1. Intro & General Concepts and Chain of Survival

2. Course is interactive and video based
Use of scenarios and practice while watching
You will learn:
Importance of high quality CPR and it impact on survival
Describe/apply all the steps of the Chain of Survival
PERFORM high quality CPR and AED for adult/child/infant
Perform multirescuer resuscitation
Relief of foreign-body airway obstruction for adult/child/infant

3. Life is Why Activity

4. Team dynamics
Successful team dynamics are critical during a multi-rescuer resuscitation attempt regardless of location. Good team dynamics may increase the chance of successful resuscitation
You will need to know what to do but also how to communicate and perform as part of a team
Learning objective:
Describe the importance of teams in multi-rescuer resuscitation
Perform as an effective team member during multi-rescuer CPR

5. Successful multi-rescuer team members not only have medical expertise and mastery of resuscitation skill, but also practice good communication and effective team dynamics which helps give victim the best chance of survival

6. We will not be doing the Rx
Read through pages is student workbook
We will not be doing the Rx

7. Team Dynamics Video Segment (13 min)

8. Team Dynamics Roles activity.
You will work with your LAB groups
Set up:
Manikin on floor
Each member picks a laminate Role Card (don’t look at card)
Instructor will tell you when to begin
Each person gets into place according to their Role Card around the manikin
Once in place flip cards over and hold them up so the group can see
Take turns saying what your responsibilities would be (help each other out)
Perform 2 times.

9. Chapter Abbreviations: use 1-11 Chapter Vocab: use pgs 1-11
BLS
CAB: compression, airway, breathing
CPR
EMS
AHA
ECC
ICU
OHCA
IHCA
ROSC
Chapter Vocab: use pgs 1-11
Infants
Cardiac catheterization lab
Defibrillation
Lay rescuers
ADD TO QUIZLET

10. Reading
Please read pages 3—4 (High –Quality CPR ) in your student workbook

11. Lecture notes:
Sudden cardiac arrest VS heart attack
Chain of survival + links

12. Occurs when blood flow to part of the heart muscle is blocked
People often use the terms Cardiac arrest and heart attack interchangeable but they are not the same.
Sudden Cardiac arrest
Heart Attack
Occurs when the heart develops an abnormal rhythm and can’t pump blood
Results from an abnormal heart rhythm which causes the heart to quiver so it can no longer pump blood to the brain lungs and other organs
It’s a rhythm problem
Occurs when blood flow to part of the heart muscle is blocked
When a clot forms in a blood vessel carrying oxygenated (oxygen-rich) blood to the heart muscle. No blood, tissue starts to die
It’s a clot problem

13. Sudden Cardiac arrest
Heart Attack
Within seconds the person becomes unresponsive and is not breathing or is only gasping
Death can occur within minutes if they are not treated immediately
Signs may appear immediately or last weeks
Chest discomfort
Shortness of breath
Cold sweats
Nausea/vomiting
Heart usually continues to pump blood
Sometimes the blockage can lead to abnormal rhythm which can lead to sudden cardiac arrest
Heart attack symptoms in women can be different
Pain in the jaw, arms, back or neck
Light headedness
Nausea vomiting
what happens?

14. Video segment: Chain of survival ONLY
Stop video after Chain of survival and Lecture.

15. CHAIN OF SURVIVAL
A metaphor for the elements of the emergency cardiovascular Care (ECC) systems of care.
There are 2 distinct Chains of Survival:

16. In-hospital cardia arrest (IHCA)
For adult patients who are in the hospital
Usually caused by respiratory or circulatory conditions that get worse
LINKS in the Chain of Survival for an adult who has cardiac arrest IHCA:
Surveillance, prevention and treatment of prearrest conditions
Immediate recognition of cardiac arrest and activation of the emergency response system
Early CPR with emphasis on chest compressions
Rapid defibrillation
post cardiac arrest care

17. Out of Hospital cardiac Arrest (OHCA) We will focus on this chain of survival
Most cardiac arrests happen unexpectedly and result from underlying cardiac problems.
Successful outcome of victim depends on early bystander CPR and rapid defibrillation in the first few minutes after the arrest

18. LINKS:
Immediate recognition of cardiac arrest and activation of the emergency response system:
1st recognize that the victim is in cardiac arrest based on unresponsiveness, no breathing (or only gasping) and no pulse
Once you recognize, activate the emergency response system or ask someone else to do it
The sooner you activate the sooner the next level of care will arrive
Early CPR with an emphasis on chest compressions
If victim in cardiac arrest, begin high quality CPR without delay
High quality CPR started immediately after cardiac arrest can greatly improve a victims chance of survival (bystanders should at least provide chest compressions)

19. Rapid defibrillation with an AED
LINKS
Rapid defibrillation with an AED
Rapid AED with quality compressions can double or triple the chances of survival
Effective advanced life support
Bridges the transition from BLS to more advanced care (IHCA)
Post cardiac arrest care
Once ROSC is achieved (they lived!) the next link is for the patient to receive post-cardiac arrest care (cardiac catheterization suite or ICE) to help prevent it from happening again

20. MAIN DIFFERENCES IHCA OHCA
Care depends on in-hospital system in place for surveillance and prevention
Care depends on some on community and EMS providers support
Care depends on smooth interaction between different departments within the hospital (physicians, nurses, therapists, pharmacists, counselors)
Care depends on the Lay rescuers ability to recognize an emergency and activate the chain of survival.
Care depends on available resources: the hospital will have all the equipment readily available (depending on facility)
Care depends on available resources: may or may not have access to an AED

21. Review with Quizlet.live

22. Review Lecture notes: Exit ticket
Using your lab groups you will:
Grab a Worksheet (1 per LAB group)
Each member needs a different colored pen/pencil/colored pencil…..
Put everyone’s name at the top with your color
Complete the worksheet.
Student can start any where on the worksheet with the help of each other
Teacher will let you know if/when you can use books