that's not liberation at all this is not the kind of freedom that anyone. would cut equal to islamist terror. until now the so-called i mean most of us are still. an exclusive report from a destroyed city. in the sun. starts oct 24th on t.w. . this is in good shape and here's your host dr constantly could touch. hello and welcome to you in good shape. oh my gosh there's someone lying on the fall. is there doctor. oh it's me i'm a doctor. what you really feel it's just

a medical training medical but what would you do if this rare in real person this is what i'm going to talk about with an equal astronaut from the german red cross. everyone can help you just need carrots. i need i think for me see me today and this is not an actual emergency but i was feeling very lonely i mean this is a place it's crowded it's full of people but i was lonely here doing my. the usual setting well i think many people just don't have the credits to help because they don't know what to do or just don't think they don't know what to do but it's important to help us because an emergency can hit us anywhere on the highway at

a rock concert and it's very important to speed it up especially if the heart has stopped beating. it's a minor miracle that low tar could just is today able to go cycling with the person who saved his life. just a few weeks ago his heart simply stopped beating. i felt like i was at a birthday party and i don't remember much of what we were eating i had just collapsed. that's a huge. yam he suddenly fell over and the knife fell out of his hand we ran over to me and his wife and we tried to talk to him and ask him what was going on. but you could see that whatever it was it wasn't good. you know tile a motionless on the floor. his heart had stopped and no blood was being pumped throughout his body. circulation had ceased and his organs were no longer receiving

vital oxygen. and unfortunately the brain is the 1st organ to react to a lack of oxygen in cases of cardiac arrest the 1st brain cells begin to die after just a few minutes hysterically funny to me every minute every 2nd counts it's best to do something straight away it's different so every minute you wait is bad for the brain. cockily your harness did react straightaway. while another guest called the parent. addicks he immediately began to apply c.p.r. . it was like i was in a tunnel i just kept pressing i completely forgot about my surroundings i did what i'd learned to do in my course i just applied and. managed. your harness placed one palm with cold up fingers on the stand and the other hand on top of it then

extending his arms he pressed down repeatedly compressing the chest around 6 centimeters that movement forces blood from the heart into the arteries. with him also plays a key role in c.p.r. you have to press around a 100 times a minute that's enough to keep lifesaving blood circulating. a new long term swedish study showing that mouth to mouth artificial ventilation is not necessary in emergencies. just as if you saw it as a patient is normally fit and healthy then there's enough oxygen in the blood and it'll last for several minutes and the various organs but most especially the brain can cope for several more minutes without additional oxygen being supplied with. your harness punning pressed rhythmically for the 10 minutes it took the paramedics to arrive and begin defibrillation that's probably the only reason law talk orders to say no lasting damage from the event. let me guess if i had been alone when it

happened then that would have been hurt but i was lucky in 2 ways 1st of all that people were there and 2nd that the right person was there one who could keep me alive. the mine a miracle unfortunately doesn't happen very often in germany resuscitation by bystanders is shockingly rare. of comporting for us when it often happens that we arrive someone is lying there lifelessly and no one has done anything to bystanders say they were overwhelmed or frightened. and then by kill time passes it's like you get full inside frustration a public awareness event at a shopping center reveals how many people are simply overwhelmed in an emergency and most want to help but don't dare of mostly things and of. it's been my knowledge isn't up to date that once again to get down and start addressing when's the last time i did that 40 years ago when i got my driver's license for a little problem and money and twit well he's when you go into the situation you

feel insecurity and death is also just around the corner and most people are afraid of that and. as of entities if i realized what was going on that i'd help the question is whether i would do it right. many people here trying to help don't compress the victim's chest hard enough that worried about breaking grips. and when the only point when it's a life or death situation breaking ribs is the least of your worries for us a broken rib actually indicates that the bystander did an effective job trying to resuscitate. your him hiller was also saved by a 1st responder his heart suddenly stopped at a conference when he collapsed a colleague performed c.p.r. without it you're him would have died. no one had been closer at the doctors diagnosed a classic heart attack size means my blood vessels clogged up until they closed

