How To Do CPR In Space

It's a common everyday scenario. Cardiac arrest in space. Make sure you're prepared - you could save a life.
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References:
Sindu’s paper: pubmed.ncbi.nl...
ESAM guidelines: chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/viewer.html?pdfurl=https%3A%2F%2Flink.springer.com%2Fcontent%2Fpdf%2F10.1186%2Fs13049-020-00793-y.pdf&clen=771091&chunk=true&pdffilename=Hinkelbein2020_Article_CardiopulmonaryResuscitationCP.pdf

[@MedlifeCrisis]

I never thought my ass would feature so prominently in one of my KZbin videos, but such is the life of an influencer.

[@ashj_2088]

👻👨‍🚀

[@rjfaber1991]

So they wouldn't let you take a resuscitation doll, but you could bring a donkey?

[@yeetyeet7070]

I bet he likes being called vlogger on top of influencer or medfluenzer

[@DenkyManner]

You never thought but you'd hoped.

[@RhizometricReality]

Please do not resuscitate the bourgeoisie

[@hadassahm3016]

I just completed my first aid training! We used a CPR dummy that had sensors to give feedback on chest compressions and I had a perfect technique. I feel like Leonardo da Vinci's toddler coming home all excited about drawing a stick man, but I'm still quite proud. Just need to stop someone's heart to get some proper practice now

[@imveryangryitsnotbutter]

Wait, that's illegal.

[@krkrbbr]

I scored perfect at the training too, but the need for cpr came when I was at sea swimming and chilling. The patient was collapsed for 15 mins when I heard what happened. She was in her house 2 mins away. When the ambulance came I was there half naked, covered in patients vomit trying not to eat what she just ate, been doing cpr for half an hour with no airway and no epi to a probably already dead morbid obese woman beside her crying husband and mother. I couldn't stop even if I knew she was long dead because of the pressure and the rare chance she survives. I couldn't get the taste and smell off me for hours and trauma for years. I had a perfect posture tho, the medical worker bystanders that did nothing for the half hour I was struggling with all I got said after the ambulance came... %100 would do it again, strongly recommend.

[@lizc6393]

@@krkrbbr Yikes.

[@lizc6393]

@@imveryangryitsnotbutter your username is glorious.

[@paulhaynes8045]

In my last first aid training session (some considerable time ago) I failed horribly. My 'patient' was so fat (and, more importantly, 'wobbly') that I couldn't even turn her over into the recovery position! And I am 6' and (was, at the time) pretty fit and quite strong. It wasn't so much that she was big or heavy, but that I couldn't get a firm enough grip on any part of her to turn her over. It didn't help that she was also in hysterics! That was before this current obesity 'epidemic', so was just regarded as an unusual (and very funny) problem, but these days it must be something that medical responders have to deal with all the time.

[@kolamber94]

what an honor to be one of the first people to know the skill that I will never have to use

[@vigilantcosmicpenguin8721]

On the off-chance that you ever do have a chance to use it, you'll be glad you learned it.

[@WhatsSoGreatAboutThat]

I vote for the bear hug method, where each healthy astronaut does a few compressions before dropkicking the patient to the next person like a relay race. Teamwork 😎

[@ragnkja]

Teamwork is definitely the key, assuming there are at least three people on the Station. If you’re on a two-person crew and your vehicle is the only one there at the time, and one person has a cardiac arrest, there’s only one conscious person left.

[@MedlifeCrisis]

Let’s be honest, if any big strapping astronaut has a cardiac arrest and his crew mates are you and me, teamwork or not, he’s done. If I try to drop kick a 100kg person in space, I’ll just fly backwards😂

[@Daniel-yy3ty]

@@MedlifeCrisis never underestimate the size of our bellies, you don't need muscle to reach 100kg :D

[@IHateUniqueUsernames]

@@MedlifeCrisis Well, all the examples you've shown so far were of one person attempting CPR. If another can assist, perhaps a variation of the ceiling method sandwiching the victim in between, can probably divide the energy requirement for each compression, so as to be more reliable?

[@vigilantcosmicpenguin8721]

Or take turns doing the Evetts-Russomanno technique, if everyone's feeling adventurous.

[@MegaAdeny]

As a relatively tall guy, the handstand method was my first thought. Feels great to know that I have space paramedic ingenuity.

