first pass out

[SPANISH SCOUSER]

just have my first and it was not nice i did crap my self, there were no sintoms,change of temperature or anithing just one minute it was talking to me the next it was on his way to the flor,just grab him on time but it was not responding did give him a slap and did sin to work put a wet tabol on the back of the neck give him a glas of cola a pice of chocolate and did recover,thanks fuck,but yes no a nice experience manage to finish is tattoo,the poker card on my galery,after he said to me that it was drinking the night before till 3 in the morning,BASTARD,

[Obsessed]

I just had my first also....cute girl during a tongue piercing. Pushed the needle through and.....out like a light.
10 min. & couple glasses of cold water & she was just fine. :D

[SPANISH SCOUSER]

scary o what

[ink_freak]

i can usually tell by their face i keep mirrors on the wall so i can see them from every angle,usually they pass out because they dont breathe right and hold their breath while your inking,its pretty funny cause most of the time its the big tough guys who do it!

[STARMedic]

Pretty sure Ive addressed in depth what should and shouldnt happen when people become unresponsive inside the tattoo and piercing shops. Slapping isnt one of the options. The reason being is that if the person who has fallen for whatever reason injured their spine on the way down, the whole slapping thing isnt gonna help anything. When a person becomes unresponsive, or if you suspect they are becomming altered (altered mental status) you can check their pulse, check breathing, and open the airway using a jaw thrust (if neck injury is suspected) or the head tilt chin lift. Just letting someone lay on the ground in a supine position isnt gonna cut it due to the tongue having the natural tendency to relax and occlude the airway. Incidentally if you apply a trauma jaw thrust on someone who is unconscious they will probably become full awake if there isnt some deeper underlying cause. There are some other basic ways to get someones attention when they become unresponsive. trapezius pinch, sternum rub, or pinching the web in between their thumb and first finger. WHen doing this make sure you do it like you were trying to win the heavyweight title in the UFC not like some fukin girly faggot.....lightly tapping someone doesnt cut it in emergency situations.....For instance in an emergency situation, I dont give a fuck whether anyone cares about what Im doing to save someones life, and after the patient is responsive, really dont give a fuck about what they have to say. If you are ever unlucky enough to find yourself in a full on no shit cardiac or respiratory arrest situation and having to lay the full meal deal on someone, you have to realize that they are no longer humans to cherish, they are simply a piece of meat, full of shit, bile and blood. Do whatever it takes to open the airway and get them perfusing, and do good compressions at 100x a minute, hard and fast....If ribs arent cracking your not doing it right.

Sudden loss of consciousness is due primarily to one thing with two underlying causes....The brain not getting enough O2 or sugar. If they hit the ground and come right back around, you need to think something like cardiac syncope or toxic metabolic state. The brain needs two things, sugar and O2, either of those is out of whack and people will first become altered and then become unconscious.

Constant communication within the tattoo process is key IMHO, your not just laying ink, or piercing them, your monitoring them for any sudden change or deviation in mentation.

Ive noticed that all the medical shit I added to this section of the forum has been eliminated. Im working extensively with the owner of studio445 on integrating BBP/CC/CPR/AED/O2 training into the forum for online consumption.

The most important thing to remember is to keep your cool, your not doing anyone any favors by freaking out and or shitting yourself, remember open their airway, check pulse, check breathing, check their responsiveness, if none of the above is occurring, dial 911, and start cpr which means breathing and circulating for the person who isnt.

HTH,

Bruce

[Obsessed]

Well said & very informative. Your words are of true value to anyone in the industry. I truly belive that there is a greater amount of responsibility that any individual tattoing or piercing holds. That is something unfortunately alot of people tend to overlook.

[SPANISH SCOUSER]

you are right star medic after all you the man in this seccion but i think even reading all your posts as i have i think that the first time is prety scary an chek this and chek that go out of the windo,i did definitly panic and my brain shot down just a quick reaction grav him before it toche the flor and screem his name sorry for no follow the gides this time but maybe next time i my be ready and dont panic so much,respect

[STARMedic]

Definitely not picking on you or anyone else. Just using your situations as an example to build from. Remember everyone has a game plan right up until they get punched or shot at. But dont allow yourself to get into the mindset that when shit goes down hill you allow things to go out the window. Youve now seen what it looks like, next time it will be different, another time they may become unconscious and vomit.....Just remember to open and clear the airway, check pulse, check breathing, and if none of the two are happening, you make it happen til the Paramedic;s get there.....AND keep in mind everything you have done to save their life because you and everyone in your shop may be called into court to talk about what you did to save the person.......It will look alot more professional if when your on the stand you reply that you did a basic assessment, started cpr and called for emergency help....as opposed to I dont know what was going on and was scared out of my mind....

