I don't normally encourage 'thank you e-mails' because it clogs up our inboxes but on this occasion I want to thank everyone who commented on this query. I have also had some great offline responses and leads to training companies that may be able to help. Also the following response from the resus council which I will share (thank you Hazel):
Good question! Ultimately, the learner would need to be able to press the chest down, 5 to 6cm at a speed of 100-120 per minute for 30 compressions at a time. there is no mandatory requirement that this must be done with the heel of the hand. My experience is that often someone with arthritic wrists can use any solid inanimate object, about the size of a cup, to place on the chest and press down on. This resolves the issue of having to bend the wrists back.
Thanks again
Karen
-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Catherine Mackay
Sent: 20 October 2015 09:57
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] CPR with feet or elbows?
CONFIDENTIAL EMAIL - INTENDED RECIPIENT ONLY
Dear Karen
Experts offering evidence based advice - worked with them on oil & gas workplace CPR requirements:
https://www.resus.org.uk
Kind regards
Catherine
---------------------------
Catherine Mackay
Health at Work Specialist
MSc(Occ. Psychol.)GIOSH RN(UK)RNP(USA)
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On Tue, 20 Oct 2015 08:18:53 +0100, Karen Coomer wrote:
> Re: [OCC-HEALTH] CPR with feet or elbows?
>
> Hi anne
>
> I don't think the org would have a problem with him using his
> feet/elbows it's just finding a first aid provider who would train him
> and provide a certificate. Their preferred training provider have said
> no, unfortunately the client profile has changed to a higher risk so
> he does need to be able to do it also in view of external auditing
> from other agencies the org has to provide evidence that his job role
> has first aid training. We are looking at other ways of managing this
> but need to explore this option first - may need to look at other
> training providers I think.
>
> Regards
>
> Karen
>
> FROM: [log in to unmask] [mailto:[log in to unmask]] ON
> BEHALF OF [log in to unmask]
> SENT: 19 October 2015 22:16
> TO: [log in to unmask]
> SUBJECT: Re: [OCC-HEALTH] CPR with feet or elbows?
>
> Interesting Q, Karen.
>
> I would consider this in the light of a functional assessment. If the
> man is able to perform CPR safely and effectively using his elbows, or
> even his feet, then why not? It is a suitable modification under the
> Eq Act. If you wanted further reassurance perhaps contact the Resus
> Council or your local ambulance service. I would use a risk assessment
> approach - what is the likelyhood of him having to give CPR
> (presumably not high) and then what is the likelyhood that he would be
> unable to perform it under the conditions in the workplace.
>
> Anne
>
> On 19/10/2015 18:04, "Karen Coomer" wrote:
>
> Hi List
> Rather strange title I know.
>
> However, I have a chap who has an inflammatory arthritic condition and
> cannot perform CPR with his hands, his wrists are far too weak. It is
> part of his job and he is convinced that he could do it with his feet
> or elbows. I taught first aid years ago and never saw a course that
> allowed this or seen it in action. I'm out of date with first aid on
> what's possible so can anyone shed any light on whether there are
> courses that use anything but hands to do CPR, e.g., other part of the
> body or equipment?
>
> Many thanks
> Karen
>
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