TAMP Season 3 Episode 20 Trail Side First Aid with Ollie Moto Part 1

Hello and welcome to the trail and Adventure motorbike podcast with me Clive Barber and my good mate no Tom for
the days when you can't ride your bike there's always the trail and Adventure motorbike podcast
guess who's back who's back again yes your favorite friendly paramedic we've
invited our good friend olly Moto alternatively known as Ollie nice back
he is a proper paramedic he's got qualifications and everything so this week's episode slightly more serious
than usual only slightly a bit of a warning before you go any further is fairly graphic we talk about blood and
we talk about CPR so if that kind of stuff upsets you or if you've been involved in something and you don't want
to really hear about it again now is the time to switch off I think what we've actually got is really interesting we
recorded for something like two and a half hours we're gonna have to split it into two so this is part one and I think
you'll find it really fascinating it isn't there to replace first aid
training it's a good reminder but you really do need to do a proper First Aid
course maybe buy a book and keep it with you or travel with your own paramedic like we have started to do that said to
be fair he's probably the one most likely to hurt himself on his stupid Big Bite anyhow let's get on with it
no you always look so comfy on these podcasts you just like chilling I've moved from the garage because the
garage was quite echoey and cold and I'm definitely thinking it's good to have bikes in the background and I thought it
makes no difference up in bikes in the background because it's a podcast isn't it people can't see us yeah if you imagine the TV and then imagine the
radio and what's the main difference oh yeah I never thought of that yeah that's what it is of course of course it's
staring in the face I didn't know so many Revelations on this podcast so many Revelations we're just talking about the Wales trip
as well I have been staring you know you said your HD camera I've been staring at your face continuously for about a month
I've just literally when I was late for your podcast then when you phone me I was actually genuinely I was typing into
Microsoft Word the word Clive for the voiceover I need to do because I was staring at your face so I mean I just
can't get enough of you mate sorry no he wasn't there were you searching his face out with your camera or was he just internally putting his face it just
doesn't it just as [ __ ] it just he wants to be on camera he's a media [ __ ] isn't it he wants to mention his podcast
every opportunity yeah yeah that's true the thing is I remember leaving there thinking I'm hardly been on I don't
remember actually seeing you with a [ __ ] camera and I remember thinking he's not even come up to me once with this camera but you're saying I'm in the
film quite a lot it's the skill of the cameraman to not be too intrusive we were very
unintrusive and what's this about me and my pants again well I don't want to spoil it for you we might is this bit
gonna go on your podcast the video video will be out soon sometime after this podcast you're gonna get you and you
know you're going to get sneak preview before it comes out to make sure you're happy you're happy with it that everyone's going to see a dallyvacco
from East deceased that's not me being racist who fell off who fell off the most on that trip Ollie it wasn't that
wasn't me seats seats I reckon oh no it was um will Collins yeah I'm I'm not
counting will because he he was off his bike more than he was on it but speech is on a big KTM like yours yeah
he was on the 919 it's very honestly it's very unlike seats to fall off his bike it's a rare a rare sight and he had
some pretty whopping crashes on this and one of them's on camera it's a good one would you put that down to Wales then or
I don't know what no I don't know we did ride some quite tricky trails for a big for a big bike we definitely
did ride some tricky Trails but he didn't fall off at the tricky bit but there was one bit you showed us he
was just riding along and then the next minute he just flops onto the ground so mad yeah that's the one that MAV shared
on on Instagram reels I do reels nowadays don't we that was from Math's camera it was a big hit that it was a
big crash and I still can't figure out why he fell off other than he must have grabbed the front brake but I don't know
why he would have grabbed the front brakes there's nothing there but and what's will Collins riding where was on
the adventure spec t7 and we're I know we just giving them banner and in case you put this in the podcast will did really well considering he's not a big
bike rider yeah and we are like Clark said we're riding some really hard Trails like there's some there's some technical bits that I was working hard
and I roughly know what I'm doing you know he was fairly [ __ ] I think if I I was him I'd have just got off a road and
walked to the nearest bus stop and got the bus home at one point I mean it was yeah it was hard stuff and that's just a
stupid big bike in it
you know what I'm really impressed with the photography I'm not I'm a I've said before I think I'm a terrible photographer I know our cameras work I'm
just a [ __ ] photographer and those boys you're saying about me you didn't realize I was filming half the time I
didn't realize other than you'd hear the click of the camera every now and again as you two are used to I'm sure there was just millions of millions of super
awesome photos that they just managed to get and you're like I don't even remember you having your camera out when did you get that picture yeah Will Collins is phenomenal he posted
something today of just like Autumn Leaves with his kids and it was just absolutely stunning yeah I just realized
this is this is a now post the Wales trip this is now a gathering of the
adventure spec poster boys isn't it yeah or do you mean you two and my bike
you're always on there like this yeah Clive is yeah that's a plus-sized model I was just about to say it yeah the
whole demographic is catering for that was so funny with Greg posted that thing and I went what the [ __ ] anyone oh [ __ ]
sorry I was meant to ask you can't keep up with that what side group
sometimes but when I saw that I was pissing myself because it was genuine it seemed like a genuine accident because he would have
like done that ages ago and forgotten and just pressed send money and yeah yeah absolutely somebody just queried the size and what he'd I didn't think it
was that offensive towards you it's an FAQ on the website so it's an FAQ about
the new linesman pants so frequently asked questions for people that are not
in the industry and the you know one of the questions is can fat people wear them and these answers yes here's a
picture of Clive look he's fat no he that wasn't how it was worded was it I
know that that's word for word yeah it's about to be famous it's a good
picture of you though is it great it actually makes me look thinner than I am so I wasn't too unhappy about it really you're looking well mate but that might
just be your HD 64 pound Logitech camera yeah it's good I'm happy with it but Greg has kind of fallen in love with
your bike a little bit hasn't he despite the whole light is right thing having seen you in action he's now thinking
though isn't it yeah it's it's good on it's good on Media stuff yeah because
it's a pretty bike it's got pretty lights on it yeah and it's got presents so there's no no it's got a bit well you've got a good stance on it I would
say as well terrible stunts before we get to it how
are you doing good thank you yeah very well some good trips away mate eating lots of pizza and cooking at the
campsite yeah I get so well on that trip you know I know I know you showed it it
got to the point where you know we would eat better cooking for ourselves at the campsite than we would going out
really and I still don't understand how we did it because all we were buying was onions sun-dried tomatoes and a can of
something you know it was so simple but it was so tasty all we took with us was salt and pepper and cumin and we didn't
even use that very often but she really is a wizard in creating tasty meals
everything's tasty reason after a hard day anyway and eating outside when you need your nutrients yeah yeah but no we
ate really well that was great great trip it looked like the food because I thought I'd like your part I'll see the lights right and all that but
yeah then you see the food that's being cooked yeah Jesus are they managing that they look really good but we just got so
