St. John Ambulance Association, Singapore CPR+AED Training Handbook

Size: px
Start display at page:

Download "St. John Ambulance Association, Singapore CPR+AED Training Handbook"

Transcription

1 Foreword Dr Teh Peng Hooi, O.St.J. FAMS (Orthopaedic) MBBS (S PORE), FRCS (EDIN) Vice Chairman, National St. John Council, Singapore Director, St John Ambulance Association, Singapore In Singapore, heart disease is the second commonest cause of death, accounting for 22.8% of all deaths in About 2400 new heart attacks and 980 out of hospital sudden cardiac arrests occur yearly. The overall survival rate for pre-hospital cardiac collapses, despite the excellent healthcare services in Singapore, is only 2.6%. There are 2 main reasons for the poor overall survival rate in pre-hospital cardiac collapse cases namely the small number of people trained in cardio pulmonary resuscitation or CPR and the limited effectiveness of performing CPR only. While the performance of CPR in cardiac arrest may save life it must be remembered that this procedure is useful if the heart stops beating (asystole) which occur in about 20% of cases. In the majority of cases during cardiac arrest the heart is in ventricular fibrillation and CPR done here alone is not very effective. Defibrillation of the heart using a machine can reverse this abnormal rhythm and correct this problem. Currently small portable machines for use outside the hospitals are available to correct the abnormal rhythm during the cardiac arrest. Such a machine is called Automated External Defibrillator or AED. St John Ambulance Singapore is now launching a course to teach not only CPR but the correct use and handling of the AED machines to members of the public. It is hoped that such machines will be easily and readily available in offices, shopping centres, community centres and homes in years to come. It is also the hope of St John Ambulance Singapore that many in Singapore will be trained in CPR and the use of AED. In this way the survival rate for those with cardiac arrest occurring outside the hospital can improve considerably. The CPR committee of St John Ambulance Association, Singapore is to be congratulated for developing this course material and booklet as well as spearheading the teaching of this programme to members of the public in Singapore. Page 1

2 Table of Contents General instructions to participants... 3 Introduction of the Cardio-Pulmonary System... 4 The heart in relation to the chest... 4 Circulatory System... 5 Heart Attack... 7 The Chain of Survival... 9 One Rescuer Cardio-Pulmonary Resuscitation for Adults Automated External Defibrillator Generally the sequences in the use of AED Stop defibrillation when: Documentation: House keeping of the AED: Adult one-man CPR-AED (DR ABCD) CPR till AED ready Page 2

3 General instructions to participants 1. Participants are to arrive at least 15 minutes before the course is scheduled to begin. 2. Participants who are late for more than half an hour from the stated starting time will not be allowed to join the course and deemed as absent. Course fees will not be refunded. 3. Participants are advised to be suitably attired so as to allow unhindered movement during manikin practice. Female participants are advised to wear pants or slacks. 4. Participants are to inform the Chief Instructor before the commencement of any course if they are having any type of infectious disease including any upper respiratory tract infection. This is because each training session will involve close physical contact with their fellow participants especially during rescue breathing (mouth-to-mouth). 5. Participants are to inform the Chief Instructors if they have orthopaedic or heart problems, bronchial asthma, or a female participant is pregnant. 6. Participants are advised to read thoroughly the given notes before they come for the course. 7. No jewellery should be worn and female participants will be required to remove any lipstick before manikin practice. 8. Do not attempt to perform CPR unless you have gone through training, as improper techniques could lead to injuries. 9. Participants must disinfect the manikins thoroughly using the spirit swabs immediately after each attempted mouth-to-mouth breathing practice. 10. Participants will be required to pass a written and practical test before being awarded a course certificate in CPR+AED. Page 3

4 Introduction of the Cardio-Pulmonary System The heart in relation to the chest Sternum (Breastbone) Heart (Located between sternum and spine) Xiphoid process Lower tip of the sternum The heart is a muscular organ, about the size of a clenched fist. It is located in the center of the chest behind the breastbone (Sternum) and in front of the spine. The coronary arteries (not shown) are special arteries that supply blood to the heart muscle itself. Page 4

