Steele Canyon High School ENS Department. CPR and First Aid Application. Cardiopulmonary Resuscitation. Understanding how and when to use CPR today can save someone's life tomorrow. Over a million-and-a-half heart attacks happens every year.
Statistics show that the earlier CPR is initiated, the greater the chances of survival.
In fact, chances of survival are doubled if help is provided within four minutes. This few minutes can be the difference between life and death.
WOWZER…I told you…You have to start CPR quickly because after 8 minutes….brain damage is certain!
SO…How Does CPR Work??
CPR may not always save the victim even when performed properly, but if started within 4 minutes of cardiac arrest and defibrillation is provided within 10 minutes, a person has a 40% chance of survival. So be like Nike…and JUST DO IT!
CPR provides a trickle of oxygenated blood to the brain and heart and keeps these organs alive.
Cardio Pulmonary Resuscitation (CPR) serves as an artificial heartbeat until a defibrillation can shock the heart into a normal rhythm or emergency equipment arrives.
Remember the CAB's of CPR: Circulation, Airway and Breathing
However, medical professionals and trained lay people are still urged to give the victim two "rescue breaths" in between each series of 30 chest compressions.
The new guidelines also call for faster and more forceful compressions than in years past. The new standard is to compress the chest at least two inches on each push, at a rate of 100 compressions per minute. The AHA says the perfect pace is that of the Bee Gees' "Staying Alive."There has been a change in the recommended sequence for the lone rescuerto initiate chest compressions before giving rescue breaths (C-A-B rather than A-B-C)The lone rescuer should begin CPR with 30 compressions rather thanventilation to reduce delay to first compression. Increase the depth of chest compressions to 2 inches for adults & children and 1.5 inches for infants.
American Heart Association guidelines notes that
adult CPR standards
are used on those persons
8 years of age and older.
AGE 8 AND…………………….............…..UP
Before you begin.
** If the person answers, CPR is not needed. (No matter HOW cute they are!)
If the person is unresponsive or unconscious, or showing signs of a stroke or heart attack, call 911 immediately and initiate the CAB's of CPR which include: C-Circulation,A-Airway, B-Breaths
In case of emergency
DO NOT…I REPEAT…DO NOT
When performing chest compressions, proper hand placement is very important. To locate the correct hand position place two fingers at the sternum (the spot where the lower ribs meet) then put the heel of your other hand next to your fingers.Place one hand on top of the other and interlace the fingers . Lock your elbows and using your body's weight, compress the victim's chest. The depth of compressions should be at least 2 inches - remember: 2 hands, 2 inches . Count aloud as you compress 30 times at the rate of about 3 compressions for every 2 seconds or approximately 100 compressions per minute.
Airway: Clear the airwayPut the person on his or her back on a firm surface. Kneel next to the person's neck and shoulders. Open the person's airway using the head tilt-chin lift. Put your palm on the person's forehead and gently push down. Then with the other hand, gently lift the chin forward to open the airway. Check for normal breathing, taking no more than 10 seconds: Look for chest motion (rising up and down), listen for breath sounds, and feel for the person's breath on your cheek and ear. Gasping or gurgling is NOT normal breathing. If the person isn't breathing normally or you aren't sure, consider rescue breathing if you are trained to do so.
Breathing: Breathe for the person
Shout and gently shaking him/her. If there is no response, Call 911 and return to the victim. Pulse Check Location - Carotid artery (neck)
By the American Heart Association's® guidelines
is administered to ANY victim under the age of 8. Children have a better chance of survival if CPR is performed immediately.
The most common reasons children stop breathing and their heart stops beating are the following:
Check for responsiveness
Shake or tap the child gently.
See if the child moves or makes a noise.
Shout, "Are you OK?"
If there is no response, shout for help.
Send someone to call 911. Do not leave the child alone to call 911 until AFTER you have given about 1-2 minutes of CPR.
Restore blood circulation!
Check if the child's heart is beating.
In order to do that, find carotid artery in the neck.
Place your two fingertips on it and apply light pressure for several seconds.
If no circulation is detected, begin chest compressions.
Open the airway
Look, listen, and feel for breathing.
(Of course, so can a peanut or Lego…)
Keep in mind that children’s lungs are much smaller and require you use shallower breaths. Watch victim’s chest to prevent stomach distention.If the child is not breathing:
Shouting and gently shaking the child.
According to the AHA guidelines, Infant CPR
is administered to any child under the age of 12 months.
PEARLS OF WISDOM FOR INFANT CPR
Restore blood circulation!
Check if the infant's heart is beating by
finding the brachial artery located on the inside of the arm near the inside of the elbow (INSIDE).
Place your two fingertips on the fleshy part and apply light pressure for several seconds.
If you do not feel a pulse, then the infant's heart is not beating.
Begin chest compressions.
Use caution when doing compressions on an infant, as a baby's ribcage is susceptible to damage.
Imagine a horizontal line between the baby's nipples. Place 2 fingers of your one hand just below this imaginary line, in the center of the chest. Gently compress the chest to about one-third to one-half the depth of the chest. Count aloud as you push in rapid rhythm. You should pump at a rate of about 100 times a minute.
DIAL 911. It is critical
Give 2 breaths after every 30 chest compressions. Compressions should be about ½-1 inch deep. Perform CPR for two (2) minutes before calling for help unless you can send someone else while you care for the baby. Continue CPR until you see signs of life or until a professional caregiver relieves you.
Clear the airway
Breathe for the infant
Infant CPR should be administered to any victim under the
age of 12 months.
The procedure is as follows:
1. Check the baby for unresponsiveness
Pat his/her feet, shoulders or chest. If no response, give 2 minutes of CPR before calling 911. Pulse Check Location - Brachial artery (arm)
2. Circulation and compressions.
Push down with 2 fingers ½ 1nch, 30 times at the rate of 100 per minute in the center of the chest just below the nipples.
Slightly tilt the head into "sniffer's position”. Remember the baby’s head is floppy and heavy
If the baby is NOT breathing give 2 small gentle breaths. Cover the baby's mouth and nose with your mouth. Each breath should be 1 second long. You should see the baby's chest rise with each breath
5. Continue until help arrives.
CPR should not be interrupted while the adhesive AED pads are being applied.
*If a shock is indicated, ensure that everyone is clear of the victim for their safety. This includes you!
*Press and hold the shock button located on the face of the AED machine to deliver the pre-determined amount of electrical energy to the heart. The victim may jump or twitch with the delivery of the electrical charge.
*Please remember that during this time, the AED machine may be heard giving instructions. Follow those instructions for best success.
*After shocks are completed, follow prompts to restart CPR or check patient.
Do not remove the AED pads to perform CPR.
Leave them in place.
The AED has directions
That are easy to follow.
There are also voice
Commands after pads are
**There are many different AED designs, but all are simple to operate.. As long as you understand the general principles behind an AED, you may be able to save someone's life. DO NOT BE AFRAID TO ACT!
Do NOT use an AED on a trauma patient.
Do NOT use an AED on a child under 1 year old.
Do NOT use an AED on a victim with a PULSE (they may get up and make YOU the trauma).
Here ends this portion of the lecture material.
Please review locations of AED’s on campus.
*Practice station 1: AED Access/Utilization
Please note which location would be quickest to utilize if there was an emergent need.
Review time to access from 4 separate locations on campus.