good at just getting it you know just getting all the getting the cooker out getting the but the best thing we've bought on this trip was a little tiny
breadboard yeah that was so fancy because it is so
nice just being able to cut things using the bottom of a pan and you know scratching everything we've done oh
listen I've got a food related question how much would it cost how much would you charge to drink a cup of cold sick
uh uh how much would I charge I didn't yeah
well it all comes down to who's sick it is doesn't it well just a cup of cold sick you don't know I have a feeling this this could segue
into it into a first aid Story I mean if it does I'm I'm I haven't got the answers no but I know you say that
because a friend of mine once had to give uh CPR to somebody in the street
and of course they did vomit a little bit into his mouth oh lovely we can talk about that later yeah yeah oh crimp and
I suspect that's quite a common thing to happen go and put a price on it I don't know why you know a million
pounds would you take a million pounds well I'm thinking more into the you know it could be hang on how much sick the
cup a cup yeah normally it's normally it's a pint no it's not that much that'd be
unreasonable normally what am I saying normally uh a cup oh come on a cup that's that's that could be done to
thousands couldn't it well you're a cheap date oh come on if I if I get I mean I've seen
someone I've seen people at my time in the military I've seen people do this for free yeah
probably wasn't cold but yeah yeah as long as it's still warm that's fine
why are you asking this that's a weird question to ask yeah yeah that's not be funny doing a podcast on that oh God I
haven't got we've got to talk and use words on the podcast haven't we yeah yeah exactly yeah but I tell you I'm gonna say
um foreground just to see where you're gonna end it yeah no I'm thinking in terms what I don't know I don't think
hundreds of thousands yeah oh come on yeah it's over it's over in seconds isn't it oh just yeah well it would
because it comes straight back out again wouldn't it yeah but you can sad keep it down no I don't say that no yeah four
thousand you come on you'll be seriously thinking about it for four thousand that's got excited again I'm excited I
love doing these podcasts yeah that's good I enjoyed it we enjoy them just sit and talk [ __ ] don't we but yeah some
people listen to it and for some reason they enjoy it which is weird but hey it's a bit 18 minutes in and we haven't
said anything useful yet we've talked about how much money we charge for drinking sick I mean well you
haven't though you haven't given me an answer have you four grand nothing seems to be the consensus I'm in hundreds of thousands I think that'd be horrible
drinking somebody else's sick of course it would yeah but but it's it's well it's the I'm a celebrity get me out of
here thing isn't it yeah yeah are you willing to bear saying I wouldn't be very good at it because when I watch that not my watch
anymore but when it first came out people did watch it like I can't I can't watch that without feeling a bit ill
watching them eat that stuff it was supposed to be a first aid podcast and I got your notes Ollie earlier and just
thought [ __ ] I am way out of my depth on this one that's the point isn't it we all are you've got bullet point notes as
well mate you should see my ones here comprehensive comprehensive note so I'm going to grill
you so yeah this is going to be a first day podcast so we should probably start it when NOS sits back down and stops
bumping into his microphone I'll be having a stroke no he always looks like that look at that the first aid manual
why the hell is this on the bookshelf I didn't even notice there but I knew I'd seen a little green or red cross yeah
so do you want to be called alimoto today or olly nice because that's you can let your professional little non de
plume isn't it well that's just my name Ollie needs I don't know if it makes me professional you call me Olly Moto I think people on this will know me as
olimoto yeah yeah you just call me Ollie to be honest
Mr Nice will do fine so what the [ __ ] qualifies you to give us advice on First
Aid in my day job as you said I'm a star paramedic so I work on the UK Search and
Rescue helicopters as a paramedic so I am a as they call them Healthcare professional medicine is my job
did you know I helped design the um flight planning software for your company
did you yeah is it is it [ __ ] Ollie is it [ __ ] I mean is this all right no it's
quite good it's quite good to be fun I didn't know you were part of that yeah yeah yeah I did that oh you name a
subject he'll have a little some connection with it no but I was actually there I was actually working at the
helicopter-based teaching Pilots how to use it not a mate of mine actually me
and as I was we often say this podcast is not about you it's about the people
we invite onto it I don't I'm not sure that's true
and his ego outside but true God and you've also
done some Expeditions haven't you where you've done like a lot of your films are you've got authentic trips yeah I've
been I've done lots of stuff there's a paramedic doing bits and Bobs here and there the most recent one was
to Nepal uh where we ran some medical clinics for those less fortunate so we went into
remote places the palpo district if anyone knows what that is with a foundation from America called team five
which is a veteran-led foundation that I got into because I taught one of the guys who was on it and then we got
chatting and ended up going out with them but now I'm now I'm part of Team five so yeah we did some medicine which was cool went out and helped a few
people and like it says on the notes Clive that you read uh oh yeah this just
to remind me what you tell people I suppose what qualifies me is I'm also an educator so I'm a qualified educator I hold some
qualifications and I've assessed people in the military I teach for other companies so I teach a lot in the
Expedition world and I teach all levels of medicine so you know I teach up to doctor levels of doctors that want to do
a bit of first aid stuff because I don't always do first aid doctors they do specialized medicine so I teach all sorts of people and I own my own company
yeah so I own nice medical where I do all sorts of stuff but I mean things like first aid at work up to motorcycle
stuff so I've taught MCN motorcycle news so they're dispatch Riders I've talked to them I've provided them with kits and
stuff as well I went to Morocco taught where was Morocco I had to do some medicine but anyway I'm not saying all of this because I like saying oh look at
me but just say you know that I come from a world where I know this stuff it's my job I'm not someone who's done a
course to know how to teach first aid this is my job I am a medic so we also
have to stress that um this is only a podcast that's well at this rate it's going to last about four
hours if we keep if we keep talking but you're not you're not gonna to get
everything you need from this podcast so I think one of the points you made earlier was just to
encourage people to go and get some proper training as well yeah so you asked me to come on which is cool uh
yeah exactly that you can't you can't learn first aid a from a podcast is in you're gonna learn some stuff but to
learn it properly you need to go and get handled on and do Hands-On medicine so we'll talk about the end where you can get some training it doesn't always cost
money but yeah don't please don't listen to this and then assume I've now taught you how to go and put needles into
people's arms because that's not what's happening right now but we can talk about a few bits it'll help you out for your biker that falls over and hurts
myself or your mate does well I haven't had a proper job since 2001. so that's when I last had a first aid
course was in 2001 and what I remember about it mainly was that it was very
much one of the main parts we would one of the main things we were taught was get help it was a very hands-off kind of
approach to First Aid it was do as little as possible and pretty much your first thing should be just to stabilize
someone and make them comfortable and then get help professional help has that changed uh not not necessarily we're
going to talk about something called a primary survey later on um what you're saying is is kind of true
so what you find with medicine is that the level of medicine I work at we we do
certain things because we understand what we're doing but they uh tone it down I was going to say dumb it down but
I don't want it to come out but when you're teaching a lower level of medicine they just keep it easy so a lot of times they'll tell people on the
