Oxygen Supply & Thunder Hands Technique - Detective L & Nakiri

[Nathan]

First part/task.

While it is possible for anyone to do CPR without chakra, this technique is an improvement. By holding your hands over a patients chest you are able to use chakra to contract the myocardium (heart muscle) which causes the heart to start pumping blood as well as the diaphragm and the intercostal muscle so the rib case starts compressing and de-compressing the lungs. This technique is not effective if for some reason the air passage is blocked. It does not provide oxygen or blood, only forces air in and out of the lungs and makes the heart continue to beat by forcefully making the muscles to move. A high ranked mednin is able to perform this technique on two patients at once if the need should arise. Off course, the patient must be on cardiac arrest (or in a severe risk of such) and unconscious as it would otherwise not be needed to use this technique. Essentially, this will keep blood circulating and air coming in and out of the patients lungs in an attempt to minimize damage from the lack of circulation. It does the same as compressing a patients chest and doing mouth to mouth breathing (traditional CPR) but using your chakra and doing it move effectively, essentially avoiding the tiredness and fatigue that comes from doing the compressions/ventilations manually. This, however, is only a temporary solution. In between usages, the medical ninja still needs to try and tackle the original issue that lead the heart to stop. Because its not the same as the patients own heart beat and respiration, the technqiue can only be effective for a small time window before brain and tissue damage start to happen.

For every 15 heart compressions, normally 1 each .5 seconds, the medical ninja must produce 2 ventilations.


(Iryō Ninjutsu: Omoi-Gozou Anma) Medical Technique: Chakra CPR
Type: Supplementary
Rank: B-Rank
Range: Short
Chakra Cost: 20 per turn
Damage Points: N/A
Description: The user puts his palms on top of the patients chests and uses his chakra to keep the heart pumping and the muscles that normally expand the lungs in order to suck in air contracting - therefore artificially keeping the patient alive until his heart and lungs start working on their own again. Each use allows 15 heart compressions and 2 ventilations.
Note: This can be done on 2 patients simultaneously if the situation calls for it doubling the chakra cost.
Note: Can only be sustained for 6 turns.

In a battle thread, what you'll do is use this technique together with passive diagnosis and then, each turn, along this technique, you'll use others to treat the underlining issue in between the pauses.

Task: Post here your questions regarding Chakra CPR, and save the patients.

Volunteers are picked and then shocked until dead. The students must keep the blood and air flowing in the patients lungs through the use of this technique.


Q&A

Spoiler

I thought this technique only sustained life, artificially, it could not actually prompt the patients body to restart. If there is an heart attack or an asphyxiation, after unclogging everything, can we use this.technique to always save our patient and restart his breathing and heart beat on his own? When will it not work? When do we know to give up? Or when do we know that the patient is brething or beating on his own?

The jutsu keeps the patients body alive artificially while you actively try to find the issue that stopped his heart and fix it. It, in itself, will not allow the heart to restart. In the case its a chemical issue, you'll need to tackle that (you'll learn how in other classes) or if its some sort of electrical issue in the hearts system, use a technique to fix it.

You have to use logical reasoning when determining what damage can be healed. How long have the patient's heart and lungs been stopped? The heart pumps blood through the body, nourishing and replenishing organs with oxygen. The lungs provide that oxygen. So how long can someone live without those working? The answer is around 5 minutes in reality but for RP, 6 turns. If his heart has been stopped for longer than that, then the patient is dead. He's breathing on his own when your chakra seemingly has no effect on the patient. At that point, the patient is sustaining himself.

---

The patient is over there, go save 'em.

We'll do this part first before we get to the other one.

 

[Mirai]

Doing as told by her sensei, Alice approaches the female who suddenly stopped breathing as she ran her hands near the chest of her. She would passively use her diagnoses ability in order to determine that her breathing was at first irregular, then slowly began to deteriorate.