[@word6344]

*cries in shorter than 5 feet*

[@HeyRowanEllis]

"you're on the way to the moon" i knew it was coming but that still fucking made me cackle 😂

[@grayg5124]

If the person survives the CPR, they're gonna die laughing if they see how they were "saved" 😂. Maybe you should publish it in a book of CPR positions in space, I'm blanking on the name though.

[@GigaDavy91]

Cardiosutra could fit

[@sirBrouwer]

Maybe work it further out in to a mediocre series. called the Space Ambulance. So not only CPR but you can be reative with all kinds or medical situations but also focus on the lives of the crew. (does a space ambulance get the lights and bells like a normal does?)

[@sanches2]

@@sirBrouwer i'd watch that!

[@flagmichael]

As we were taught, CPR is not performed on living people. The first steps are to determine if the victim is alive or dead; if he is alive there is no CPR.

[@pablopereyra7126]

@@sirBrouwer A space ambulance emits a radio message that tells any intelligent lifeform that can receive it a universal message "GET OUT THE GODDAMN WAY MORON"

[@DavidSomersHarris]

Medlife Crisis obsession with hearts and space has led to this inevitable video

[@sarthakmunda3914]

Imagine flying to the moon on a spaceship with Rohin, "There's a medical emergency. Do we have a doctor on board?" 😅

[@frollard]

I'm frankly shocked nobody needed a shock on the parabolic flight.

[@cirrusa1815]

That's why his astronaut application was rejected. On a 3 person crew, every other member would have a 50% chance of a cardiac arrest

[@vigilantcosmicpenguin8721]

It could happen to anyone!

[@Quake120]

This channel is absolutely amazing and Rohin, you're hilarious. That 'I think I've seen this somewhere else' reference was so good.

[@duser]

What if two people team up and bounce between the patient's chest and the wall/ceiling?

[@MedlifeCrisis]

Ah the pinball method, I see you are a person of refinement

[@SistaHark]

I just got a job as a nurse in a cath lab! definitely was drawn to that as a result of this channel. so excited to move from cardiac ICU

[@flagmichael]

Cardiac ICU sounds kinda bleak.

[@iamtimmycouk]

@@flagmichael never!

[@fralanasko2900]

@@flagmichael it's great! It's like regular ICU but you know what to expect most of the time...........

[@RubenKelevra]

Finally you got around to make some educational video with useful informations!

[@NicksAreOverrated]

thanks, one of my worst anxieties has always been not knowing what to do when someone has cardiac arrest in 0G.

[@gasdive]

Commercial diver here, but my training is 30 years out of date, so pinch of salt. If a diver needs CPR in a neutral buoyancy environment, and you can't recover them to somewhere dry, raise a glass to them a few days later. You can do artifical respiration on the surface in calm water, but chest compressions...

[@Vonononie]

RIP Pillow, your sacrifice won’t be forgotten. Thoughts and prayers ❤️

[@Blabla130]

F

[@marley7145]

I spent far too long trying to understand why the Zvezda Waste Collection System has so much dentistry in it. I'm amused and terrified at the places my thoughts took me.

[@pattheplanter]

The reason why that would cause a cardiac arrest was obvious, though. Same thoughts, here.

[@marley7145]

@@pattheplanter for a moment I thought I might have one myself.

[@soberhippie]

"I'm glad pigs don't fly", said young Sellas He's one of those worrying fellas "For if they could fly, They would shit in the sky, And we'd all have to carry umbrellas"

[@ve2vfd]

My guess before the video started was to bear hug the PT from behind and do compressions Heimlich style with your legs anchored. Been working in fire/ems my whole adult life and have done CPR/Defib so often I've lost count. One thing they did not really teach us in medic school was doing CPR in the back of an ambulance moving at high speed dodging traffic on awful roads. It's not weightlessness but holding on to the patient and not being bashed around the box of the ambulance is a challenge you learn to deal with pretty quickly. :)

[@pattheplanter]

You can advise on resus during re-entry then.

[@PrograError]

@@pattheplanter i don't think you would be conscious to be doing that...

[@pattheplanter]

@@PrograError Astronauts stay conscious during normal re-entry and take-off.

[@Neil-ii3dp]

Need a powered vest that can do chest compressions and defibrillation. Won't be practical now, but if normal civilian spaceflight becomes a routine thing (in the far future), then the economics will work itself out.