basic course and the one I teach is I have to teach them to do things that I wouldn't do and I suppose if they just say keep them comfortable don't do a lot
what they're basically saying there is you're not going to mess anything up if you but what we are going to talk about in this podcast is I'm gonna step away
from that and tell you what I think you should do which will help me out as the medic but before we start talking too much Clive can I rattle through a few
disclaimer points just so people know what page we're on for all of this stuff I've done a couple of podcasts with you now and and in the medical world and
they're always good fun I'm a bit I'm a bit anxious about this one because we normally just sit and talk bike bollocks
don't we whereas this one we're going to be talking about a lot of medical stuff obviously and I'm going to make it bite
relevant but I hope your listeners are ready for what they're about to do on podcast which is essentially to learn
some first aid with a couple of bike stores thrown in as long as everyone's happy with that can I swear every now
and again just to keep it yeah we'll just every now and again shout 450 or Sarah 300 just so it's black medicine uh
for you two if I accidentally use medical words I'm very good at toning down what my words normally so you can
it's like in normal speak but just just pick around up and tell me if I'm saying Robert but one thing I would imagine whoever taught you had to dumb it down
fairly heavily as well actually what I did I printed off my panel it's difficult off the internet
and just scribble scribble my name into it it's amazing enough that I can get it one serious thing to talk about is I
haven't taught medicine for a long time is we are going to be chatting about stuff that if you have as a listener had
a bad medical experience they don't want to trigger people and this is me being serious now I don't want to upset people
so just be aware we are going to talk about stuff so if you think that might happen you might not want to listen we have to talk about that stuff otherwise
we can't really teach anything can we yeah exactly so my I've did first aid training I reckon back in
2008 or something like that and I did the biker down course yeah which is something the cops organized isn't it
and what do I remember that from that very very little that was a long time ago
wasn't it and I think that's the problem isn't it you do these things you have the best with the best will in the world and then you forget them and I've got a
first aid kit and I've got my first aid kit out to look at tonight so basically it's plasters
it's wound dressings there's some wound spray which is like an antiseptic presumably and there's some eye wash
and there's some bandages and some tape so I'm thinking basically I all I can actually do with my first aid kit is put
a plaster on and give it a give you a little kiss to make it better yeah that's it that's the podcast complete
it's not enough is it really no you could put some more stuff in there but so that's what you'll find in a in a
normal first aid kit if you like if you went to uh boots or somewhere and bought bought yourself a first aid kit but
you've got a member life you put other stuff in that we're going to talk about like tourniques and and what I call
Gucci bits of Kit you've got to know how to use them you know so they don't just stick them in a first aid kit and bang
them on the shows in the supermarket because some idiot will wrap a tourniquet around someone's neck and kill him and then suit the shot for them
so you need to know what you're doing with this stuff but that would stop a nosebleed wouldn't it yeah that's exactly
so what are we going to do we're going to sort of just run through an accident happened what's the first thing are you
going to go through a scenario put a scenario in front of us yeah we can stick it we can stick a scenario before we do that though go on let's let's do a
bit teaching what's first aid then what we're trying to achieve you tell me first aid is the age you provide in the
first instance of somebody being injured no that is sort of correct and and no uh
why are you doing it what's your aim um to well I mean is it over dramatic to say
to preserve life probably that is one of the if you teach basically I teach first at work that is in their preserve life
and it says like alleviate suffering and keep people comfortable that sort of stuff but essentially well if you Google
it I Googled it earlier help give in to a sick or injured person until full medical treatment is available and that's the main point that's to make
yeah and you're just I could see your mouth moving just about the main point is uh yeah you're learning a bit of
first aid here you're not learning how to fix people and even me as a paramedic A lot of the time I'm just trying to get people to hospital and I can just stop
them getting more poorly a lot of the time so all your aim is especially if you're a basic trained guy or go any
motorbike and someone falls off it's just to as close to keep them comfortable stop them being in more pain until somebody knows what they're doing
turns out crack on from there so all right let's do a bad scenario then and for the listeners I haven't pre-briefed these
gents I don't know what's coming the whole point of this was at the home called uh so right you're right you're going in you're riding with your mate
it's a cold day okay it's cold outside one of those Winter's days going along the roads didn't don't know
50 mile an hour and then one of those stupid car people pulls out of a junction and you mate takes the a-pillar
BAM it's the a-pillar cat pokes myself over the top of the car ends up face down in a crumpled mess in a ditch right
it's just pretty bad so far in it you're fine you've just stopped your bike I wish we'd started off with something a
little bit simpler to be honest but you know keep going your muckers face down in a ditch they're unconscious so you
walk over they're unconscious making a snoring sound right and they've got a broken thigh and
they're bleeding quite heavily it's a pretty bad day isn't it yeah yeah yeah yeah and this is intentionally a little
bit full-on but what do you do so I I would say if he's grunting at snoring a
bit he's not he's not breathing properly the broken femur is really bad news because it's near an artery but I would
say you need to make sure they're breathing before anything else so I would be tempted to get them into a
position where I could get into a presume working first of all I could check whether they're breathing or not properly and then worry about the other
things afterwards okay well you do now I'd be thinking about I'm going to call it clearing the airway so I'd be looking
to do that and making sure they hadn't swallowed or bitten their tongue or something nasty
about the bleeding though what do you reckon about the legs bleeding a lot a lot of blood coming out
um but then my attention would be on the bleeding but surely it has to be the breathing before the bleeding interesting surely
sure I don't know does it I think so possibly if there's more than one of you there you could possibly address the two
things at time now with with bleeding you wonder if there's any one of us with with bleeding I think breathing does
come before bleeding once you've got them breathing I would then worry about the I would then either think about
applying pressure if that doesn't work I would then possibly think about a
tourniquet with an adventure spec sleeve that I've just zipped off my uh linesman
jacket and a twig yeah and a stick that you found in the Hedge what if so it's gone
in so same scenario but what if the bleeding was really bad so it's squirting Blood Out yeah that's [ __ ]
scary isn't it that's that's that would probably grab yeah that will grab my attention possibly before the breathing
I think if it was squirting yeah so I probably would be putting something on it there was a big debate on my first
aid course about the tourniquet and we were almost discouraged from ever using a torn okay
maybe it was just in the long term I was watching a drama the other night on TV where somebody applied to turn okay and it made me sort of squirm a little bit
because I just I think we were sort of told that especially on a leg you know you put tanake on there's more chance of
them losing a leg but that'll probably take quite a lot of time but then if the blood's squirting out they're gonna die within minutes aren't they
so you'd basically you'd put a tourniquet between the wound and the Heart wouldn't you to keep the to keep
