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CPR's Not Just For Humans Anymore

The west coast has an earned reputation for being both socially progressive and positively wacky. Depending on your political and philosophical leanings, one side or another of its attributes may well stand more pronounced. For the life of me, though, I can’t decide which of those perceptions the following news fuels more.

Safety Training Seminars, a San Francisco-based company that offers CPR and first aid certification and safety classes throughout California, recently hosted an event that, depending on one’s perspective, was either long overdue, interesting, or just bizarre. The company itself issued a press release about it and said the event met with "a warm reception" -- so warm, in fact, that it wanted everyone to be aware of it as well as what to do the next time they encountered an asphyxiated pooch.

"Finding a family dog or pet unconscious at home, or a pet cat hit by a car that is not breathing and without a heartbeat, can be a traumatic and very scary experience," the company says, understating, in my opinion, how frustrating it can be to find an incapacitated car. "Thankfully there are steps to save the animal's life. The most important step is to stay calm and immediately call a veterinarian."

STS's press release then delineates the four easy steps involved with Pet CPR:

"Step 1: Check the condition of the pet. Is the pet breathing? To check, put your hand one inch in front of its nose and mouth to feel for breath. Does the pet have a heartbeat? To check, put your ear to the pet’s chest.

"Step 2: Check for a clear airway. If you have confirmed that the pet is not breathing, look inside its throat to check for obstructions. To do this, open its mouth and pull the tongue forward but stay alert in case of an involuntary bite. Look for any objects that might be lodged in the throat, and if there is something there remove it. Dogs have very poor eating habits, so it is common for them to choke on food.

"Step 3: Begin mouth to nose breathing. Start by closing the pet's mouth, then put the pet's neck in a straight position and breath directly into the pet's nose until you see its chest rise. If the pet's chest does not rise, repeat step 2 and make sure there is nothing blocking the pet's airway. Once you see the pet’s chest rise, keep breathing into the pet once every 4 or 5 seconds.

"Step 4: Begin chest compressions. Only start chest compressions after you have established the mouth to nose breathing effectively. Lay the pet on its right side so that the pet’s heart is now facing up behind the elbow of its left front leg. Press down gently on the pet’s chest with your hand, about one inch down for medium-sized dogs and deeper for bigger dogs. For cats and small dogs, push down on the chest with the thumb and forefinger. Do 80-120 compressions each minute for large animals and 100-150 for smaller pets. Once the compressions are started, switch off between compressions and mouth to nose breathing."

Now, I love my dog. I do. But when it comes to mouth-to-snout resuscitation, I don’t know if I have it in me. That said, now that I have the above steps stuck in my head, I know that the thought of reviving him that way will at least cross my mind in an emergency situation – something that absolutely would not have happened yesterday. If he goes down as described above, though, his life still might well depend on how recently he’s invaded the cats' litter box for the morsels he apparently finds so irresistible. As for the other critters in the place – two parakeets, two hamsters, two betas -- I don't know, but I’m guessing the tongue-pulling/object dislodging step might be the tricky part.

STS admits that, "Sadly, CPR is much more difficult to perform on pets than it is on humans; therefore, the success rate is lower." Nevertheless, the company maintains that in a pet emergency, CPR is still the best plan of action. As I say, I find myself wondering about the subject. Has this been around for a while and I've somehow just never heard of it, despite being a lifelong pet owner? Is the practice of Pet CPR widespread, or is it at this point mainly a California thing? What about those of you who own ferrets or chameleons or, I don’t know, gila monsters? Or what about boa constrictors? Can you approximate chest compressions on creatures that don’t even have a chest? Would the mouth-to-snout part be anything like blowing up one of those long, bendable balloons? What do you think?

Posted by Ronnie Rittenberry on Mar 22, 2010


Comments

Tue, May 18, 2010 Munros Safetly Apparel http//www.munrossafety.com

Well, animals are family for most people, so it isn't crazy to expose people on how to perform animal CPR in the case it's needed...I'd probably pass on the snake!

Mon, Apr 12, 2010 Farm Girl

I successfully resuscitated a baby calf this way. You just have to try!

Fri, Apr 9, 2010 Kat

It's been around for awhile. The American Heart Association and/or the Red Cross here in Dallas, TX (not progressive in TX at all) have it offered as a course, and have for years. Pets are a family member for many people who love their pets. As people saw with Hurricane Katrina, many people will not leave their pets even during an emergency and will risk their own lives to save them. There are actually less species of bacteria present in a dog's mouth than there are in a humans (maybe just not the same strains ;)) Try it sometime.

Wed, Mar 31, 2010 CliffG SanFran East Bay

We took the course from American Safety Academy a couple of weeks ago. it was a great course for those of us who are already CPR and first aid certified: we learned about the differences between people and pets, and several people in the class who were not familiar with CPR. The 3 hour course covered large & small dogs and cats, and also some basic first aid/diagnosis tools like taking temperature, checking heart rate & respiration, items that people without first aid training can understand and use. Annette's comment below rings most true: first aid & CPR should be a school subject, starting in about 3rd or 4th grade. A pet "module" would take about 5-10 minutes to add on.

Wed, Mar 31, 2010 Peter Connecticut

Pet First Aid is so popular that the American Red Cross has been asked to separate the class into two distinct classes, Dog and Cat, as we all know the two sometimes do not get along. You can take the course at the chapter or you can buy the book and take it in the privacy of your home. They are part of the Red Cross Safety Series and can be ordered online at shopstaywell.com. The series includes the following books, Family Caregiving, Dog, Cat, Family Guide to FA and Emergency Preparedness and lastly FA for Babies & Children. They all come with a DVD for self paced learning.

