1. CPR/AED VIDEO Professional Rescuer 3 mins
1. Professional Rescuers (PR) have a duty to
act. (see p.1)
2. The purpose of CPR is to provide cardiac and resp. support until more advanced help arrives.
3. see p. 3
4. Protect people who willingly provide emergency care without accepting anything in return.
PR are not protected because they have a “duty to
“act”.
5. Ask a conscious victim, ask a parent of a child

2. CPR/AED To obtain consent: State your name
You are trained in CPR/1st aid
ask if you can help
Explain that you would like to assess them
Explain what you plan to do

3. CPR/AED 6. Implied consent: pt. is unconscious
confused or seriously injured
7. If the pt. refuses, get more advanced help
Do you touch the victim??
What if they become unconscious before help arrives? Can you provide care?

4. Scenario 2 CPR/AED
You enter a travel agency office and the secretary is slumped over her desk and doesn’t acknowledge you when you enter.
What would you do in this situation?
How do you obtain consent?

5. CPR/AED 3 step process to evaluate an emergency: CHECK CALL CARE
What is the first step in an emergency?
“CHECK” or “size up the scene”
Why is this the 1st step???
What are you checking for???

6. Send bystanders to call 911
CPR/AED
Send bystanders to call 911
Once you see the scene is SAFE, what is the next part of “CHECK”
CHECK THE VICTIM
How would you “CHECK” your travel agency worker??
How do you determine consciousness??
Tap. “Are you OK”? Gently shake an infant OR flick the bottom of their foot

7. CPR/AED Video Initial Assess 6 mins
You have determined unconsciousness so what do you need to do???
Perform an initial assessment
Video Initial Assess 6 mins
“CHECK” for “signs” of life: ABC’s of life
AIRWAY
BREATHING
CIRCULATION

8. CPR/AED
You can see the person is breathing and you check and find a pulse, WHAT position should you place the victim in while you call for help?
Recovery position
Why do you angle the head towards the floor?
allows fluids to drain from the mouth

9. CPR/AED
What if you think the victim has suffered a neck/spinal injury?
H.A.I.N.E.S.
High arm in endangered spine

10. “Call First” and “Care First”
CPR/AED
The next step in the sequence for emergency care is:
“CALL”
Describe the differences between
“Call First” and “Care First”
Call First call 911 before providing care
Care First provide 2 mins. of care, then
call 911

11. Sudden collapse of a child that has been witnessed
CPR/AED
CALL FIRST
Sudden cardiac arrest
Sudden collapse of a child that has been witnessed
An unconscious adult
An unconscious child/infant with known heart problems or at risk for heart problems

12. CPR/AED CARE FIRST These are related to RESPIARTORY
emergencies verse cardiac emergencies
WHY would you want to give 2 mins. of care before calling 911
An unconscious infant/child <12
Drowning, near drowning victim
Cardiac arrest with known trauma
Drug overdose

13. So HOW do you determine an adult, child and infant??
CPR/AED
So HOW do you determine an adult, child and infant??
Adult >12 years old
Child 1-12 years old
Infant <1 year old

14. WHEN should you move a victim???
CPR/AED
While you are waiting for help to arrive, do you MOVE a victim????
You can do more harm/injury
WHEN should you move a victim???
Scene becomes unsafe
You need to reach another victim who is more seriously injury
You need provide proper care
i.e. victim on staircase

15. What are the ABC’s of CPR??
CPR/AED
The next step in the sequence for emergency care is:
“CARE”
What are the ABC’s of CPR??
Airway
Breathing
Circulation

16. CPR/AED (A) AIRWAY HOW would you check for an open airway?? LOOK
LISTEN
FEEL
WHAT are you looking, listening and feeling for????
How long should you assess this??
No more than 10 secs.

17. CPR/AED
If there are no signs of breathing you may need to open the airway
How do you open an airway????
Head tilt/chin lift method
Adult: tilt head backward as far as it will go
Child: tilt back slightly past neutral position
WHY???
Infant: keep in a neutral position

18. Use the head tilt/chin lift method
CPR/AED
How would you open the airway of a suspected neck/spinal injury victim???
Jaw thrust maneuver
Why???
What should you do if the jaw thrust maneuver does not open the airway???
Use the head tilt/chin lift method
WHY????

