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. What to do…
Give student ID to examiner
Speak through the procedure
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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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!
