2. Copyright © 2002 Career Publishing, Inc. Visual 13-1 Cardiopulmonary Resuscitation a lifesaving procedure involving artificial ventilation and chest compressions that is done for cardiac arrest

3. Copyright © 2002 Career Publishing, Inc. Visual 13-2 Respiratory Arrest the absence of breathing

4. Copyright © 2002 Career Publishing, Inc. Visual 13-3 Cardiac Arrest asystole; the absence of a heartbeat

5. Copyright © 2002 Career Publishing, Inc. Visual 13-4 Full Arrest respiratory and cardiac arrest

6. Copyright © 2002 Career Publishing, Inc. Visual 13-5 Head-Tilt/Chin-Lift Maneuver A procedure for opening a blocked airway in which the patient’s head is tilted back and the chin is lifted; the most effective method for opening the airway of an unconscious person without a neck or back injury. From LifeART, Emergency 1, Copyright 1998, Lippincott Williams & Wilkins

7. Copyright © 2002 Career Publishing, Inc. Visual 13-6 Jaw-Thrust Maneuver A procedure for opening a blocked airway in which the patient’s jaw is lifted up and the neck is not moved; the preferred method for opening the airway of a patient with a potential spine injury. From LifeART, Emergency 1, Copyright 1998, Lippincott Williams & Wilkins

8. Copyright © 2002 Career Publishing, Inc. Visual 13-7 Cardiac Compressions Controlled and repeated application of pressure to the sternum of a cardiac arrest victim to keep the oxygen supply moving throughout the body. From LifeART, Emergency 1, Copyright 1998, Lippincott Williams & Wilkins

9. Copyright © 2002 Career Publishing, Inc. Visual 13-8 Obstructed Airway Maneuver the procedure used to clear a foreign body from the trachea in which sudden, upward pressure is applied to the abdomen with a fist to remove a foreign body in the trachea

10. Copyright © 2002 Career Publishing, Inc. Visual 13-9 Basic Life Support 1.Determine unresponsiveness. 2.Call for help. 3.Position the victim 4.Rescuer position. 5.Open airway. 6.Assess breathing. 7.Rescue breathing. 8.Assess circulation. 9.External chest compressions. 10.Reassessment.

11. Copyright © 2002 Career Publishing, Inc. Visual 13-10 CPR Positions One-Rescuer PositionTwo-Rescuer Position

12. Copyright © 2002 Career Publishing, Inc. Visual 13-11 Today at basketball practice, Mike Mathews got low-bridged while shooting a lay-up. Raphael was in charge because the head trainer, Lisa, as usual, was overseeing wrestling practice and couldn’t be in both places at once. Mike was hit hard. When Raphael got out on the court Mike’s eyes were rolling back into his head and he was having trouble breathing. Raphael did a quick assessment, checking Mike’s pulse and breathing. Raphael could feel a strong pulse, but Mike’s breathing was labored. Raphael started the emergency action plan by telling the equipment person to call for EMS first, and then to call Lisa on the radio to inform her of the situation. Raphael put on his gloves and took out the airway that he always carried with him. As he did this, he started to run the procedure for CPR through his head. He checked Mike’s vitals again, using two fingers on the chin to assure a good airway, and placed his ear close to Mike’s mouth to hear him breath. Raphael kept talking to Mike to reassure him that everything was going to be fine.

13. Copyright © 2002 Career Publishing, Inc. Visual 13-12 Meanwhile, Raphael was preparing himself to administer CPR if necessary. It seemed to take forever, but Lisa and the EMS finally arrived and took over while Raphael filled them in on the details as to what had happened and the care he had provided up to that point. Lisa and Raphael told the coaches to clear Mike’s teammates away from him to stay out of the way of the paramedics. When the paramedics finally took Mike away, Raphael sat down with Lisa and everyone involved and wrote down exactly what happened. Raphael then spent some time talking with Lisa about what happened and gearing down from the event. Why did Raphael put on gloves to treat the injured player? Why is it important to check vital signs periodically? What are some ways to instill confidence in the injured player that he is going to be fine in what must feel like a dire situation? Why does the trainer need some time to wind down after a situation like this?