5 Circulatory System Head & Arms Right Lung Right Heart Deoxygenated blood returning from the body is pumped through the pulmonary artery to the lungs where it picks up fresh oxygen. Veins Trunk & Legs Left Lung Left Heart Receives oxygenated blood from the lungs and is pumped through the aorta to the rest of the body. Arteries Capillaries The function of the heart is to pump blood to the lungs, where it picks up oxygen, and then to the rest of the body, where it delivers the oxygen. The adult heart pumps approximately 5 liters of blood per minute. All cells of the body require oxygen to carry out their normal functions. When the heart stops pumping (cardiac arrest), oxygen is not circulated, and the oxygen stored in the brain and other vital organs is used up quickly. The heartbeat is triggered by natural electrical impulses sent through the heart times per minute in the healthy, resting adult. During exercise the heart of the average person can pump up to 25 liters each minute (about 5 times at resting state). A properly performed chest compression can produce ⅓ of the normal cardiac output. This amount of cardiac output, though not optimal, is enough to maintain basic life support in a collapsed casualty. Page 5

6 The lungs consist of many tiny air sacs (alveoli) surrounded by small blood vessels (capillaries). Nerve impulses from the brain to the chest muscles and the diaphragm cause a person to breathe. With each breath, air is carried through the airway (nose, mouth, throat, larynx, trachea and bronchi) and into the air sacs of the lungs At sea level, approximately 21% of air is oxygen. When the air sacs fill with this air, oxygen enters the blood in the vessels surrounding the air sacs. The oxygenated blood returns to the heart, which pumps it throughout the body. As oxygen is taken up from the blood by body cells, carbon dioxide is given off as a waste product. Carbon dioxide is carried by the blood to the air sacs and is exhaled out of the body. When air is inhaled, only one fourth of the oxygen is taken up by the blood; the rest is exhaled. This is why mouth-to-mouth rescue breathing can provide the casualty with enough oxygen. When breathing stops (respiratory arrest), the heart continues to pump blood for several minutes, carrying existing stores of oxygen to the brain and the rest of the body. Early, prompt rescue efforts for the casualty of respiratory arrest or choking (foreign body airway obstruction) can often prevent the heart from stopping (cardiac arrest). Page 6

7 Heart Attack Heart attack occurs when the blood vessel (called coronary artery) that supplied the heart muscle is completely blocked. It is the end result of a gradual accumulation and built-up of fatty deposits (cholesterol plaques) on the inner lining of the coronary artery (a process called atherosclerosis). Initially the lumen of the blood vessel is narrowed, resulting in the reduction of blood flow that carried oxygen and nutrient to heart muscle. When the lumen of the blood vessel is completely blocked, usually due to formation of clot that formed on the crack or split surface of the cholesterol plaque, the affected heart muscle is deprived of blood supply and die. This is called heart attack (or myocardial infraction). A person suffering from a heart attack may die suddenly (sudden death) due to a very fast but irregular heart rhythm (ventricular fibrillation), a non-functioning heart (asystole) or severe heart failure (pump failure). Narrowing of blood vessel due to atherosclerosis Blockade of coronary artery causing heart attack Page 7

