>> All right, with all due respect,
I know you guys are EMTs but I've seen enough movies
to know how to save this person.
>> Jason: He's, he's really good at this actually.
>> [shouting] Come on!
You've never wanted, come on!
>> Yep.
>> Jason: Fight, damn you!
[screaming]
>> Jason: You never gave up on any...
Is that how it goes?
You never gave up on anything in your life.
>> Does this hold Star Wars figures?
[laughter]
♪ [upbeat guitar] ♪
♪ [music swells] ♪
[diagetic noise fades in]
>> robot voice: Part 3, Cardiopulmonary Resuscitation.
>> All right, we're back with Jenna and Daniel,
our EMT friends.
>> So many hand shakes, it's great.
>> Jason: Yeah, you guys are going to teach us about CPR.
I think that's something that all of us
have kind of an idea of sort of how to do it but not really.
>> There's certainly no shortage
of trying to get the word out
but I'm starting to see a recurring theme
that there's a lot of things we half-know
about emergency procedures.
We talked about tourniquets and it turns out
tourniquets are a lot more useful than we thought.
And in this case, like, CPR,
I remember learning rescue breathing as a kid
but I guess, rescue breathing is out.
You don't do that.
>> Yep. >> Completely gone, yeah
>> We're going to talk about chest compressions
or hands-only CPR this is called, right?
>> Yep. >> Right.
>> How do you determine when someone needs CPR?
>> Well, it's pretty simple.
Are they breathing?
Do they have a pulse?
So, a lot of times, you get your hand up
right up near the nose and the mouth.
Can you feel them breathing?
You want to check to see on the neck if they have a pulse.
And a lot of time, "Sir, sir, can you hear me?"
If they're not responsive and they have no pulse
and they're not breathing, begin CPR.
>> I got to be honest, I have a hard time
finding my own pulse sometimes.
I can't ima--
how good, how long does it take to get good
at finding somebody else's pulse?
>> I, I can never do it on mine,
so I just thought, "Oh, it's like you can't tickle yourself."
You can't find your own pulse either.
>> [chuckles] No, I'm pretty sure you should be able
to find your own pulse. >> [laughs] I know.
>> It's right there. >> Yeah.
>> You're just going to have to do it, right?
>> So, that's what everybody always says
and then it never helps.
So, it took me a while to >> Oh, yeah, there it is.
>> to figure out its--
>> So, see the corner of my jaw right here?
It's just below there.
>> Brian: Okay, so if you kind of tuck in under your jaw,
push against your wind pipe, you can start to feel that.
But, but, but, how reliably easily can you feel that
on another human being?
I guess you guys are good at it.
>> Pretty easily. >> Pretty easy, I mean, yeah
>> You want to try? >> Practice makes perfect, right.
>> All right, this is--
>> Oh, there it is.
>> Brian: Yeah, I would >> She's alive.
>> I don't know if he is.
>> I have a pretty intense pulse.
[Brian stammering]
>> Oh yeah, no, yeah, you have an intense pulse.
>> [vocalized affirmation] I'm dead. >> Yeah.
>> Yeah, you're dead.
You're clearly an animatronic.
[laughing] [Ch-ILD psionic tone echoes]
Okay, so breath, pulse, and whether or not they're
conscious or responsive. >> Responsiveness.
>> Absolutely. >> Yeah.
>> Okay, and after we determine that they might, in fact,
need CPR, what do we start with?
>> You're not going to save them with just CPR.
You need a defibrillator, you need medical help immediately.
>> Jason: So, call 911 >> Call 911,
but you don't want to do that yourself
while trying to start CPR, right?
So if there's someone else in the room, direct someone else.
Like, "Hey, go call 911."
"You, try to find me some kind of AED or defibrillator"
and then you start on the chest.
>> I've always been told that if you just shout
"Somebody call 911," everybody thinks,
"Well, somebody else is going to do that."
>> Correct. >> But if you say,
"You, call 911," >> Right.
>> "You, find an AED," >> Right.
and then you get started. >> Correct.
Or, if you shout, someone call 911, everyone does it
and suddenly they get 20 calls for one place.
>> And that can actually slow down emergency response.
