1. Hands-Only CPR Howard County Dept. of Fire and Rescue And
Howard County Public Schools

2. Am I Protected?
Maryland Courts and Judicial Proceedings Code § “An individual who is not [licensed in this state to provide medical care] is not civilly liable for any act or omission in providing assistance or medical aid to a victim at the scene of an emergency, if: (1) The assistance or aid is provided in a reasonably prudent manner; (2) The assistance or aid is provided without fee or other compensation; and (3) The individual relinquishes care of the victim when someone who is licensed or certified by this State to provide medical care or services becomes available to take responsibility.”
YES! Any bystander who uses an AED to help a cardiac arrest victim is protected from liability under Maryland’s Good Samaritan Law.

3. Today’s Goals: Learn about sudden cardiac arrest and its warning signs
Learn compression-only CPR for adults and kids over the age of 8 (AHA)
Hands-Only CPR practice session

5. What is cardiac arrest?
The heart suddenly stops pumping blood through the body and the patient goes unconscious, losing his/her pulse
Can happen without warning
If cardiac arrest is not immediately treated, the victim will almost certainly die
YOU need to act fast!
Talking Points: Think of this as SCA 101, just to make sure we are all on the same page. This is the most text heavy slide in the whole presentation. Explain this is lay terms. Cardiac arrest can occur unexpectedly, often without any warning signs
-Caused by heart disease, coronary artery disease, or an abnormal heart rhythm
-Sometimes the heart will just beat erratically, or it can stop beating entirely.

6. Cardiac arrest and heart attack are NOT the same!
ALERT:
Cardiac arrest and heart attack are NOT the same!
Cardiac Arrest vs. Heart Attack
Unconscious/No pulse Conscious
Abnormal breathing or Breathing/Talking
Not breathing at all
Talking Points: Let them know how common it is for people to confuse the two and not to be ashamed if you do.
Explain agonal breathing:
-Slow, loud gasping breaths in a random pattern
-Patient sounds like they may be snoring
-Breaths do not provide enough oxygen to support the body’s needs

7. Talking Points: Let this video help explain the previous slide and this should answer most questions about the breathing.

8. Did you know?
250,000 people in the U.S. will die this year because they suffered a cardiac arrest outside of a hospital.
Talking Points: Because this is the first informational slide you MUST implement how devastating SCA is and the toll it takes on society.

9. Hitting Home
Talking Points: Let the charts speak by physically showing the how many lives are lost to SCA compared to other common deaths. This would be a good time to explain that because it takes so many lives in HC, this is why we are spreading the word!!
Of witnessed collapse where bystander CPR was performed 64% of those people walked out of the hospital. (Howard County)

10. Think this doesn’t affect YOU?!
Talking Points: Share the stories of survival and heartbreak and give proximity of the situation in regards to HC.
Anyone – Anywhere – Any Time

11. LOUIS ACOMPORA
14 yr. old Lacrosse goalie took a shot to the chest

12. Kaitlin Forbes
15 yr. old playing softball in gym class

13. Maggie O’Malley Kaitlin’s best friend & teammate
14 mos. after Kaitlin’s CA, on a train coming back from NY City

14. Breanna Sudanno Perry Hall student (@ Catonsville High School)
14 yr. old field hockey player

15. Breanna Sudano’s Success
"The percentages of survival are very, very low for this type of thing. Coaches and parents not only saved her life, but because they did CPR, they did it so quickly, they didn't hesitate, they didn't wait ... there's no brain damage, no complications from lack of oxygen.“
Perry Hall High School athletic director Robert Hruz
Talking Points: Share the great quote from the athletic director

16. Who Else Will Help, If Not You?
Talking Points: You can say that this is what most people do, they wait for others to react. Let them know that we need everyone to know what to do in this situation. You can reiterate how Breanna Sudano would not have survived if people stood around waiting for others to react.

17. Timing is crucial
Every minute that passes without CPR decreases a victim’s chance of survival by 10%
Talking Points: This is a very important slide communicate the severity of SCA and how time is the enemy. The average response time of EMS is 5-7 minutes. Bottom Line: Do whatever you can do and do it as fast as you can!!!!

18. The American Heart Association’s Chain of Survival
Early Access- call 911!
Early CPR
Early Defibrillation
Early Advanced Care
(Paramedics + hospital)
You
Talking Points: YOU are a vital link of this chain! You have the ability to perform 3 out of the 4 steps involved in helping a cardiac arrest victim survive.

19. The 3 C’s of Adult CPR CHECK to see if the person is unresponsive
Call 911 and return to the person
Check that the person is unresponsive
Begin chest compressions, pushing down 2 inches on the person’s chest, and continue this until emergency services arrive
CHECK to see if the person is unresponsive
CALL 911 so help can arrive ASAP
COMPRESS- start chest compressions and don’t stop until EMS arrives
Talking Points: This is the most important slide!! Express the simplicity of these steps and how easy they are to remember. Once again, reiterate that this message is for the students they will be communicating this to and not just for them (the teachers) to know.

20. About AEDs AED = Automatic External Defibrillator
Found in public areas throughout Howard County
AED kit contains a “smart” AED machine and 2 adhesive pads connected to the machine by wires
An AED is a machine that can be used to save a victim from cardiac arrest.
Found in public places around HoCo: public gyms, schools, offices, senior centers, government buildings, Columbia Mall
Also commonly found in airports, train stations.
Every fire engine and ambulance in HoCo carries one. Working on getting them in police cars
Be aware that there are several different models of AEDs. Some are a different color, some have screens, some are stored behind glass cabinets

21. Even if you are not trained to use an AED, you should be aware of the AED locations in the buildings you enter!
-Your Office
-Church
-Gym
-Library
-Schools
-Mall
-Airport
-Senior Centers
Talking Points: Make this a reiteration of why/what we are presenting here. Even if someone knows all these facts it could be vital information they can teach and tell others
Someone who knows how to use an AED may ask you to go get it if a person goes into cardiac arrest!

22. Performing chest compressions
Place one hand on top of the other and press the heel of one hand in the center of the chest
Lock your elbows
Press down hard on the chest at least 100 times per minute, so that the chest is compressed about 2 inches with each press
Talking Points: Transition from the AEDs to how to properly perform Hands-Only CPR. Note to use your upper body weight and not the force from your arms and shoulders. Explain that 100 beats per minute or 100 times per minute can be compared with the rhythm of the song “Staying Alive” by the BGs.

23. American Heart Association Demo Video

24. Hands-on practice of CPR and AED Ask the instructor if you have any questions!
Talking Points: Q&A