19. CPR/AED (B) BREATHING We have established an airway.
What should we do next????
GIVE 2 RESCUE BREATHS
VIDEO Rescue Breathing 3 mins
Rescue breathing provides O2 needed to survive until help arrives
ADULTS: 1 breath every 5 secs. *****
INFANTS/CHILD: 1 breath every 3 secs.

20. Enough to make the chest rise and fall
CPR/AED
How much air should you breathe into the victim????
Enough to make the chest rise and fall
What will happen if you over inflate the lungs?
Air will escape into the stomach and they will vomit

21. CPR/AED Personal Protective Equipment (PPE’s) for CPR
VIDEO masks 3 mins
1. Resuscitation Masks
They create a complete seal over mouth/nose
Can be connected to O2
Prevent against disease transmission while giving rescue breaths
2. Gloves

22. Reposition the head and try 2 more rescue breaths
CPR/AED
What would you do if you can not get air to go into the lungs?????
Reposition the head and try 2 more rescue breaths
If the breaths will still not go in, what must you assume???
Airway obstruction

23. Most common cause of respiratory emergencies
CPR/AED
AIRWAY OBSTRUCTUION
Most common cause of respiratory emergencies
What is the universal sign of someone who is choking??
Clutching the throat

24. CPR/AED Conscious Choking Adult/Child
If victim is coughing/wheezing or able to speak, they can still move air into the lungs
ENCOURAGE THEM TO CONTINUE TO COUGH
If victim can not speak or cough,
Airway is totally obstructed

25. CPR/AED CONSCIOUS Choking Infant Page 38-39 Support infant’s head/neck
Lower infant onto your thigh
Keep head lower than chest
WHY???
Deliver 5 back blows
Deliver 5 chest thrusts
Continue until object is dislodged

26. Total Obstructed Airway of Conscious Adult/Child
CPR/AED
Total Obstructed Airway of Conscious Adult/Child
5 back blows
5 abd. thrusts
Continue until object is forced out or
Victim becomes unconscious

27. Unconscious Choking Adult/Child Continue until victim recovers
CPR/AED
Unconscious Choking Adult/Child
Page 40-41
Use 2 hands in the middle of the chest
Deliver 5 chest compressions
Look for the object
If you see it, sweep it out with your index finger
For a child use your little finger
Give 2 rescue breaths
Continue until victim recovers

28. Unconscious Choking Infant give 5 chest compressions
CPR/AED
Unconscious Choking Infant
Page 43-44
Keep 1 hand on the infant’s forehead to maintain an open airway
Using 2-3 fingers in the middle of the chest,
just below the nipple line,
give 5 chest compressions

29. CPR/AED Look for the object Grasp the jaw and pull it forward
If you see an object:
Using your little finger, slide it along the cheek
If you do not see an object
DO NOT DO A FINGER sweep
Give 2 rescue breaths and repeat the process until the object is dislodged

30. CPR/AED Chest Compressions for Airway obstruction AND CPR
ADULT: 1 ½ -2 inches
CHILD: 1-1 ½ inches
INFANT ½ -1 inch

31. CPR/AED (C) CIRCULATION Video CPR 11 mins
We have established an airway
Given rescue breaths
We now need to check for a pulse

32. If no pulse is palpable, begin CPR
CPR/AED
Pulse Checks
ADULTS: carotid
CHILD: carotid
INFANTS: brachial
If no pulse is palpable, begin CPR

33. 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

34. 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

35. 2-Rescuer CPR Adult and Child
CPR/AED
2-Rescuer CPR Adult and Child
Video 12 mins
Page 56-58
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!!!!!

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

37. Rescuer providing breaths should be at top of the head
CPR/AED
2 Rescuer CPR INFANT
Page 58-59
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

38. CPR/AED 2 rescuer CPR and/or Rescue breathing can use the
Bag-Valve-Mask to deliver breaths
Must have a tight seal
Advantages: delivers more O2
Can be connected to O2
Protect against disease transmission

39. CPR/AED Scenario on page 61
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

40. CPR/AED
In the event of cardiac arrest, AED should be used as soon as possible
AED = Automatic External Defibrillator
Video AED 10 mins
Read pg. 63 precautions
Water
NTG pathces
Chest hair
Provide 1 shock followed by 2 mins. of CPR
Then re-analyze heart rhythm

41. CPR/AED Apply pads per instructions of the AED
Remember special guidelines
Instruct everyone to stand clear
Analyze rhythm
Provide 1 shock if indicated
follow with 2 mins. of CPR
Then re-analyze heart rhythm