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Presented by Aaron Pakenham.

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  1. 1. Cardiopulmonary Resuscitation
  2. 2. Scenario An unconscious individual near some sort of electrical hazard. There’s no one in the vicinity but there is a house nearby which has a telephone. You do not have a mobile. What do you do?  Checking that the individual is unconscious - 4marks  Examining breathing – 5 marks  CPR technique – 11 marks
  3. 3. What to do…  Give student ID to examiner  Speak through the procedure
  4. 4. Danger  Talk your way through the initial part about DANGER  Assess the scene  “I see an unconscious man lying on his back”  Assess the danger  “I ensure the safety for myself and victim”  “I can’t see any danger – there are no wires touching the individual, no broken glass…”
  5. 5. Response  “I check for victim’s response”  Shake the victim and rock shoulders  Pinch ear or sternal rub (providing different stimuli)  Ask loudly in both ears (incase they are deaf in one ear)  “Sir! Sir! Can you hear me?”  Response – Leave them in the same position and get help  No Response – SHOUT “Help” 3 times Now make sure the victim is in Supine Position (head facing the sky, on their back looking up)
  6. 6. Airway  “Check for any cervical spine injuries”  Feel the cervical spine region  “No signs of injury”  Head tilt, Chin Lift  Tilt the head back  Raise the victim’s chin  Check for airway potency  Open the mouth using two fingers  “There are no airway obstructions of foreign material”
  7. 7. Breathing  Keep the airway open  “I will now check for signs of normal breathing”  Put your cheek next to the victim’s mouth  Look – for chest rise  Listen – for breath sounds  Feel – air on the cheek Do this for 10 seconds – count out loud
  8. 8. Breathing (cont’d)  If the victim is breathing normally  Put them in the recovery position  Then call an ambulance  Keep checking for breathing  If the victim isn’t breathing  Call an ambulance  “Since there is no bystander around and both the victim and I do not have a phone – I would try the house near by”  “Once I have called the ambulance, I will return to the victim and commence CPR”  Then start the CPR procedure
  9. 9. CPR Procedure  Technique  Kneel by the side of the victim  Place the heel of one palm on the middle of the victim’s chest with the other hand interlocked above.  Find the middle of the chest (you can do it 2 ways):  2 fingers on either side of the nipple  Put the heel of your palm, 2 fingers above the xiphoid process  Keep your arms completely straight  Tower over the chest on your knees If your arms aren’t straight you WILL LOOSE MARKS
  10. 10. 30 Compressions  Press down on the sternum  4-5 cm (1/3 of chest height) right under the inter-nipple (horizontal) line. If you push down too hard you will hear clicking and you WILL LOOSE MARKS  Rate of compressions  2 per second (about 100-120 a minute)  Rhythm – ‘1 and, 2 and, 3 and…) or Nelly the elephant song  Do 30 compressions… ….followed by 2 rescue breaths
  11. 11. 2 Rescue Breaths  To give the rescue breaths:  pinch the nose shut using your index finger and thumb  Keep your palm on his forehead.  Chin lift with the other hand  opens the airway.  Take a deep breath in  Form a tight seal around the victim’s mouth with your own  Exhale air fully and at a steady rate  In such a way that you can see the chest rise See if the chest moves up and down as you breathe.
  12. 12. Finish  Keep doing and repeating:  30 chest compressions at 100/min  followed by 2 rescue breaths  Until:  The ambulance or help arrives  The individual starts breathing  Put them in the recovery position  I am completely exhausted
  13. 13. Extra bits and bobs  In case of a toddler or drowned individual  Initially, 5 rescue breaths  30 compressions  Followed by 2 rescue breaths  In case of a baby  Use two fingers for compressions  In a situation when not able to give rescue breaths – give compressions only
  14. 14. Ace the Station  Be calm!  A relaxed station  Student takes full command  Not asked any medical questions  Memorise CPR procedure that is in your red practical books - those are the guidelines the examiner DON’T USE ANY OTHER GUIDELINES FROM THE NET!  Speak out loud the CPR procedure  Practice!
  15. 15. Thank youQuestions?
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