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Cardiopulmonary Resuscitation (CPR) update

Kristin Gunn • Aug 20, 2019

My article is not aimed to provide CPR training but to reflect my personal learning points which have changed since my last update a few years ago.

This week we had a two hour CPR update with Alice Brown from Resuscitation Matters. It was excellent- Alice is an experienced Intensive Care nurse and it really showed both in her presentation and her ability to answer all our questions.

My article is not aimed to provide CPR training but to reflect my personal learning points which have changed since my last update a few years ago.

So these days it is DR’S ABC

D Assess for DANGER . You won’t be saving any lives if you are at risk. Check for loose electrical wires, fire risk or dangerous animals!

Response - can you rouse the patient? Shout, shake and pinch. A response is any movement, opening eyes or communication.

Send for HELP - If there is no response then call for help. Is someone else there to assist? Nominate clearly “Krissy, can you call 111 and tell them I have an unresponsive person and I am commencing CPR. Let me know when you have done that.” Early defibrillation is critical to save lives. If you have more help, nominate a person to fetch an AED. See below!

Airway - extend the neck and lift the chin- check for obstruction. If necessary sweep with two fingers to clear the airway.

Breathing - listen at their mouth, feel for breath on your cheek and look for the chest rising. Nothing after ten seconds? Start CPR.

Circulation - commence 30 chest compressions, in the centre of the chest, at a rate of 100-120 beats per minute. Compress one third the depth of the chest. Then do two breaths keeping the airway clear as above. A while back best practice was to JUST do compressions but further research has found this is only most effective if first responders arrive in less than five minutes. Who knows right? So do your best to oxygenate the blood with breaths and pump round with compressions.

Defibrillator – for unconscious adults who are not breathing, apply an automated external defibrillator (AED) if one is available. They check for a pulse first so PUT IT ON. An AED is a machine that delivers an electrical shock to get the heart beating normally. The device is designed for someone with no experience to apply and operate, talking you through each step.

New Zealand has an APP called AED Locations.

Here in Methven we are so lucky. The little town has AED’s located in the office at Philip Wareings, Mount Hutt College, South Pacific Seeds, Methven Squash Club, Four Square Supermarket, Methven Ambulance Station, Methven Fire Station, Methven Heritage Centre and the Methven Golf Course. If you work or play in any of these destinations then take the opportunity to familiarise yourself with their location and how they work. You might just save a life.