>> Right. >> Absolutely.
>> They're not breathing, they're not responsive,
you've told people to call 911 or to get an AED.
Why don't we do the rescue breathing anymore?
>> So, it's gross mostly. >> Okay, all right.
>> Yeah. >> I mean,
you don't want to put your mouth on somebody else's mouth
because germs and you don't know what they have.
But also because when you're doing compression,
sometimes they vomit. >> Yeah.
>> And you do not want to be dealing with that, also
>> Don't, no kink shaming, I mean, you know.
[laughing]
>> But the studies show that honestly,
rescue breathing isn't as effective as we think it is.
>> Really?
>> The most effective thing is getting the heart pumping again
and getting that blood circulating
because you think about it,
when you're pushing on that chest, they're also breathing.
>> Right. >> Yeah.
>> You're pushing the lungs down and when you release,
you create that negative pressure in the lungs.
Air is getting in and air is coming out when you push it.
Push it back out. >> Now, you guys keep saying
rescue breathing, you mean just pinching the nose
and breathing? >> Right.
>> [stammering] But forget about that, yeah no.
>> That's all gone? >> No, don't do that.
>> Yeah, it's gone.
>> Oh, just completely. Okay. >> Correct, and--
>> I had no idea. >> Brian: T-I-L!
>> Right, and the old standard said you did what,
like 15 or 30 compressions and then you gave two breaths.
>> Right. >> And we even did that
in emergency response for a while but now,
we have the mask with the bag.
That's how we breathe and we just keep doing that
every six seconds and we don't stop compressions for that.
Because when you stop compressions, you have,
it takes some time to build up that pressure again.
So, it takes, like, maybe 15, 20 seconds but you,
♪ ♪ that's just time that you have to build back up.
So, we just keep the breathing constant
so we don't have to stop the compressions.
>> I guess that makes sense too because
logically, there's no point to using the lungs
to oxygenate blood if the blood's not being pumped.
>> Correct. >> So it's more important
to keep everything circulating >> Right.
>> than anything else.
>> Jason: Let me ask you this.
How effective is CPR chest compressions
in restarting a heart?
>> It's incredibly effective, it's because,
especially in the first response method,
if you're in a restaurant and someone collapses
and they don't have a pulse, you're getting that blood
and you're keeping that going for
when the emergency responders show up.
They can start the electrical therapy or if you have the AED
you can slap that on to start but also the drugs,
the epinephrine or whatever cardiac drugs
that we can give to keep that going
but the most important thing is keeping that blood flowing.
>> Just the simplicity of the entire operation
is baffling to me because it's like
just smashing on someone's chest is critical
to keeping them alive. >> Absolutely.
>> Yes. >> It's like when we did
the choking episode, we talked about the importance
of the time, timers, like every second counts.
How quickly do you start to lose brain cells
after your brain stops getting-- >> In about four minutes.
>> Every second counts, right? >> Absolutely.
>> So, what's a good technique?
What's the appropriate method that we use?
>> So, to find CPR, try to pull
their shirt up as possible.
If you're dealing with a woman,
you can leave the bra on for modesty.
But try to find that nipple line
and you put a hand, a palm right there
on the center of the chest. >> Jason: Okay.
>> About the nipple line.
Try to avoid getting too low because
there's a little bone there that you can break off
and cause internal bleeding if you do.
Put your other hand over.
Try to get as much leverage as possible
and you want to get over them
and you're not pushing with your hands or you arms.
You're pushing with your shoulders.
>> Yeah, so you use your body weight.
The top half of your body. >> Daniel: You're using your body weight.
>> So, you're locking your elbows-
>> Yeah. >> Absolutely lock your elbows.
>> -and just everything as your entire body as a lever.
>> Right, as opposed to pushing with your arms
like they do on TV, that's so fake.
>> That's so bad, yeah? >> That's very, very inefficient.
>> It's so bad. >> How is that bad?
>> Well, it's inefficient.
>> Oh, it's just inefficient. >> You're not getting as deep. >> Yeah.
>> You want to get, about
two inches deep. >> Whereas if you use your entire top--
>> Brian: And this sort of
leads into my next question is
how worried are we about breaking bones?
>> You will.
