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3 AFTER GIVING CARE AND MAKING SURE TO NEVER TOUCH THE BARE SKIN WITH THE OUTSIDE OF EITHER Gt~OVE: ~ IePINCH GLOVE--..~ 4 _ ~ Pinch the palm side of one glove near the wrist. ~ ~ - ~~ =. Carefully pull the glove off so that it is inside out. ~ `; ; 'SLIP TWO FINGERS UNDER GLOVE Hold the glove in the palm of the remaining gloved hand. Slip two fingers under the glove at the wrist of the remaining gloved hand. PULL GLOVE OFF ~ ~ ~: Pull the glove until i~ comes off, inside out, so that the first glove ends up inside the glove just removed. ~~i'dispose OF GLOVES AND WASH HANDS After removing the gloves: Dispose of gloves in the appropriate biohazard container, j Wash hands thoroughly writh soap and warm running water, if available. Otherwise, use an alcohol-based hand sanitizes to clean the hands if they are not visibly soiled. L 24 First Aid/CPR/AED ~ Participant's Manual ~,

4 /~ ~~ ~~~ ~ ~ ~ ~ TIP: Use disposable gloves and other PPE,: AFTER CHECKING THE SCENE FOR SAFETY, CHECK THE PERSON. CHECK FOR RESPONSIVENESS Tap the shoulder and shout, "Are you okay?" -~, CALL If no response, CALL or the local emergency number. If an unconscious person is face-down, roll him or her face-up keeping the head, neck and back in a straight line. If the person responds, obtain consent and CALL or the local emergency number for any life-threatening conditions. CHECK the person from head to toe and ask questions to find out what happened. 1 OPEN THE AIRWAY Tilt head, lift chin. _ CHECK FOR BREATHING CHECK for no more than 10 seconds. Occasional gasps are not breathing. Continued on next page CHAPTER 1 ~ Before Giving Care and Checking an Injured or III Person 25

5 i;.'~ ~ ~;!; continued ~~ `' QUICKLY SCAN FOF~ SEVERE BLEEDING WHAT TO DO NEXT r, IF THERE IS NO BREATHING Perform CPR or use an AED (if AED is immediately available). IFBREATHING-Maintain an open airway and monitor breathing and for any changes in conditior 26 First Aid/CPR/AED ~ Participant's Manual 4:...

6 d { a ~~% I ~ ~ 1 i AFTER CHECKING TI IE SCENE AND THE IIo1JURED OR ILL PERSON: GiV l~ 1 Push hard, push fast in the center of the chest at least 2 inches deep and at least 100 compressions per minute. TIP: The person must be on a firm, flat surface. '~~GIVE 2 RESCUE BREATHS Tilt the head back and lift the chin up. Pinch the nose shut then make a complete seal over the person's mouth. Blow in for about '1 second to make the chest clearly rise. Give rescue breaths, one after the other. If chest does not rise with the initial rescue breath, retilt the head before giving the second breath. If the second breath does not make the chest rise, the person may be choking. After each subsequent set of chest compressions and before attempting breaths, look for an object and, if seen, remove it. Continue CPR. DO NOT STOP Continue cycles of CPR. Do not stop except in one of these situations: You find an obvious sign of life, such as breathing. An AED is ready to use. Another trained responder or EMS personnel take over. You are too exhausted to continue. The scene becomes unsafe. TfP: ff at any time you notice an<obvious sign of Irfe, stop CPR and monitor breathing and for any changes in condition. ~ _'WHAT TO DO NEXT ~ USE AN AED AS SOON AS ONE IS AVAILABLE. '~ ~.42 First Aid/CPR/AED ~ Participant's Manual ~..: ~ >,.

