this post was submitted on 09 Mar 2024
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CPR. The way they do it with bent arms affects how people think they should do it in real life. Your arms should be straight to get the most power for the least effort. And you'll need to conserve your energy because you could be doing it for an hour. No show has ever portrayed the length of time it takes.
I always remember the abyss because the
spoiler
resuscitation
was absurdly long for cinematic time.
I know there was another one that did it, but obviously nothing for an hour.
So sometimes CPR takes an hour and that means that you are circulating oxygenated blood through the body to keep it and the brain alive for 1 hour straight until emergency medicine can be applied?
So CPR is deflating and inflating the lungs so that blood is oxygenated and simultaneously pumping the heart to provide blood circulation?
Is that what you mean? If not, can you explain it in more detail? That's f****** fascinating.
The consequences of surviving CPR are usually pretty serious too. You don't generally gasp dramatically and then wake up just fine like they do in the movies.
Totally. Oh no wait I was thinking of the paddles, what do you mean?
I understand the risks of broken ribs and stuff but I have never taken a CPR class and did think people gasp dramatically and survive.
Do you mean they don't just immediately jump to their feet and are totally 100% fine again?
Because I feel the same way about bullet wounds.
I don't know if anybody here has ever been stabbed or hit with a bullet, but boy does that s*** stick with you.
" It's fine, it went clean through".
Oh cool! So you only have like three months of physical therapy and crippled ambulation until you can move in normal society relatively unnoticed?
In the movie, 10 minutes later they're fine and are holding the stock of a rifle to their injured shoulder or injured side of the hip.
Fuuuuuuck off trope
Besides the broken ribs, brain damage is extremely common. Lack of sufficient oxygen to the brain is really not good for it.
No, CPR is only meant to compress the heart in order to circulate blood. You can get a little in and out movement from the lungs (ventilation), but to do that correctly, you really need the bag mask thingy (which you do see One Night using on Lindsay in The Abyss.)
The length of time they spend doing CPR in The Abyss is actually pretty realistic. There are a number of things that you try in addition to compressions and you have to give those things a chance to work before you "call it" (stop compressions).
CPR is several rounds of compressions and shocks with various medications like epinephrine being given depending on what you're seeing on the heart shock monitor. Length of CPR is usually inversely proportional to the age of the patient. (The younger the patient, the longer a medical team will fight to get them back. This is because losing a kid is obviously devastating for everyone, but also because kids have this amazing tendency to be able to survive things that would 100% take an adult out.)
My bitchy complaint about the CPR scene in The Abyss is that they spend so much of that time not doing compressions. They keep stopping to do other things or to sit around and cry dramatically. Every single second that they're not doing compressions is a second that no blood is circulating. It's crazy. In real CPR, compressions only stop when a shock is actually being administered. There is zero downtime on compressions other than that.
(And no, people don't just gasp and wake up. Typically we just get a pulse and the person remains unconscious, often for days afterward. They usually need a ton of ICU level medical care, if they have any hope of recovering.)
Okay, thanks for responding. I'm really interested in medical processes.
I hear that the defibrillating paddles don't work anything like in the movies also, that they're actually meant to shock a chaotically beating, fibrillating, heart into stopping for a moment and restarting it's steady, normal rhythm and they're not even used for patients who flatlined, which is how every movie I've ever seen uses them.
Do you have any insight on that?
That's correct. So if you see a flat line there is no activity to reset with a defibrillator.
Btw, in Run Lola Run a guy gets reanimated while being conscious, Lola even takes his hand and has eye contact with him, and he smiles at her.
THAT MAN DOESN'T NEED TO BE REANIMATED, YOU DUMB AMBULANCE PROFESSIONALS :) But the movie is great.
Haha, i remember that.
I love that movie and franka potente, I can't get upset with it or her for nothing.
It is called CCR (Cardiocerebral resuscitation, or continuous compression resuscitation, or hands only cpr). It is Cpr without pausing to breath. Of the 30 compressions you are suposed to do during normal CPR before you stop for breaths, like 25 of those compressions are just getting the BP high enough to perfuse the brain, then you stop for breaths and start all over. CCR not only keeps that BP up, but you provide supplemental oxygen and a simple airway device, like an opa. It moves enough air to fill the lungs enough to oxygenate what little blood is being circulated.
It is becoming standard protocol for paramedics to do the first 3 rounds (6 minutes) of CPR as CCR as long as the arrest wasn't airway related (drowning, choking, etc). Not only is it associated with better outcomes clinically, but in the field with limited providers on scene it frees up hands to allow for medication administration and rhythm analysis/treatment.
i seem to recall (from the book) the aliens helped also. they were able to manipulate matter at the molecular level and provide oxygen
Well, this is quite crazy for me, because I read what knows people consider an unhealthy amount of books, but I did not know that this movie was based on a novel.
Which novel?
In the movie there's no cinematic indication of alien manipulation that I'm aware of.
the book was written at the same time as the movie. it goes into much more detail from the aliens perspective.
seriously compliments the movie, i highly recommend it.
I will absolutely read it on your recommendation, no doubt.
Was it written by a screenwriter? Or by the concept of the movie? Did it come before the movie?
I have so many questions and I'm asking you before I f****** dive into this s*** online, I'd rather get a person's perspective. Thanks
as a kid it was one of my favorite books.
i think the screenplay came first, and then the same writers wrote the book shortly after with it being released about the same time as the movie.
i love the book because it makes so much of the story make sense... why they are here, what they can actually achieve. how the accident really plays out that triggers the whole movie.
the pressure of the ocean is something they require... they can read humans minds trivially, even after death. they learn a lot about humans from scanning everyone who dies in the sub in the beginning.
Honestly, people doing doing CPR correctly on camera could save lives. Although I suppose it could also harm the actor receiving the CPR if you didn't use a mannequin.
I remember in Spongebob he did CPR off camera one time. The doctor said he did it for hours. I thought that was exaggeration, but later I learned it is very real.
Along the same lines, it makes people think cpr is some magical cure that brings people back from death. It is not, it is literally squishing blood through the body manually after the heart has stopped to try and buy time for health professionals to get there to institute advanced life support and intensive care (ie with life support machines) in case there is some reversible problem. The vast majority of the time a person getting cpr stays dead, especially if it occurs outside the hospital. And for the people that do make it there is usually brain damage.
This makes talking about the reality of dnr orders and things tough because people think they're saying no to some miraculous cure instead of a violent temporizer in case someone is dying of something reversible, and has no applicability to their irreversible disease.
Or when they shock asystole, or when someone wakes up from like 5 shitty compressions and some mouth to mouth. Or 99% of any show ever. Even the few that do it OK are still so very bad.
And it breaks ribs.
Omg. For me is when in a hospital scene, the doctor dramatically pushes the nurse away to do compressions on their on strength...
Jack in Lost just beating a dude on the chest, walking away, then come back and do it again until he revived didn’t do it for you then?