and so was the language of the bank romney. speaking the truth global news that matters w. made for mines. after the. november 9th do you w. . this is in good shape and here's your host dr constantly could touch. hello and welcome to include say. oh my gosh there's someone lying in the fall. is there a doctor. oh it's me i'm a doctor. what you really it's just

a medical training medical but what would you do if this were in real person this is what i'm going to talk about with nicholas stern a man from the german red cross. everyone can help you just need carrots. i need hi thanks for me see me today and well 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 resuscitation he says the usual setting while i think many people just don't have the courage to help because they don't know what to do are 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 even. if it's a minor miracle that law talk or does is today able to go cycling with the person who saved his life. just a few weeks ago his heart simply stopped beating. your wife and i was at a birthday party i don't remember much but while we were eating i just collapsed. that's a huge. you know a lot of 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 can see that whatever it was it wasn't good and. little lay 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.

florida is just a few who understand and fortunately the brain is the 1st organ to react to a lack of oxygen and in cases of cardiac arrest the 1st brain cells begin to die after just a few minutes surgically he 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. happily your harness did react straightaway. while another guest called the paramedics he immediately began to apply c.p.r. . and it was like i was in a tunnel i just kept pressing i completely forgot about my surroundings and i did what i'd learned to do in my course i just applied it and it managed. to harness placed one palm with cold up fingers on the stand and the other hand. on top of

that then extending his arms he pressed down repeatedly compressing the chest around 6 centimeters that movement forces blood from the heart into the artery. rhythm also plays a key role in c.p.r. if you have to press around a 100 times a minute that's enough to keep lifesaving blood circulating. a new long time swedish study showing that mouth to mouth off official ventilation is not necessary in emergencies. you saw it is a patient is normally fit and healthy and 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 so. your harness planning pressed rhythmically for the 10 minutes it took the paramedics to arrive and begin defibrillation that's probably the only reason lol talk with us to say no lasting damage from the event. then you'd have been alone when it happened

then that would have been it 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 minor miracle unfortunately doesn't happen very often in germany resuscitation by bystanders is shockingly rare. but before the fall of one it often happens that we arrive and someone is lying there lifelessly no one has done anything to bystanders say they were overwhelmed or frightened and then by the time passes it's good for the site for station 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 want any of it. it's been my knowledge isn't up to date. 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. the problem is

a problem in mind and that when he's when you go into the situation you feel when secure and death is also just around the corner and most people are afraid of that action and as of entities if i realized what was going on that might help the question is whether i would do it right many people who try to help don't compress the victim's chest hard enough that worried about breaking grips. and often when some leave when it's a life or death situations breaking ribs is the least of your worries for us the broken rib actually indicates that the bystander did an effective job trying to resuscitate. your him he 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. might have been classified as doctors diagnosed a classic heart attack ties and use my blood vessels clogged up until they closed

completely i also had pneumonia that i'd ignored him not very likely played a role as well. even after he was born 20 pounds of care your hymns life hung in the balance the doctors cooled his body down dramatically to prevent damage to his brain and other organs and if you look at certain many patients who've been reanimated then 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 34 degrees 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 up until an emergency response team arrives. so if we find someone lying on the ground what you do the 1st thing is through 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. with

a person 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 is 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 10 minutes in all that comes after that so you get 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. head slightly back to open the airways and then you have to go down. and in that position you use 3 census 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 is dying yes just you take your time those are the 10 seconds you need to take to save a life so why i said why is it 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 on out then you know what to do next. so let's assume this person is not breathing in that case we have to start chest compressions because we

assume that if there is no breathing there is no circulation 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 test 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 beat 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. so he's in this danger is that you can you come. to the drop sure that doesn't happen doesn't have 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 he says right i prefer a life so her whole long do you do this you do it's just until the emergency services arrive so once you start you don't stop and don't you have to be relieved and you have to give the case of life and ultimately well there are options where you can interchange that 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 in 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 the 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 i put it in here this a little yellow lemon 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 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 to press the red button ok once you have made