Alice would channel chakra her hands now, pouring her chakra into her chest allowing for the lungs to contract thus allowing air to flow into the body. She does this several times until the heart and lungs are finally in sync once more and saving the patient.

Type: Supplementary
Rank: B-Rank
Range: Short
Chakra Cost: 20 per turn
Damage Points: N/A
Description: The user puts his palms on top of the patients chests and uses his chakra to keep the heart pumping and the muscles that normally expand the lungs in order to suck in air contracting - therefore artificially keeping the patient alive until his heart and lungs start working on their own again. Each use allows 15 heart compressions and 2 ventilations.
Note: This can be done on 2 patients simultaneously if the situation calls for it doubling the chakra cost.
Note: Can only be sustained for 6 turns.

 

[Detective L]

Sorry for the delay, we now move on at a normal speed.

---

Orochimaru sees his new objective and proceeds as follows. With his patient before him, not even breathing, Orochimaru would firstly passively diagnose the patient in order to see what is the cause of the issue. Would it still be possible to use this CPR procedure and be able to save the patient. He realizes it hadn't been long that the patient has been both unconscious and not breathing, heart having stopped. And as such, he brings his hands close to the chest of the patient.

"...Kukuku...here we go."

Orochimaru then puts both his palms onto the patients' chest, and utilizes his precise chakra control. This is aimed at moving towards the still heart, basically forcing it to start pumping, contracting and expanding, once more. Except for only the heart, the same is done to the lungs, as elastic as they are and influenced by Orochimaru's chakra, they start contracting, pulling in air and expanding, letting out air. Through this, the patient remains alive, artificially through the use of Orochimaru's chakra and precise control of the CPR technique. This allows him ample time to find the underlying issue that led to the patient's condition.

Type: Supplementary
Rank: B-Rank
Range: Short
Chakra Cost: 20 per turn
Damage Points: N/A
Description: The user puts his palms on top of the patients chests and uses his chakra to keep the heart pumping and the muscles that normally expand the lungs in order to suck in air contracting - therefore artificially keeping the patient alive until his heart and lungs start working on their own again. Each use allows 15 heart compressions and 2 ventilations.
Note: This can be done on 2 patients simultaneously if the situation calls for it doubling the chakra cost.
Note: Can only be sustained for 6 turns.

 

[Nathan]

Doing as told by her sensei, Alice approaches the female who suddenly stopped breathing as she ran her hands near the chest of her. She would passively use her diagnoses ability in order to determine that her breathing was at first irregular, then slowly began to deteriorate.

Alice would channel chakra her hands now, pouring her chakra into her chest allowing for the lungs to contract thus allowing air to flow into the body. She does this several times until the heart and lungs are finally in sync once more and saving the patient.

Type: Supplementary
Rank: B-Rank
Range: Short
Chakra Cost: 20 per turn
Damage Points: N/A
Description: The user puts his palms on top of the patients chests and uses his chakra to keep the heart pumping and the muscles that normally expand the lungs in order to suck in air contracting - therefore artificially keeping the patient alive until his heart and lungs start working on their own again. Each use allows 15 heart compressions and 2 ventilations.
Note: This can be done on 2 patients simultaneously if the situation calls for it doubling the chakra cost.
Note: Can only be sustained for 6 turns.

Sorry for the delay, we now move on at a normal speed.

---

Orochimaru sees his new objective and proceeds as follows. With his patient before him, not even breathing, Orochimaru would firstly passively diagnose the patient in order to see what is the cause of the issue. Would it still be possible to use this CPR procedure and be able to save the patient. He realizes it hadn't been long that the patient has been both unconscious and not breathing, heart having stopped. And as such, he brings his hands close to the chest of the patient.

"...Kukuku...here we go."

