2. CPR/ First Aid
*Foundation Standard 10: Technical Skills
Apply technical skills required for all career specialties and demonstrate skills and knowledge as appropriate
10.12 Obtain training or certification in cardiopulmonary resuscitation (CPR), automated external defibrillator (AED), foreign body airway obstruction (FBAO) and first aid.

3. CDC Statistics on Causes of Death 2015
Leading Cause of Death- Heart disease: 614,348
Accidents 4th leading cause of death in the U.S. 136,053
Stroke (cerebrovascular diseases) 5th leading cause of death- 133,103
10.12 Obtain training or certification in cardiopulmonary resuscitation (CPR), automated external defibrillator (AED), foreign body airway obstruction (FBAO) and first aid

4. Good Samaritan Law
Protects someone who provides aid to an injured person in an emergency.
10.12 Obtain training or certification in cardiopulmonary resuscitation (CPR), automated external defibrillator (AED), foreign body airway obstruction (FBAO) and first aid

5. Goal
Do no harm
Provide care that minimizes the effects of the injury/illness
Using these skills can make the difference between life and death.
10.12 Obtain training or certification in cardiopulmonary resuscitation (CPR), automated external defibrillator (AED), foreign body airway obstruction (FBAO) and first aid

6. Adult Out of Hospital Chain Of Survival
Recognition of cardiac arrest and activation of the emergency response system
Early cardiopulmonary resuscitation (CPR) with an emphasis on chest compressions
Rapid defibrillation
Basic and advanced emergency medical services 
Advanced life support and post-cardiac arrest care
10.12 Obtain training or certification in cardiopulmonary resuscitation (CPR), automated external defibrillator (AED), foreign body airway obstruction (FBAO) and first aid

7. Pediatric Chain of Survival
Prevention of injuries and cardiac arrest.
Early CPR.
Early access to EMS systems prepared for the child’s needs.
Early and effective pediatric advanced life support.
10.12 Obtain training or certification in cardiopulmonary resuscitation (CPR), automated external defibrillator (AED), foreign body airway obstruction (FBAO) and first aid

8. Emergency Procedures CHECK- SCENE- size up the scene- “Is it safe?”
# victims
Helpers
Victim- “ARE YOU OK?”- checking for unresponsiveness
CALL- call 911(emergency response system), summon advanced medical personnel
CARE
10.12 Obtain training or certification in cardiopulmonary resuscitation (CPR), automated external defibrillator (AED), foreign body airway obstruction (FBAO) and first aid

9. Emergency Procedures Heart Attack/Cardiac Arrest
Foreign Body Obstruction
Choking
Anaphylaxis
Poisoning
Shock
Uncontrolled bleeding
10.12 Obtain training or certification in cardiopulmonary resuscitation (CPR), automated external defibrillator (AED), foreign body airway obstruction (FBAO) and first aid

10. Coronary Heart Disease
Angina Pectoris
Myocardial Infarction
Chest Pain- retrosternal “Feels like someone is setting on my chest”
Shortness of breath
Sweating
Nauseous
Radiating pain
Chest Pain- retrosternal “Feels like someone is setting on my chest”
Shortness of breath
Sweating
Nauseous
Radiating pain
Pain goes away when resting
Treatment
Call 911 (Emergency Response System)
Keep them calm!
NCHSE1.21 Describe common diseases and disorders of each body system (such as: heart disease)
a. Etiology b. Pathology c. Diagnosis d. Treatment e. Prevention;

11. Myocardial Infarction
“DEATH OF A PORTION OF THE HEART MUSCLE”, HEART ATTACK,
SYMPTOMS
CHEST PAIN-RETROSTERNAL PAIN MAY RADIATE SHOULDER, NECK , ARMS, BACK, & JAW
NAUSEA, “ACID INGESTION”
SHORTNESS OF BREATH
DOESN’T GO AWAY
“I’M NOT HAVING A HEART ATTACK”
NCHSE1.21 Describe common diseases and disorders of each body system (such as: heart disease)
a. Etiology b. Pathology c. Diagnosis d. Treatment e. Prevention;

12. Unresponsive Care A- Airway Head tilt, chin lift
B- Check for breathing
Look, listen, and feel
C- Check for circulation
Carotid artery
No longer than 10 seconds
10.12 Obtain training or certification in cardiopulmonary resuscitation (CPR), automated external defibrillator (AED), foreign body airway obstruction (FBAO) and first aid

