ADULT CPR / AED OBJECTIVE To give individuals in the workplace the knowledge and skills necessary to provide care for breathing emergencies, perform cardiopulmonary resuscitation (CPR), and use an automated external defibrillator (AED) for victims of cardiac arrest.
EMERGENCY ACTION STEPS CHECK: scene and victim Life-threatening conditions • Unconsciousness • Persistent chest pain or discomfort • Not breathing / trouble breathing • No circulation • Severe bleeding • Seizure lasting more than 5 min.
EMERGENCY ACTION STEPS CALL – 911 Responder alone, CALL FIRST, before providing care for- • Unconscious adult victim or child 8 yrs. or older • Unconscious infant or child known to be at a high risk for heart problems
EMERGENCY ACTION STEPS CALL – 911 Responder alone: • Provide 1 minutes of care, then CALL FAST for: • Unconscious victim less than 8 yrs. Old • Victim of submersion / drowning • Drug overdoses
EMERGENCY ACTION STEPS CARE: Provide proper care such as rescue breathing/CPR/obstructed airway/care for bleeding
LEGAL PROTECTION Good Samaritan Law Obtaining Consent
LEGAL PROTECTION Good Samaritan Law Enacted to give legal protection to people who willingly provide emergency care to injured persons without expecting anything in return Requires responder to: • Use common sense and a reasonable level of skill
LEGAL PROTECTION cont. If a conscious victim does not grant you consent, do not give care, but still call 9-1-1 IMPLIED CONSENT A victim who is unconscious, confused, or seriously ill Victim would agree to have care given to him/her
LEGAL PROTECTION OBTAINING CONSENT The victim accepts your offer to help • To obtain consent, conscious victim • State your name • Tell victim your training level • Ask if you can help • Explain what you plan to do
PREVENTING DISEASE TRANSMISSION FOLLOW BASIC PRECAUTIONS: Use protective equipment- disposable gloves/ breathing barriers Wash hands immediately after giving care Avoid contact with victim’s blood/body fluids
PREVENTING DISEASE TRANSMISSION BLOOD SPILLS Disposable gloves Wipe up spill with an absorbent material Use a mixture of 10-1 (water/bleach) Dispose of soiled supplies in a biohazard waste bag
BEFORE PROVIDING CARE Move an injured victim if: - scene becomes unsafe - You have to reach another victim who may have a more serious injury - Need to move victim to provide proper care (collapsed on a stairway)
CALLING 9-1-1 Provide dispatcher with: Location Address Name What happened Number/condition of injured DO NOT HANG UP UNTIL DISPATCHER DOES!
SHOCK Life-threatening condition in which not enough blood is being delivered to all parts of the body
S & S of SHOCK Restlessness or irritability Pale, cool, moist skin Nausea and vomiting Blue tinge to lips/nail beds Rapid breathing/pulse Altered level of consciousness
CARE FOR SHOCK CALL 9-1-1 Monitor ABC’s Keep victim from getting chilled/overheated ELEVATE LEGS ABOUT 12 INCHES ONLY IF YOU DO NOT SUSPECT HEAD/NECK, OR BACK INJURY
CHECKING FOR CONSIOUSNESS Check scene and victim Tap victim on shoulder, ask “Are you okay?” If unresponsive call 9-1-1
Checking Conscious Victim Ask- what happened? Victim unable to give information, check for medical identification bracelet- Call 911 Head to toe examination Care for conditions found/shock Monitor ABC’s Explain to EMS victim’s condition
UNCONSCIOUS VICTIM Check scene/victim Tap victim’s shoulder- no response Call 911 Look, listen and feel for breathing- 5 sec. Victim unconscious but breathing-place in recovery position
Unconscious Cont. Cannot tell if victim is breathing • Head tilt/chin lift • 5 sec. Victim not breathing: • 2 rescue breaths • Breaths do not go in – reattempt • Breaths go in ….check for circulation 10 sec (Find carotid artery) EMS and monitor
Rescue Breathing Victim not breathing but has a pulse Two slow breaths (2 sec.) with a brief pause in between 1 breath every 5 sec. Do not ventilate with more force necessary to cause the chest to expand Maintain head-tilt
Cardiac Emergencies Heart Attack S&S Persistent chest pain Pain/discomfort in either arm that spreads to the shoulder, neck, jaw Nausea, shortness of breath, breathing trouble Sweating, changes in skin appearance Dizziness/unconsciousness
Cardiac Emergencies Cardiac Chain of Survival 1. Early recognition and early access 2. Early CPR 3. Early defibrillation 4. Early advanced life support
CPR Cardiopulmonary Resuscitation Purpose? CPR does not restart a victim’s heart; it keeps blood that contains oxygen flowing to the brain and vital organs until an AED or advanced medical personnel arrive.
