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Gallifrey Institute for Learning Wiki

• Anatomy & Physiology
• Emergency Medicine
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Page Contents

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More Medical Guides

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This document does NOT constitute medical advice for humans. For human emergencies, please seek assistance from a certified terrestrial healthcare provider and learn CPR from accredited Earth institutions, because you can save a life (see Resuscitation Council).

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What is CPR?

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Cardiopulmonary Resuscitation (CPR) is a universal procedure in which a rescuer pushes rhythmically on a patient’s chest in an effort to keep blood moving and oxygen circulating after the heart has stopped. In humans, a reasonable expectation is that pressing hard and fast in the same spot will keep the brain alive until help arrives.

Gallifreyans, of course, complicate things. Two hearts and staggered timing mean that a human-style CPR approach simply isn’t optimal for their physiology, hence the need for a Gallifreyan alternative.

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Why are there two versions?

Gallifreyan CPR is uniquely complicated by their dual-heart anatomy and staggered cardiac rhythm. One heart contracts a split-second after the other (the characteristic thud-thud…thud-thud pattern).

There are two recognised approaches:

• D-CPR (Dual CPR): the traditional method for 1-2 rescuers, or when coordination is limited. Suitable for one or two hearts.
• SD-CPR (Sequential Dual CPR): the refined GIL model, developed to synchronise with natural cardiac delay and improve perfusion efficiency. Can be used by 1-2 rescuers. Optimised for two hearts.

Both work. SD-CPR is simply more physiologically elegant (and less likely to land your Gallifreyan in fibrillation).

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CPR.pdf

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Pre-procedure checks

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Before beginning resuscitation:

1. 🔒 Secure the Scene: Ensure the area is safe with no electrical hazards, temporal instability, or frenemies.
2. 🗣 Initial Response: Gently tap their shoulder. Ask, ‘Can you hear me?’ or ‘How are you feeling?’. If they reply with sarcasm, resuscitation is unnecessary.
3. 📞 Call for Assistance: Ask bystanders to call for medical help or to assist if they happen to have any experience in alien resuscitation.
4. ❤️ Determine Heart Count (if possible):
   • Most Gallifreyans have two hearts, but ****some, particularly Oldbloods, may have only one heart prior to their first regeneration.
   • If you can’t establish how many hearts are present, do not delay resuscitation. Proceed as though there are two, alternating sides of the chest. It’s far better to compress an empty rib space than to miss it completely.
5. ❤️‍🩹 Confirm Cardiac Arrest
   • Place a hand on each side of the chest, feeling for each heart’s strength and rhythm.
   • Look for chest movement to determine if they're breathing normally. Infrequent, noisy gaps are known as agonal gasps (common in cardiac arrests) and don't count as normal breathing.
   • If both hearts have stopped and there’s no breathing, begin CPR immediately.
   • If only one heart has stopped, use the Sequential Precordial Thump (SPT) method (see below).

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THE RESPIRATORY BYPASS, REGENERATIVE STATES AND THE HEALING COMA ARE DECEPTIVE. They will drastically reduce or completely stop normal vital signs. Ascertain if they are in any of these states before making interventions. If unsure, proceed anyway.

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Procedure

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Vomiting during resuscitation: Be aware that stomach contents are often regurgitated during CPR, but it’s unlikely you’ll see it happening. If you hear gurgling noses during rescue breaths, roll them on their side and tip the head to allow the vomit to run out.

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Method 1: Dual CPR (D-CPR)

Use when: Only one rescuer is present or rescuers are untrained in sequential coordination. For single-hearted Gallifreyans, perform compressions over the left side only using the same depth and rhythm. The procedure is otherwise identical.

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