13. Cardiac Arrest No pulse Heart stops = DEAD
CPR- Cardiopulmonary Resuscitation (revive heart and lungs)
Breath - O2 into the blood
Compressions- “ squash” the heart against the backbone to circulate the blood
10.12 Obtain training or certification in cardiopulmonary resuscitation (CPR), automated external defibrillator (AED), foreign body airway obstruction (FBAO) and first aid

14. CPR C COMPRESSIONS 30 compressions Compressions- 2” deep
Rate- at least 100 compressions per minute
30:2 A
Airway- head tilt, chin lift B
Breaths- 2 breaths- just enough to make the chest rise
5 cycles of 30: 2, check pulse
10.12 Obtain training or certification in cardiopulmonary resuscitation (CPR), automated external defibrillator (AED), foreign body airway obstruction (FBAO) and first aid

15. AED (Automatic External Defibrillator)
Ventricular fibrillation
Stops the heart from fibrillating, so normal pattern resumes
10.12 Obtain training or certification in cardiopulmonary resuscitation (CPR), automated external defibrillator (AED), foreign body airway obstruction (FBAO) and first aid

16. Defibrillation Preliminaries Avoid wet areas
Take off clothing with metal
Place on bare skin
Remove patches
Sequence
Power on
Attach pads
Plug pads into AED
Stand clear
Analyzing
Electrical activity  shock
No electrical activity continue CPR
10.12 Obtain training or certification in cardiopulmonary resuscitation (CPR), automated external defibrillator (AED), foreign body airway obstruction (FBAO) and first aid

17. CPR Similarities/Differences
Adult
Child
Infant
Age
> 8 Years
1-8 Years
<1 Year
Weight
>55 lb.
<55 lb.
Rate
100 CPM
Ratio
30:2
Depth
At least 2” 2”
About 1 ½”
Hands
2 Hands
1-2 Hands
2-3 Fingers
911
Immediately
2”Care First
2” Care First
Rescue Breathing
1 every 5-6”
1 every 3-5”
10.12 Obtain training or certification in cardiopulmonary resuscitation (CPR), automated external defibrillator (AED), foreign body airway obstruction (FBAO) and first aid

18. Foreign Body Obstruction (Choking)
Conscious-
Ask if assistance is needed
Universal signs-
Hands around neck, no coughing or sound
Get consent to help
Adults and children
Abdominal thrusts
Thumb side of fist just above the navel
Other hand cover the fist
Upward abdominal thrusts
Infants
Head down
Five back blows  5 compressions
10.12 Obtain training or certification in cardiopulmonary resuscitation (CPR), automated external defibrillator (AED), foreign body airway obstruction (FBAO) and first aid

19. Respiratory Arrest Unconscious ( 1 person) Steps of CPR
2 Breaths  Air doesn’t go in
Re-tilt  Air doesn’t go in
30 chest comprehensions
Look, sweep if something visible,
Breath
Repeat until air goes in
10.12 Obtain training or certification in cardiopulmonary resuscitation (CPR), automated external defibrillator (AED), foreign body airway obstruction (FBAO) and first aid

20. Emergency Procedures Anaphylaxis Keep victim calm Call 911
Epi-pen if available
Poisoning
Look for symptoms
Burns or redness around the mouth and lips, Breath that smells like chemicals, Vomiting
Difficulty breathing, Drowsiness, Altered mental status
Call 1- (800) (Poison Control Center), take container to phone
Give syrup of ipecac or activated charcoal if advised
10.12 Obtain training or certification in cardiopulmonary resuscitation (CPR), automated external defibrillator (AED), foreign body airway obstruction (FBAO) and first aid

21. Emergency Procedures Shock Lay the person down
Elevate the person's feet unless injury is suspected
Keep person warm and comfortable
Uncontrolled bleeding
Elevate if possible
Cover with gauze
Apply pressure
Apply additional gauze, if necessary
Wrap with bandage and tie over wound
10.12 Obtain training or certification in cardiopulmonary resuscitation (CPR), automated external defibrillator (AED), foreign body airway obstruction (FBAO) and first aid

22. Emergency Procedures Seizures
Do nothing, remove all objects to keep scene safe
Assess victim after seizure stops
Burns
Remove the heat, cool the burn, cover the burn
Strokes
Face
Arms
Speech
Time
10.12 Obtain training or certification in cardiopulmonary resuscitation (CPR), automated external defibrillator (AED), foreign body airway obstruction (FBAO) and first aid

23. Emergency Procedures Strains, sprains Rest Ice Compression Elevate
10.12 Obtain training or certification in cardiopulmonary resuscitation (CPR), automated external defibrillator (AED), foreign body airway obstruction (FBAO) and first aid