the blood from going into the coming out of the wound but still pumping around the rest of the body guessing you're
getting a good guesses it's a good guesses this is a hypothetical scenario isn't it but I just want to see how you
were thinking and what you'd say yeah I'd be more inclined to be putting pressure on something before I thought about putting a tourniquet on yeah I
think I should remember we would we were sort of told that even if it comes to sort of putting the heel putting your
heel onto the onto the or just above the blue above the wound to stop the bleeding I'm jabbering jibbering because
I really don't know what I'm talking about and imagine imagine you were full of adrenaline this was a close friend of yours first in the car was screaming and
it was all kicking off yeah a bit tricky so wouldn't it be handy you so your answer is really good but wouldn't it be
handy if we had an acronym really simple app yes it would ways worked yeah and that I use as a
paramedic yeah stop us as not as no flexors but that would stop us having to do that um
what I do next if we just follow This Acronym be easy wouldn't it yeah yeah do it what's it called what's it called the sacrament is it is it clip
agent contusion laceration incision puncture
abrasion gunshot is it d-r-s-a-b-c-s it is it is it is so that
so what would what what's that headed is it called the primary survey in your book mate yes it is it's called the
primary server yeah so primary survey for the listeners is and I hope this isn't a boring podcast I'm trying to
teach people stuff hey so and generally I use this as a parallel if you walk up to any situation and it will always be
Carnage and you'll be full of adrenaline and it'll normally be dark and rain and all that horrible stuff if you stick to
the primary survey it's a way that us Medics do and everyone should do you're out for this algorithm and it's it's
done in an order that saves life it makes it easy to remember so you just read out DRS ABC if you remember Dr ABC
doctor so remember Dr ABC ABC yeah and then two s's yeah and so it's not
quite Dr ABC if you remember that doctors a b c s you can remember doctors
all right let's do that then yeah doctors ABC I know people probably think does he not know what he's talking about it's because this is a different level
of medicine to what I do so I'm trying to tailor at the right thing right so the D then what's the first D in your bookmarker it will say
danger right so first thing we do because you'll be full of adren then is danger and this is It's taught like this
for a reason and they when they teach they say it's normally like oh someone is holding on to an electricity cable
and they are still so your first turn lectures off but in a bike situation stop your bike
park it somewhere safe turn it off remember the traffic lots of people get run over getting off of their bike to go
and help their friends genuinely look after yourself you're number one stop your bike park safely turn the engine
off if there's someone else getting to control the traffic but make sure all the Danger's gone first all right and if
your friends landed in a you know if he's landed in a bloody pool of fuel then drag him out of it because that's
dangerous so D for danger right remember that you're gonna get quizzed in this later Lads so remember D for danger I've
written it down for reference later on it's an open book quiz yeah yeah fine yeah open book yeah yeah there's no
prizes uh right so you've done D for danger doctors ABC so the r
responses so they teach this right responses uh to get to you're trying to
gauge how poorly the person is right so I'm going to call this bike a a patient for an answer and the rest conversation I'll just call them a patient right so
you're trying to see how poorly they are and they use an acronym called avpu all right avpu I have a poo see we're
getting the funny and as well aren't we yeah yeah doctors ABC and then there's an avapu in there you go you got it so
it stands for a for alert so if they're alert it means they look at you and you walk in the room that's an alert b for
voice so if you have to say hello mate can you hear me which you'll all remember if you've done any first aid training
but that's and if they respond to that that's voice key is an interested one so p and the
lower level of medicine is taught has placed your hands on their shoulders so you give them a little a little gentle shake for me as a paramedic it means
pain so I try and inflict a bit of controlled pain to see if I get a response from them but they don't teach
about that because I think they must have had they must have had someone doing an elbow drop
some diesel up so don't do that and then use unresponsive now we're not going to dwell on this because it's not too
applicable other than the next bit the S is send for help what that means is call 999. and when
you call 999 they're probably going to ask you is the patient responsive and if you can say oh they're only
responding to voice it'd be really handy but what you're likely to say is no or yes and then they're going to talk you
through it and then one of the takeaways for your your listeners is if you phone 999 they'll talk you through everything
so you can forget you could I'm not saying you should you could forget all of this and they'll talk you through it
but the the problem is they won't let you do anything they'll tell you to stay hands off the patient a lot of the time whereas I want you to help out a bit if
you remember how to do it right so we've got D for danger make yourself safe response just to see sort of how alert
they are but we're not going to dwell on this because you need to do that a bit Hands-On and then s to send for help right so that's like the pre-lim bit
then we're getting to the meat of it all right are you keeping up so far gents yeah good I think we're up to a now aren't we yeah no you look really
confused mate you okay when you said that when you said it'd be really helpful if you said to somebody on the phone on their own did you say that
helpful if they only respond or if you could say they're only responding to a voice right so just because it wouldn't
be helpful if you said those exact words but if you told them where the patient was on the AV poo scale yeah that's
helpful to the caller so where that's helpful for me is a permanent if I turn up and you say 10 minutes ago they were
alert and now they'll only respond when I shake their shoulders to me that says a lot so I know how sick they are right
because if you said they're alert 10 minutes ago and they're still alert well I mean you know you can feel it out for yourself that's good that's when the
ambulance is going to be our eight hours isn't it I suppose yeah that's what that's yeah so yeah yeah so just say they've got chest pain you'll get an
ambulance straight away right no don't do that right so we're on to
we're on to ABC okay that's what ABC stands for Airway breathing and then the
sea will cover later because it's a bit different but Airway and breathing however here's a question for you gents right so I want you to remember doctors
ABC I'm going to add a bit in now so I want you to remember doctors C ABC and that's C so that first little
scenario we had and for the people listening I said you walked up to someone and they weren't breathing Etc
et cetera but they were bleeding everywhere yeah Clive you you mentioned it if someone's putting blood all over
the floor where's their oxygen going straight onto the floor yeah the floor yeah it needs to be in their body
it's no good trying to sort out the railway and they're breathing if they've got a catastrophic Hemorrhage so I don't
mean if they've got a little wound and they're bleeding slowly and if they're bleeding a lot like if there is a lot of
blood coming out very quickly like in the movies and you think yeah this person's gonna die very quickly that's a
catastrophic bleed okay not a big hole in their leg that's that's there's a lot of blood coming out but not very quickly
if that makes it it's hard to do this without images you know but right so we're on doctors the sea which is
catastrophic Hemorrhage so it's a major bleed so we're talking like The Blair Witch Project or you know Texas Chainsaw
Massacre type of blood right yeah where someone slits their wrists and it squirts a lot the wall
arteries bleeding high pressure blood bright red blood going everywhere right so we need to stop and bleed in first
okay so if you turn up if you're on your bikes and someone unfortunately has a crash and they're bleeding a lot like
this there's loads of blood come out they're gonna die quickly you need to stop them bleeding before we do anything else so we can do that a certain way so the
