Scotland forward Sam Skinner gives CPR & defibrillator demo
Scotland rugby international Sam Skinner gives CPR & defibrillator demo at Murrayfield on World Restart a Heart Day
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00:00So quite aggressive, the table might actually break.
00:12Are we all ready if I start teaching now?
00:15Okay, first thing's important, you need to be able to recognise what's going on.
00:22So the key thing with this is that you have an unresponsive casualty.
00:26So if you're going to go out and you're going to shout their name,
00:28if you're going to give them something to tap on the shoulder,
00:30you're not going to get any response.
00:32The other thing that you're not going to have is you're going to have an unresponsive,
00:36not breathing casualty, or someone that's not breathing normally.
00:39So sometimes when people go into cardiac arrest initially,
00:42they have some very abnormal slow breaths, like push out of water.
00:46That's not normal, that's cardiac arrest, non-breathing, not breathing normally,
00:51and unresponsive as soon as cardiac arrest.
00:54So once you've done that, you're going to go,
00:56Hello, can you hear me? No, no response, okay.
00:59I'm recognising a cardiac arrest, I need help.
01:02I can't do this on my own, so I'm going to call for help.
01:04We're going to call 999, put our phone out on speakerphone,
01:08because we all carry our phones in our pockets these days,
01:10so get that out on speakerphone.
01:12The call handle will stay online and we'll talk you through everything I'll show you,
01:15but practice when this is the first thing to do when you're ready for this.
01:18Okay, so we're going to lock our hands together,
01:21and you're going to use the heel of your hand,
01:24and you're going to direct that pressure on the lower half of the breastbone.
01:28You can say sternum because this is Scottish,
01:30but everyone knows what the lower half of the sternum is these days, okay?
01:33So, lower half of the sternum, hands together,
01:36and you're going to push down, you want to push down the chest about a third of the depth,
01:40a rate of 100 to 120 per minute.
01:43Okay, so this little device here is going to give you some feedback.
01:46On you go.
01:49Okay, is that perfect?
01:52So you can see that you're lighting up white lights there,
01:54and that is in the dream zone, so you're in the right rate.
01:57It's really important that you are going at the right rate,
02:00and you're allowing enough time for your hands to come up.
02:03So what your pecs are doing there is squeezing the heart against the backbone,
02:06that's emptying the blood out.
02:08When you lift your hands up, the heart's being filled, and you're going down.
02:10So you're artificial circulation going on there.
02:13You've called for your ambulance, your call handle's on the phone,
02:16and hopefully help is going to arrive, bringing one of these devices.
02:20Okay, so the key is we need to minimise interruptions to compassion,
02:24so I need you to keep going.
02:25Okay.
02:26I'm going to work round you.
02:27How am I supposed to know what 120 beats per minute is?
02:29Well, it's roughly two per second, so one and two and one and two.
02:34Got you.
02:35Okay, so if you don't have one of these devices there, you can do that.
02:39Okay, so I'm going to get this out.
02:42All of these work in roughly the same way.
02:44We'll give you little instructions along the bottom.
02:46So we need to turn the device on.
02:49You keep going, you're doing a fabulous job there.
02:51I'll do that.
02:53Staying alive.
02:54Yeah, I know, it's Bee Gees, isn't it?
02:56That's it.
02:57Oh, so that's what I was kind of fishing for?
02:59Yeah.
03:00I'm not giving you that one.
03:01That's a very nice APM.
03:02Okay, go.
03:03No, you need to keep doing that.
03:04I need to work round you.
03:05Okay.
03:06I'm going to put these pads on.
03:08Just show me roughly where I'm going here.
03:12Okay, so this will have to put these pads on in the wrong order,
03:15as long as they're in the correct place.
03:17Okay, so you can put this in.
03:23Need to go a bit faster.
03:24That's it.
03:27Okay, so this is analyzed.
03:28I need you to come off the chest just now.
03:30I'm just going to listen out for what you need to do.
03:35Okay.
03:37So we need to make sure nobody's touching the patient while we're doing this.
03:40This will charge up.
03:43Okay, I'm going to push this button,
03:45and you need to go back on the chest.
03:48Now, you just go back on the chest.
03:49We want to minimize any interruptions to the CPR.
03:52This is what's buying us time and helping save a life.
03:55So have you just shot them?
03:56I've just shot them.
03:57So even if the shock has been successful,
03:59it's going to take a little bit of time before everything comes back online,
04:02so do carry on doing your CPR until you're physically exhausted,
04:06in which case someone will hopefully come and take over from you.
04:09Help arrives, or you can see physical signs that the person is returning to life.
04:15This will analyze every two minutes.
04:17There's two minutes of CPR,
04:18and two minutes feels like a really, really long time,
04:20so it's important that someone else can take over
04:22and answer those two questions for you.
04:24And again, you guys, if the gentlemen want to come and test out what they are,
04:27then you're very welcome.
04:29So there's no mouth in?
04:31No, we're taking that out.
04:32We know the important bits for survival is that early recognition and call for help,
04:37good quality CPR, minimizing interruptions,
04:40and getting this back on the shocking as quickly as you can,
04:43ideally within that 35 minutes after the person arrives.
04:46This is a lot quicker than I thought it would be.
04:48It's also a lot harder.
04:50It's getting a little tricky.
04:52It's getting tricky? Do you need me to take over?