2019 07 hands only cpr updated
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This is an updated version of our older Hands-Only CPR lecture for laypersons.
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2019 07 hands only cpr updated
- 1. Hands Only CPR Simple StepsTo SaveA Life!
- 2. Learning Outcomes •By the end of this training, you will be able to: Call 911 Give compressions Switch with another layperson to give compressions Hook up an AED
- 3. What is Hands-Only CPR? • Compressions Only No rescue breathing • Ideal for: For non-healthcare providers, Lay public healthcare providers who are off duty and without special equipment (like a mask) • Not good for: On duty responders Lifeguards Drowning patients.
- 4. Is this a formal CPR course? • No.This is designed for the general public that may be nearby in the event of a cardiac arrest. • Will not meet the needs of most employers No certification issued No written test No competency assessment. No Pass/Fail • For informational purposes only. • Participation in the skills practice is encouraged but not required. CPR requires effort. Do not participate in the skills if you have doubts about your health when performing this task.
- 5. Why learn CPR? It is estimated that about 60 percent of heart attacks resulting in cardiac arrest occur in the presence of a witness who might be able to save the victim. EARLY CPR doubles a person’s chance of survival from sudden cardiac arrest. It takes 4-8 minutes for trained responders to get to the patient’s side. Brain damage can already be starting. EARLY CPR can help prevent brain damage
- 6. When to act? •Check for safety (15 seconds) •No-No-Go assessment (15 seconds) •Start CPR With in 30 seconds
- 7. No?-No?-Go!
- 8. NOt Conscious • Yell at the victim, shake him, or tap him on the shoulder to get a response. response. • If the victim is not conscious or is semi- conscious (i.e., not responding), then he is a "NO“, and the bystander should move on to the next next step.
- 9. NOt Breathing Normally • “Breathing normally” means appearing to breathe normally or talk. • The victim can be short of breath, but if she is talking, that is still "OK". • If the victim is not breathing normally, they are a "NO“, and the bystander should move on to the next step: CPR
- 10. GO call 911 and start CPR! • It is time to take action. • Call 911 and place the phone on speaker next to the patient, or direct someone else to do so. • Then start hands-only CPR. "Push Hard and Fast in the center of the chest"
- 11. How To Do Compressions
- 13. Step 1: Call 911 • When to call: If you encounter any medical emergency of any type (including a NO-NO-GO situation): Call 911 or have someone else do it. If possible, place the phone on speaker next to you and the patient.
- 14. Step 2: Push Hard and Fast on the center of the chest •Push as deep as you can •Come up all the way •“Keep a beat.“ 100/min
- 15. Things to remember: • Hand Position heel of one hand on center of chest and lower half of breastbone, with the other hand on top • Body Position Knees by victim’s arm, get up on knees with shoulders directly over hands on the chest • Push Hard Push Fast—“Stayin’ Alive” rate= 100 pushes/minute. Each compression should go down at least 2 inches, then up 2 inches. Switch rescuers every one to two minutes if It’s important to act as a team/coach each other
- 16. AHA Hands only CPR video https://www.youtube.com/watch?v=O_49wMpdews
- 17. Music can save a life! • “Stayin' Alive" - Bee Gees • "Dancing Queen" - ABBA • "HardTo Handle" -The Black Crowes • "Sweet Home Alabama" - Lynyrd Skynyrd • "RockYour Body" - JustinTimberlake • "IWill Survive" - Gloria Gaynor • "Girls Just Want to Have Fun" - Cyndi Lauper • "Crazy in Love" - Beyonce, Jay Z • "Just Dance" - Lady Gaga, Colby O’Donis • "RockThisTown" - Stray Cats • "Hips Don’t Lie" - Shakira • "Imperial March" - Star Wars Soundtrack
- 18. There is an APP for that!
- 19. How does it work?
- 20. There is an APP for that!
- 21. Continue compressions until ….. The victim shows an obvious sign of life The scene becomes unsafe An AED becomes available You are too exhausted to continue Or a trained responder takes over
- 23. AED’s • An AED is anAUTOMATED medical device designed for use by laypersons. You DO NOT have to be medically trained to use it. A dispatcher can talk you through it. Most also have voice instructions. • It does not always shock It electronically determines if the patient needs or does not need a shock. Not all patients need a shock • It supplements CPR, does not replace it. CPR improves the chance an AED will work • AEDs can be found in almost all public places Restaurants Schools Airports Public Buildings
- 24. Anatomy of an AED
- 25. Some examples of AEDs
- 27. An AED in use
- 28. FAQ: Do I need to take a full course? A full course is always recommended, especially if It is part of your job Babysitter Healthcare worker Public Safety School teacher etcetera You work or live with high risk patients You work involves elevated risk
- 29. FAQ: "Can I get sued?" In general "Good Samaritan" laws provides immunity for lay persons who are acting in good faith.
