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Chapter 5
CPR
Heart Attack and Cardiac Arrest
• Heart attack occurs when heart muscle
tissue dies because its blood supply is
severely reduced or stopped.
• Cardiac arrest results when the heart
stops beating.
Caring for Cardiac Arrest
• Chain of survival: Five events that must
occur rapidly and in an integrated manner
during cardiac arrest
Reprinted with permission. 2015 American Heart Association Guidelines: Update for CPR and ECC. Part 4: Systems of Care &
Continuous Quality Improvement. Circulation. 2015; 132:S397-S413. © 2015, American Heart Association, Inc.
Purpose of CPR
• CPR moves blood to the heart and brain
by giving chest compressions.
• CPR provides periodic breaths to place
oxygen into the person’s lungs.
Age Classifications
• Adults: Puberty and older
• Children: 1 year to puberty
• Infants: Younger than 1 year
Check for Responsiveness
• Tap the person’s shoulder and ask if he or
she is okay.
• If the person does not respond, he or she
is said to be unresponsive.
Activate the EMS System
• Call or ask a bystander to call 9-1-1.
− If a mobile phone is used, it should be kept by
the person’s side.
− If a mobile phone is not available, leave the
person to call 9-1-1 and get an AED.
• If alone with a child or infant, give CPR for
five cycles, and then call 9-1-1.
Check for Breathing
• Check breathing for 5 to 10 seconds by
looking for the rise and fall of the person’s
chest.
Give Chest Compressions
• Perform on a firm,
flat surface
whenever possible.
• For an adult:
− Use two hands.
− Compress at least 2
inches.
• For a child:
− Use one or two
hands.
− Compress about 2
inches.
• For an infant:
− Use two fingers.
− Compress about
1.5 inches.
Give Chest Compressions
• Place hands in the center of the chest.
• Give 100 to 120 compressions per minute
(speed not rate).
© Jones & Bartlett Learning.
Open the Airway
• Use the head tilt–chin lift maneuver.
• Place one hand on the person’s forehead
and the fingertips of the other hand on the
bony part of the chin.
• Lift the chin upward to help tilt the person’s
head back.
Give Rescue Breaths
• Keep the person’s airway open using the
head tilt–chin lift maneuver.
© Jones & Bartlett Learning. © Jones & Bartlett Learning.
Give Rescue Breaths
• Pinch the person’s nose shut.
• Take a normal breath, and blow into the
person’s mouth for one (1) second.
• Take a breath for yourself.
• Give another 1-second breath.
Continue CPR Until…
• An automated external defibrillator (AED)
is available.
• Person shows signs of life.
• Emergency medical services (EMS)
personnel take over.
• You become too tired to continue.
Methods of Rescue Breathing
• Mouth-to-mouth breathing
• Mouth-to-mask breathing
• Mouth-to-face shield breathing
© Jones & Bartlett Learning.
© Jones & Bartlett Learning.
Adult and Child CPR
• Check for responsiveness.
• Activate EMS.
• Breathing?
− Observe chest for movement.
© Jones & Bartlett Learning. © Jones & Bartlett Learning.© Aleksandra Gigowska/Shutterstock.
Adult and Child CPR
• Provide chest compressions hard and fast.
• Open airway.
• Give two rescue breaths.
© Jones & Bartlett Learning.
© Jones & Bartlett Learning.
© Jones & Bartlett Learning.
Adult and Child CPR
• Repeat compression and breath cycles
until an AED arrives.
• Use an AED as soon as it arrives.
© Jones & Bartlett Learning. © Jones & Bartlett Learning.
Infant CPR
• Check for responsiveness.
• Activate EMS.
− If you are alone, give 5 sets of CPR first.
• Check for breathing.
© Jones & Bartlett Learning.
© Aleksandra Gigowska/Shutterstock.
© Jones & Bartlett Learning.
Infant CPR
• Give chest compressions.
• Open the airway.
• Give two rescue breaths.
© Jones & Bartlett Learning. © Jones & Bartlett Learning.© Jones & Bartlett Learning.
Recognizing Airway Obstruction
• Mild obstruction
− Good air exchange
− Forceful coughing
efforts
− Person should be
encouraged to
cough.
• Severe obstruction
− Poor air exchange
− Breathing difficulty
− Weak and
ineffective cough
− Inability to speak or
breath
− Cyanosis
Adult and Child Choking
• Ask, “Are you
choking?”
• If the person nods
yes, provide care.
© Jones & Bartlett Learning.
Adult and Child Choking
• Perform the
Heimlich maneuver
by moving behind
the person.
• Reach around the
person’s waist with
both arms and
locate the navel.
© Jones & Bartlett Learning.
Adult and Child Choking
• Place a fist with the
thumb side against
the person’s
abdomen, just
above the navel.
© Jones & Bartlett Learning.
Adult and Child Choking
• Grasp the fist with
your other hand.
• Press into the abdomen
with quick, inward and
upward thrusts.
• Continue until the object
is removed or the person
becomes unresponsive.
© Jones & Bartlett Learning.
Infant Choking
• Support the infant’s head and neck.
• Lay the infant face down on the forearm.
• Lower the arm to the leg.
• Give five back blows
between the shoulder
blades with the heel
of the hand.
© Jones & Bartlett Learning.
Infant Choking
• Roll the infant face up.
• Give five chest compressions on the
infant’s sternum using two fingers.
• Repeat until the object
is removed or the
infant becomes
unresponsive.
© Jones & Bartlett Learning.
If a Person Becomes
Unresponsive…
• Immediately call 9-1-1.
• Begin CPR.