first way now you said earlier was put pressure on didn't you you mentioned diet sure yeah it's a hard one to do
this without getting Hands-On but direct pressure when most people if I say HP and I did this I was teaching two weeks
ago and I was teaching doctors and I said to everyone right put your hands out show me how you give direct pressure and they all put their hands out like this so Palms up as if you're doing CPR
people like they're going to visualize that one hand on top of the other they put a big hand out and they were like
this is how I do it and I said okay how much how direct is your pressure there then not very direct really because you
spread it all out so if someone's bleeding from an artery if you get your two thumbs you know just push your neck
with two thumbs that's direct pressure so that's how we first try and stop a bleeders with direct pressure and if you
put your fingers let's say someone's bleeding this is all very hard so yeah effectively what you're saying is that an artery is a tube with liquid coming
through it and it's a red liquid so all you're doing is you're just pressing the artery to square to just to squeeze the
tube so the liquid can't get through the tube anymore yeah exactly that if you can see the
artery great yeah but you might but if you can't see the artery you just keep moving around until the flow slows
presumably uh essentially mate yeah it's uh there's like there's loads that can go into it but direct pressure is the
first way to stop a massive bleed is just to put Darkness on where you think the blood's coming from and if you put the diet pressure on you need to just
hold your fingers there if it's in the right place and not move them because it takes it can take like up to 10 minutes
for your blood to clot properly so just keep your things still and literally don't move until the ambulance turns up because if you let go then that clot
breaks down yeah when you have a big bleed I hope this isn't too boring for people listening but when you have a big bleed your your first clot is your best
clot your body throws all of its clot response to that first clot yeah so if you're helping make that first clock
with your thumbs on this direct pressure trying to stop this bleed if you move your thumbs to have a look or does that
stop bleeding move your thumbs Medics are terrible for this they'll have it stopped and that clock breaks where your
body's already used loads of its nutrients to make that clot I didn't realize I thought if you had a
if you sort of did tear up a major artery I didn't know that clotting was going to be much used to I thought the
blood flow was so great and it was such a large artery that clotting didn't really kick in but it took him quite
theoretically it can do if you can get your fingers in on it and I know people that have done that but where we're going to move to now is that you need to
get to an account yeah so if that's not going to work if you think I can't see where this blood's coming from but I can
see it's coming out quickly then that's when we need to go to the tourniquet level of stuff if that note I forgot to
mention something we don't go straight from direct pressure two thumbs to 200k what I want to try and do first is use
what's called a trauma bandage so you can get loads of different ones there's loads of fancy looking ones there's also
lots of simple looking ones but it doesn't really matter as long as you use a trauma bandage so although we're still
trying to hold direct pressure we get a trauma bandage we put the trauma bandage onto the wound and then we hold our
direct pressure onto that trauma bandage and then what that does that that acts as a barrier that soaks up all the blood
and hopefully makes a clot and then that will form a seal hopefully it will clot
with the blood and it will stop the bleed so just to recap direct pressure of your two thumbs if you can see the bleed but what would be better is if you
had a bandage in in between your thumbs and that blade so you can hold the pressure on because then when the bandage clots or hopefully helps to clot
when we take our thumbs away after that 10 minutes we've waited hopefully the clot's still there and they stop
bleeding if that doesn't work that's when we then jump to tourniquet in the good old days of 999 I remember one one
of them very memorable stories I heard on that once was a guy on a trawler and he's by himself a little fishing boat by
himself and he'd done the classic thing of getting his ankle or he's he's just below his knee actually I think it was
around his knee or just below his knee got it caught in a loop of a wire cable
that was being winched in and it got lifted up by this Loop and it
was his whole body where it was on this Loop of Y around his knee and it severed his leg and and he'd run he obviously
wrong the Coast Guard but when they got there he said that about a cup full of blood had come out of it and then it
stopped bleeding and that so there's a load of weird anomalies so you can like I said we're talking very
textbook about stuff here but what you do on the day of the races is it might be a bit different but
so what can that when you so just to explain to people you've got Aries and veins okay arteries are very close to
Bones very deep in your body high pressure blood that takes blood away from the heart and in simple
terms not technically correct but people remember it it takes oxygenated blood all right which isn't technically corrective to about lungs but it doesn't
matter and then veins are near the skin that's why you can see all your veins and they take low pressure deoxygenated
blood in very simple terms not technically correct back to the heart all right so that high pressure down
towards the bone um that's where this bright red arterial blood comes from and what happens
sometimes well what happens a lot of times if you Severin artery if you properly sever it they they sort of
retract a little bit and they can self-seal right depending on what artery you get some are big yeah and it all
depends on circumstances yeah but there's in body factors and blah blah blah stuff that I don't really understand but sometimes they might sell
seal when you're having a good day um but what we're saying here is just so if
someone's bleeding if you can put direct pressure like with your two thumbs push them really out on the point just do
that and stop and bleed and just keep your fingers still until the ambulance turns out but if that's not working you need a torn okay if you've not got one
more you need you need one really so what what 200 case do and I'm not this isn't
me teaching people to use 200ks because I have to teach you Hands-On because they can be dangerous but it's okay if
you use them wrong but essentially what a tournament case doing is squeezing that artery against a bone that's what
you're doing at that point so you put a strap around someone's leg you're squeezing squeezing squeezing what you're trying to do although you're
squeezing their whole leg or the whole arm the point of it is that the artery that's bleeding gets clamped against the
bone like Clive just said you stop in that tube full of blood from putting blood all over the floor and then or
wherever it's going and then that that will hopefully then clot and you'll potentially save this person's life
so tall okay is the way to go for a catastrophic bleed and major bleed but you need to be taught to do it so I
don't want people to go out and buy 200ks and say they've been taught to do it now because you haven't you have to be properly taught how to use them and
like you said Clive when or whoever it was says it it kills the leg who said that yeah I think I said that yeah that
we were put off using it because it probably was less advantageous than it was advantageous to use a tone okay if
used incorrectly if he's correct yeah you the legs potential we're talking about leg of them they're going to die
below the 200k because it's got no blood but then they're not gonna die because you're stopping yeah well that's
interesting I'd never thought about it actually pulling the the artery against the bone you just sort of thought are you just squeezing
the the Archer against all the rest of the muscle that's in the leg or in the arm but actually it's all about the bone
isn't it yeah you're trying to clamp that's why you're trying to clamp it to the Bone and that's why we don't put them on like elbows and uh and knees and
stuff because it's not it won't work then you need a long bite that's interesting yeah just as an aside and
you're worried about this being dull it's not it's really interesting that was probably the wrong word but it's it's all very I like to I love teaching