- 30. Idaho Good Samaritan Law • 5-330. IMMUNITY OF PERSONS GIVING FIRST AID FROM DAMAGE CLAIM. That no action shall lie or be maintained for civil damages in any court of this state against any person or persons, or group of persons, who in good faith, being at, or stopping at the scene of an accident, offers and administers first aid or medical attention to any person or persons injured in such accident unless it can be shown that the person or persons offering or administering first aid, is guilty of gross negligence in the care or treatment of said injured person or persons or has treated them in a grossly negligent manner.
- 31. Did you know… 37-2739C. MEDICAL ASSISTANCE — DRUG-RELATED OVERDOSE — PROSECUTION FOR POSSESSION. (1) A person acting in good faith who seeks medical assistance for any person experiencing a drug-related medical emergency shall not be charged or prosecuted for possession of a controlled substance pursuant to section 37-2732(c) or (e), Idaho Code, for using or being under the influence of a controlled substance pursuant to section 37-2732C(a), Idaho Code, or for using or possessing with intent to use drug paraphernalia pursuant to section 37-2734A(1),
- 32. FAQ:"What about Germs?": •Hands Only CPR – No kissing! •Hands Only CPR avoids most of the actual risk by eliminating mouth- to-mouth contact.
- 33. FAQ: "What if I mess this up or do not remember everything?" •That’s OK!!!Whatever you do will be helpful. •Placing a phone by the patient on speaker allows the dispatcher to help you! •If you can physically do compressions, the dispatcher can talk you through the rest.
- 34. FAQ: Won’t I hurt the patient? •CPR is rough on the body, but it is worth it. Failing to act quickly wastes the window of opportunity. •Broken ribs are the most common injury. These will heal if they happen. This is most likely with elderly victims.
- 35. Remember
- 36. What's next • Break into groups • Perform a NO- NO-GO assessment • Perform 1 minute of good CPR • Hook up an AED
- 37. Questions?
Editor's Notes
- Hands-only CPR is CPR without mouth-to-mouth breaths. It is recommended for use by people who see a teen or adult suddenly collapse in an “out-of-hospital” setting (such as at home, at work or in a park).
- Hands-only CPR is CPR without mouth-to-mouth breaths. It is recommended for use by people who see a teen or adult suddenly collapse in an “out-of-hospital” setting (such as at home, at work or in a park).
- Hands-only CPR is not intended to take the place of more formal CPR courses required for the workplace, babysitters, or healthcare providers. Instead, Hands-only CPR is meant as a means to reach out to the public and provide the information to lay persons who might otherwise never step into a classroom to learn traditional CPR. 90% of cardiac arrests occur in the home in front of lay persons such as you will be teaching. Hands-only CPR can be taught to untrained bystanders in 5 minutes or less, over and over again, reaching a huge audience. It is ideal for public relations events.
- In a perfect world, bystander would be well-versed in basic first aid and recognition of emergencies. Unfortunately, we do not live in a perfect world, and often bystanders are unsure what to do or when to do it when faced with a possible cardiac arrest. This can lead to hesitation on the part of the bystander. The No-No-Go! concept simplifies the decision-making process for untrained bystanders. This is the same sequence of questions that dispatchers will walk bystanders through when they call 911. Trained bystanders should rely on their training.
- A bystander may yell at the victim, shake him, or tap him on the shoulder to get a response. If the victim is not conscious or is semi-conscious (i.e., not responding), then he is a "NO," and the bystander should move on to the next step. NOTE: Victims may also have some twitching or jerking that might make you think of a seizure; this comes with low oxygen in the brain and will usually stop quickly. Otherwise, this may also be an actual seizure disorder. In both cases, 911 is still needed.
- Breathing normally is a difficult thing for bystanders to grasp. For the purposes of this discussion, breathing normally means appearing to breath normally or talk. “Breathing normally” means appearing to breathe normally or talk. The victim can be short of breath, but if she is talking, that is still "OK" for this discussion. However, agonal, really slow, or ineffective breathing is treated the same way as no breathing. So, if the victim has been determined to be not conscious and THEN not breathing normally, then she is a "NO," and the bystander should move on to the next step
- It is time to take action. Call 911 and place the phone on speaker next to the patient, or direct someone else to do so. Then start hands-only CPR. "Push Hard and Fast in the center of the chest"
- Hands-only CPR consists of two easy steps: Call 9-1-1 (or send someone to do that). Push hard and fast in the center of the chest.