completely i also had pneumonia that ignored him not very likely played a role as well so. even after he was brought to intensive care your humes life hung in the balance the doctors cooled his body down dramatically to prevent damage to his brain and other organs than flipboard soon many patients who've been reanimated vent get a fever of 38 or 39 degrees celsius and that can cause a lot of damage with the right equipment which allows you to keep the temperature at 36 or even 3040. you can prevent that damage. but of course that can only happen if someone begins c.p.r. quickly after cardiac arrest and keeps it until an emergency response team arrives . so that we find someone lying on the ground but you do the 1st thing is to to get an impression of what is actually going on so you have to look you have to talk you have to touch so you try to establish contact with the person so you hello can you hear me hello there is no reaction so you go down and

then you have to touch slightly shake the person hello can you hear me hello there is no reaction at that point so the person at least unconscious that's the moment when you have to call for help before you do anything else yes exactly because you get in tangled in all that comes after that so you might forget to call for help so you do it 1st thing. the most important thing is to check for breathing this is paramount because it determines the way of action from that point on ok so how do you do this you just feel 1st of all you have to tilt the head slightly back to open the airways and then you have to go down. and in that position he use 3 sentences if you look down the torso and see if the chest is moving you can hear with your ear if you hear breath sounds and you feel with your cheek if there is movement so those 3 senses and then you go down. and you check for about 10 seconds

. if you can it's quite a long time yes or here in the russian you think he's dying yes so just you take your time those are the 10 seconds you need to take to save a life so why is it why isn't that important to check if he's breathing or not because i determine what we do next in case this person is not breathing or not breathing normally which means you have 3 breaths in 10 seconds if there's just movement of the mouth without movement that's no breath if there is less than 3 breaths it's no breath and if you determine there is no breath you have to start chest compressions ok and if you determine there is breath you just do the recovery position. here's take home message number one for today 1st find out whether the person is breathing a lot then you know what you do next. so let's assume this person is not breathing in that we have to start chest compressions because we assume that if there is no

breathing there is no such relation so to do that we get very close to the patient and determine the center of the chest which is right between the nipples we take our strong hand with our palm and position that in the middle of the chest the other hand above it and then we start compressions we want to go about one 3rd of the torso deep which is $6.00 to $8.00 centimeters and then with a bit of about $100.00 to $120.00 beats per minute we start compressions just like this there are quite a lot of songs one of them being staying alive by the band p g's. silesian the danger is that you can you come out too much that a drop sure that doesn't happen so there is next to no risk of causing any serious damage and apart from that. you can always say that being alive and

having a broken rib is better than being dead with all your ribs intact this is right i prefer a life so her whole long do you do this to do it's just until emergency services arrived so once you start you don't stop and don't you have to be relieved you have to give the kiss of life multiple well there are options where you can interchange that and have 30 compressions and then you do that 2 times that you breathe into the patient but the most important thing is chest compressions so if it is too disgusting if you don't want to do that if you don't feel comfortable with it you just leave it and stay with compressions. take home message number 2 death is an any case worse than a broken rib. in public places you can find sometimes this device medical device it's an automatic defibrillator yes so it's a very important sheen isn't it it is very important because this device can treat heart issues that cause cardiac arrest and you can even use it even if you're not

a medical doctor exactly it is designed for people philemon who have no medical training so you just switch it on it will start to talk to you as well as it direct you through all the steps you have to take so much to do is just present the green button here exactly green button to activate and then there are those patches here they have this painting that illustrates where to put them and then put it in here there's a little yellow limb exactly and it talks to you actually it does it in a sense what you have to do you know it instructs through to press the blue button the blue button yes. and now the device analyzes the heart the right or the electricity ok at the heart so that we don't do any chest compression right now right now we just don't touch the person as instructed. it determine that this patient needs to be shocked ok and so it directs you in this case yeah you press the red button ok once you have made certain that no one is touching the patient

are very important because there's electricity flowing into the patient exactly as they are not allowed to touch exactly ok very good and said and now it instructs me to continue compressions ok now you know you're safe you can touch a person exactly exactly. take home message number 3 if there's a defeat were later a tent use it is the best way to save lives. so why was it so important in the 1st place to check for the breathing if you have breathing there is circulation if you have no breathing there is no circulation and with circulation there is the risk that the contents of the stomach will go up the vomit will go down. again and into the lungs which will have serious serious consequences leading to serious illness or death so we have to prevent that from happening and to do that we have the recovery position and this is what we show right now.

