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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]I thought I read somewhere the prone position was the take pressure off his lungs possibly from any damage done by the CPR. CPR done right will break ribs, it’s pretty violent.[/quote]

Lungs work on a basic level based on 2 things - ventilation and perfusion (blood flow). The lungs vary in efficiency of gas exchange and blood flow depending on the area (upper lower etc) and the effect of gravity and pressure, ie position. You can maximize ventilation or perfusion, but without the other, it’s not effective. So you can provide 100% oxygen at a high pressure, but if there’s not adequate blood flow because of a clot or packed in pneumonia, that oxygen won’t go to the heart and then the brain.

You can think of it as kind of a Venn diagram and you want a big overlap area to optimize the ventilation and perfusion ratio. Putting patients prone does several things to increase the match and the overlap area. It is difficult protocol to follow, especially for larger patients. There are so many monitors and tubes and lines that can get tangled and dislodged when turning a patient prone, and moving them can cause hemodynamic instability that causes all the alarms to sound and can be scary. It’s not as simple as turning someone over on their tummy. It wouldn’t have been done if he didn’t need significant vent support. [/quote]

Thanks for the explanation! I guess whatever they did worked as he awake. I even read (on reddit so grain of salt, I guess) taht he was able to communicate in writing and his question was “did we win?”. And the doctor replied “YOU won.”[/quote]

[twitter]https://twitter.com/adamschefter/status/1611073629705408513?s=46&t=VqWdVKv0ee_Orm3uQ6H6Yg[/twitter][/quote]

Thanks.  I needed a good cry today![/quote]

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