American Heart Association (AHA)

1. American Heart Association (AHA) Heartsaver AED Mr. Wilburn

2. This slide series is intended for review and for familiarity with all CPR skill tests. • Passing and receiving a CPR card is dependent on passing all skill tests (Adult CPR/Choking, Child CPR/Choking, Infant CPR/Choking, 2-person CPR, and AED use). • CPR cards are 2 dollars and are valid for 2 years. Purchasing a card is optional; however, it’s recommended as a representation of your accomplishment.

3. 1 Rescuer CPR for Adults • 1 - Check for scene safety (making sure you and the victim are free of danger). • 2 – Check for responsiveness (tapping the shoulders with both hands while saying “are you ok?!”). • 3 – If no response, yell for help. If someone comes, tell him/her to phone 911 and get an AED. If no one comes, phone 911 immediately and then begin the step of CPR. • Start five cycles of 30 compressions and 2 breaths at a rate of 100 compressions per min. Five cycles of 30 compressions and 2 breaths in under 2 minutes. In an actual situation, continue CPR until emergency medical services arrive on the scene. For testing purposes, after the 5th cycle place the victim in “recovery” position turning the victim onto his/her side for optimal breathing. • Remember—when the AED arrives on the scene (for adult CPR) stop CPR and use AED immediately

4. 2-Person CPR for Adults • The 1st person on the scene is responsible for everything (scene is safe, checking for unresponsiveness, and head tilt chin lift) except compressions (the 2nd person’s responsibility). Rescuers should switch roles during CPR if fatigue is a factor. • Person 1 - Check for scene safety (making sure you and the victim is free of danger). • Person 1 – Check for responsiveness (tapping the shoulders with both hands while saying “are you ok?!”). • Person 1 – If no response, yell for help. When person 2 arrives, send him/her to phone 911 and get an AED. • Person 1 & 2—Start five cycles of 30 compressions (person 2) and 2 breaths at a rate of 100 compressions per min. Five cycles of 30 compressions and 2 breaths in under 2 minutes. • Remember—if an AED arrives on the scene (for adult CPR) stop CPR and use AED immediately

5. 1 Rescuer CPR for Children age 1 to 8 • 1 – Check for scene safety. • 2 – Check for responsiveness tapping the shoulders. • 3 – If no response SHOUT for help, send someone to ACTIVATE EMS and get an AED. • Start CPR 30 compressions and 2 breaths at a rate of 100 compressions per min. • Compressions are different than adult. One hand on the center of the chest (nipple line) and one hand on forehead. • After 5 cycles of 30:2 if alone ACTIVATE the EMS and get the AED.

6. 2 fingers on “boney part of chin, other hand pushing forehead back.

7. Heel of one hand center of the chest on the nipple line above the bottom of the breastbone. Place other hand on top.

8. Correct compression technique and posture. Elbows straight, eyes looking at the top of your hands with fingers interlocked, counting each compression—100 per minute

11. 1 Rescuer CPR for Infants • 1 – Check for scene safety. • 2 – Check for responsiveness. • 3 – If no response SHOUT for help, send someone to call 911 and get an AED. New guidelines recommend the use of AEDs on infants • Start CPR 30 compressions and 2 breaths at a rate of 100 compressions per min. • After 5 cycles of 30:2 (if alone) call 911 after 5th cycle

13. (AED) Automated External Defibrillator • An AED administers an electric shock to revive the heart. • When AED arrives, place it at the victims side next to the victim’s head (next to the responder using it). • First • POWER on the AED. • Second • ATTACH the pads to the victim, then attach to AED. • Third, • Clear the victim and let the AED ANALYZE the rhythm, by pressing the analyze button. • Fourth • SHOCK – If the AED advises a shock, Clear the victim and press the SHOCK button. • CPR – After AED gives the shock, begin CPR beginning with chest compressions. • RE-ANALYZE – After 2 minutes of CPR, repeating each step if necessary. • Four Special situations: • Take heed of the four special situations (hairy chest, wet/water, pacemaker, and medicine patch) and know what to do • Use adult pads on victims aged 8 and Older. • Use specialized pediatric pads on victims aged 1 to 8.

16. Rescue Choking for Adult and Child • Ask the victim “Are you choking?!” if the victim nods yes • Ask the victim “May I Help?!” if the victim nods yes • Position yourself behind the victim one foot between victim’s feet for stability (standing for adult, knelling for child) place one fist turned up with the thumb slightly above the navel but well below the bottom of the breastbone. The other hand clasping the first fist. • Thrust inward and upward with enough force to expel the object. • Continue to thrust until the object is expelled or the victim becomes unresponsive. • If the object is expelled, have the victim see a healthcare professional for further evaluation. • If the Adult victim becomes unresponsive, call 911 and get an AED. Open the airway and remove the object if you see it, then begin CPR. Check the airway every time before giving breaths during CPR. • If the child victim becomes unresponsive, Open the airway, remove the object if you see it, and begin CPR. After 5 cycles (2 min) ACTIVATE the EMS and get an AED. Check the airway every time before giving breaths during CPR.

19. Rescue Choking for Infants. • Signs of Severe Airway Obstruction • Poor / no air exchange. • Weak ineffective cough / no cough at all. • Turning blue around mouth. • Knell / sit with infant in your lap • Alternate 5 back thrusts, 5 chest thrusts, continue until object is expelled or infant becomes unresponsive. • If object is expelled take infant to a Healthcare provider for further evaluation. • If object is not expelled and infant becomes unresponsive, Open the airway, remove the object if you see it, and begin CPR. After 5 cycles (2 mins.) ACTIVATE the EMS. Check the Airway every time before giving breaths during CPR.