Orochimaru then puts both his palms onto the patients' chest, and utilizes his precise chakra control. This is aimed at moving towards the still heart, basically forcing it to start pumping, contracting and expanding, once more. Except for only the heart, the same is done to the lungs, as elastic as they are and influenced by Orochimaru's chakra, they start contracting, pulling in air and expanding, letting out air. Through this, the patient remains alive, artificially through the use of Orochimaru's chakra and precise control of the CPR technique. This allows him ample time to find the underlying issue that led to the patient's condition.

Type: Supplementary
Rank: B-Rank
Range: Short
Chakra Cost: 20 per turn
Damage Points: N/A
Description: The user puts his palms on top of the patients chests and uses his chakra to keep the heart pumping and the muscles that normally expand the lungs in order to suck in air contracting - therefore artificially keeping the patient alive until his heart and lungs start working on their own again. Each use allows 15 heart compressions and 2 ventilations.
Note: This can be done on 2 patients simultaneously if the situation calls for it doubling the chakra cost.
Note: Can only be sustained for 6 turns.

You both forgot to do something. You must clean yourself and them, always. Other then that, it's fine.

-

Hekirekite no Jutsu (Thunder Hands Technique)​

This method is basically a ninjutsu in which the user focuses the chakra in his hands so that they can create an electric shock able to give a sufficient amount of electricity to make the heart start beating again in the event it has stopped (not saying that this is the only usage, I'm just making a comparison).

The technique:

(Iryō Raikō Ninjutsu: Ikazuchi Te) Lightning Medical Technique: Medical Thunder Hands
Type: Attack / Supplementary
Rank: B-Rank
Range: Short
Chakra Cost: 20
Damage Points: 40
Description: A technique used to reset the hearts electrical frequency and pace or to induce it. In other words, this technique is the medical ninjas version of a defibrilator. The medical ninja will charge up electricity on both his hands and press them on the patient. The left hand must be directly on top of the heart and the right hand on the side, beneath the armpit of the patient. As the electricity is discharged, the electric pace of the heart is either normalized or restarted. The technique can be used in healthy targets as a way to induce abnormal electric paces and if done repeatedly can even cancel it completely. While the technique is effective, it has to be used in between the use of chakra CPR to have some chance of success and even so, only 1 every 3 uses will be successful depending on the targets conditions.

This can be used on the heart, as a shorter but less efficient (tho sometimes necessary) version of the Oxygen supply method. To use this technique on the heart which has stopped beating, you place one hand on the patient's upper right chest, just below the shoulder and the other hand on the left side of the patients chest, several inches below the arm and to the left of the chest. It is important that the patient be dry as possible when this technique is used and that no other person is touching.

This will be used in conjunction with the body points disturbance technique also, and you can use it as an attack (yay right?) only make sure you're actually touching the opponent with only your hands, otherwise you'll get electrocuted too.

Questions?

Q&A

"I actually do have a question, maybe somewhat irrelevant to this technique but essentially it's the same principle. In the last few manga editions we've seen Sakura pump Naruto's heart with her bare hands. I believe that this is more or less a weaker method of that? Btw. this seems like basic defibrillation. I also wonder (since it can be used as an attack) if it can be used on other internal organs to cause harm to the opponent?"

Its nothing like that.

Your heart works (like all muscles) on electrical input commands. This means that it contracts and beats according to an electrical pulse that originates in a small nodule of the heart. That electricity is what keeps the heart beating. When the heart beats, blood flows into the artheries as a ripple (a spike in pressure) which you can feel in certain more superficial artheries as what we call a pulse (in your wrist, behind your thumb on the palm side or in your neck, next to the traquea are the most common places to feel your pulse). The beating of the heart produces a blood pressure. Blood pressure has 2 values: the high one (when your heart beats) called systolic blood preassure (when the heart contracts in the systolic phase) and the low one (in that small time your heart is relaxed) called diastolic (as it happens in the diastolic phase). Its measured in mmHG (mercury millimeters) and is one of our basic vital signs. If its too high it can stress the heart and cause hemorraghic strokes and heart attacks, if its too low, it causes lack of oxygenation to the organs and brain with similar results. Normal values are between 100/60 mmHG to 120/80 mmHG. This is what is the result of your heart beating and having enough blood. If you don't have enough blood, the pressure is low and the heart can't beat properly.