>> You just will, full stop? >> You will break bones.
>> Oh wow, just get ready for that.
>> Right. >> But!
>>> Better than being dead.
>> Yep. >> That's right, okay.
>> Although, you're technically not breaking bones.
You can, but it's actually snapping off the cartilage
that connects the--your bones to,
your rib bones to your sternum.
>> Which is actually a much easier heal than to say,
splinting an arm or something like that.
>> So, in this case, it's much more important,
in fact, that actually helps to crack all that
because now, you're more effectively
mushing the guts around. >> Absolutely.
>> That keeps everything circulating.
Okay, I got a question.
So, as far as the rhythm, I've heard
from a PSA in England that the proper rhythm
just happens to be exactly the beats of Staying Alive.
>> Right. >> Is that right?
>> It is correct.
>> That's awesome, that's my favorite take-away.
>> Absolutely, Imperial March works too,
Star Wars, Imperial March. >> Yes, Imperial March.
>> Oh wow, okay!
>> I know that one quite well. >> Yeah, that's another one.
>> And, ironically enough, Another One Bites the Dust.
>> That's a good one there.
[laughing]
>> What about Fat Bottomed Girls by Queen? [laughing]
>> But I also like to use a metronome.
It's the most effective way.
[soft beeping increasing in loudness] You just have this beeping and that's going to
get me at 100 beats per minute which is the goal.
>> Is this an app that you actually bust out on the scene?
>> Yes. >> Oh yeah.
>> Wow! >> Absolutely.
>> Okay, what about old people CPR, young people CPR,
baby CPR, android CPR?
>> Anyone who's not an infant, the same technique
just like this.
>> And you just do that until a certified
medical response team can show up?
>> Absolutely. You can alternate,
I like to go 100 beats and then if I was with her,
I would have her take over at 100 beats.
She does 100, I do 100. >> So you just keep going?
>> Yes. >> So, I have a question.
I remember hearing as a kid that like,
with a baby, you want to do very gentle
and with a human
[incredulous] --uh a human. [laughter]
With an adult,
you want to do it medium pressure
but I remember thinking, "But with an old person,"
"you just want to wail real hard." >> Jason: Yeah.
Is there anything to that?
>> No. >> If you've got some sort of like,
spinning kick that you can do... [laughter]
>> No. >> The older, the harder you have to hit them.
>> No, the more likely you are to break bones
when they're older.
>> So, if anything, you want to-- >> So, you would do it the same
pressure that you would have for a normal healthy adult.
"Healthy." >> Just get ready for the crackling.
That's my new horror film. >> Yep, yep.
>> Get ready for the crackling.
[laughing]
I'm picturing old people in, like, nursing homes going,
[affecting an old sailor accent] "Oh, did you hear about Jim?"
>> "He summoned the crackling." [laughing]
>> "No! He didn't."
"Oh, yeah, they crackled the s--- out of him."
[laughter] "Better than being dead!"
>> Always better than being dead.
>> With babies, it's slightly different.
So, with babies, you want to kind of hold them
and with two fingers--
>> Jason: You pretend you're shooting them in the chest. [laughter]
>> The same spot, nipple line. >> Two fingers.
Find the same spot and you just keep going or
you can actually put him on a table and kind of do this.
>> Jason: Again, watch out for the xiphoid.
>> Correct. >> Right, right.
>> That little xiphoid process.
>> Wait, xiphoid? What? >> The xiphoid process.
>> Yeah, that's, it's kind of represented on this dummy here.
>> This little...
>> Brian: That's the thing that could crack off that you want to be above? >> Jenna: that diamond shaped thing.
>> Jenna: Yes. >> Daniel: That's the bottom of your sternum.
>> Jenna: You want to go for the nipple line.
So, you'll be plenty above the xiphoid process.
If it's an adult, if you're the only other person there,
you can actually call 911 before you start CPR
and then have them, you know
on the phone. >> Brian: It's more important
to know that first responders are on the way
than that you can do CPR.
Doing CPR for five minutes and then getting around
a calling, not as good as calling first. >> Not a good idea.
>> Adults are able to maintain more oxygen in their blood
because they have so much blood.
>> They have a bigger reservoir.
