School CCC presentation, prepared and provided by professionals of DRIP (Disaster Relief by Irish & Pakistanis) I.L.E.M - UHS (Istitute of Learning Emergency Medicines, University of Health Sciences.)

1. Pakistan Emergency
Response Learning Program
Provided by

2. Safety – Self, Casualty & Bystanders
Introduction of Heart
Heart Attack
Stroke
FBAO
Chain of Survival – Adult, Child & Infant
Phone Call
Check, Call, Compressions (CCC)
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Objectives of CFR Training

3. A person unresponsive at road side
Two Rescuers at roadside
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Scenarios – Pretest

4. Health Hazards – Safety First
Diseases spread through blood and other bodily fluids
 HIV / AIDS
 Hepatitis B & C
Use gloves
Save yourself from patient‘s body fluids
Never regard any patients as ‘Safe’, Not even children!
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5. 5
• Self
• Scene
• Survivor
Scene Assessment
 Fire, Wires
 Chemical
 Traffic
 Farm
 School, Home
 At Work, Sports
Safety

6. 6

7. 7
The Heart

8. Fist size
Muscular Organ
Centre of Chest
Four Chambers
Pumping Action 8
The Heart

9. 9
The Heart

10. 10
Stroke

11. 11
FBAO
Foreign
Body
Airway
Obstruction

12. 12
FBAO (Adult)
Mild or Partial Obstruction
Patient Responsive
Ask are you choking?
Patient can
 Speak
 Make sounds
 Cough loudly
 Encourage casualty to Cough
 Advise to go to hospital if needed

13. 13
FBAO (Adult)
Severe or Full Obstruction
Patient Responsive
Ask are you Choking?
Reassure
Give up to Five Back Blows
Perform Five Abdominal Thrusts until
object comes out or Casualty goes
Unresponsive

14. 14
FBAO (Adult)
Patient Unresponsive
1. Call for Help
2. Start CPR with 30 Chest Compressions
3. Open mouth wide and Remove Object if
you can see it
4. Continue CPR
5. Each time open the mouth to see
obstructing Object, Try to remove it and
provide two ventilations

15. In Pakistan
Edhi 115
Rescue 1122
From a Mobile
Land Line 15
Phone Call

16. From your Mobile
Without entering any area or city code
If you have no Credit
Important:
You cannot make a call if the mobile’s
battery is dead
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You Can dial..

17. 17
• Name & telephone number
• Give exact location with accurate directions
• Type of incident
• Seriousness of incident
• Number of patients
• Age, sex and condition of patients
• Number of dead people
• Any hazards
• Don’t hang-up until you are told to do so
• Don’t keep your phone engaged
Always Give the Following Information:

18. 18
Cardiac
Arrest

19. CCC TIME LINE
Chances of Survival decreased 7 to 10 %
by every passing minute.
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20. CHECK
Breathing
Pulse
Movement
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21. CALL
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22. COMPRESS
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23. COMPRESS
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24. Key Concepts - Compressions
Strait your arms (Elbow Strait)
Pushing Hard & Fast
Rate at least 100 per minute
Compression depth At least 2 inches (5cm)
Allow Full Chest Recoil after each compression
Minimize Interruptions in Chest Compressions to < 10
Seconds
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25. When to STOP(s) Compressions
S – Patient Starts Breathing and has a pulse
T - The patient is Transferred to another trained person
O - You are Out of Strength or too tired
P – Physician gives direction to discontinue CPR
S - The Scene becomes unsafe
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26. CCC Video
&
Hands-on Practice
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