol
Arrhythmias (irregular beating patterns) -> Defib/AED to force all the cells to fire at once, and then follow up with CPR to keep blood circulating while seeing if defib worked or if it's needed again.
The only thing you could change if you wanted to would be the very last panel if you wanted to show CPR starting rather than defib, or you could change the wording of the earlier part to be something other than "has no pulse" - like "Going into v-fib" would work. That'd show an arrhythmia, and would be treated with the defib...and is just as life-threatening.
http://www.heart.org/HEARTORG/Condi.....63_Article.jsp > v-fib
/Non-medical professional here, just someone who watches way too many medical shows and has done research to point out inconsistencies in such shows lol
When the doc comes in and determines that Gem's heart is not beating, which I think has to be a story element instead of going into Vfib, he will immediately start CPR. He then will call for the Crash Cart.
The crash cart will have drugs, a Defibrillator that also reads and monitors your heart rate. Here's a link to a Crash Cart and most of what will be on it.
https://www.buzzle.com/articles/eme.....checklist.html
So, Doc starts CPR. Once the crash cart gets on scene, they may start with an Ambu bag, which is that mask and bag they put over your nose and mouth to force air into your lungs. While someone is doing that, a third person is getting the intubation stuff and oxygen system set up. The person using the bag will move out of the way, and the next person will intubate the patient. The person with the Ambu bag probably will move to relieve the doctor from the CPR chores.
Clothing over the chest is removed to have access to the chest over the heart.
The paddles from the DeFib unit also will read any rhythms that the heart may be producing, or not producing. The doctor, in the meantime, has moved to the Crash Cart and is looking for a needle and a drug to administer directly into the heart of the patient. CPR may stop momentarily while the drug is administered. An IV may be started.
If the heart starts to produce a rhythm, in other words, into Vfib or VTac, then the defibrillator can be used to try to shock the patient back into sinus rhythm.
Failure to get a rhythm, failure of the drugs to do anything, and continued CPR with no results results in, at some point, the team giving up and saying "Mr. Grayson, we did everything furrily possible. I'm sorry."
The crash cart will have drugs, a Defibrillator that also reads and monitors your heart rate. Here's a link to a Crash Cart and most of what will be on it.
https://www.buzzle.com/articles/eme.....checklist.html
So, Doc starts CPR. Once the crash cart gets on scene, they may start with an Ambu bag, which is that mask and bag they put over your nose and mouth to force air into your lungs. While someone is doing that, a third person is getting the intubation stuff and oxygen system set up. The person using the bag will move out of the way, and the next person will intubate the patient. The person with the Ambu bag probably will move to relieve the doctor from the CPR chores.
Clothing over the chest is removed to have access to the chest over the heart.
The paddles from the DeFib unit also will read any rhythms that the heart may be producing, or not producing. The doctor, in the meantime, has moved to the Crash Cart and is looking for a needle and a drug to administer directly into the heart of the patient. CPR may stop momentarily while the drug is administered. An IV may be started.
If the heart starts to produce a rhythm, in other words, into Vfib or VTac, then the defibrillator can be used to try to shock the patient back into sinus rhythm.
Failure to get a rhythm, failure of the drugs to do anything, and continued CPR with no results results in, at some point, the team giving up and saying "Mr. Grayson, we did everything furrily possible. I'm sorry."
Ive watched casualty a few times LOL. seriously I dont think i ever wanna witness this sort of thing for real. I have a LOT of admiration for folk who have to do this sort of thing regularly I really dont think I'd be able to cope in that sort of setting. I did want to draw paul fighting a bit more and freaking out but also wanted to move the scene on quite quick as everything is happening very fast here so didnt want to drag the scene out too much, but in retrospect maybe i should have made this sequence two pages
Come to the FA for the first time in ages to blow off steam with a little sweet artery. Find on first page of my watches someone dying of a heart attack. Which took one of my relatives yesterday and is a big source of my stress. Not your fault, just fate has an unfortunate way with timing. I had to get this off my chest to feel better.
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