[@klacklery]

Interested in seeing how a Lucas device would perform in zero-g, which is honestly what would need to be used to get a patient back to earth and definitive care.

[@MedlifeCrisis]

Space agencies say they're too heavy to be worth taking for such a rare event, plus the vibrations might affect the ship

[@limiv5272]

I just looked up a video. The thing would need to be better secured to the patient for sure. Hopefully Starship would make weight considerations less important in the future, making taking such devices to space an actual option

[@limiv5272]

@@DrSardonicus I know, I'm hoping that being able to get more weight and volume to space for less money would result in more space on space stations

[@cjc6063]

I'd be surprised if they can't make a miniature compressed air version to remove the power component of the bulk, surely they have compressed gas on the station

[@DrewNorthup]

@@cjc6063 The atmosphere on the ISS is between 12 & 14 psi average, and typically between 20 & 25 % O2. There's really nowhere for compressed gasses to expand to, and they'd screw up the stoichiometric balance of gasses to boot.

[@mudmug1]

Perhaps a variation to the first technique is to have a board slid behind the patient's back. The board has two protrusions for the person providing cpr to hook their calves behind. A second person holds patient shoulders to the board

[@cabbage_cat]

I don't know why I need this piece of information, I don't even know how to do CPR on earth, but I'm glad I learned this.

[@limiv5272]

Just press down on the bone in the middle of the ribcage to the rhythm of 'staying alive' while making someone call 911. Now you know.

[@susanwilliams2392]

Not a doctor, or an expert in any way, so take this with a grain of salt, but from what I know Would add to the above. First make sure patient has a clear airway, and if possible have them on a hard surface, laying on their back. Check for a pulse. And also, make sure you press really hard, if you break ribs, you're doing it right.

[@117Oblivion117]

To add on, while performing CPR, go holla at someone to get you the nearest AED (if available). Interlock one hand over the other, straighten your elbows and use your body weight to press down. 4-6 cm for adult sized people, about 2-4 cm for infants. Use 2 fingers for infants. You don’t want to go squashing the heart completely in the process, just enough to manually pump the heart. Continuously check for pulse and breathing.

[@ragnkja]

If you can, get yourself on a practical first aid course. Even a one-day course is way better than nothing, and enough time to get reasonably familiar with proper CPR technique (and just how tired you get from it, although you don’t actually notice until you take a break due to adrenaline).

[@CED99]

@@susanwilliams2392 The proper acronym for CPR is DR ABC Danger - Are you on a rocket to Mars? You're screwed as Rohin said Response - Susan can you hear me? Then a bit of a shake and maybe a Will Smith Airways Breathing Circulation And now the Rohin addition... Don't Ever Forget Gravity

[@notmyname327]

Really interesting video, I wouldn't have guessed there are so many different techniques. I'm glad there are people working on this

[@Rompler_Rocco]

It's amazing how we live in a universe of expansive, boundless, profound, limitless reasons to regret space tourism.

[@emj7336]

I remember learning CPR for an emergency first aid at work course. Course was great, and managed to be a lot of fun.

[@varp.]

Youre making my everyday problems so much easier!

[@EarthworksAudio]

Great video! And thank you so much for showing off your new ICON Pro, it looks SO good!

[@sylviaelse5086]

If someone gets to the point of needing chest compression in space, even if they are successfully revived, what are their chances of surviving long enough to get treatment for whatever the underlying health issue? I suppose suffering an electric shock might be an exception, but that must be very unlikely.

[@willinwoods]

Thankyouthankyouthankyouthankyou! I have been wondering about this for soooo long, and tried asking on various space related channels, but never got an answer... until NOW! Love it. PS. Thank you!

[@flagmichael]

I'm worried about you....

[@narnigrin]

"Heroic anguish" I'm here for the subs, honestly

[@AM-tl1xi]

I missed your videos but not enough to sign up on twitter and see if something happened, glad to see you’re back.! had an EKG last week and err comparing my heart rate to yours makes me think I need a irl cardiologist and not just an KZbin one.

[@NeroKoso]

5:22 I SWEAR MOM! I'm watching youtube!

[@sadmermaid]

I'm so glad that I have closed captions on. I think that music sounds familiar because it was on tiktok or something. Also, you were very dripped out on the plane, love the monocolour blue with the pop of colour with the socks too.