Contact Physio Latest News

By Kristin Gunn 18 Dec, 2019
Season’s Greetings from all of us at Contact Physiotherapy. Thank you to our staff, clients and the wonderful community of Methven for another inspiring year of health and learning. I am grateful every day to be a part of this hard working, dynamic community and wish you all a very Merry Christmas and a Happy, Healthy 2020!
The festive season is traditionally a time of indulgence so I thought it might be an opportunity to reflect on a few wellness behaviours that I have written about over the course of this year. We MAY employ them over Christmas or perhaps consider them for the New Year’s Resolution list!
• ACTIVITY! Take a walk, play tennis, have a bike ride. The single most consistent health recommendation for EVERY health prevention and management is exercise. Do something- anything and endeavour to make it a habit
• Drink equal amounts of water to alcohol- at least if you are over indulging you may stay hydrated
• Sleep- it can be such a busy time with so much travel or farm work- add in lots of parties and sleep can go by the wayside. Sleep is important for health, performance and to keep you safe in a vehicle
• Be grateful- there is increasing evidence that positive beliefs, time spent with friends and thankfulness helps back pain, cancer, tendon and shoulder pain. The business and financial strain of the festive season can detract from what really matters. Take pleasure in the little things and don’t sweat the small stuff. Your body will thank you!
One of my greatest pleasures this year was to catch up with the last five years of physio staff! These girls have brought so much pleasure to us, our clients and the little town. So festive greetings to Philene in Singapore; Isabel in Sydney, Australia; Katie and Lizzie in London, UK and Anna who is celebrating in the Falkland Islands!! Merry Christmas- love you girls! And a very special thanks and Happy Christmas to Amy, Jude and Tania. I am lucky to have such an amazing team.
By Kristin Gunn 16 Dec, 2019
Merry Christmas Everyone!
Contact physiotherapy’s last day is Friday 20th December this year and we will re-open on Thursday 8th January 2020.
Thank you for your continued support this year and here’s to a Happy Healthy 2020!
Kind regards Krissy, Amy and Jude
Contact Physiotherapy
By Kristin Gunn 10 Dec, 2019
I have written about osteoporosis and falls before, but maybe it is a timely reminder as we catch up with relatives we may not have seen for a while. About a third of women and a fifth of men will sustain a fracture due to bone thinning. Improving bone density can also provide a range of Christmas gifts you may never have considered?! Who knew?
First we prevent Osteoporosis while we are young. Make sure your children are taking enough calcium and performing impact and resistance exercise. While this advice remains the same throughout your life, we achieve maximum bone density by our late teens. Maybe a yoghurt making machine and a skipping rope? Thanks Santa!
On the family holiday, get into the hills and carry a pack- thus incorporating load and impact, family fun and maybe a love for the outdoors which will give a lifetime of health benefits. And a love of the outdoors will ensure the wish list for gear will never be filled!
Alcohol reduces balance and inhibits the uptake of calcium and therefor reduces bone density. So if you are looking at a quick gift maybe don’t just grab a bottle- try a healthy hamper with canned salmon, cheese and ice-cream or a punnet of grow your own greens like spinach, kale, rocket and broccoli. Take drinks like orange juice or milk with added calcium or home baking with almonds, sesame seeds and figs served with greek yoghurt.
To optimise bone density the load needs to be progressive to keep the improvement going. Optimally it should be the highest tolerable intensity, regardless of age. A membership and supervised gym programme by a qualified professional would be a great gift for a loved one- weights are beneficial at any age, even if they have sustained falls or an osteoporotic fracture. Lining up a gym buddy can help with attendance- can you talk a neighbour into it aswell?!
Public exercise is not for everyone. Small hand and leg weights will also help with strength and bone density. Gift these with a physio or qualified personal trainer appointment at home and encourage exercise in a loved one’s comfort zone.
Balance is critical for prevention of falls. Generalised strengthening and balance specific exercises are required. Assessing the environment is also important. It can be a sensitive subject though- maybe not one for Christmas Day! If you are visiting family, check for lose carpets or uneven steps. Pop a rail up in the bathroom or by steps. Repeated and sustained bending is a risk- can you help to reduce injury by raising the washing basket or wood pile? Or tidy out the cupboards and shift the soup pot from the back-corner cupboard. Long handled gardening equipment makes an excellent gift. Balance disc’s can be a fun motivating way to challenge balance and are easy to store away.
If you visit a relative and hear they are having falls there are falls prevention programmes available around New Zealand. Check them out at the local community or medical centre. In Methven your nurse, GP or physio can refer seniors to a free Falls Prevention Service in your home. Stay on Your Feet is a community led exercise programme in Methven- contact Age Concern on 308 6817. Tai Chi also helps balance, contact Margaret Lee on 027 516 7549. Research has shown that improving leg and core strength can reduce falls by 30%. Our Pilates classes can assist with that and we have clients 8-80 years old- call Contact Physiotherapy 3028 205.
So think about bone strength and all the members of your family now and give a gift of health for Christmas.
Reference: Expert Consensus Statement on Physical Activity and Exercise for Osteoporosis- Draft (2018) National Osteoporosis Society, UK
By Kristin Gunn 02 Dec, 2019
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By Kristin Gunn 25 Nov, 2019
In the pelvic course we cover the anatomy and biomechanics of the pelvic bones, kidneys, bladder, rectum, ovaries, uterus and prostate.
By Kristin Gunn 19 Nov, 2019
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By Kristin Gunn 11 Nov, 2019
Sleep has been shown to be important for performing your best in sport, at school and work and for your health.
By Kristin Gunn 23 Oct, 2019
It is with a heavy heart that we will be saying farewell to our lovely winter locum Anna Fenton in a couple of weeks. She has been a breath of fresh air in our clinic over the cold winter months. Her physio skills are awesome but it is her warm heart, good humour, hard work and harder play which have won her a place in Methven’s heart.
I am especially grateful to her and Tania Wright to have inspired me with some new and truly nasty Pilates exercises to torture you lucky people with over summer! After six classes last week I am feeling great- but please don’t make me laugh!!
Anna is off to Nelson for the summer- we hope she really enjoys herself but doesn’t have TOO good a time …???! Much more we hope she will come back next winter- there are still so many slopes to ski and mountains to climb and perhaps the full Peak to Pub next year?! She is, for sure “the stuff we need!” So if you get the opportunity please add to Anna’s list of things still do in Methven for 2020!
If you have another appointment to fit in with Anna before she goes, there is still time! Give us a ring at Contact Physio on 3028 205.
By Kristin Gunn 15 Oct, 2019
Ilio-tibial Band syndrome (ITBS) is one of the most common injuries associated with running. It is typically an overuse presentation where the runner feels pain on the outside of the knee joint and is sometimes associated with snapping.
By Kristin Gunn 08 Oct, 2019
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