Wed, Mar 31, 2010 Mike Plaquemine La.

Our Yorkie was hit by a car and was unconscious and not breathing, so I scooped him up, grabbed his snout and gave him CPR by enclosing my hand around his snout like a tube and blowing into it... he came to, but was struggling to breathe and soon died as a result of the internal injuries he suffered. But the mouth to snout artificial breathing does work. I didn't think twice about doing it at the time, but I had never heard of anyone doing such a thing before. It just seemed like the thing to do. In fact, I told the vet what I had done to try to help him make it, and he just nodded like it was expected. I likened it to giving CPR to an infant, where you breathe into their mouths and noses at the same time.

Mon, Mar 29, 2010 Joan Cincinnati, OH

I agree with Cecilia above and her comments. Our American Red Cross also teaches pet CPR. I think it is great. I love my 2 dogs and I would do CPR on them if it was needed. Personally, I think the snake might die - can't imagine wanting to save one, even though I know people who have snakes they "love". Sorry, my imagination is just not that big. I'll stick to my dogs. And people.

Thu, Mar 25, 2010 Safety Cat

Safety Cat commends you, Ronnie. He would perform whatever whisker to mouth resucitation was needed on his human, and he is glad she can do the same.

Thu, Mar 25, 2010 Ronnie OH&S

Cecilia--and everyone--thank you for the feedback. In the several days this dog blog has been on the OH&S site, I've been made aware of how extensive Pet CPR really is. Pretty much every day this week I've found myself saying, or thinking, "Hunh. Who knew?" and then realizing the answer to that is, apparently, all kinds of people knew and that, not so uncommonly at all, it was only I who'd somehow been in the dark about it. I have to say that your comments, and the original press release from STS, have caused me to look at my dog differently this week. I find my attention focused on his nose a lot more. I adopted him from a local shelter just over four years ago now, and, for sure, this subject never came up. Now that it has, though, my hirsute, halitosis-ridden hound definitely has a better chance of surviving in the event of an emergency (especially if it's not cat scat he's choking on). So far, I've not heard from anyone who's actually been in that situation and had to perform the dirty, daring mouth-to-nose deed. It's an at least interesting maneuver on paper, and I can sort of imagine the reality of it, but mostly I'm still hoping it never comes to that.

Thu, Mar 25, 2010 Cecilia Monroe, NC

American Red Cross has been teaching and training people in Pet (Cat/Dog) CPR/First Aid for years. In fact our local Chapter enlists the help of local Veternarians and the Emergency Vet Clinic to host a Working Canine class for the Rescue teams for those animals that are used during disasters and emergency situations. We have gone so far as to give out coupons for free classes to our local shelter for anyone who adopts an animal (cat or dog).

Mon, Mar 22, 2010 Sam

Mr. Rittenberry - interesting article. I agree with you about wondering if I would have it in me if one of our cats needed emergency treatment, but, as you also said, how could I not try after having read your article? Thanks for the potentially, life-saving info!

Mon, Mar 22, 2010 Annette B. Haag, RN Northridge, CA

I loved your article. I tried to submit a response, but had difficulty sending it as it would not accept the letters/numbers I entered. I am submitting another response in the event you did not get the first one. I did 2 years of Public Health Nursing and I am still concerned that they do not teach CPR and First Aid as Required courses and do updates in Grammar and High School. My families did not know how to take a temperature, know basic first aid or CPR. These are some of the most important things for anyone to know. I hope your article brings emphasis for everyone to know first aid and CPR on individuals as well as their pets. Look at all of the drownings, heart attacks, etc. and the individual then has to depend on the 911 operator to walk them through the procedure during an emergency situation. I had heard about mouth to nose breathing for pets in a CPR course I took in the past. Great article - with great humor. A vet may be able to answer your questions about doing CPR on other animals - would be an interesting subject. I would do it on my Dog - she is part of the family.

Mon, Mar 22, 2010 Fred California

Just yesterday, while sitting in a restaurant with my wife, I saw two young women who had just finished eating lunch in the outdoor seating with their little breed "rat dogs" when one decided to pick hers up and reapreatedly kissed the head of the beast, over and over. I turned to my wife and commented how I thought that it was rather gross. Even so, I think if I had to, I'd still do it if it meant life or death for my best little friend. I probably wouldn't even think twice and I'm not even going to mention what he likes to eat although you already have...

Mon, Mar 22, 2010 Annette B. Haag, RN Northridge, CA

I have heard about this before - in a CPR course that briefly stated that you can use the mouth to nose breathing on pets. When you think about all of the money, surgeries, etc done today on our beloved pets - I know I would try it on my Dog!. Great article. I am still concerned that basic knowledge like First Aid and CPR are not taught in grammer and high schools as a required subject is still a mystery to me. I did Public Health nursing for 2 years and I couldn't believe that my families did not know how to take a temperature - do basic first aid or CPR - think of all of the drownings that occur and then they have to depend on the 911 individual to walk them through the process in an emergency situation. How sad! Thanks for taking the time to bring this issue to light - I believe it will spur individuals to know more about CPR not just on their pets but their Loved Ones! Let me know if you find out how to do CPR on a snake (no I do not have one! - just asking).

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