[@tuckerprice9663]

An AutoPulse CPR machine seems like the perfect device for this situation. They are already used regularly by many EMS services, don't take up as much space as a LUCAS, and come with their own backboard.

[@CED99]

Surely the one piece of advice should be - If you see Rohin on the space flight... get off, it may just save your life.

[@sarahkate2669]

I can't believe I'm only getting around to the parabolic flight videos just now. They sure brightened my day! Very happy that you got to milk that astronaut application for what it's worth

[@minikipp8549]

the captions killed me at multiple times throughout the video

[@ChrisCapoccia]

handstand cpr could also have problems for short people. maybe some platform shoes could help. but seems like cpr is so difficult, that the next steps have to also be near impossible

[@pattheplanter]

Velcro everywhere.

[@SomeoneBeginingWithI]

Seriously though about the Evetts-Russomano technique, I wonder how well the patient's skeleton would hold up to those kinds of forces. I know even with normal Earth CPR there's a risk of breaking ribs, but obviously keeping the patient alive is a priority and the broken ribs can heal later. You're securing your legs around their back, and then pressing on their chest. How do the forces you're putting on their ribs and spine compare to normal CPR? Are the ribs under more stress if their back is being pressed against legs directly behind where the compressions are delivered, compared to being supported by a flat surface in normal earth gravity? Does the reduction in bone density from prolonged space flight apply to the ribs and spine?

[@travcollier]

If The Expanse was realistic about the problems with internal bleeding in 0g, then CPR is quite dangerous

[@ptonpc]

I was wondering about that "Congratulations, we've saved your life but broken your spine. "

[@SomeoneBeginingWithI]

@@ptonpc imagine trying to imobilise a spinal injury when everyone is floating

[@ptonpc]

@@SomeoneBeginingWithI Definitely.

[@SomeoneBeginingWithI]

How do you keep the patient's airway clear in zero gravity? If their neck has no muscle tone because they're unconscious, would their head tend to flop backwards or to the side and block the airway?

[@nosenabookUSA]

Thank you for sharing this vital information. I have not come across it in any of my reading, can you believe it!

[@flagmichael]

Obviously you have not been reading the right things. You probably also missed how to play Jenga on roller coasters, too.

[@davinaz6885]

On april 20th I'll have my first first aid training since the one from my getting drivers license, I'm excited!

[@lizc6393]

What country do you live in that you have to learn CPR to get a driver's license?

[@tag180rotax]

5:19 I literally applauded irl

[@GrafRamolo]

I really like your sense of humor.

[@SomeoneBeginingWithI]

Amazing! I think for the realism of the experiment it would have really helped to have a cpr dummy (unfortunate that it wasn't possible) but substituting the pillow was very entertaining.

[@burhanbudak6041]

We just need a centrifuge room.

[@jcortese3300]

There's got to be some way to leverage the legs instead of using the upper body -- straddle the patient from the rear facing away from their head in such a way as to put the heel(s) directly over the sweet spot and then compress using the legs.

[@ragnkja]

Or push against the ceiling

[@sirBrouwer]

and start to teabag them? that is a way.

[@AD_AP_T]

I was wondering about this too, and that's more or less what I was expecting the Evetts-Russomano technique to be. I assume there's an issue of finesse at play, not just strength, otherwise surely we'd be using our feet for two-person resus on Earth already....

[@henrywilliams6263]

Have you seen the expanse? One of the episodes covers something similar, where a bunch of people become injured from a high g deceleration and how they can't properly heal from it due to a lack of gravity.

[@TheOtherChosenOnes]

Now I will know what to do when my body pillow is in cardiac arrest (regardless of the presence of gravity), thank you so much Doctor 😌

[@sardineRN]

The thumbnail gave me Ace and Gary vibes and the whole video was entertaining and informative.

[@dailydoseofmedicinee]

Great video👏

[@SlimThrull]

"How do you do CPR in space?" With gusto! I'd make a great doctor.

[@kennyw871]

This is great to know for the next time I'm out and about in space and someone in my orbit has ventricular tachycardia. Wait, what about using a AED in space, is there anything I should know? Is it okay if I take my mask off and perform mouth-to-mouth in space? Seriously, a week after watching this video I was crusing around in space and a tourist suffered cardiac arrest right in front of me. I completed most of the ACLS (in space) algorithm, but my patient could not be revived. At least I tried. Thank you Medlife Crisis for giving me the skills to save lives in space.

