I did a 5.5k race in mexico. Apparently this 56 year old guys pace maker stopped? Last 400m he dies. The reason I share the video is maybe some of our forum docs can chime in on what to do in this situation if one of us encounters it.
starts @ 30:49:
the fat guy in black shirt and blue mask… I dont think he is a doctor. Why was he covering that guys eyes and holding his mouth open? I assume to prevent the tongue from falling back into his throat. It seems also CPR was done very late here.
I did a 5.5k race in mexico. Apparently this 56 year old guys pace maker stopped? Last 400m he dies. The reason I share the video is maybe some of our forum docs can chime in on what to do in this situation if one of us encounters it.
starts @ 30:49:
the fat guy in black shirt and blue mask… I dont think he is a doctor. Why was he covering that guys eyes and holding his mouth open? I assume to prevent the tongue from falling back into his throat. It seems also CPR was done very late here.
Kind of looks like they were contemplating emergency breathing but chose not to.
No sure exactly what to do in this situation, but from what I can remember of the first aid course I did a few years ago, basically don´t do anything and call an ambulance if they are breathing & if they are not breathing start CPR straight away (and call an ambulance).
Not sure why you would video someone dying and then put it on Youtube though!
I have reported this video to YouTube as it is completely insensitive and inappropriate to have this video available online.
In terms of what to do in this response…as a medical doctor with a significant critical/emergency care component to my job, the response from the initial responders is not ideal but better than nothing in many ways. Priorities as per standard basic life support is DRS ABCD…(granted some have changed to CAB and not ABC)
D: Danger-assess for danger both personal and to the patient (ie not going to get hit by a vehicle or powerlines)
R: Assess responsive of the patient
S: Send for help-this is a priority
A: Airway: clear the airway of secretions/tongue, head tilt and chin lift
B: Check for breathing for 10 secs
C: Start chest compressions
D: Assess for disability, damage and devices and dry the patient
In the video the initial chest compressions are not ideal, both in the rate and the way they are performed, you can see the elbows collapsing so they are not great, when the first responders arrive and take over you can see a lot higher quality chest compressions.
These situations are scary to manage, even with highly trained staff and equipment on hand. I just break it down when teaching and remind people of the basics…A comes before B which comes before C, sort each one out and then move on and get the basics done right and you give the patient the best possible chance of surviving.
And not to be a downer…but out of respect i would recommend you don’t link to the video and edit your post. The less we can promote people seeing this before it is taken down the better. There are so many ethical issues which are broken by this being online…for instance you can almost certainly assume that the patient’s family have not given consent to their death being freely shown online. It is really disrespectful and shows why youtube and facebook are broken in many ways…
I did a 5.5k race in mexico. Apparently this 56 year old guys pace maker stopped? Last 400m he dies. The reason I share the video is maybe some of our forum docs can chime in on what to do in this situation if one of us encounters it.
starts @ 30:49:
the fat guy in black shirt and blue mask… I dont think he is a doctor. Why was he covering that guys eyes and holding his mouth open? I assume to prevent the tongue from falling back into his throat. It seems also CPR was done very late here.
https://www.mayoclinic.org/first-aid/first-aid-cpr/basics/art-20056600
https://www.sciencedaily.com/.../10/101018074028.htm
https://www.citywidecpr.com/…-was-changed-to-cab/
Tragic. And ineffective bystanders…and it shows why more people need to learn CPR.
(A big piece of me wants this video pulled)
It’s now C-A-B, by the way
Compressions first.
Find a course:
https://cpr.heart.org/AHAECC/CPRAndECC/FindACourse/UCM_473162_CPR-First-Aid-Training-Classes-American-Heart-Association.jsp
https://www.sciencedaily.com/releases/2010/10/101018074028.htm
https://www.citywidecpr.com/…-was-changed-to-cab/
Tragic. And ineffective bystanders…and it shows why more people need to learn CPR.