7 ~~~~ i - ~ TIP: Do not use pediatric AED pads or equipment on an adult or on a child older than 8 years, or weighing more than 55 pounds. AFTER CHECKING THE SCENE AND THE INJURED OR ILL PERSON:.TURN ON QED Follow the voice and/or visual prompfs. ~F, WIPE BARE CHEST DRY TIP: Remove any medication patches with a gloved hand. ;ATTACH- PADS ~~~6I'LUG IN CONNECTOR, ~~ I ~' NECESSARY,. Continued on next page CHAPTER 3 ~ AED 51

8 continued STAB ~ ~L Qf~ Make sure no one, including you, is touching the person. Say, "EVERYONE STAND CLEAR:' ANALYZE HEl~RT F~1-iYTh IM Push the "analyze" button, if necessary. Let the AED analyze the heart rhythm. -~' DELIVER SHOCK ~ ~,~ ~' -~; IF A SHOCK IS ADVISED: f Make sure no one, including you, is touching the person. ^~ ~ ~~1 Say, "EVERYONE STAND CLEAR:' Push the "shock" button, if necessary. ì E v ~-~' PERF~~M ~.PR After delivering the shock, or if no shock is advised: Perform about 2 minutes (or 5 cycles) of CPR. ~ Continue to follow the prompts of the AED. TIPS: if at any time you notice an obvious sign of life, stop CPR and monitor breathing and for any changes in condition. /f two trained responders are present, one should perform CPR while the second responder operates the AED. 52 First Aid/CPRIAED ~ Participant's Manual

9 CONSCIOUS CI~iOI~(IIVG-ADULT ~ y ~~ ~ ~ AFTER CHECKING THE SCENE AND THE INJURED OR Ii.L PERSON, HAVE SOMEONE CALL AND GET CONSENT. GIVE 5 BACK BLOWS Bend the person forward at the waist and give 5 back blows between the shoulder blades with the heel of -one hand. ' GIVE 5 ABDOMINAL THRUSTS Place a fist with the thumb side against the middle of the person's abdomen, just above the navel. Cover your fist with your other hand. Give 5 quick, upward abdominal thrusts. CONTI (~l U E CARE ~~~ Continue sets of 5 back blows and 5 abdominal thrusts until the: Object is forced out. Person can cough forcefully or breathe. Person becomes unconscious. WHAT TO DO NEXT IF PERSON BECOMES UNCONSCIOUS CALL 9-1-1, if not already done. Carefully lower the person to the ground and begin CPR, starting with compressions. ` CHAPTER 4 ~ Breathing Emergencies 65,

10 AFTER CHECKING THE SCENE AND THE INJURED OR ILL PERSON: Cover the wound with a sterile dressing. I ~ APPLY DIRECT PRESSURE Apply pressure until bleeding stops. COVER DRESSING WITH BANDAGE Check for circulation beyond the injury (check for feeling, warmth and color). 6 APPLY MORE PRESSURE AND CALL 9-1-7_ If bleeding does not stop: Apply more dressings and bandages and continue to apply additional pressure. Take steps to minimize shock.. CALL if not already done. TIP:.Wash hands with soap and water after giving care. - L 114 First Aid/CPR/AED ~ Participant's Manual

11 i ~ ~ ~ ~ ~ ~ i ~~ NOTE: Always follow standard precautions and follow manufacturer's instructions when applying a tourniquet. Call or the local emergency number. ~ 'POSITION THE ~"OURNIQUEI' Place the tourniquet around the limb, approximately 2 inches (about two finger widths) above the wound but not over a joint. PULL STRAP THROUGH BUCMCLE Route the tag end of the strap through the buckle, if necessary. Pull the strap tightly and secure it in place. TWIST THE ROD Tighten the tourniquet by twisting the rod until the flow of bleeding stops and secure the rod in place. Do not cover the tourniquet with clothing. F `A~'' RECORD TIME Note and record the time that you applied the tourniquet and give this information to EMS personnel.. ;` CHAPTER 7 ~ Soft Tissue Injuries 11