8 The symptoms of heart attack are many and varied. These include: Severe chest discomfort or pain, usually lasting 20 minutes or longer, may be associated with: sweating weakness, or near fainting shortness of breath or breathlessness a sense of impending doom or death nausea (feeling of wanting to vomit) or vomiting Common causes of sudden death in adults include: o heart attack o stroke o trauma o drowning o suffocation o electrocution o drug overdose o severe asthma o severe allergic reaction o hereditary heart illnesses o foreign body airway obstruction o viral infection affecting the heart While heart attack is a common cause of collapse in an adult, respiratory arrest is a more common cause of collapse in an infant. Risk Factors: Narrowing of the blood vessels usually occurs slowly over the years. However, this may occur prematurely in the presence of certain risk factors. Important risk factors that can cause heart attack include: A. Risk factors that cannot be altered (i) Age. Risk increases with advancing age. (ii) Male gender. Males are more likely to suffer from heart attack than females (iii) Family history of heart attack, especially if it occurs early in members of the immediate family B. There are other risk factors that are equally important as the above ones, but they can be altered by treatment or healthy lifestyle habits. These are (i) Smoking (ii) High blood pressure (hypertension) (iii) High blood sugar level (diabetes mellitus) (iv) High blood cholesterol level (dyslipidemia) (v) Chronic stress (vi) Overweight/obesity (vii) Lack of exercise/sedentary lifestyle In order to reduce the chances of suffering from coronary heart disease or heart attack, it is important to have healthy lifestyle habits: i.e. (a) No smoking (b) Regular exercises (c) Stress management (d) Eat more vegetables and fresh fruits, but less fatty or salty food (e) Maintain ideal body weight (through regular exercises and eating healthy food) Page 8

9 The Chain of Survival St. John Ambulance Association, Singapore Early Access First Link: Recognition of early warning signs, such as chest pain and shortness of breath, that prompts a person to call 995 before collapse, are the key components of this link. Early CPR Second Link: CPR is a temporary intervention that attempts to restore breathing and circulation. It loses its value if the third and fourth links are not rapidly carried out. Early Defibrillation Third Link: Studies done have shown that early defibrillation is most likely to improve survival rates for out-of-hospital cardiac arrest patients. This is because defibrillation is the most effective way to convert ventricular fibrillation back into normal heart rhythm. Early Advanced Cardiac Life Support (ACLS) ACLS brings equipment to support ventilation, establish intravenous access, administer drugs, control arrhythmias and prepare the patient for transport. Fourth Link: Any delay could be fatal or results in poor chance of survival and should be avoided! Page 9

10 One Rescuer Cardio-Pulmonary Resuscitation for Adults Danger Lookout for unsafe environment e.g. exposed electrical wires, fire, possible explosion, construction works or poisonous gas. Remove the casualty to a safe environment, if necessary. Responsiveness The rescuer, upon arriving at the scene of the collapsed casualty, quickly assesses any injury and determines whether the casualty is conscious. The rescuer firmly taps casualty s shoulders and ask loudly (Figure 1): Hello! Hello! Are you Okay? Figure 1: Determine unresponsiveness Shout If the casualty is unresponsive, immediately call out loudly for help (Figure 2): Help! Call for ambulance, 995. Get an AED Even if no one is in sight, call out for help, as very often someone within earshot will come to assist the rescuer. If a phone is immediately available, call the emergency number to report the incident. Figure 2: Activate the Emergency Medical Services (EMS) Position the casualty For CPR to be effective, the casualty must be lying on a firm and flat surface. If the casualty is suspected to have sustained head injury or spinal injury, the rescuer should move the casualty only if absolutely necessary. If the casualty is lying face down, the rescuer must roll the casualty as a unit (log roll) so that the head, shoulder and torso move simultaneously without twisting (Figure 3). The casualty should be flat on his back with face up, in the position ready for CPR. Figure 3: Turn the casualty into supine position Page 10

11 Airway St. John Ambulance Association, Singapore One of the most important actions for successful resuscitation is immediate opening of the airway. Head tilt-chin lift manoeuvre is effective in opening the airway (figure 4 & 5). Steps: 1. Place one hand on the casualty s forehead and apply firm, backward pressure (using rescuer s palm) to tilt the head back. 2. Place 2 fingers of the other hand at the angle of the jaw bone. Figure 4: Blocked airway 3. Lift the chin forward and support the angle of the jaw, helping to tilt the head back (Head Tilt-Chin Lift). Precautions: (a) The finger must not press deeply into the soft tissue under the chin, which might obstruct the airway. (b) The thumb should not be used for lifting the chin. (c) The mouth should not be completely closed. Figure 5: Open airway Breathing While maintaining an open airway, the rescuer will check the casualty s breathing (up to 10 seconds) by placing rescuer s ear over the casualty s mouth and nose, and observe casualty s chest (Figure 6). LOOK - for the chest to rise & fall LISTEN - for air inhalation and exhalation FEEL - for the flow of air on your cheek Figure 6: Determine respiration Page 11