>> Right, they have a bigger reservoir and you can call.
They can last a little bit longer, whereas,
children and infants, you need to start immediately
and then you can stop momentarily,
Because, everyone is attached to their phones these days.
>> Brian: Yeah. >> So, once you've done
at least five minutes, then you can, like,
say "Siri, call 911."
>> Oh, that's right, because you can shout at your phone now.
>> Yeah. >> Oh, that's brilliant.
Look, let's save a life. >> All right.
[affecting an exuberant accent] >> "Ah, it's the fan meet and greet!"
[pain gasps]
"Jason Murphy, I just wanted to tell you"
"it's a very important, I-- The Black Goat Motorcycle Club..."
[final breaths]
>> Yes‽
Okay, sir!
[laughter] >> No, no! >> Tell me what
you were going to say about my novel.
Are you okay?
>> Brian: "I'm non-responsive." [laughs]
>> Jason: Oh, you're not--okay, non-responsive, hello, hello,
okay, no air, no air,
hello, hello, uh,
pulse, checking for pulse, okay nope, no pulse.
All right, I don't even think I have Siri, actually.
Siri. [laughing]
Siri, call 911.
>> Talk about phoning it in. [laughter]
>> Brian: You're clearly not motivated to save this person.
>> Lock your elbows out.
>> Yeah, lock your elbows.
[a cappella] >> ♪ You can tell by the way I use my walk, ♪
♪ I'm a woman's man... ♪
>> Daniel: No, it's a little easier
[laughing] >> Jason: That's not it.
>> Daniel: It's easier if you come do it from the side.
>>> On the side, yeah.
>> Okay,
I was trying to get the song right. >> Do it like you mean it.
>> Jenna: And it's also going to feel a lot different
when you're doing it on a real person.
>> Daniel: Human is going to be worse. >> Brian: Is that
enough of a compression on there?
>> Jenna: It's a lot squishier on a person.
>> It's not as much as I would do.
>> Oh, really‽
>> So I would push a little harder, yeah. >> Jenna: You have to do at least two inches
into the chest so,
push as hard as you feel you can.
>> Lock those elbows. >> Got to lock your elbows.
>> Daniel: There you go. >> Jason: Elbows locked,
using the shoulders. >> Daniel: Yep.
>> And there's a good chance doing real CPR
that you will break a sweat.
>> Daniel: You will.
>> Brian: Yeah, you hear that?
Worst episode yet for you, buddy.
Get ready to break a sweat.
>> It's not going to take much.
[laughing]
I'm starting, I'm going to need some more orange slices
or something in a second.
[laughing]
Okay, and, you're good!
>> Brian: [fake coughing] >> Daniel: There we go! That'll work.
[resuming his exuberant accent] >> Brian: "I just wanted to ask"
"why didn't you drink the pruno?"
>> Ahhh! [laughing]
[decending whistle as Brian's yell continues]
>> Jason: [angrily] I should have let you die!
[crisp chime rings out as Brian's yell fades]
I love it how he just fades off like,
[laughter] like I sent him to the phantom zone.
I hit him so hard, he just went off
into a parallel prison dimension.
>> Oh my god! Thank you guys so much! >> Smash Bros.
>> Oh, intercepted, that was awesome.
As always, you guys give the advice
if you want to learn more, contact
your local fire department or an EMT station, right?
>> Absolutely.
>> Oh my god!
"I also wanted to know,"
"why don't you look at the cameras"
"during the show?" [laughter]
>> Here, we'll let you.
♪ [smooth astral beat] ♪
Is it everything you dreamed?
Look into those cold dead eyes.
[noticeably quieter] >> "When is Hacking The System coming back to Netflix?"
[chuckles]
"When is Brian going to bring back the spikes?"
[laughter]
[strained] "You should do a collab with Adam Savage."
[affecting a similar strained accent] >> Jason: "You should do a collab with King of Random."
[uproarious laughter]
>> Brian: "The short one is too hyperactive, he's annoying."
>> "Oh, that laughter is so fake."
>> Brian: "Why are your episodes so scripted?"
[laughter] — CC BY REV — * MODIFIED BY BIZARRE MAGIC *