[@arjenjanse]

What if you interlocked your legs, and then put some sort of strong enough rope or band (something that could just be a part of your space uniform) around you and the other person at chest height. You can then (given that the band is the right length) do comprehensions against the pull of the band :)

[@mdkc]

Very interesting! Based on your pillow-related exploits, my feeling is that there might be a reasonable argument in microgravity for just giving up on CPR altogether. Slap the pads on and if it's VF/VT, spam stacked shocks and hope for the best. If it's non-shockable, resign yourself to the fact a) reversible causes probably aren't that reversible in space, and b) you might be a while waiting for an ambulance. Go grab a coffee and make the awkward phone call to Houston.

[@irfan8702]

Hey Dr Rohin, keep up the good work

[@sanches2]

With all due respect- having in mind your track record when passengers on your flights developed emg. Conditions i will pass on a spaceflight together with you ;) but i'll bring all your episodes on my computer!

[@adventuresinsimland4626]

That microphone is so lovely.

[@Kim_Miller]

Rohin gets a position as an astronaut on the space station and has a heart attack. The call goes out, 'Is there a doctor on board?' "I'm a doctor of physics' says one. 'I'm a doctor of aeronautics' says another. 'I'm a doctor of astrophysics' says another.

[@Jedermeister]

Oh man 5:22 caught me of guard! HAHAHA

[@AD_AP_T]

Would the automated chest compression devices still work the same in microgravity?

[@AD_AP_T]

(Like, setting aside that the weight cost is currently too great compared to the risk of not having one, etc etc - I'm wondering if anyone knows things like whether, without being able to lay the patient on a surface, would the piston even be able to keep compressing at the right angle? Would the patient move forward with the piston upstroke, and would that affect the effectiveness?)

[@00alexander1415]

"Our main revenue stream" that caught me off guard, now my monitor is sticky full of coke Rohin, thanks!

[@benemenhall4215]

Hey Medlife, excellent vid as always. I'm wondering what the difference between nebula and curiousity stream?

[@Hfil66]

Given differences in circulation when under prolonged microgravity, do you need the same force of compression in that scenario (would you need less force because the heart needs to do less work in the absence of gravity, or do you need more force)?

[@keithklassen5320]

I think that the straddle technique would work a lot better if you put your foot directly behind the point of compression. This might only require a little practice, or it might be a flexibility issue, but I feel quite certain that an astronaut could do that.

[@dfgdfg_]

Rohin continues to look even more fit. Look at those Blue Steel cheekbones and Astro-doc haircut! 🤩

[@xTerminatorAndy]

Much as I would like to be a space tourist, can we have a think about the sheer amount of fuel that is needed for every launch? Until and unless we use green energy for launches, we shouldn't be doing space tourism

[@cirrusa1815]

How would 0g affect the strength required in the compressions? Would the lack of gravity affect in any way the resistance of the blood flow?

[@vjara94]

Sometimes I believe I was born too soon, I want to be resuscitated in a comercial space flight

[@kostis2849]

Congratulations on whoever did the green screen key-out. Okay your slick black hair helps, but there s no green fringing at all (very common in youtube lol)

[@MedlifeCrisis]

My first time ever getting it kind of ok looking! I'm normally awful at it. Thanks

[@AsterInDis]

TWO space videos?? Fantastic, I feel spoiled.

[@ananthropomorphictalkinggo6641]

This is all well and good for a short duration flight, but being in space for any prolonged period of time makes your bones much, much weaker. They say that from literally the first time you pee in space, your urine is loaded with calcium and phosphorus, because your body doesn't want bones in space or something. Whatever standardized method they decide on is going to have to take in to account the fact that your bones are going to snap like twigs, especially the pelvis.

[@crablessinbaltimore]

would people have more success with space cpr if they used their legs & feet to deliver compressions? since strength/stamina are obstacles, maybe using larger, stronger muscles would make sense.

[@CED99]

Neil: Graceful landing! Deadon!

[@pedrosmith221]

I'll confess I got the 'I think I have seen this before' reference.

[@russkiishpion8892]

Space CPR is cool and call but I need to know what shoes you were wearing while doing it. They look so good

[@rolandmalkin]

How about the Lucas II machine ? Bit like an automated toilet plunger. Worked for my mate Sean………in Huddersfield. Thats a long way up !