Its up to us as professionals within the body art and mod industry to raise the bar for everyone else to step to....ANd if they cant keep up, they dam sure shouldnt step up....

Just so you and everyone else know and understand this is whats known as Active QA/QC.....reviewing calls and situations so that everyone can learn and grow from past experiences.

Bruce

[SPANISH SCOUSER]

glad you put me on mi place i deserve that,and do make me realize how serios this profesion can be, thanks for your info next time will close the window

[STARMedic]

Hey man please dont think Im putting anyone in their place. Im merely using the info put out so that we can build upon. If the shit that we have put here in the forums saves just one life in the years to come, It will have been worth it.

Bruce

[femme]

i havnt seen anyone actually pass out in the shop yet, but i have seen people (usually men) throw up, run to the toilet and stay there for ages and people with smelling salts glued to there noses!

Thy dont make em like they used to lol !

[SPANISH SCOUSER]

Hey man please dont think Im putting anyone in their place. Im merely using the info put out so that we can build upon. If the shit that we have put here in the forums saves just one life in the years to come, It will have been worth it.

Bruce

i did'nt take what you said as a personal think and i hope you dont think that what you said fell on deaf ears this time it work for me but next time could be more serios so yes you are spot on you have to be ready for any situation and know what to do,thanks again

[FORGIVEN]

Dont let em hit the floor !!!!

[shovelhead]

just the other day i was doing a small piece on an older ladys foot and we were talking away everythings going great then she dont answer what ever question i asked her and i look up and she white as a ghost i jumped up and as i yelled for help she came out of it shit she almost passed out i had looked at her no less tha 2 minutes ago and she was ok she drank some water ate some candy and was fine the rest of the time it took me ten minute to relax from that im now more preparred in case this happens again

[Papa Gee]

A good thing to do is to monitor your client while you're working on him\her. There's more to tattooing a human than just driving ink into the skin. You have to develop whats called a bedside manner. Conversation is usually a good indicator as to how things are going on the business end of the needle. If your client becomes quiet or begins to sweat profusley take a second to inquire as to how they're feeling.

In the event that a person starts to feel queasy or dizzy there are things you can do to get them back to normal. A piece of hard candy is a handy thing to keep around. You might also have the client lean forward and down so that their head is between their knees. Have them maintain this posture untill the feeling has completely passed. Dont let them get up and walk around. Then give them a couple minutes to regain their composure.

Having a person passout while getting tattooed is a result of the needles hitting nerve clusters in the skin. The brain is trying to deal with the trauma and for some strange reason it decides that passing out is the best thing to do.

The hot setup here is to be aware that its happening and catch it early. If your client suddenly pitches forward to the floor and catches you by suprise it's because you havent paid attention to the demeanor of that client.

I always tell my clients just after I start working that if they start to feel bad to please let me know. I also assure them that its a normal occurance and not an indicator of their machismo so its ok to speak up.

I suppose that some people have had heart attacks or other such trauma while getting tattooed so StarMedic's post is extremely relevant. Just make sure you're not performing CPR on someone who has simply passed out.

[SPANISH SCOUSER]

that was the problem papa gee the lad was talking to me,it was is first tattoo and was telling me that it was'nt as peinfull as it thought,there was no signs of him been distress not was he feeling could just normal conversation and next second it was on is way,in fact i think that my reaction to hold him on time was a shock to me cos i was not expecting this to happen,i seen him the next day and told me it was holding is breth every time the needle was in the skin,so the only think i can think of is that he stop the oxsigen going to the brain,he said that he felt like he was going to sleep,wich he did

[STARMedic]

Now Im gonna step on toes. Someone who passes out AINT GOT SHIT TO DO WITH NEEDLES HITTING NERVES.....Loss of consciousness is secondary to very few underlying causes. One: Not enough oxygen going to the brain. Two: Not enough sugar crossing the blood brain barrier. Three: Toxic Metabolic state, IE the fukin idiot is on drugs or something that is causing an altered mental status...

Having someone place their head between their legs is going to restrict the thoracic cavity from expanding or contracting fully reducing the overall tidal or minute volume and reducing the amount of alveolar O2 exchange, causing in a state of Hypoxia because we are going back now to point one in that not enough oxygen is getting to the brain. The best position for someone who has become unresponsive is on their back or in the recovery position (left lateral recumbant; or on their left side, left arm straight up above their head, right arm across and in front of their face, left leg straight, right leg knee bent in front of them.).

Another thing to note is that if a person is dizzy, and you put hard candy into their mouths, and they pass out, how are you going to get that big lump of hard shit outta their airway? Your not and you have created a foreign body airway obstruction. You can however place the granules from a pack of sugar under their tongue and allow the oral mucosa dissolve it. Best rule for something like that to lead you down the road in determining what is wrong....IF they have checked on their medical form that you got prior to inking them, that they are a diabetic. Remember "Hot and dry, sugar High, Cold and clammy, give them candy".....