12 The casualty must be lying on a firm and flat surface when performing chest compression. There may be inadequate blood flow to the brain if the head is elevated above the heart even though chest compression is properly performed. Chest Compression If there is no breathing, starts Chest Compression immediately. Steps: 1. Kneel close to the casualty s chest. CPR can be performed from either side of the Casualty. 2. With the middle finger of the rescuer s hand, he locates one of the lowermost ribs on the side next to him (Figure 7). 3. The fingers are then slid along the rib to the notch where the lowermost ribs meet at the sternum (breastbone) in the centre of the lower part of the chest. Figure 7: Locating the lowermost rib 4. With the middle finger on the notch, the index finger is placed next to the middle finger. (Figure 8). 5. The heel of the other hand (which has been used on the forehead to maintain head position) is then placed on the lower half of the sternum, just next to the index finger (figure 9). Figure 8: Slide fingers along the rib until the middle finger feels the notch 6. The first hand is then removed from the notch, placed on top of the hand, which is on the sternum. Figure 9: Place heel of other hand next to the index finger Page 12

13 7. The fingers may be either extended (figure 10) or interlaced (interlocked) (figure 11) but should be kept off the chest. 8. Rescuer s elbows should be locked into position with arms straightened (figure 12). 9. To achieve adequate pressure with the least effort, rescuer should lean forward until his shoulders are directly over his outstretched hands. The shoulders of the rescuer should be directly over the sternum of the casualty so that the thrust for each chest compression is straight down on the sternum. If the thrust is not straight down, casualty s torso has a tendency to roll. Thus, part of the downward force is lost and the chest compression is less effective (Figure 12). Figure 10: Fingers extended position Figure 11: Fingers interlaced position 10. Compress with enough force to depress the sternum at least 5 cm for normal-sized adult. This will improve blood circulation to the lungs and thus increase oxygen supply to maintain life (figure 12). 11. During compression, when the rescuer uses the weight of his upper body, he will not depend on the strength of his arms and shoulders. Instead of having to push from his shoulders, he lets the natural weight of his body fall forward providing the force necessary to depress the casualty s sternum. Keep the arms straight during each chest compression (figure 13). Figure 12: Proper position of the rescuer 12. Then, the rescuer is to release this pressure to allow blood to flow into the heart and lungs. If the heart and lungs cannot be refilled, there will be insufficient blood to carry oxygen throughout the body on the next compression. Therefore, releasing the pressure completely and allow the chest to return to its normal position is important. i.e allow complete recoil of the chest wall after each compression. The time allowed for release should be equal to the time required for compression. Do not pause between compressions (figure 14). Figure 13: Depress the sternum using the natural weight of the rescuer s body Figure 14: Release of compression pressure fully without lifting the hands off the casualty s chest Page 13

14 13. Compression rate is at least 100 times per minute, say mnemonic: 1&2&3&4&5& 1&2&3&4&10& 1&2&3&4&15 1&2&3&4&20 1&2&3&4&25 1&2&3&4& After the 30 chest compressions, move up to the casualty s head quickly to open the airway again. Take a breath, pinch and close the casualty s nostrils, seal the casualty s mouth, then deliver 2 rescue breaths. 15. Move back to the chest, locate correct landmarks and maintain proper hand position. Begin 30 chest compressions at least 100 times per minute. 16. Repeat the above cycle (30:2) until help or AED arrives and takes over, or casualty starts moving. Precautions: 1. Do not lift your hands off the chest completely or change their position in any way during compression otherwise you may miss the exact location. 2. Bouncing compressions, jerky movements, improper hand position and leaning on the chest must be avoided as they are less effective and also likely to cause injury to the casualty. Perform 2 ventilations After each 30 chest compressions, rescuer has to perform 2 ventilations to provide the casualty s lungs with oxygen. Steps: 1. With rescuer s hand resting on the casualty s forehead, the rescuer gently pinches the casualty s nostrils and closes it with his thumb and index finger, thereby preventing air from escaping. 2. Rescuer takes a breath and places the lips around the casualty s mouth, creating an airtight seal. 3. Give 2 ventilations (1 second per breath). 4. On delivering each breath, the rescuer should observe the rise of casualty s chest wall. While the rescuer takes a breath of fresh air, he should observe the fall of the casualty s chest wall. If the casualty s chest rises and falls, the rescuer knows that the lungs are receiving adequate ventilation (Figure 15). Figure 15: Mouth-to-Mouth ventilation. Page 14