• Look for an object in the person’s mouth
during CPR.

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Ch05 presentation cpr

  • 2. Heart Attack and Cardiac Arrest • Heart attack occurs when heart muscle tissue dies because its blood supply is severely reduced or stopped. • Cardiac arrest results when the heart stops beating.
  • 3. Caring for Cardiac Arrest • Chain of survival: Five events that must occur rapidly and in an integrated manner during cardiac arrest Reprinted with permission. 2015 American Heart Association Guidelines: Update for CPR and ECC. Part 4: Systems of Care & Continuous Quality Improvement. Circulation. 2015; 132:S397-S413. © 2015, American Heart Association, Inc.
  • 4. Purpose of CPR • CPR moves blood to the heart and brain by giving chest compressions. • CPR provides periodic breaths to place oxygen into the person’s lungs.
  • 5. Age Classifications • Adults: Puberty and older • Children: 1 year to puberty • Infants: Younger than 1 year
  • 6. Check for Responsiveness • Tap the person’s shoulder and ask if he or she is okay. • If the person does not respond, he or she is said to be unresponsive.
  • 7. Activate the EMS System • Call or ask a bystander to call 9-1-1. − If a mobile phone is used, it should be kept by the person’s side. − If a mobile phone is not available, leave the person to call 9-1-1 and get an AED. • If alone with a child or infant, give CPR for five cycles, and then call 9-1-1.
  • 8. Check for Breathing • Check breathing for 5 to 10 seconds by looking for the rise and fall of the person’s chest.
  • 9. Give Chest Compressions • Perform on a firm, flat surface whenever possible. • For an adult: − Use two hands. − Compress at least 2 inches. • For a child: − Use one or two hands. − Compress about 2 inches. • For an infant: − Use two fingers. − Compress about 1.5 inches.
  • 10. Give Chest Compressions • Place hands in the center of the chest. • Give 100 to 120 compressions per minute (speed not rate). © Jones & Bartlett Learning.
  • 11. Open the Airway • Use the head tilt–chin lift maneuver. • Place one hand on the person’s forehead and the fingertips of the other hand on the bony part of the chin. • Lift the chin upward to help tilt the person’s head back.
  • 12. Give Rescue Breaths • Keep the person’s airway open using the head tilt–chin lift maneuver. © Jones & Bartlett Learning. © Jones & Bartlett Learning.
  • 13. Give Rescue Breaths • Pinch the person’s nose shut. • Take a normal breath, and blow into the person’s mouth for one (1) second. • Take a breath for yourself. • Give another 1-second breath.
  • 14. Continue CPR Until… • An automated external defibrillator (AED) is available. • Person shows signs of life. • Emergency medical services (EMS) personnel take over. • You become too tired to continue.
  • 15. Methods of Rescue Breathing • Mouth-to-mouth breathing • Mouth-to-mask breathing • Mouth-to-face shield breathing © Jones & Bartlett Learning. © Jones & Bartlett Learning.
  • 16. Adult and Child CPR • Check for responsiveness. • Activate EMS. • Breathing? − Observe chest for movement. © Jones & Bartlett Learning. © Jones & Bartlett Learning.© Aleksandra Gigowska/Shutterstock.
  • 17. Adult and Child CPR • Provide chest compressions hard and fast. • Open airway. • Give two rescue breaths. © Jones & Bartlett Learning. © Jones & Bartlett Learning. © Jones & Bartlett Learning.
  • 18. Adult and Child CPR • Repeat compression and breath cycles until an AED arrives. • Use an AED as soon as it arrives. © Jones & Bartlett Learning. © Jones & Bartlett Learning.
  • 19. Infant CPR • Check for responsiveness. • Activate EMS. − If you are alone, give 5 sets of CPR first. • Check for breathing. © Jones & Bartlett Learning. © Aleksandra Gigowska/Shutterstock. © Jones & Bartlett Learning.
  • 20. Infant CPR • Give chest compressions. • Open the airway. • Give two rescue breaths. © Jones & Bartlett Learning. © Jones & Bartlett Learning.© Jones & Bartlett Learning.
  • 21. Recognizing Airway Obstruction • Mild obstruction − Good air exchange − Forceful coughing efforts − Person should be encouraged to cough. • Severe obstruction − Poor air exchange − Breathing difficulty − Weak and ineffective cough − Inability to speak or breath − Cyanosis
  • 22. Adult and Child Choking • Ask, “Are you choking?” • If the person nods yes, provide care. © Jones & Bartlett Learning.
  • 23. Adult and Child Choking • Perform the Heimlich maneuver by moving behind the person. • Reach around the person’s waist with both arms and locate the navel. © Jones & Bartlett Learning.
  • 24. Adult and Child Choking • Place a fist with the thumb side against the person’s abdomen, just above the navel. © Jones & Bartlett Learning.
  • 25. Adult and Child Choking • Grasp the fist with your other hand. • Press into the abdomen with quick, inward and upward thrusts. • Continue until the object is removed or the person becomes unresponsive. © Jones & Bartlett Learning.
  • 26. Infant Choking • Support the infant’s head and neck. • Lay the infant face down on the forearm. • Lower the arm to the leg. • Give five back blows between the shoulder blades with the heel of the hand. © Jones & Bartlett Learning.
  • 27. Infant Choking • Roll the infant face up. • Give five chest compressions on the infant’s sternum using two fingers. • Repeat until the object is removed or the infant becomes unresponsive. © Jones & Bartlett Learning.
  • 28. If a Person Becomes Unresponsive… • Immediately call 9-1-1. • Begin CPR. • Look for an object in the person’s mouth during CPR.