but I like doing it Hands-On when I can show you oh yeah but yeah and equally I'm telling you loads of stuff I've just told everyone you need a 200k yeah
you're not allowed to do it probably so I don't know I don't want it to be wasted but hopefully if this saves if
this helps someone stops someone die then we're winning aren't we yeah just telling us how tourniquet works I think that's really valuable yeah and that's
why and you can you know the um what's the word I'm looking for the where you
make 20 out of like a belt and a stick what's the word for it oh it's a is it French because the French used to use it
to trans single people so 200 cases of French word but the word on for is like a makeshift
did you know the French have no word for tornike no they don't have a word for cul-de-sac
either but yeah there you go right so we've done danger we've got ourselves safe
responses yeah great if you can get an idea of their responses it's great we're gonna send for help call 999 don't
forget that bit and then if they're bleeding the first thing we do if they're heavily bleeding squirting blood all up the walls like Texas Chainsaw
Massacre we need to stop that that's what we do and if that's that's if that's the only point we get to and all
we're doing is trying to stop them bleeding we just keep doing that until the ambulance turns up all right have you taken that away so far yes right
park all of that and now we're going to go into a b and c okay which is the main bit that people remember from first aid
a then so I said this geyser was snoring in the scenario yeah so I was that's
something about his Airway here's a question for you right you phone it have you ever had the phone 999
no if you phoned him for a biker they'll you did your biker damn cost in your Clive what did they what do they tell
you about helmets leave them on unless you need to take them off so if somebody's non-responsive not breathing
then take the helmet off I think that's what they said is that right it was a lot like I could say can't remember a
long time ago no that's the right answer mate so they the reason I say is that sometimes when you phone ambulance
controlled so when you phone 999 sorry and you speak to the controller they might say don't take the helmet off and
they normally say that because they're worried about a spine issue but Clive is absolutely nailed what I'm telling
everyone on this podcast to do and that is if somebody is not breathing so they you if they sound like they're snoring
so they've got an occluded Airway we call it they said they're making funny noise and they're not uh like properly breathing let's say
that like if they've got um the airway's not properly clear so ignore breathing the airway's not properly clear they
don't it doesn't sound like it's an effective Airway and they've got a helmet on we need to take the helmet off to get them an airway because if they're
not bleeding so if they've not got a catastrophic bleed if we don't sort out their Airway they'll die very quickly
right so even if the ambulance people are saying to you leave the helmet on I'd like to think though if you say
something yeah but that they've got a occluded Airway they'll say we'll take the helm off but so take you want to take the helm off
because the airway is super important at this point okay so if they're not believing now the Airways the most important thing to sort out and what
will be the likeliest cause of a blocked Airway so when people go unconscious mate um like their tongue relaxes your
tongue's a massive muscle in your mouth and a lot of the time if you relax like you're properly unconscious and relaxed
I mean not just you chilling out on your sofa your tongue will occlude your Airway so that will make snoring sort of sounds and a bike occludes your Railway
I'm using big words it will just block your Airway so you need to move it and I'll tell you how in a minute but you
need to move it so you clear their Airway so they can get oxygen in again and there's lots of there's lots of
stories out there not to do a biker specifically but on mass casualty disasters lots of people die because all
they needed was somebody to like do the head tilt chin lift that we're going to talk about and give them an airway and they would probably survive but no one's
done that so they've just suffocated and it's not out of it's not through incompetence it's through uh panic and you know just not not
listen to this podcast there you go did you used to watch ER the American one with George Clooney uh no that's a
great program this is like a really dull episode of that that's true well it's an airway then so
if they're not if they are breathing if they're face down but they're breathing just leave their helmet on because they
could have a head injury and that's protecting their heads if they're breathing if the airway's clear sorry I keep saying breathing if the airway's
clear just leave the helmet on but if at any point you're not sure you think they haven't got a clear Airway then we need
to clear it so we're going to take the helmet off now there's loads of ways to do that you need to go and do a course and do it with your hands I can't tell
you over this but I can tell you but essentially one person holds behind the neck and supports the head and the other
person Wheels the helmet off but just get on YouTube there's loads of videos of it that's included in the biker down course as well isn't it telling you how
to like that and to check their breathing do we just have to hold up a little vanity mirror
and see if it messed up is that how we tell if they're breathing or not that's a good point so well let's just talk
about how you do Airway stuff first in fact now God well we'll talk about breathing so air when breathing again a
little bit intertwined here but if they've not got clear Airway if they're making funny noises the way to check their breathing let's say they were
lying on their back and they didn't have a helmet on the way you check breathing is you put your cheek on there over their mouth so you can feel them breathe
onto your cheek yeah you look down their chest so you can see their chest going up and down and you you hold your hand
on their chest so you can feel their chest good up and down and this is where lots of people get oh but what if it's a
lady well if they're unconscious don't worry about it what you want to do is make sure they're breathing so there's nothing sketchy going on yeah but that's
so we call that look listen feel and you're supposed to check for 10 seconds for two breaths okay that's a normal
breathing rate if they breathe if they breathe two times in 10 seconds that's good anything else maybe not so much but
we're just talking about an airway at the moment not so much the breathing a bit Yeah so let's say we turn up they're making this horrible snoring sound or
choking sound so we need to take the helm off so we can get rid of the helmet haven't looked at the YouTube video that you've just watched viewers at home
pause this watching YouTube video and then don't get distracted though come straight back don't come straight back
we could do that two ways so you might have heard of the head tilt chin lift and that's where you put two fingers
underneath their chin and you lift their head up so it sort of extends their neck a little bit as if you're looking up to
the ceiling and that that will pull their tongue away from their Airway so that's one way what we sometimes worry about though in
this scenario is a big spinal injury because I've had a big impact so we're
worried about their spine the airway takes precedence over all of that but another way you can do it is called a
jaw thrust and this is getting quite technical here but why not here because you're on a podcast if you imagine
imagine you're looking at someone so you're face to face with them you put your thumbs on their cheeks
okay yeah put your fingers behind the angle of their jaw so that the bit of the jaw underneath there is that angly
bit and then you'll you're lifting your fingers up so you're anchoring on your thumbs and you're pulling the bottom of
the jaw up so Clive's demonstrating it right now that's that's called a jaw thrust so that does the same thing as a head tilt
chin left but without moving the neck because you're not physically moving the neck the problem with that is you have to hold it in place the whole time and
if you buy yourself you can't do that so what I'm telling you to do if you're by yourself and you think they haven't got an airway just head tilt your lift but
do it gently right even if you think they might be at their spine because they need an airway all right so we've