[@collectorguy3919]

The handstand seems like the best until you consider the footstand with arms bracing against whatever is nearby.

[@DeliriumWartner]

That picture of the bear hug. "I'm the king of space, Jack!"

[@palpytine]

I can't help but think the higher risk of cardiac problems would be during *higher* gravity manoeuvres, such as launch or re-entry

[@ExperimentIV]

what happens if someone dies in space. what do you do with the corpse

[@MrFunguspower]

I would think the best way to perform CPR in space is by firing the engine 120 times per minute, at 1kN/s² acceleration along the sagittal plane of the patient. All the other astronauts get free leg day excersizes as a free bonus. Sure you'll reach orbital ejection, but you'll have saved the patient's life!

[@Need4Needle]

by listening to dr. Sriharan i just wondered if assisting personnel couldn't simply perform the "reverse bearhug" (or what is thought to be the most immediate assistance) in the early part of the cpr while other personnel move both the assisted person and the bear into an area that is safe for defibrillation and/or tether both assisted and bear in order to perform better chest compressions and defibrillation. in this case the "bear" would be the surface where compression go against, so i guess there's the challenge of not allowing the bear to be too soft (or using a hard surface between bear and assisted person, maybe even electrically isolant). I think this would make it so assistance is performed immediately and seamlessly while the assisted person is moved where assistance can be performed the most effectively as well.

[@tbip2001]

I feel like nasa of all 'people' would be able to design a much more lightweight mechanical compression device (compared to something like a lucas) Would love to see that tech filter down to general use.

[@flagmichael]

AEDs are more effective than chest compressions.

[@tbip2001]

@@flagmichael you mean an AED as in a defibrillator? Because if so then you really need both. Defib is used to correct arrhythmia such as Ventricular Fibrillation, and ventricular tachycardia (when there is no pulse). Chest compression help partially sustain perfusion of the brain. You need both.

[@erictaylor5462]

11:00 I have made this comment before, and 2 weeks later had a major STEME heart attack, but I still stand by my words. To avoid a heart attack the best defense is a good offence. I recommend launching a pre-emptive strike. If you seek out and destroy the heart it will not attack you. I'll let you know how I'm doing in 2 weeks... If I am able.

[@yuvalne]

My internet connection dropped about 8 minutes in so I heard the sentence; "if you have a cardiac arrest in space, you're toast" then the video froze.

[@flagmichael]

It's all happening again!

[@gadlicht4627]

I do think developing a lightweight cpr defibrillator machine for space would be useful for earth. There scenarios where person can’t do cpr well bc untrained or unfit. Also freeing up hands may allow them to treat others, treat other medical problems, and more. Machine may or may not do better job. You could also defriballate and compress at same time so less stopping in between and maybe due mouth to mouth. I’m imagining a belt with inflator where hand would be that compresses and electrodes for defibrillation something like that

[@Chocolatebunting]

5:23 😂 I def dont know what that music is

[@Anabioo]

I've heard it and can't for the life of me place it; it's driving me nuts

[@asklepios_]

Ah yes, I would definently need this.

[@RoScFan]

"i dont know where that music is from" LOOOOOL. I think you do! Lol.

[@YounesLayachi]

Reminds me of : Emergency phone out of service. *Please don't have an emergency here* xD

[@dangray]

No matter the subject, always interesting and enteraining.

[@newshefan]

Useful info for when space tourism starts!

[@warbler1984]

Please do PCR in space next!

[@ragnkja]

Like Kate Rubins first did in 2016?

[@warbler1984]

@@ragnkja oh that's pretty cool

[@flagmichael]

@@ragnkja Good catch!

[@luminoustedium]

Seems like the most appropriate management for microgravity cardiac arrest is to promptly revisit the ceiling of care

[@orangepretzel3573]

I’ve never thought about this but it’s really interesting.

[@Stalennin]

I can't remember the last time I've said it to anyone, but I think the shaved look suits you! Thanks for the mindbogglingly random information, I bet I'll find use for it at some point in my life! :D

[@paul_hankin]

What if you stood on the patient's back and ran a cargo strap around their chest? Maybe with balled up clothing to localise the pressure? Both arms and legs could be used to generate force.

[@mackieincsouthsea]

Missed you doc! If only I could ask you make more time for your KZbin without seeming somewhat sociopathic 🤣 Hope you're doing well!