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Adult cpraed


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Adult cpraed

  2. 2. 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.
  4. 4. 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.
  5. 5. 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
  6. 6. 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
  7. 7. EMERGENCY ACTION STEPS CARE:  Provide proper care such as rescue breathing/CPR/obstructed airway/care for bleeding
  8. 8. LEGAL PROTECTION Good Samaritan Law Obtaining Consent
  9. 9. 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
  10. 10. 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
  11. 11. 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
  12. 12. 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
  13. 13. 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
  14. 14. 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)
  15. 15. VICTIM TRANSFERS Clothes drag Two-person seat carry Walking assist Blanket drag Foot drag
  16. 16. CALLING 9-1-1 Provide dispatcher with:  Location  Address  Name  What happened  Number/condition of injured DO NOT HANG UP UNTIL DISPATCHER DOES!
  17. 17. SHOCK Life-threatening condition in which not enough blood is being delivered to all parts of the body
  18. 18. 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
  19. 19. 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
  20. 20. CHECKING FOR CONSIOUSNESS Check scene and victim  Tap victim on shoulder, ask “Are you okay?”  If unresponsive call 9-1-1
  21. 21. 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
  22. 22. 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
  23. 23. 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
  24. 24. 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
  25. 25. Cardiac EmergenciesHeart Attack
  26. 26. 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
  27. 27. Cardiac Emergencies Cardiac Chain of Survival  1. Early recognition and early access  2. Early CPR  3. Early defibrillation  4. Early advanced life support
  28. 28. 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.
  29. 29. CPR victim is not breathing and does not have a pulse Chest compressions combined with giving breaths 30 compressions to 2 rescue breaths
  30. 30. 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
  31. 31. 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.
  32. 32. 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
  33. 33. 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
  34. 34. 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
  35. 35. AED Automated External Defibrillator  A machine that analyzes the heart’s rhythm  This shock, called defibrillation, may help the heart reestablish an effective rhythm
  36. 36. 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
  37. 37. 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
  38. 38. 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.    
  39. 39. 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.
  40. 40. 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.
  41. 41. 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.
  42. 42. 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.