Making sense of Studies

Last week I had an AHA moment, reading the current RESPONSE magazine from ACAP (the Australian College of Ambulance Professionals). Flipping through, I came across page 11, a big add for the Zoll Auto Pulse.
Now, this is not going to turn in to an advertisement post, but I will quote the bit of the text that caught my eye:

fyi - CPP: Coronary Perfusion Pressure (myocardial blood supply pressure)

“The result of inadequate CPP is a lowering of Adenosine Triphosphate (ATP) levels in the cells of major organs. ATP is responsible for energy utilisation at a cellular level and is rapidly consumed when blood flow and specifically oxygenation is reduced.

When ATP is metabolised in the absence of oxygen, lactic acidosis occurs. Myocardial lactic acidosis results in defibrillation and resuscitation being made more difficult”

We have been learning about ATP at Uni, about metabolism, aerobic and anaerobic metabolism etc etc…
You’re probably thinking right now “yeah whatever”, and you are about to klick further to some other website, or shut the computer down.

Thats what we felt like at Uni, no idea how this small miniscule stuff will affect us.

But wll th above says is the following:
When your heart doesn’t pump enough blood around the body, your body does not receive enough oxygen. Your cells get filled up with lactic acid. More lactic acid reduces the chance of survival.
=> Get that heart pumping, fast!

I was deeply satisfied, and am on the lookout for further bonds between theoretical stuff and reality.

I got in touch with ‘my’ paramedic in Germany that I did thisjob with.
I asked him if he would, being put in the same situation, consider alarming the emergency doctor, to give the patient some analgesics (pain killer). Answer: Probably not, because

  • waiting for doctor would have taken more time
  • the hospital was not far away
  • the patients pain was coming in waves, he was allright in between.
  • the doctor probably would have not given any pain medication, due to the fact that one cannot diagnose what the patient had in a pre-hospital environment.
  • Good to get some feedback on these things. I will be able to pick this topic up in a six months time, when we start on pharmacology; and then again in a years time when my training picks up on the actual on-road drugs we use.

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