done danger response we've sent for help they're not bleeding if they are we've tried to stop it and now we've opened their Airway
so at what point are we sticking our fingers in their mouth and pulling their tongue out we're not never no well you
if there's something in their mouth you can sweep out but what they teach is that you don't blind sweet so as long as you can see what you sweeping but you
don't show and people have done it you don't shove your fingers down where you can't see right people like I don't
wanna I'm trying not to get too graphic on this but people have had a big impact they might have teeth loose in their
mouth and all sorts of stuff so if you could see them and you can flick them out of your finger go for it but yeah if it falls down the back and you can't see
it well don't stick your finger down because you'll push it further okay and your Airway is quite small so you don't
want to get tooth in it don't ever put your fingers in my mouth again again I'd rather [ __ ] die
Drive I feel like you need to tell a joke now mate just to that was it that was it I was just being rude to know that's what we do yeah I get told off by
our wives but um that's just the way we roll right what's after eight I want
someone tell me come on it's like the alphabet they said that a b similar breathing so I've told you how
to check for breathing so no just tell me what I told you how did you check for breathing I'm gonna I'm gonna put my
cheek against their mouth and see if I can feel them breathing and at the same time down their chest look listen feel
he was doing it he was doing it live and I didn't do it quick enough if it's the olden times right yeah
I deserve it as well yeah guys so just summarize that for your listeners look look down the chest yeah listen listen
so put your ear and let your cheek to them so you can hear and feel it yeah feel feel feel on your cheek feel on
your hand and you're hoping for two breaths in 10 seconds yeah now what this is where this is where medical training changes
slightly so in my world if they weren't breathing I can breathe breathe for them and you would have seen on your ER with
George Clooney they get a big bag thing out and they squeeze it over their mouth so I can do stuff like that and I can put tubes down people's throats and all
sorts of funky stuff but they teach at a very basic level of medicine I'm not being funny but if he's not putting your
his fingers in my mouth you're not putting anything down my [ __ ] throat either if you're unconscious what
happens when you're unconscious State when you're uncomfortable oh [ __ ] yeah that's fine I don't want to make too
many dodgy jokes I'll lose my pound yeah
uh yeah so what they teach now so if you haven't got two breaths in 10 seconds at a basic level of Medicine
they then say you should start CPR all right just remember that when you've
called 999 what I forgot to mention is stick it on speakerphone so just bang on speakerphone full volumes because then you've got your hands free and you can
talk to someone and they'll be talking you through it all but if they're not free if you don't have two breaths in 10 seconds you have
to start CPR that's what they teach at a basic so first aid at work level of medicine okay a higher level you don't do that but so
just a quick summarize we turn up there's they're hoes and blood all over the floor direct pressure or a torn okay
if they haven't got an airway we need to take the helm off and give them an airway head tilt chin left to a jaw thrust head but head tilt chin lift is
fine even if you think they've got a spinal if you're by yourself and they've not gotten our way and if they're not breathing if they've not got two breaths
in 10 seconds if they've got a bit more than that that's fine but if they don't make two is what I'm saying uh then you should
technically be starting CPR but you're going to be on speaker phones you can always ask the person on the phone because they're trained in how to help
you out okay I'm just reading my notes let's just talk about CPR then right well you tell me tell me about CPR
what'd you do two things in CPR is there one is chest massaging to put help the
heart pump and the other one is breathing into somebody else's mouth to keep air in there and what I'd heard
recently is you basically you don't breathe into somebody's mouth you just do the chest compressions
and you can do that for about seven minutes or something like that because there's still if the blood is there it's oxygenated enough that it'll work no
idea whether that's correct or not no uh I was gonna say the same as that I think
but uh but I am but I need to do another First Aid course because all of this is
forgotten now I know someone's dying in front of you right now and you're I'm in an area what you can do yeah I don't
know I don't know the BG's Staying Alive thing made the news didn't it so that will be in my head that I'll be doing it
to that uh I'd be probably looking for the solar sort of plexus area
and pushing on that but yeah I would just be doing what Clive will be doing would just be doing thrusts what does
the chest bit do what you do with it physically doing the chest chest squashes the heart doesn't it to squeeze
the blood out of the heart presumably that's again that a guessing but that's what I've always thought what does the
mouth to mouth bit do that puts air into the lungs air or or
carbon dioxide oxygen because oxygen yeah we don't use all the oxygen we breathe in so when we breathe some out
we can put in someone else so what you said earlier about the chest only CPI as a technical term for it is correct but
let me just elaborate a few points so CPR right if somebody's not breathing you you'll notice I haven't even
mentioned taking pulses we don't teach that anymore at a low level of medicine because it people fast for too long so if they're not breathing they've not got
two breaths in 10 seconds we start CPR and all you need to do there is get rid
of all their levers or clothes over and you need a bare chest if they're a lady and they've got a bra on get rid of it
if you can cut it off or just get rid of it we don't worry about stuff like that when we try and save someone's lives just just get rid of that stuff you're
going to aim for the center of the chest so no Posh words center of the chest and remember for your listeners now I want
everyone who's listening to to put their hands on their bottom ribs now so you too as well put your finger on your bottom ribs I'm just feeling belly yeah
yeah just push out a cloth you'll get there right so your chest is from in very
simple terms it's from that point there to your the start of your neck all right so your chest isn't all the way down to
your belly button in your abdomen so when I say center of the chest it's the center of that bit so it's it's just
sternum for those that know what I'm talking about but center of the chest sort of nipple line in Broad brush terms
yeah we just aim for the center of the chest there's no measuring anymore we used to measure our fingers and we're
pushing five to six centimeters on an adult so we're going to aim for the center of the chest I'm going to overlap
our hands and I hope everyone knows what I mean by that because it's hard to explain well interlocking your fingers yeah interlock your fingers yeah and and
we're going to go yeah Clive's got Clive's got to rule about Wicked
I turned up and you were doing that I feel like what and we're just going to push just remember five six centimeters all right
and how hard how hard well you just want to compress that much because what we're trying to do is we
have to squeeze that heart people do it too gently yeah but we have to we're trying to squeeze the heart to push the
blood out and then when we bring our hands back up again that lets the heart refill and I've said that for a specific
reason if you do CPR too quickly I'll tell you the rate in a minute what you're not doing then that bit with your
hands come back up that's called rebound yeah if you don't if you don't allow for Rebound you're not letting any blood go back into the heart so that's what we
have to allow for Rebound so you're going to push well five to six centimeters see that's so interesting only because people talk about CPR but
quite often people won't really talk about what CPR is actually doing and if you understand I think what it's doing
that really helps you remember how to to do it properly well yeah that's what I'm trying to do yeah I am a person who
likes to know why I'm doing things not just doing blindly so yeah you're trying to push the heart down to squeeze the blood out and then you have to allow it