- When instructing lay people to call 911, it is important to prepare them for this experience. Most will have never called 911 before, and many have misconceptions about who answers and what will happen. Some important facts/teaching points: Dispatchers are trained to answer the phone and can help talk a caller through many emergencies, not just cardiac arrest. Placing the phone on speaker will free up the bystander's hands to perform CPR. Dispatchers often work in teams, so while one dispatcher is talking to the bystander, another dispatcher may be actually dispatching EMS. Answering a dispatchers questions does not delay help, it speeds it up. The dispatcher will also ask for details like the location. It is important to be specific, especially if the bystander is calling from a cell phone as that is not associated with a fixed location or address.
- Many bystanders have never done CPR, or learned it a long time ago when it was much different. Teach the bystanders to push as deep as they can, to come up all the way, and to "keep a beat." There are a number of different songs you can play on your cell phone to coach them. Push as deep as they can, Come up all the way, “Keep a beat.“ 100 compressions a minute A whole bunch of songs Use a metronome: “There is an App for that!” Don’t worry about hurting the patient. Ribs may break – Keep going! The patient may make funny sounds – Keep going
- Hand Position (heel of one hand on center of chest and lower half of breastbone, with the other hand on top) Body Position (knees by victim’s arm, get up on knees with shoulders directly over hands on the chest) Push Hard Push Fast—“Stayin’ Alive” rate= 100 pushes/minute. Each compression should go down at least 2 inches, then up 2 inches. Switch rescuers every one to two minutes if possible—you can coach someone else how to do this. It’s important to act as a team/coach each other
- https://www.youtube.com/watch?v=O_49wMpdews
- An AED, or automated external defibrillator, is used to help those experiencing sudden cardiac arrest. It's a sophisticated, yet easy-to-use, medical device that can analyze the heart's rhythm and, if necessary, deliver an electrical shock, or defibrillation, to help the heart re-establish an effective rhythm.
- Idaho's Good Samaritan laws are fairly broad and provide pretty good civil (Tort) immunity against claims for providing aid. It has exceptions for gross negligence, which is a pretty high bar to prove. In most cases of cardiac arrest, doing CPR would have to be pretty outrageously bad to qualify. Many bystanders are afraid they can/will be sued. Nothing can protect them from a sue happy stranger but in general "Good Samaritan" law provides immunity for lay persons who are acting in good faith.
- This NEW law allows people to call for help for possible overdoses without fear of prosecution for the drug related issues. TITLE 37 FOOD, DRUGS, AND OIL CHAPTER 27 UNIFORM CONTROLLED SUBSTANCES ARTICLE IV 37-2739C. MEDICAL ASSISTANCE — DRUG-RELATED OVERDOSE — PROSECUTION FOR POSSESSION. (1) A person acting in good faith who seeks medical assistance for any person experiencing a drug-related medical emergency shall not be charged or prosecuted for possession of a controlled substance pursuant to section 37-2732(c) or (e), Idaho Code, for using or being under the influence of a controlled substance pursuant to section 37-2732C(a), Idaho Code, or for using or possessing with intent to use drug paraphernalia pursuant to section 37-2734A(1), Idaho Code, if the evidence for the charge of possession of or using or being under the influence of a controlled substance or using or possessing drug paraphernalia was obtained as a result of the person seeking medical assistance. (2) A person who experiences a drug-related medical emergency and is in need of medical assistance shall not be charged or prosecuted for possession of a controlled substance pursuant to section 37-2732(c) or (e), Idaho Code, for using or being under the influence of a controlled substance pursuant to section 37-2732C(a), Idaho Code, or for using or possessing with intent to use drug paraphernalia pursuant to section 37-2734A(1), Idaho Code, if the evidence for the charge of possession of or using or being under the influence of a controlled substance or using or possessing drug paraphernalia was obtained as a result of the medical emergency and the need for medical assistance. (3) The protections in this section from prosecution shall not be grounds for suppression of evidence in other criminal charges. History: [37-2739C, added 2018, ch. 265, sec. 1, p. 637.]
- The risk of mouth to mouth transmission is fairly low….