Absolutely, there are instances where mistakes can occur during first aid provision.
If someone suddenly drops unconscious and shows no signs of response, it's crucial to act swiftly. Many folks who offer first aid are often apprehensive about making blunders or causing rib injuries during chest compressions. Is this fear justified? And are there legal repercussions? A doctor from DRK shares insights.
The truth is, during an emergency, there's only one blunder that truly matters – and that's failing to act. According to Bernd Böttiger, a federal doctor from the German Red Cross, everyone has a responsibility to assist in an emergency to the best of their abilities. Section 323c of the Criminal Code states that neglecting to provide help can lead to a jail sentence of up to one year or a fine.
Yet, many people are hesitant to take action when asked to serve as first responders. It's been a while since their last course, and their knowledge remains untouched – luckily so. In such a situation, your heart races like crazy. However, it's essential to conquer the fear of making mistakes. In Bernd Böttiger's words, "There's no reason to delay action when it comes to offering first aid." After all, it can save lives.
Time is of the essence in cardiac arrest
For instance, in the case of cardiac arrest, the heart muscle stops pumping blood throughout the body, leading to a lack of vital oxygen supply to the organs. When this happens, affected individuals lose consciousness, collapse, and become unresponsive, unbreathing. "The brain can only endure for three to five minutes in such conditions," says Bernd Böttiger. "Emergency services usually can't make it in that timespan."
So, until professionals arrive, those observing the incident are called upon to intervene. As soon as an emergency call is made on 112, begin chest compressions immediately. Time is ticking – every minute without treatment marks a 10% decrease in the survival chances, as per the German Heart Foundation.
Let me explain the procedure: As the first aider, position yourself beside the individual. Place one hand on their chest’s central bone. Place the second hand on top of the first hand.
Now, press the hand down 5 to 6 centimeters into the chest and repeat this action 100 to 120 times per minute. Utilize "Stayin' Alive" by the Bee Gees, with its 100 beats per minute, as a guide to maintain rhythm. If other individuals are present, have them do turns. The most important thing is to continue until the medical personnel take charge.
Rib cracks are not unusual
Chest compressions can be a rough process. "Considerable force is required," says Böttiger, "as this is crucial for blood to flow back to the brain." Such force can sometimes result in rib fractures.
Individuals concerned about the possibility of breaking a rib can be reassured by the doctor, "As uncomfortable as a rib fracture may feel, it’s insignificant compared to the consequences that often come from the failure to provide assistance." Without it, serious brain damage due to lack of oxygen or even death within a few minutes may occur.
No legal repercussions for blunders or injuries
Regardless of broken ribs, other injuries, or errors made during the process – first aiders do not have to worry about legal consequences. "Those who implement first aid strategies incorrectly due to stress in the moment cannot be held liable later," emphasizes Bernd Böttiger.
Moreover, first responders even have support in emergency situations – "The emergency dispatch center can also guide and assist with CPR via telephone," says Bernd Böttiger. He advises against seeking guidance online in such situations. "In an emergency, it must happen promptly, and you're under immense stress, making it impossible to pause to watch a video first."
In conclusion, everyone can prepare themselves for an emergency by staying engaged with the topic of first aid. "Since this knowledge is seldom put into practice and thus quickly fades away, we advise a refresher every two years," says DRK doctor Bernd Böttiger.
In emergencies like cardiac arrest, failure to act is the only true mistake, leading up to Section 323c of the Criminal Code potential penalties. During chest compressions, while rib cracks are possible, they are insignificant compared to the consequences of not providing assistance, which could result in serious brain damage or death.