15 Ventilation volume is between 400 ml to 600 ml. Just enough to see the chest rises but not too great a volume of air which is likely to cause air to enter the stomach and result in gastric distention. Precautions: If the first attempt to ventilate the casualty is unsuccessful, re-position the casualty s head and re-attempt the ventilation. Improper chin and head position is the most common cause of difficulty with ventilation. Guidelines for effective ventilation 1. Open your mouth wide enough to create a good seal. 2. Don t apply too much pressure with your mouth, or your lips may be bruised. 3. Light mouth contact is less likely to break the teeth or loosen the casualty s dentures. Remove the dentures only if they are loose or blocking the airway. 4. The casualty s nostrils can be closed easily if pinched right at the nasal opening 5. Ventilate with enough pressure to cause the chest to rise. 6. Lift your mouth away just long enough to take another quick breath. 7. Mouth-to-nose ventilation may be more effective when it is impossible to ventilate through the casualty s mouth, e.g. injury to the mouth. 8. If the chest does not rise, check that: a. the head is tilted back sufficiently; b. the nostrils are completely closed; c. you have a firm seal around the casualty s mouth; d. the airway is not obstructed by vomitus, blood or a foreign body. Page 15

16 Basic Cardiac Life Support Training Handbook Proper One Rescuer CPR Sequence ml 2 secs St. John Ambulance Association Assessment Guide Chart Copyright Property of St. John Ambulance Association Compression depth at least 5cm 18 secs 6 secs 120 secs 130 secs Page 16

17 Automated External Defibrillator Introduction Most of the casualties who die from heart attacks suffered from chaotic, irregular heart rhythms call ventricular fibrillations (VF). During ventricular fibrillation there is no effective cardiac output and hence vital organs such as the brain and kidneys receive no oxygen and nutrients. After 4 minutes of cardiac arrest, the brain cells start to die. The longer these organs are deprived of oxygen, the less likely that these casualties will survive. Currently, the only effective way to revert ventricular fibrillation to the normal, perfusing heart rhythm is by electric shock (defibrillation) Automated External Defibrillator (AED) AED is a sophisticated, computerized device that uses a microprocessor to analyze the heart rhythm when activated. It uses voices to guide and prompt the lay rescuer to safely attempt defibrillation when indicated. AED has been extensively tested and has been shown to be fairly accurate in the heart rhythm analysis. On the other hand, any lay person without sophisticated medical training can safely and effectively operate AED to save life after some basic CPR-AED training. Normal heart rhythm Ventricular fibrillation (VF) Page 17