(A big piece of me wants this video pulled)
It’s now C-A-B
Compressions first.
Interesting fine print Dale…we have not changed over to C-A-B here down under despite the US recommendations coming through in 2010…I am not actually sure why as I am not an ALS instructor so I just do my mandatories when required…
my opinion is that fewer people want to do mouth-to-mouth breathing and blood that is circulated with compressions only is still relatively oxygenated, just not optimally-hence, the changes would hopefully get more bystanders to engage in BLS/CPR-again, my opinion only
compressions are most important
and when I have run my codes in the past, effective CPR is critical to saving the patient–until the rhythm can be restored electrically…or with drugs, but often both, as you know
To the OP-
Obviously not his physician, but in general a pacemaker will not work with a malignant arrhythmia like VT/VF and sudden death is a relatively common presentation of heart disease. Effective CPR and a defibrillator are needed.
There something tragic about that race being 5.5 and not 5.
I did cpr the old way on a golf course 25 years ago. I got the whiskey sour the guy drank at the 19th hole back for my trouble. Did cpr in the ambulance all the way to the hospital (30 min) and the guy didn’t make it. As others have said it is all about compressions and early defibrillation now.
I have reported this video to YouTube as it is completely insensitive and inappropriate to have this video available online.
thanks for your snowflake sensitivity to ruin a good learning experience. How will people learn with out censorship? Real world experience > book smarts. Perhaps they all knew CPR but unless seeing what is a real life situation, didnt know when to proceed. PS first ambulance that was on site had no o2 tanks. so another had to be called in. Race RD has to pay extra for more equipped ambulance
Find a course:
https://cpr.heart.org/AHAECC/CPRAndECC/FindACourse/UCM_473162_CPR-First-Aid-Training-Classes-American-Heart-Association.jsp
Thanks, I need to take a course. As fellow athletes, we should all know the right way to respond, even if we are not ready or confident to be the one giving chest compressions or CPR.
Holy cow dude. You link a tragic video with the pretense of providing information and specifically ask a physician to chime in. One does and you attack him for politely pointing out that maybe the victim’s family wouldn’t want this floating around. How many of your posts on ST do not involve name calling or knocking somebody down?
I’m not a physician like you, but I have been on the periphery of a project our medical students are doing on training others on bystander (also known as compression only) CPR. There’s some data on out-of-hospital outcomes being better for bystander CPR and separate data on ‘remembering’ how to do bystander CPR at 6 or so months (I don’t remember the exact timeline). It seems like compression only is the way to train people not being paid to save lives.
Kudos to people like you and my ICU nurse wife for being able to jump in without thinking and start pumping on people’s chests. Thanks for continuing to provide good info on ST.
The video listed as NSFW (not safe for work), so if you’re sensitive, you don’t watch. I wanted to know if there was a valid medical procedure the guy was doing in place of CPR
Your video and post are incredibly rude and insensitive. You are an ass for videotaping it. You are an ass for posting it.
If you are so interested in promoting safety and proper CPR, share a video where the participants consented to be filmed.
Slowman, take this down.
Your video and post are incredibly rude and insensitive. You are an ass for videotaping it. You are an ass for posting it.
If you are so interested in promoting safety and proper CPR, share a video where the participants consented to be filmed.
Slowman, take this down.
I didn’t tape it. Again, why did you decide to click on a NSFW titled post if you have sensitivity issues? Since this is filmed in a different country, consent laws are different too.
Your video and post are incredibly rude and insensitive. You are an ass for videotaping it. You are an ass for posting it.
If you are so interested in promoting safety and proper CPR, share a video where the participants consented to be filmed.
Slowman, take this down.
I didn’t tape it. Again, why did you decide to click on a NSFW titled post if you have sensitivity issues? Since this is filmed in a different country, consent laws are different too.
How did you come across this videotape? You were at the race. Perhaps a friend made it?