so use a colleague at the good news he's breathing yes so what you do now ok now we have established that he's breathing we need to position him into the recovery position you do that. towards yourself so the 1st thing to do is to take the arm that is close to you and put it up so it's not in the way. next thing is to take the other arm and position it next to the cheek and you have to hold it tight because with an unconscious patients it will hold back otherwise the next thing is you go to the distance leg and take me put it up and then use it as a lever and then you just push him over like that. you don't need much muscle to do that it just happens like that it's physics and then you have to tilt the head back a little to open the airways and push down the chin to open the mouth to allow the

vomit to flow out and you can stabilize this position with a hand that you're position next to the cheek and just like that you have the wrist recovery position ok i don't know about you but i myself am always forgetting how to do this recovery position because it sounds very complicated so it's usually a good idea to train this very often like professionals or like lifeguards. this girl is panicking and could drown someone is there to save her but straight away he makes the mistake the last time on hold on. one foot is going to cause an accident. in my way secure the belt. to see gore. if. you. both you're not and the girl who simulated the emergency training to be lifeguards. has

a demand for them during the summer season when the beaches and lakes fill up with swimmers who need to be supervised. in my test makes perfect i always say that everyone struggles a bit at 1st we all did it but over the years you gain experience. once you've done the training and actually worked on beaches you can cope with any situation. to watch you on that. but let me go. at it. some 30 would be lifeguards are put through their paces later that day they have to be able to swim 400 meters in 15 minutes. speed is one thing technique another. well there in fact you can thank you can you get to learn the basics all over again . as well as the grips you need to rescue someone and.

some of the training is done on dry land this class is about resuscitation methods . c.p.r. involves chest compressions and artificial respiration such as mouth to mouth resuscitation togethers are taught a basic 1st aid more advanced lifeguards have to be able to restore spontaneous blood circulation and breathing in a person who is in cardiac arrest with patients suffering from oxygen deficiency every 2nd counts. and that's just what most knew it was a compressions massage the heart and help redistribute locke's region throughout the body and the brain. cells start to die if they go without oxygen for just several minutes. so it's crucial to start resuscitation efforts in the soon as possible it's invisible and with. it's the most of your life savers with the german red cross often go out to emergencies at sea so the trainees also need to know some

basic boating knots they can be pretty complicated but here to practice makes perfect. the theory part of the training takes 16 hours. so they're about to practice swimming underwater for 25 meter has some mysterious remember don't take to deeper breath when you go under just breathe normally. think of remember to move slowly so you don't waste energy. know this. by also and that your nurse can already swim the entire length underwater without any swimming aids was found that not many people can do 25 meters straight away it's a question of practice by the end of the course everyone can do it. they'll be ready for action before the next beach season. you frequently involved in rescue missions so what are the worst kind of emergencies to see again the most type of

emergency would be internet sick emergencies like heart attack stroke or shortness of breath those are the 3 big ones you have normally and in what are the most 3 complete stakes being made well the most frequent and most grave mistake would be to do nothing so the most important thing is just to act and not to wait for things to get better so as soon as you think there is an emergency just call emergency services so they can come and help you when i guess it's very problematic if there are children involved so is there anything and we should keep an eye on the children. basically it's the same as with normal patients you try to calm them down and to give the impression that you're there for them so. you just have to think of the parents by doing so because if the child is educated the parents will become agitated and vice versa so you always have to treat them both as a unit we just heard that the most cases you called for emergencies of the

cardiovascular system but there mock of emergencies like accidents poly trauma leadings and potations fractures and burns. the saucepan slips out of your grip then before you know it you have a nasty burn on your arm where you open the oven to check on your cake and burn the back of your hand. emergency physician stephon up on explains how you can limit the damage. and trust a metal cylinder for the simplest remedy is tap water as good as a temperature of between 10 and 20 degrees which is just right or diminished by the freezing cold water or ice is no good because it could worsen the tissue damage. after cooling the injury most people would apply some kind of appointment or soothing gel or perhaps a. dramedy like aloe vera or yogurt which prevent the skin from blistering but in fact they're best avoided. also i can't say it clearly enough never put on

