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Re: It's only your money.

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I was amazed that, across from our booth at the ECCU show in Washington last

month, was the company that makes the Thumper, and they still make it! I

haven't seen one in years, not a new one anyway!

=Steve=

Terry Dinerman wrote:

> What's old is new again.........

>

> A " Thumper " by any other name would smell as futile.........

>

> Terry Dinerman EMTP DM PG EIEIO

> It's only your money.

>

> Here's the latest and greatest expensive gizmo designed to consume 20%

> of your expendable resources in order to attempt to resuscitate 1% of

> your total EMS patient demand [aka: dead people]. (See: below)

>

> Be the first on your block to be " state-of-the-art " ! Become a card

> carrying AutoPulse apostle and join the messianic fervor! Get your

> instructor's certificate and sew on a new patch! (See: below)

>

> After all, it's just discretionary income that you're reallocating.

> Surely, you can see that this product is worth giving up your future pay

> increases and benefits for. Hell, there are lives to be saved, and you

> certainly don't want your service to appear to be anything other than

> " leading edge " and " high performance " . Do you? (See: below)

>

> Wake up and smell the coffee. (See: below)

>

> http://www.merginet.com/emsnewsfiles/340_Kate_Dernocoeur_20020710.shtml

>

>

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>I was amazed that, across from our booth at the ECCU show in Washington last

>month, was the company that makes the Thumper, and they still make it! I

>haven't seen one in years, not a new one anyway!

>

>=Steve=

Just was reading Protocols from a system in North Carolina and the

medics there have to document why, if they do NOT use the thumper on

every cardiac arrest. Excluding trauma and peds of course.

Jim<

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>Just was reading Protocols from a system in North Carolina and the

>medics there have to document why, if they do NOT use the thumper on

>every cardiac arrest. Excluding trauma and peds of course.

>

> Jim<

" The " Thumper " is the preferred method of CPR during transport.

Attending paramedics electing not to use the " Thumper " must justify

in routine documentation. The Thumper is NOT to be applied to

pediatric and trauma patients. If the device cannot be secured due to

patient size, manual chest compressions should be used "

Jim<

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In the BioTel system (Dallas Texas) they have been used since the late 70's.

We are required to use them on all arrests in which they are not

contraindicated. Most of use simply use them for transport only and still

perform manual CPR at the scene. This is because of the logistics with the

Thumper. At the NAEMT conference in Nashville we were introduced to the

vest device. I see several advantages and disadvantages to it, it will be

interesting to see how it plays out. The issue around the use of mechanical

devices for CPR has been a lack of education I think. If you simply look at

the basics, manual CPR at its best only provides maybe 25-30% of the normal

cardiac output, now someone tell me what percentage of output you can get

one-handed, bouncing down the street holding on with the other hand in

between pushing drugs and bagging? The point I am trying to make is that

these devices are just as much for our safety as they are for patient care.

We have the newest model Thumpers on our units, we try hard to not use them

by either getting all our patients back (LOL!!!) or utilizing a Field

Termination Protocol.

My 2 cents

Lee

Re: It's only your money.

I was amazed that, across from our booth at the ECCU show in Washington

last

month, was the company that makes the Thumper, and they still make it! I

haven't seen one in years, not a new one anyway!

=Steve=

Terry Dinerman wrote:

> What's old is new again.........

>

> A " Thumper " by any other name would smell as futile.........

>

> Terry Dinerman EMTP DM PG EIEIO

> It's only your money.

>

> Here's the latest and greatest expensive gizmo designed to consume 20%

> of your expendable resources in order to attempt to resuscitate 1% of

> your total EMS patient demand [aka: dead people]. (See: below)

>

> Be the first on your block to be " state-of-the-art " ! Become a card

> carrying AutoPulse apostle and join the messianic fervor! Get your

> instructor's certificate and sew on a new patch! (See: below)

>

> After all, it's just discretionary income that you're reallocating.

