Re: CPR training
Jay M. Thal (Jay_M._Thal@HUD.GOV)
Fri, 15 Sep 1995 11:36:31 EST
CPR training is important. As a physician, I must remain certified in
order to retain hospital credentials. As a student and resident, I spent
much of my copious free time teaching CPR as a Red Cross Instructor, and
training others to serve as Red Cross FA and CPR instructors.
Nevertheless, I have some concern about these requirements. The ideal,
in my opinion, would be to have the boys pass an American Heart
Association or Red Cross course. The problem is that many local chapters
will not accept a boy younger than about 15 into their standard courses.
In addition, it is difficult for the less physically developed boys (and
many grown women) to deliver adequate compression using the techniques
approved. While there is a positioning which makes it easier to deliver
the requisite compression over a prolonged period, you can't teach it
currently under these programs. Finally, of course, many of us don't
have an "Annie" lying around the house.
Hence, the basic objectons are:
1. We, in the Scouting program, are unlikely to offer the degree of
training which the topic deserves.
2. We shouldn't have MB requirements that we are not going to
adhere to rigorously.
3. Finally, in this case, we have no provision for a recertification
Hence, my question for the group is:
Should we really be in the business of requiring CPR for MB's, or should
we be leaving this to the Red Cross and American Heart Association?
Timothy J. O'Leary, M.D.
CM Pack 1072, CC Troop 772
I've had some of the same concerns which Tim O'Leary has
expressed, even before with the CPR emphasis only in the
Handbook and a major part of First Aid MB.
I've received both Red Cross and American Heart Assoc.
training and recertifications through work (which also has
allowed me to borrow a pre-Annie Irving for Scout training).
And, I recognize the age/size problem.
But, I've reconciled it in my own mind by recommending that
the Scouts get their own certifications (and re-) following
reaching 15, and knowing that absent CPR someone in need
WILL die. I'd rather chance an unofficially trained person
work on me than no one at all. Comments?
If there's a technique which would allow prolonged
application of "CPR" without tiring the applicator I'd like
to know it, too. Comments?
I have also read that Dr. Heimlich is in conflict with the
approved CPR techniques in as far as it applies to
drownings. I believe he recommends immediate diaphram
thrusts to rid the lungs of any water, rather than first
finding it impossible to blow air in and then doing delayed
Some of our Attorney/Scouters may wish to comment on Good
Samaritan Laws, etc. and whether they'd protect (and it what
way) a below age, unofficially trained, or unrecertified CPR
administrator - in the event of injury, vegetation, or
death. Since BSA National has been so expansive I presume
that they considered the legal implications.
Terry Howerton Sakima Group, Inc. SCOUTER Magazine Kansas City