a serious burn it could grow infected and it also makes it harder to judge it severity or type. the same goes for toothpaste butter oil flour and honey. not only do they not help they could cause serious infections. as for aloe vera it's believed to have an antibacterial effect and to speed up the healing process. it's ok to apply it to a closed wound but pharmacist deal gets done because advice is to stick to aloe vera from the 2 rather than from the actual plant. and don't expect a miracle she says. i'm fabulous nor do you think that was a cooling effect but it doesn't actually influence the band south. and if a blister forms should it be popped. but isn't klein unpleasant with small burn

blisters you can try and pop them sure if you eat but the problems arise if you can't drain and dry it completely then bacteria can get inside and cause infections and kind of an answer no so it's a bad idea to just pierce a burn blister instead it should be d. roofed completely under sterile conditions if you'd rather not do it yourself go to your g.p. . these are supplies in 6 feet 1st it was a discharge forms under the blister continuously in the 1st 2 days so just piercing the blister doesn't help and that has a cytotoxic effect and kills the cells in the wound bed below the blister slowing down healing up i also do a blister that's only partially be removed will always be more likely to get infected and this infertility. an open blister or an open burn needs a bandage. ideally one that's antibacterial there are dressings designed specifically for burns they're transparent and don't stick to the wound. up on and

says there's no need for them. on these it's for fun for fluff you don't need addressing that specifically for a burn on the advantage is there clear so you can see how the wounds doing over a few days when a different the disadvantages that moisture can form under the dressing and bacteria can flourish and i would always advise using a normal antibacterial bandage and making sure you change it regularly and begin to ache to fix. some burns are so severe that the best course of action is to go straight to a doctor in the slimmer soprano is the most severe the thought the more painful it will be because the nerve endings and the nerves are damaged just that they're not dallas when you really need to see a doctor ships the crown for that so you have year in $5.00 to $4.00 that's the only for bit off. so in summary that for burned is red and painful it can be treated quickly with cold tap water. de roof or burned lyster don't pierce it.

and don't bother with else old remedy just. won't help the healing process. very could happen that you have to perform 1st aid in an accident so what about bleeding the most important thing is to stop critical bleeding as soon as possible because once the blood has left the body it won't ever come back at you don't have always granted she's with you. well in case you don't have them you can just take anything so any piece of cloth will be ok and even a t. shirt but this may be dirty it doesn't matter. it's better to have a dirty t. shirt than someone who has bled out on the stand. and what about it do you need a 1st aid kit there yes you can have a normal 1st aid kit as home just like the one you have in your car for instance to stop critical bleeding that's the most important thing and ask for anything else you can have some basic band-aids for minor cuts and bruises well in 1st aid

situations you have to act very very fast with less urgent issues you can write to me. on an upcoming show we'll be talking about antibiotics described more frequently than ever but resistance is also on the rise what are the consequences and are there alternatives questions to in good shape at d w dot com just write antibiotics in the subject line we look forward to hearing from you. and when you are on your computer you can try to find out where the next 1st aid training courses in your area you would like this wouldn't you certainly because you need to do such a course every 2 years to keep up your skills thank you so much and see you again next week then let's all try to stay. in one shape.

the from the basically. what's the connection between bret bios and the european union you know the old motto something w. correspondent and now the baker can stretch this thing in line with the words sex by the. demers. thoughts. on the small thing recipes for success the strategies that make

a difference. baking bread on d.w. . unity and justice and freedom the 1st words of the german national landfall enlists are essential values that form the foundation of this country. to have these values developed in post-war germany. part is it to live by and defend the principles of unity justice and freedom in our every day life span our german cookery our series starts october 21st on d w. but i'm wondering. if you know i mean in your monotonous he. goes over there

specific amiya. us all up with a. vision of getting. it on what it. this you know i mean when you're not in the scene when you. put this on a moment to notice. what employees want to miss you know what i'm with what it took and i said i'm not going to sit there and. this you know i mean you're my noticing growing you are going to get money because you don't want to. me nobody and unanimous. the show could go because as you've heard us have said. i should. point out i've only said that i couric and i'm more than a fun to. conceive because as if to say i said. what to.

do. this is deja vu news live from berlin the u.s. tells turkey it must protect civilians in northern syria as turkish forces advance for a 3rd day the u.s. ambassador to the united nations to warrants sharky it could face consequences if it fails to protect civilians thousands of people are fleeing the violence but are from our correspondent on the turkey syria border. also coming up prime minister

abu ahmed up if you'll be out.