1. How to handle a cardiac emergency!

2.  Early recognition and Early Access to EMS  Early CPR  Early Defibrillation  Early Advanced Life Support  Early Rehabilitation

3.  Persistent chest discomfort  Discomfort that spreads to shoulder, neck, jaw,arm  Trouble breathing  Nausea/vomiting  Trouble breathing  Dizziness, light- headed, fainting  Pale/ashen/grayish /bluish skin  Sweating  Denial of signs/symptoms

4.  Immediately call EMS  Have the victim rest  Loosen any tight clothing  Comfort the victim  Assist with any medication  Be prepared to perform CPR or use AED

5.  Life threatening emergency  Heart stops beating/beating irregularly or weakly to circulate blood  Signs + symptoms: unconsciousness, no pulse  Can occur without warning

6.  Combination of rescue breaths and chest compressions  Circulates blood and oxygen – DOES NOT RE- START THE HEART  Increases the chances of survival  CPR techniques are modified for body size

7. Victim’s ribs may break Victim may vomit The scene may be chaotic Victim may not survive

8.  30 Compression…2 breaths  Compress the chest 1/3 depth of chest  Compress the chest at a rate of 100 compressions per minute

9.  30 Compressions…2 breaths  Compress the chest 1/3 width of chest  Compress the chest at a rate of 100 compressions per minute

10.  30 Compressions…2 breaths  Compress the chest 1/3 depth of  Compress the chest at a rate of 100 compressions per minute  Use 2-3 fingers in the center of the chest

11.  Adult…remains 30 compressions/2 breaths  Child and infant…changes to 15 compressions/2 breaths

12.  When two rescuers begin CPR together… ◦ FIRST rescuer does the initial assessment and the SECOND rescuer gets into position to do chest compressions ◦ If there is no breathing/pulse, first rescuer says, “BEGIN CPR!” ◦ Change about every 2 minutes ◦ **Always, always call your compressions out loud!!**

13.  Keep going until… ◦ Another trained rescuer arrives and takes over ◦ You are too exhausted to continue ◦ The scene becomes unsafe ◦ You notice an obvious sign of life