Medical Emergencies: CPR and Choking Coconuts Beach Bar and Grill Restaurant 15208 Red Hollow Road Gravois Mills, MO 65247 Cassie Wilhelm Manager Cell: 573-789-5030

Table of Contents Introduction………………………………………3 Emergency Numbers…………………………...4 Local Resources………………………………….5 Procedure #1-CPR………………………………6 CPR on Adults…………………..……………...7-8 Supporting Information for CPR……………….9 Procedure #2-Choking…………..……...........10 Choking for Adults………………………….11-12 Supporting Information for Choking………..13 Additional Resources………………….……....14 References………………………………………15

Introduction In this procedure manual, the employees of Coconuts Beach Bar and Grill will learn the proper techniques of how to perform CPR and dealing with a choking victim within the restaurant. The employees will be able to demonstrate the skills, and the proper steps to follow in a medical emergency. This manual will discuss how to perform CPR, when CPR is needed, and what to do after CPR. Also, the manual will discuss the signs on choking, how to help one who is choking, and what to do after a choking victim has recovered. The purpose of this manual is to prepare the Coconut’s employees of a potential medical emergency.

Emergency Numbers 911 - Medical Emergencies 573-378-5481 Sheriff’s Department 573-378-5438 Morgan County Health Center

Local Resources First Aid Kit, land line and CPR Manual locations: Main Rest. Gift Shop Pool Bar

CPR The purpose of this procedure is to teach employees when to perform CPR, how to perform CPR and what to do after CPR. January 2013 Cardiopulmonary Resuscitation is an emergency procedure; performed in an effort to manually reserve intact brain function until further measures are taken to restore natural blood circulation and breathing in a person. It is indicated in those who are unresponsive with no breathing or abnormal breathing.

CPR on an Adult (ages 8+) Check the scene to make sure it is safe. Shake or tap the adult and shout, “Are you okay?” Watch chest and nostrils for signs of breathing. Have another person call 911, and place the victim flat on their back. (Do not leave the victim until CPR has been performed for at least 2 minutes. IF not breathing then begin……. GIVE 30 CHEST COMPRESSIONS: Place hands on top of each other, palm down. Then push hard and push fast in the middle of the chest at least 2 inches deep between the separation of the ribs and below the nipples thirty times. Let the chest fully rise between each compression.

CPR on an Adult Continued… Look, listen, and feel for any breathing. Place your ear over the mouth and nose, watch for chest movement, feel for breath on your cheek. GIVE 2 RESCUE BREATHS: Tilt the head back and lift the chin up. (As to open the airway.) Pinch the nose shut, then make a complete seal over the person’s mouth with ones own mouth. Blow in for about 1 second to make the chest clearly rise. (Give rescue breaths, one after the other.) Return back to chest compressions and repeat this cycle until the victim begins breathing again or help arrives. If the victim begins breathing again, place him or her in the recovery position: Laying on their left side with their head resting on their left arm.

CPR-Supporting Information To become CPR certified: Visit your local health center to see when classes are offered or go www.redcross.org/CPR-Training CPR Video: http://www.youtube.com/watch?v=1wj-zixnz2s

Choking The purpose of this procedure is to teach employees the signs of choking and how to care for someone who is choking. January 2013 Choking is the severe difficulty of breathing caused by compression or obstruction of the larynx or trachea. This is a medical emergency and can be treated by forcefully coughing, back blows, or doing the Heimlich Maneuver.

Choking: Adult The same techniques can be used on a choking adult and child. Look for signs of distress: The person cannot speak or cry out, breathing is labored-gasps or wheezes, person violently coughs or gurgles, the person clutches their throat or mouth, or tries to induce vomiting. The person’s face may turn blue if breathing is not restored within a certain time. Ask the person, “Are you choking?” Encourage them to cough as hard as possible, if this does not help: Bend the victim over at the waist and PERFORM 5 HARD BLOWS with the heel of the hand to the upper back of the victim between the shoulder blades.

Choking: Adult Continued… GIVE 5 ABDOMINAL THRUSTS: Heimlich Maneuver Standing behind the victim: Place a fist with the thumb side against the middle of the person’s abdomen, just above the navel; and cover your fist with your other hand. Give 5 quick, upward abdominal thrusts. Continue care by giving sets of 5 back blows and 5 abdominal thrusts until the object is forced out, or the person can cough forcefully or breathe. Attached is a link that demonstrates the proper techniques to care for a choking adult or child. http://www.youtube.com/watch?v=SwJlZnu05Cw

Choking-Supporting Information Choking is a serious medical emergency and that is why it is important to be prepared and know what to do if a situation like this arises. The information presented in this section is found online at on any secure medical site, and the information is update. The video links provided are demonstration videos that aid in the learning process of assisting choking victims. Contact or visit www.redcross.org to learn more.

Suggested Resources To Learn more visit: www.redcross.org www.babycenter.com OR visit your local health center and obtain pamphlets, instructions, and video demonstrations on CPR and Choking. For questions or concerns regarding this procedure manual: Contact the Manager at Coconuts: 573-372-6500

References Ignatavicius, D. and Workman, M.L. (2010) 6th Ed. Medical-Surgical Nursing. Patient-Centered Collaborative Care. 1(1). http://www.mayoclinic.com/health/first-aid-choking/FA00025 www.redcross.org/CPR-Training YouTube: http://www.youtube.com/watch?v=SwJlZnu05Cw http://www.youtube.com/watch?v=1wj-zixnz2s