18 Generally the sequences in the use of AED Chest preparation- Power on AED Electrode pads placement Cardiac rhythm analysis Electric shock 1. Once the Automated External Defibrillator (AED) is available, the AED operator has to check for any potential danger like: WET surface; METAL surface; Flammable gases. 2. The AED operator will place the AED beside the patient at a site that does not interfere / obstruct CPR. 3. AED operator will prepare the chest by the following steps: Remove or cut away the clothing from the casualty s chest if necessary; Place the jewellery away from the defibrillation pads (electrodes pads); Remove any medication patches from the casualty s chest; May need to shave those hair away where you are going to place the defibrillation pads; Wipe the sweat away where you are going to place the defibrillation pads; Place the defibrillation pads at least 8 cm or 4 fingers breath away from the pacemaker, if there is one. 4. Once the chest preparation has been completed, switch on the AED and follow the instruction from the machine. When machine sound: Apply pads to patient s bare chest, plug in pads connector next to flashing light. (Notes: the exact words will depend on the model of AED). 5. Place one pad to the right below the collar bone and the other pad below the left nipple. With a female victim, do not place it over the breast. Note: Ensure the defibrillation pads are firmly attached by pressing gently over center of the pad to ensure good contact and around the edges for good adhesion. Figure 18: Placement of the defibrillation pads 6. While the AED operator is preparing the AED, the other rescuer, if available, can still continue the CPR. When the rescuers heard: Analyzing heart rhythm, do not touch the patient., then the rescuer has to stop CPR. 7. The AED operator has to ensure that no one is touching the casualty when the AED is analyzing heart rhythm. 8. Once the AED has detected a shockable rhythm, it will sound: Shock advised, charging..., stay clear of patient. 9. The AED operator shouts: Stand clear. 10. Once the AED sound: Deliver shock now, press the orange button now, the AED operator will say: STAND CLEAR then press the SHOCK button. Page 18

19 11. The AED will sound: Shock delivered, pause..., start CPR. 12. The rescuers will restart 30 chest compressions and 2 ventilations immediately for 1-2 minutes after the first electric shock. 13. The AED will re-analyze heart rhythm, it will sound: Analyzing heart rhythm, do not touch the patient, analyzing heart rhythm (AED operator has to ensure no one is touching the casualty or performing chest compression when the defibrillator is analyzing heart rhythm). 14. When the AED detects non shockable rhythm,, it will sound: No shock advised, pause, It is safe to touch the patient, check for signs of circulation. Checking for return of spontaneous breathing after AED detected non shockable rhythm 15. Check for spontaneous breathing using the LOOK-LISTEN-FEEL technique. If breathing is present, turn victim to recovery position, maintain an open airway and monitor closely for relapse. If breathing is absent, continue CPR. 16. Hand over the casualty to the ambulance officer when they arrive, detach the pads connector from the AED machine but keep the defibrillation pads on the casualty s chest. Stop defibrillation when: The casualty is breathing spontaneously. The emergency medical team takes over the resuscitation. The AED indicates that no shock is advised. Page 19

20 Documentation: St. John Ambulance Association, Singapore AED operator has to document the incidents and information related to the use of the AED machine. The following information should be documented: Name of the casualty, AED operator and the CPR operator; The estimated timing of casualty s collapse, how long the CPR operator has performed CPR; Mark the time the AED was put on; Record the number of shocks and the times of each shock; Record the arrival of the ambulance and the name of the Paramedic; Record which hospital that the ambulance will be conveying the casualty to. House keeping of the AED: AED operator has to Check the status / life of the battery. Replenish those disposal items in the AED kit after use. AED kit: Shaver (disposal) Gloves (disposal) A small towel (disposable) Defibrillation pads (disposal) A pair of scissors (can be reused after cleaning) Page 20

21 Adult one-man CPR-AED (DR ABCD) Danger : e.g. electric current, poisonous gas, explosion, heavy traffic Ensure that the scene is safe Response : Call, tap and said loudly. Hello! Hello! Are you OK? Shout : If no response >> Call ambulance 995. Get an AED. Airway : Head tilt-chin lift Breathing : Look, listen & feel (< 10 seconds) If no breathing >> start CPR Chest Compression : Correct compression landmark Proper body and hand position Vertical compression: at least 5cm in depth; rate is at least 100/min Allow complete relaxation of pressure after each compression 1&2&3&4&5& 1&2&3&4&10& 1&2&3&4&15 1&2&3&4&20 1&2&3&4&25 1&2&3&4&30 perform 30 chest compressions : 2 ventilations Give 2 ventilations (1sec/breath; volume ml/breath) allow lung deflation between each breath If fail during 1 st attempt ventilation, to reposition the head with head tilt-chin lift, then attempt 2 nd ventilation. Defibrillation : Use AED as soon as available and indicated Exclude specific AED contraindications (metal, flammable gas, water immersion), correct position of pads, all cleared, deliver one shock, immediately followed by 1-2 minutes of CPR Repeat the above cycle (30:2) until healthcare professional takes over or casualty starts moving. (Conscious) Page 21