12 ~ ~~ '' ~ l i i V f a } F ~, ;~~ t ASS I STI~N G \ VI'TI f AIV E PI Iil E PH R 1111 E AUTO-INJE~TC'Et Determine whether fhe person has already taken epinephrine or antihisfa~ni~~e. If so, administer a second dose only when EMS personnel are not present or delayed and rf signals of anaphylarrs persist after a few minutes. Check the label to confirm that the prescription of the auto-injector rs for this person. Check the expiration date of the auto-injector. If it has expired, DO NOT USE!T.!f the medication rs visible, confirm that the liquid rs clear and not cloudy. If it rs cloudy, DO NOT USE 1T. NOTE: if possible, help the person self-administer the auto-injector. TO CARE FO12 A CONSCIOUS PERSON WHO IS UNABLE TO SELF-ADMINISTER THE AUTO-INJECTOR, AND LOCAL ~It STATE REGULATIONS ALLOW: ` ',' LOCATE INJECTION SITE Locate the outside middle of one thigh to use as fihe injection site. NOTE: If injecting through clothing, press on the area with a hand to determine thafi there are no obstructions at the injection site, such as keys, coins, the side seam of trousers, etc. REMOVE SAFETY CAP Grasp the auto-injector firmly in your fist, and pull off the safety cap with your other hand. ~~, ~, POSITION AUTO-INJECTOR Hold the tip~(needle end) near the patient's outer thigh so that the auto-injector is at a 90-degree angle to the thigh, 158 First Aid/CPR/AED ~ Participant's Manual

13 ~'~- ADMINISTER INJECTION Quickly and firmly push the tip straight into the outer thigh. You wild hear a click. HOLD IN PLACE _. Hold the auto-injector firmly in place for 10 seconds; then remove it from the thigh and massage the injection site with a gloved hand for several seconds. RECHECK BREATHING Recheck the person's breathing and observe his or her response to the medication. "~ ~ HANDLE USED AUTO-INJECTOR CAREF~J LLY Handle the used auto-injector carefully, placing it in a safe container. Give it to EMS personnel when they arrive. i i i i CHAPTER 11 ~ Anaphylaxis and Epinephrine Auto-Injectors 15

14 L~~~v~~o~~~~ii. ~~~~~a r ~"~~It~~~ ~`~~~~ ~-f,~ ~ ~~~ ~G~f~~E ~.~~ ~~ ~ fit ~lc t1 COQ he important skills you learn will empower you to help save lives in emergency situations., his participant's manual covers: Cardiac Emergencies and CPR AED $reafhing Emergencies n Sudden Illness ~ Injuries and More. American P.ed Cross training prepares you to help ofhers and supports safer workplaces, schools and comrnunities. Plus, your course fees hel~~ your local chapter provide relief to victims of disasters and train others to save lives. Be sure to!<eep skills sharp with convenient online refreshers and renew your certification at least every fwo years, Visit t'~~~t~~~~.~~ey to learn about other training programs. the ~.meric~n Iced CPos~ i~ the national leader ire h~~ifh ~r~c~ ~~fefy tr~ir~ing and di~~~t~r ~~es~aar~se. ~ach year, thrn~~c~i~ its local cha~ter~, ff7e Rid ~rc~~~: a Assists victims of more than 70,000 national and international disasters. Teaches more than 15 million people to save lives and empowers them to respond to disasters and other life-threatening emergencies. Collects blood the gift of life from about 4- million donors. Helps thousands of U.S. service members stay connected to their families when they are separated by duty. Teaches swimming and water safety to more than 2 million people and trains over' 300,000 lifeguards to protect people in and around the water. Visit r~~~~~~~~.t~r to learn how you ca.n support the American Red Cross. ~ ~ ISBN , o ~ GCCIIBT~ ~$ Stock No, Scan this code with your ~I smartphone to access free CPR skill refreshers, or visit redcross.org/cpr S ~, 'phis manual: hies been reviewed by the American Red dross Scientific Advisory Council IUleets 2010 Consensus on Science for APR and ~mepgency Cardiovascular dare (ACC) Il~e~ts 2010 Guidelines for first Aid.