(Remember Airway, Breathing and Circulation) CPR/AED (C) CIRCULATION Video CPR 11 mins. We have established an airway Given rescue breaths We now need to check for a pulse (Remember Airway, Breathing and Circulation)

CPR/AED Pulse Checks Adults/Child: carotid Infants: brachial Adults: use 2 hands, middle of the chest, 1½-2 inches Child: use heel of one hand, middle of chest, 1- 1½ inches Infants: 2 fingers, middle of chest just below the nipple line, ½-1inch

CPR CHEST COMPRESSIONS for adult, child and infant CPR CPR/AED CPR CHEST COMPRESSIONS One Man CPR 1 cycle = 30 compressions/2 breaths for adult, child and infant CPR This equals 100 compressions per minute

2-Rescuer CPR Adult and Child CPR/AED 2-Rescuer CPR Adult and Child Video 12 mins ( all 3) 1. As 2nd rescuer arrives, 1st rescuer goes to head to give breaths 2. 1st rescuer gives 2 breaths 3. 2nd rescuer finds hand positions and gives compressions Adult cycle ratio = 30-2 Child cycle ratio = 15-2 Note change!!!!!

CPR/AED Do 2 mins. (about 4 cycles) of CPR and then call for “change” And change at the end of the compression cycle Switch should take less than 5 secs.!!! Be prepared to move!!!

Rescuer providing breaths should be at top of the head CPR/AED 2 Rescuer CPR INFANT Same sequence Compression ratio is 15/2 Rescuer providing breaths should be at top of the head Rescuer delivering chest compressions should position at feet and use thumbs

CPR/AED Bag-Valve-Mask to deliver breaths Must have a tight seal Advantages: delivers more O2 Can be connected to O2 Protect against disease transmission

CPR/AED To respond effectively to cardiac emergencies you must know the chain of survival Early recognition of emergency Early access to EMS CPR AED Advanced medical care

AED = Automatic External Defibrillator CPR/AED In the event of cardiac arrest, AED should be used as soon as possible AED = Automatic External Defibrillator Video AED 10 mins. Precautions for use: Water NTG pathces Chest hair

CPR/AED General Steps for using AEDs: Then re-analyze heart rhythm Turn on AED Wipe off victim’s chest Attach pads Plug in connector “Stand Back” while AED analyzes Push shock button if advised Provide 1 shock followed by 2 mins. (5 cycles) of CPR Then re-analyze heart rhythm

CPR/AED When do you stop CPR???? Another trained rescuer arrives to take over An AED is ready to use The scene becomes unsafe You are exhausted MD says to stop Signs of life return Demonstrate