certain that no one is touching the patient are very important because this electricity flowing into the patient exactly as they are not allowed to touch exactly ok very good that's it 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 dispute 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 there 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 music ali 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 fall back otherwise the next thing is you go to the distant lake and take the me put it up and then you 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 i'm always forgetting how to do this recovery position because it sounds very complicated so it's usually a good idea to train this very off like professionals who like lifeguards. think. this girl is panicking and could drown someone is there to save her but straight away he makes the mistake you know not hold on hold on. one foot is going to cause an accident. in my ways secure the belt. if you go on. the. both your nurse and the girl who simulated the emergency training to be lifeguards. there's

a demand for them during the summer season when the beaches and lakes fill up with swimmers who need to be supervised. in mark does makes perfect i always say everyone struggles a bit at 1st we all did it over the years you gain experience. once you've done the training and actually worked on beaches where you can cope with any situation. to watch your new cars that. will 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 metres in 15 minutes. speed is one thing technique another. well there in fact you can thank you you can you get to learn the basics all over again oh i don't know as well as the greeks 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 the givers 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 it was good to see monsieur it was a compressions massage the heart and help redistribute luggage and 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 the soon as possible into the belief which. 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 practise swimming underwater for 25 metres they still use remember don't take too deep a breath when you go and just breathe normally. in the remember to move slowly so you don't waste energy so much no that's you know this. by also your nurse can already swim the entire length underwater without any swimming aids was found that not many people can do 25 metres straightaway 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 get the most type of

emergency would be interested in c s like heart attack stroke or shortness of breath those are the 3 big ones you have normally and what are the most 3 computers takes the mate 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 call for emergencies of the

cardiovascular system but they're mock of emergencies like accidents polley trauma leadings amputations fractures and burns. the saucepan slips out of your grip and 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 stuff on up on and explains how you can limit the damage. so interesting little doesn't offer the simplest remedy is tap water that's 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. faster cooling the injury most people would apply some kind of point mentor soothing gel or perhaps a house or. old remedies like aloe vera or yogurt which prevent the skin from blistering but in fact they're best avoided. also and 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 title bar 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 as advice is to stick to alow viera from the 2 rather than from the actual plant. and don't expect a miracle she says. i'm fine it's no good reason as 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. but the problems arise if you can 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. . this closet 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 was already in a blister that's only partially be relieved of will always be more likely to get infected and disinfect. 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 then 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 it wouldn't affect 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 you can be sick too vague to fix. some burns are so severe that the best course of action is to go straight to a doctor. if slimmer soprano is the most severe of the more painful it will be because they're now the endings and the nerves are damaged such that you're not dallas when you really need to see a doctor gets the credit for that so you have unifies a thought that's to go for but there are. so in summary if a burn is red and painful it can be treated quickly with cold tap water.

roof or burned lister don't pierce it. and don't bother with household remedies they can cool a burn we're going to 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 bandages with you. well in case you don't have them you can just take anything so any piece of cloth will be ok. but this may be dirty it doesn't matter. it's better to have a dirty t. shirt than someone who has bled out and is dead. and what about it do you need a 1st aid kit there yes you can have a normal 1st aid kit as home at 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 scribed more frequently than ever but resistance is also on the rise what are the consequences and are there alternatives essential questions to in good shape and 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 could try to find out where the next 1st aid training courses in your area you would like this would 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.

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of the 77 percent beats obama beat issues. this is where you cut. the 77 percent this weekend on d w. city in ruins mara. symbol of a long conflict in the philippines. between the muslims and the christian population last month my best fighters occupied the city center in 2017 president to church's response was told. by. her it will never get again football game of. the ring conquest turned into tragedy this is not the kind of freedom that we want. how did we become a gateway to islamist terror. an exclusive report from

a destroyed city. in the sights of our us starts october 24th on d w. this is deja vu news live from berlin turkey pushes on with its offensive against kurdish fighters in northern syria. but as towns fall to turkish troops a new alliance is forming to oppose them kurdish forces say they are aligning themselves with the syrian government as the u.s. pulls its soldiers from the conflict zone also coming up. an exit poll shows that

poland's ruling conservative law and justice party has won the general election the poll indicates the party.