CPR victim is not breathing and does not have a pulse Chest compressions combined with giving breaths 30 compressions to 2 rescue breaths
CPR Continue CPR until: You feel signs of circulation AED is available Another trained responder takes over You are too exhausted to continue The scene becomes unsafe
UNCONSCIOUS CHOKING Care is similar to CPR with the exception that a foreign object search is performed between chest compressions and breaths. Chest compressions force air into victim’s lungs to dislodge the object.
CONSCIOUS CHOKING Victim is conscious, but cannot cough, speak, or breath Get consent before giving care Assume airway is blocked Universal sign of choking Clutching throat with both hands
Conscious Choking Skill Perform 5 back blows/5 abdominal thrusts Stand behind and slightly to the side Place one arm diagonally across victim’s chest and lean the victim forward Firmly strike victim between shoulder blades with heel of hand 5 times Place thumb side of fist against middle of the abdomen just above the navel. Grasp fist with other hand and give 5 quick upward thrusts
Conscious choking Repeat 5 back blows/5 abdominal thrusts until- Object is expelled Victim starts to breathe or cough Victim becomes unconscious EMS personnel arrive
AED Automated External Defibrillator A machine that analyzes the heart’s rhythm This shock, called defibrillation, may help the heart reestablish an effective rhythm
AED PRECAUTIONS Do not: Touch the victim while the AED is analyzing or defibrillating Use alcohol to clean victim’s chest (flammable) Use an AED in a moving vehicle Use an AED on a victim lying on a conductive surface (metal) or water
AED PRECAUTIONS Do not: An AED on a child under 8 yrs. Or under 55 pounds Use an AED on a victim (nitroglycerin patch) remove patches Cellular phone/radio transmitter within 6 feet of AED
OPERATION OF THE LIFEPAK 500 AED To prepare for ECG analysis and defibrillation: 1.Verify that the patient is in cardiac arrest 2. Press ON/OFF to turn on the AED (the green LED will light). The CONNECT ELECTRODES message and voice prompt will occur until the patient is connected to the AED.
LIFEPAK 500 AED 3. Prepare the patient for electrode placement: • Place the patient on a hard surface away from standing water or conductive material. • Remove clothing from the patient’s upper torso. • Remove excessive hair • Clean the skin and dry it with a towel or gauze. • Do not apply alcohol, or antiperspirant to the skin.
LIFEPAK 500 AED 4. Apply the electrodes to the patient’s chest. • Place the (Heart) or + electrode lateral to the patient’s left nipple with the center of the electrode in the midaxillary line. • Place the other electrode on the patient’s upper right torso, lateral to the sternum and below the clavicle. Firmly press the electrode onto the patient’s chest to eliminate air pockets between the gel surface and the skin.
LIFEPAK 500 AED 5. Connect the electrode connector to the AED (if it is not already connected) 6. Follow screen messages and voice prompts provided by the AED. If the patient recovers consciousness and/or signs of circulation and breathing return, place the patient in the recovery position and leave the AED attached.
LIFEPAK 500 AED Warnings and hazards:• delivers up to 360 joules of electrical energy. • If a person is touching the patient, bed, or any conductive material in contact with the patient during defibrillation, the delivered energy may be partially discharged through that person. Air pockets between the skin and electrodes can cause patient skin burns. DO NOT reposition electrodes once applied. If the position must be changed, remove and replace with new electrodes.