No kissing Vinnie Jones

If you had a heart attack. Would you want Vinnie to (a) kiss you (b) grab your ‘nads (c) hammer your chest?

UPDATE from a medic friend: If the casualty is not breathing NORMALLY (ie agonal breaths) and he’s unresponsive then he’s in cardiac arrest. You don’t check for pulses, you go straight into compressions. Current rate is 120(!)/min, aim for 1/3 chest depth. It is now considered that there’s enough O2 on board, from patient’s last proper breath, to keep the brain alive. Ideally, if you can do effective ventilations the ratio is 2:30 – starting with compressions, not 2 ‘rescue’ breaths, as of old.

Ventilations from the passerby 1st aider assisting a casualty is likely to be undesirable and ineffective (often there’s vomit etc). However, if it is a family member/friend, and you know how to give ventilations effectively, then giving ‘the kiss of life’ along with compressions would be the ideal. If in doubt, leave it out!

The British Heart Foundation is urging people to forget “mouth-to-mouth” and to concentrate on chest compressions when performing CPR (cardiopulmonary resuscitation). Hands-only CPR" has previously been supported by the Resuscitation Council UK. The idea is now being promoted in a new public information campaign featuring “footballer” turned “actor” Vinnie Jones.

No kissing, just hard CPR.

CPR works for pigs – http://www.ncbi.nlm.nih.gov/pubmed/22205006

Evidence that CPR can electrically stimulate – http://www.ncbi.nlm.nih.gov/pubmed/22177000

Medical research doesn’t know what the optimal compression depth is (might be > 50 mm) http://www.ncbi.nlm.nih.gov/pubmed/22202708

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4 thoughts on “No kissing Vinnie Jones

  1. Thanks for the clarifications Robert. You will note in the video that Vinnie is flexing his wrists…that is presumably still wrong. But, the point about doing chest compressions when someone is breathing and has a pulse?

  2. I’m not sure how long it’s been since your last first aid course, but even since 2008 when I started as a CFR (Community First Responder) in Cottenham the BHF guidelines have changed a couple of times.

    Yes, giving breaths will help, but the reason for the guideline change is for a couple of reasons. 1) unless you intimately know the patient it likely to be unsafe to give direct unprotected mouth to mouth, and 2) people can get hung up trying to give a couple of “good” breaths and forget it’s more important to be doing good chest compressions.

    The depth of the chest compressions has also increased in the last few years as it was shown the old guideline depth just wasn’t enough to pump adequate amounts of blood around the body.

    Anyone giving CPR should NOT worry about cracking/breaking ribs. This is normal and in every single case I’ve been involved in this has been the case. You don’t actually break the ribs, if you do then you’re pressing on the wrong place and with the force about 20x what you should be using, what normally happens is the rib will pop off the sternum and on occasion the sternum itself will break. Both of these will heal should the patient survive. Vinnie is correct, better a broken rib then kicking the bucket.

    The likelihood of puncturing anything inside while doing CPR is very very low and if you do then you are going way beyond the guideline depth.

    Something they didn’t stress in the video which is a shame, is that if you have someone hold the head back in the “chin lift, jaw thrust” method while another does CPR will help get air in/out while CPR is performed. You’re not only pumping the heart with CPR but the lungs are also responding a little and as Tesco says, every little helps.

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