I didn’t click on the video because you said it depicted the death of a runner at race. It would disturb me if the death of my loved one had been video taped and shared online. I used the Golden Rule to help me decide how to act. I don’t want to invade someone’s privacy or be disrespectful.
Yes, laws vary across jurisdictions. I’m not necessarily telling you (or your your friend who filmed it) that you have broken a criminal law or committed a civil tort. I’m telling you that posting a video of someone’s death is likely to cause severe emotional distress to the loved ones of the deceased. What do think about that? How would you feel if someone posted a video of the death of your loved one?
Back to the law: there are civil causes of action for damages called negligent infliction of emotional distress and intentional infliction of emotional distress. It’s good to know these things.
Your video and post are incredibly rude and insensitive. You are an ass for videotaping it. You are an ass for posting it.
If you are so interested in promoting safety and proper CPR, share a video where the participants consented to be filmed.
Slowman, take this down.
I didn’t tape it. Again, why did you decide to click on a NSFW titled post if you have sensitivity issues? Since this is filmed in a different country, consent laws are different too.
How did you come across this videotape? You were at the race. Perhaps a friend made it?
I didn’t click on the video because you said it depicted the death of a runner at race. It would disturb me if the death of my loved one had been video taped and shared online. I used the Golden Rule to help me decide how to act. I don’t want to invade someone’s privacy or be disrespectful.
Yes, laws vary across jurisdictions. I’m not necessarily telling you (or your your friend who filmed it) that you have broken a criminal law or committed a civil tort. I’m telling you that posting a video of someone’s death is likely to cause severe emotional distress to the loved ones of the deceased. What do think about that? How would you feel if someone posted a video of the death of your loved one?
Back to the law: there are civil causes of action for damages called negligent infliction of emotional distress and intentional infliction of emotional distress. It’s good to know these things.
If you’re someone who is sensitive and not interested in a video marked NSFW, its perfectly okay to just move on without interjecting your opinion and derailing an important topic. Far too many people are unprepared for situations like this that happen all too often. The tragedy is that the training is not difficult, and a little bit of knowledge and awareness can go a long way.
Your video and post are incredibly rude and insensitive. You are an ass for videotaping it. You are an ass for posting it.
If you are so interested in promoting safety and proper CPR, share a video where the participants consented to be filmed.
Slowman, take this down.
I didn’t tape it. Again, why did you decide to click on a NSFW titled post if you have sensitivity issues? Since this is filmed in a different country, consent laws are different too.
How did you come across this videotape? You were at the race. Perhaps a friend made it?
I didn’t click on the video because you said it depicted the death of a runner at race. It would disturb me if the death of my loved one had been video taped and shared online. I used the Golden Rule to help me decide how to act. I don’t want to invade someone’s privacy or be disrespectful.
Yes, laws vary across jurisdictions. I’m not necessarily telling you (or your your friend who filmed it) that you have broken a criminal law or committed a civil tort. I’m telling you that posting a video of someone’s death is likely to cause severe emotional distress to the loved ones of the deceased. What do think about that? How would you feel if someone posted a video of the death of your loved one?
Back to the law: there are civil causes of action for damages called negligent infliction of emotional distress and intentional infliction of emotional distress. It’s good to know these things.
If you’re someone who is sensitive and not interested in a video marked NSFW, its perfectly okay to just move on without interjecting your opinion and derailing an important topic. Far too many people are unprepared for situations like this that happen all too often. The tragedy is that the training is not difficult, and a little bit of knowledge and awareness can go a long way.
Effective emergency medical care is important and I love that people want to know and practice it.
However, the videotape is not a good idea. Either use an ethically-sourced video or don’t include a video at all.
Edit: I recall this:
https://www.ocregister.com/2012/01/31/family-gets-24-million-over-grisly-crash-images/
Obviously, there are significant factual differences, and I haven’t looked up the rewritten law. It’s just good the know these things. Alright, I think I’ve said everything I need to say.
Fair point
.