> Surely, you can see that this product is worth giving up your future

pay

> increases and benefits for. Hell, there are lives to be saved, and you

> certainly don't want your service to appear to be anything other than

> " leading edge " and " high performance " . Do you? (See: below)

>

> Wake up and smell the coffee. (See: below)

>

>

http://www.merginet.com/emsnewsfiles/340_Kate_Dernocoeur_20020710.shtml

>

>

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I didn't realize that people still actually used those things!

Re: It's only your money.

>Just was reading Protocols from a system in North Carolina and the

>medics there have to document why, if they do NOT use the thumper on

>every cardiac arrest. Excluding trauma and peds of course.

>

> Jim<

" The " Thumper " is the preferred method of CPR during transport.

Attending paramedics electing not to use the " Thumper " must justify

in routine documentation. The Thumper is NOT to be applied to

pediatric and trauma patients. If the device cannot be secured due to

patient size, manual chest compressions should be used "

Jim<

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I think the thumper served as a useful tool when in days gone by it was expected

that a two man crew could, would and should work a full arrest by themselves.

The

thumper became the 3rd and 4th medic on the team. When properly applied in a

timely fashion, here I go again about doing something in EMS in a timely

fashion,

it worked great. I remember a patient on the thumper, intubated and in and out

of

VFib opening his eyes and grabing my arm. I guess somewhere along the line

someone read a study that said it didn't work and we just stopped using them. I

think someone bought ours at auction for 4.00 each.

Henry

wrote:

> >I was amazed that, across from our booth at the ECCU show in Washington last

> >month, was the company that makes the Thumper, and they still make it! I

> >haven't seen one in years, not a new one anyway!

> >

> >=Steve=

>

> Just was reading Protocols from a system in North Carolina and the

> medics there have to document why, if they do NOT use the thumper on

> every cardiac arrest. Excluding trauma and peds of course.

>

> Jim<

>

>

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On Tue, 22 Oct 2002 08:09:10 -0500 Henry Barber

writes:

> I remember a patient on the thumper, intubated and

> in and out of VFib opening his eyes and grabing my arm.

I suspect even some dead guys grabbed medic's arms too! Every time I put

someone on it I winced... but I did have ONE save to discharge, out of

(estimate here.. memory fading :-) ) 35-40 uses over a couple years.

" Everyone arrived here in different boats, but now we are in the same

boat.... we are the United States of America "

Ben S. Carson, M.D.

Larry , RN NREMTP

Nurse, Teacher, Medic

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They were good employees- perfect CPR, didn't call in sick, worked cheap,

didn't incur on-job injuries, didn't sass the supervisor. Aah, the good old

days. Jay Garner

Re: It's only your money.

>

>

> On Tue, 22 Oct 2002 08:09:10 -0500 Henry Barber

> writes:

> > I remember a patient on the thumper, intubated and

> > in and out of VFib opening his eyes and grabing my arm.

>

> I suspect even some dead guys grabbed medic's arms too! Every time I put

> someone on it I winced... but I did have ONE save to discharge, out of

> (estimate here.. memory fading :-) ) 35-40 uses over a couple years.

>

> " Everyone arrived here in different boats, but now we are in the same

> boat.... we are the United States of America "

> Ben S. Carson, M.D.

>

> Larry , RN NREMTP

> Nurse, Teacher, Medic

>

>

>

>

>

>

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Kettle Black

Jay Garner wrote:

> They were good employees- perfect CPR, didn't call in sick, worked cheap,

> didn't incur on-job injuries, didn't sass the supervisor. Aah, the good old

> days. Jay Garner

> Re: It's only your money.

>

> >

> >

> > On Tue, 22 Oct 2002 08:09:10 -0500 Henry Barber

> > writes:

> > > I remember a patient on the thumper, intubated and

> > > in and out of VFib opening his eyes and grabing my arm.

> >

> > I suspect even some dead guys grabbed medic's arms too! Every time I put

> > someone on it I winced... but I did have ONE save to discharge, out of

> > (estimate here.. memory fading :-) ) 35-40 uses over a couple years.

> >

> > " Everyone arrived here in different boats, but now we are in the same

> > boat.... we are the United States of America "

> > Ben S. Carson, M.D.

> >

> > Larry , RN NREMTP

> > Nurse, Teacher, Medic

> >

> >

> >

> >

> >

> >

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