your hands back up again you don't have to take your hands off the chest just let the chest come back up so that the blood goes back in and we're going to do
it at a rate of 100 to 120 per minute so if you just remember to a second wow
that's quite quite fast isn't it yeah it's faster than you think taking a second yeah so that's quicker than a
normal heartbeat but the reason you do it that fast is because you what you're doing isn't very efficient so you have to up the rate to get the flow I'd also
heard somewhere recently that if you're doing CPR properly you're potentially you're breaking people's ribs is that
true yeah it's absolutely true again I'll try not to get too gory I've done a lot of CPR like time obviously because
my job you'll always break ribs so what you'll find is the first couple you do will be quite difficult but then once
everything breaks and moves around a bit no way if I can say it gets a bit softer without sounding through gory I mean it
sounds terrible doesn't it but these people are going to die otherwise so are you saying that the majority of times you've done it you've broken ribs every
time every time yeah my God but what's a broken rib no no I know but just but
that's an indication of just how hard you're doing it yeah yeah so you you're pushing really hard for 100 you know two
times a second anyway that's just the two times a second two yeah two times a second that's just a CPR bitter right
yeah the breathing bit is to get oxygen okay now I'm not going to tell you how
to do that and the reason why is because I don't Advocate doing it you can do chest only CPR and by doing CPR residual
oxygen goes in now if it was your loved one or a child then I'd and and even for me then I'd
definitely do math tomorrow especially on any child I'll be doing mouth to mouth and the way we do mouth to mouth is we cover we are we either for an
adult we have to head tilt chin lift a little bit pinch their nose because your mouth and your nose are connected so if you bring
to someone's mouth it'll come out of their nose if you don't block their nose so we pinch their nose head tilt chin
lift so remember two fingers on the Bony bit of the the chin not on the neck lift
their head up to open their way and when we blow we don't blow like this we're not doing a heavy blow we're
covering their whole mouth of our mouth and we're just going and just watching their chest rise
and you want to do one you I think they say don't take longer than 10 seconds to do two breaths again they might be five
but you just want to do two breaths let the chest go up Let It Come Back Down Let it go up let it come back down and
it's a progressive blow if people understand it's hard to I want to show you how to do this it's a progressive
feel and especially with children obviously got to be really careful but it's a progressive feel to get their chest up so we do 30 chest compressions
to two breaths and we just keep doing that 30 compressions two breaths 30
compressions two breaths and we don't stop until the ambulance turns up unless you're physically exhausted and you
can't carry on or the person wakes up like Signs of Life we call it and why are you saying you you don't Advocate
doing that I wouldn't Advocate it unless like I said for me personally if someone dropped down in front of me in the
street if it's someone on you absolutely because it is better giving them a bit of oxygen or if it's any child absolutely the reason I wouldn't do it
for anyone I didn't know is because people have a lot of viruses and stuff that they don't disclose that you're not
gonna know I personally wouldn't risk it in fact my medical kit then I just use my bags and stuff but yeah I wouldn't uh
would you do it for Noel yeah because I know him and I don't think he's he's probably just full of red wine but uh t
t t do not drink Korea not a lot not not on the Clive sort of scale oh shut up
not the limits you on the podcast uh yeah so so just because I waffled a bit
there clarification then then they haven't got two breaths in 10 seconds we immediately start CPR so we go straight
into chest compressions center of the chest third of the chest do 30 compressions at a rate of two a second
100 to 120 a minute then we do two breaths 30 to 2 30 to 2 and we do not
stop or we just do continuous chest compressions and if you get tired you swap somebody else and if the person
doesn't wake up or doesn't show signs of life and you're not tired you just keep going when what would be about an amount
of time where you've just done too many chest compressions there wouldn't be so there's loads of studies of people that
depend on all sorts of factors but people have survived for ridiculous amounts of time on CPR I mean the longest I've done it for is an hour 15.
yeah but that was on a helicopter job when we were like stranded and all sorts of stuff long story that person survive
after that amount of time um not a long-term survival they survived initially we kept them alive
for they managed to keep my life for three days so the family could visit so it was a positive-ish outcome but yeah
but anyway is that clear enough because we didn't want to lose it it was very clear probably shouldn't have had a beer
if we're doing this but hey just but in case of how many people are listening I don't normally teach while having a beer
we do our CPR stuff let's just talk a little bit then I've got some key points you want to talk about all right a
helmet removal we've chatted about always communicate with your patient so the last sense to go is hearing so if
someone goes unconscious the last thing that goes his hearing so they can hopefully hear so even when I'm dealing
with patients if they're unconscious I'll just talk out loud what I'm doing hi I'm just touching your leg I'm just opening this I'm just cutting this off
you're essentially talking to yourself but they might be hearing and you know there's studies that have proved their patients people sometimes ask me about
consent or have I got consent to touch to touch wrong word to treat this patient if they're unconscious you
definitely have consent you have what's called implied consent if they're conscious I mean you can say yeah if I
treat it but I'd suggest if they were bleeding all over the floor and you're trying to help them no one's going to argue with you but I wouldn't get too
wrapped up in consent if you're generally trying to help this person by administering first aid you're not going to get sued uh there are stories of
people trying to sue because they're idiots yeah it would never cross my mind though well I know someone who did a
plane I'm not going to say any times a day because of confidentiality but they drag someone out of a burning plane and
on the way out of this Burning Plane that someone would have burnt to death in this person cut their leg on the way
out and then tried to sue for a leg injury for the person that saved their lives there are people out there do reject these things these things never
get through court is what I'm trying yeah you know you're acting in the patient's best interest you'll be fine keep the patient warm if you can so try
and insulate them from the ground try and keep the warm put blankets on them because when people get cold there's a
thing called the trauma trial of death which I won't go into but when people get cold it makes them die quicker it's a really easy way to remember this so
just try and keep people warm we're not going to talk about the recovery position because it needs to be demonstrated all right so I'm not gonna mention that
right that's down to part one fairly sudden fairly arbitrary ending but we
recorded for about two and a half hours and and uh that was just halfway through so part two is coming next week
hopefully if I can get it out sooner I'll get it done seems unlikely to be honest that I'll get it edited any
quicker than that listen I found that really useful and I hope you did too and as I say there's another at least
another hour's worth of that excellent stuff coming along as Ollie said get yourself some proper first aid training
get a first aid kit and maybe even get a first aid book put it in your first aid kit carry it with you so if you need to
the information's there you don't have to remember it all
if you've enjoyed this episode or found it useful have a think about going to
our website which is tampodcast.com you can buy some stickers
there's links to buy me a coffee or a patreon site any support would be
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go a long way to helping us carrying on doing this kind of nonsense all right stay safe see you later
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