Im pretty sure Ive never told anyone to do CPR on someone who had a pulse or was breathing, but what if they arent breathing? In any and all of my posts I mention to Check the pulse, check the breathing, check responsiveness, open and maintain the ABC's, dial 911 and breathe for them, and circulate for them as needed. Hell you may get lucky and have what is known as ROSC (Return of spontaneous circulation) OR you may be unlucky and have Mr. Murphy put the Fuck on you and the person your tattooing begins to vomit profusely, become unresponsive, with one pupil slightly larger than the other one.....Do you know what to do, and how quickly to do it?

My post is more than relevant cause when shit goes downhill in yours or anyones shop, you can either act like a professional who knows what to do and can form a good general impression and basic assessment leading to a good patient hand off and patient outcome, or you can act like a fukin retard, do the absolute minimum by dialing 911 and leaving the person on the floor....and just go on living life laughing when all your fukin stupid dope smokin retarded ass hat employees make jokes about the guy that died in your shop.

AND JUST SO IM CLEAR AND THE CHEAP SEATS CAN HEAR ME, PEOPLE WHO PASS OUT WHILE BEING TATTOOED ARENT SUFFERING FROM ANGRY NERVE PACKETS TELLING THE BRAIN TO SHUT DOWN. THE BRAIN SHUTS DOWN FROM ONE OF TWO THINGS, LACK OF GLUCOSE, OR LACK OF OXYGEN.

Im sorry to the forum about comin off like a dick, BUT, in my defense I would expect that if I was tellin people how to do suspensions and shit like that Adam Skipper would come on here and stomp my ass into a mudhole, and if I was tellin people how to tattoo, Andy, BRaven, Chris Caruso, and others would stomp vigorously on my head. My life is Emergency Medicine, my passion is Tattoo Art.....Im willing to back the shit I type up with more instructor creds and street experience than I have zits on my ass crack. Im not some city dick who IVs someone and drops them off at the hospital, Our patient contact times run in excess of 2 hours, which means we decide if you live or die. I work directly with one of the nation's best Cardiologists, I dont ask permission to push or perform shit, We suture, cut chests, cut throats, push paralytics to aid induction, sling more narcotics and thrombolytics than anyone in the nation, simply because we are hours from a bad hospital and we generally bypass them and fly to larger cities which are much farther.

Bruce

[FORGIVEN]

here we go again ...
DO NOT USE A PIECE OF HARD CANDY !!!!!!!!!!!!!!!!!!!!!!!!!!
go out and buy some lollipops with the longest fuckin stick you can find ....At least then if there's trouble you can pull it out quickly .....
last thing you need is for someone to pass out with a fuckin jolly rancher stuck in their throat !!!!!!!!!!!!!!!
i've had people feel fine after falling out , then fall out again !!!!!!!!!!!
#1 sign someone is going to lose it ...they'll turn green & clammy ...
i can pinpoint when it'll happen after i see the skin color change .
NO HARD CANDY !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!

[NHBB1]

I have to ask...

is there an IM or IV sterile glucose concoction you can administer worst case scenario if they go down and its suspected to be extreme low blood sugar, or are lollipops enough to be absorbed through the palette and bring em back?

this is under the assumption that the person knew what dose and what avenue to administer something like this, hypothetically.

[STARMedic]

IM glucagon would be the route but the problem is that glucagon takes a long time to act. The IV route would be IV D50, IF the person was trained in IV installation and medication administration I could see it happening, HOWEVER, even if the person were trained to that skill set, I wouldnt recommend giving it even if the person needed it due to the fact that if the IV werent patent, and became infiltrated while administering IVD50, the glucose in such high concentrations is necrotic to tissue. IE, if you give that shit thru an IV that aint patent and in a good spot, your gonna be the one responsible for the surgeries removing the rotted out vasculature....

HTH, Bruce

[NHBB1]

IM glucagon would be the route but the problem is that glucagon takes a long time to act. The IV route would be IV D50, IF the person was trained in IV installation and medication administration I could see it happening, HOWEVER, even if the person were trained to that skill set, I wouldnt recommend giving it even if the person needed it due to the fact that if the IV werent patent, and became infiltrated while administering IVD50, the glucose in such high concentrations is necrotic to tissue. IE, if you give that shit thru an IV that aint patent and in a good spot, your gonna be the one responsible for the surgeries removing the rotted out vasculature....

HTH, Bruce

understood, thanks for being so thorough in the explanation... was just curious if that was even an option but you are right you would most likely open a world of hurt on yourself far greater than say tattooing out of a home studio.