But the heart beats as a result of electrical current through its muscle body. Now, electricity travels in mediums as we well know. Muscle and nerves are a medium. It also, in biological context, is dependent on salt and ion based balance which enables that electrical current to work and be generated. Now, I won't dwell on details of RL electrocardiac aspects but you can essentially have 3 situations of abnormality:

• No electrical current, which is otherwise called asystole, or flatline. There is no electrical current to make the heart beat. This can happen due to many situations such as lack of energy (if the person becomes too weakened or lacks nutrients, there is no ATP and energy to produce electrical discharges basically), damaged nodule, poisons, etc. Many things can cause this. Even an overload of excessive electrical energy (like an external shock) or even muscle death or destruction.
• Disfunctional electrical current and the main, most known one is Fibrillation. In this case the nodule is fired up and releases electrical inputs but instead of doing their job, they simply go haywire and don't make the heart beat. There is a spike, meaning there is the electrical beat but there is no muscle function in response. Basically, you have a spike in the EC monitor but you don't have a pulse. This can be from diseases, shocks, poisons or toxins, etc. The variety is enormous.
• Out of Control Pace is the last type. In this case what happens is a change in the frequency of the electrical current pulses. This can cause bradicardia (low frequency), taquicardia (high frequency) or extrasystoles (there is an electrical pulse here and there that doesn't produce a muscle reaction, thus a beating). Many things from anxiety, to blood cloths, to diseases, toxins, poisons, drugs, etc can cause any of these. The Taquicardia, mixed with Extrasystoles normally is in the early stages of a fibrilation episode for example.

Now, having electrical current doesn't always equal a beating or a periferal pulse. Now, departing from RL and to make this simpler, in Nverse, what happens is that you might have a patient with chakra (physical energy) trying to make its heart beat but to no sucess because its heart is simply not responding for some reason. The electrical energy is disfunctional. So, in this case, you need to set it straight and reset it. what do you do? You use this technique to shock the patients heart, making it restart. Its the Nverse counterpart of the Defibrilhator you all see in TV and Movies, the thing they use with two paddles before saying "CLEARRRRRRR!!!!!! ZAP! Charge to 300 joules!!!!! CLEARRRRRR!!!!!!". It won't always work on the first try and you need to make sure that you are performing chakra CPR in between the shocks to make sure blood is flowing and oxygen is being supplied. Basically, anytime you have a patient who has no pulse, use this technique in between the chakra CPR to make his heart restart. Remember though that blood level, chakra level, injuries, etc all play a part and most of the times, the injuries might be too advanced to allow this.

What Sakura did was, because she had little chakra, what we call "manual compressions". Its when instead of doing the compressions in the chest to keep blood floowing, you do them manually in the heart. Cardiac Massage. She used chakra scalpel, opened his thorax, inserted her hand and squeezed his heart manually, making sure his blood is being pumped to his body. Its very very limited in the effect and difficult to achieve but can work to keep a person alive a few minutes. What she did was the manual and internal version of Chakra CPR.

Curiosity: when people flatline in the movies and tv, they shock them with a defibrilator...yet people were not fibrilating...they were assystole. In RL, you give medicine and compresse their hearts until the electrical current restarts. The shocking isn't used in Assystole. But in Nverse, lets always assume it is. Lol

PS- This is a very simplified explanation as its a very complex thing. I hope you guys understand. If you want to know more, use wikia to know like the "user friendly" level of details and if you want we can develop it a bit more.

Any other questions?

 

[Mirai]

Nope none for me

 

[Detective L]

Sorry about that haha, keep forgetting the cleaning process ~_~
Nonetheless, no questions. My sister is a paramedic and they talk about this all the time z,z.

 

[Nathan]

No worries.