22 Summary of one-rescuer Cardiopulmonary Resuscitation Sequence CPR Sequence Adult and Older Child Establish unresponsiveness, activate EMS (995) Immediately Open Airway Check for breathing: If casualty is breathing: place in recovery position. If casualty is not breathing: Compression Landmarks Head Tilt-Chin Lift Look-Listen-Feel Lower half of sternum Compression Method Heel of 1 hand, other hand on top Compression Depth At least 5 cm Compression Rate At least 100 per minute Compression / Ventilation Ratio 30 : 2 IMPORTANT If the rescuer is previously trained in CPR but is not confident or unwilling to do mouth to mouth ventilation, then the rescuer should give hands-only CPR. The rescuer should continue hands-only CPR until an automated external defibrillator arrives and is ready for use or ambulance/medical personnel take over the care of the casualty. Tips for a good and effective chest compression a) It must be done at the rate of at least 100 compressions per minute b) The depth of each compression should be at least 5cm c) The rescuer should release the pressure completely from the chest wall at the end of each compression to allow complete recoil but without losing the correct position for compression d) The rescuer must be positioned directly above the casualty's chest (i.e. 90 degrees above the victim's chest) and must compress vertically using his/her body weight e) The rescuer must ensure that his hands are correctly positioned on the center of the chest wall (lower half of the breast bone or sternum) f) There must be minimal interruption or delay during chest compression Page 22

23 CPR till AED ready SHOCK ADVICE? No Check Breathing Yes (all Clear) Press to shock Absent CPR (30 : 2) Present Check other injury After every 1 shock Immediately followed by 1-2 min CPR (30 : 2) No Injury Recovery position AED remains connected Monitor breathing every 5 minutes Page 23

https://youtu.be/5r7havfzxek

https://youtu.be/5r7havfzxek CPR https://youtu.be/5r7havfzxek CPR Saves Lives Cardiopulmonary Resuscitation or CPR and defibrillation within 3-5 minutes can save over 50% of cardiac arrest victims CPR followed by AED saves thousands

More information

American Heart Association Health Care Provider CPR 2010 Curriculum

American Heart Association Health Care Provider CPR 2010 Curriculum American Heart Association Health Care Provider CPR 2010 Curriculum 1 CPR Overview Compressions are most important part of CPR Push hard and fast Minimize interruptions CAB Assessment Circulation Airway

More information

How to Perform CPR. The CABs of CPR are Circulation, Airway and Breathing. C - Circulation (Chest Compressions)

How to Perform CPR. The CABs of CPR are Circulation, Airway and Breathing. C - Circulation (Chest Compressions) How to Perform CPR Learning how to perform cardio-pulmonary resuscitation (CPR) saves lives. While no statistics are available on the exact number of lives sudden cardiac arrest claims per year, approximately

More information

Adult, Child and Infant Exam

Adult, Child and Infant Exam CPR Pro for the Professional Rescuer Adult, Child and Infant Exam Instructions: Read each of the following questions carefully and then place an X over the correct answer on the separate answer sheet provided.

More information

CPR Skills INTRODUCTION

CPR Skills INTRODUCTION CPR Skills INTRODUCTION Cardiopulmonary resuscitation (CPR) is a lifesaving procedure for providing oxygen and circulation to someone who has suffered a cardiac and respiratory arrest. The essentials of

More information

Response to Basic Emergencies

Response to Basic Emergencies UNIT52 Response to Basic Emergencies PROCEDURE ADULT CPR, ONE RESCUER Standard precautions should be followed if at all possible. This means gloves should be worn and a barrier device used. If the victim

More information

Supplement Study Guide for. Basic Life Support (BLS) for Healthcare Providers

Supplement Study Guide for. Basic Life Support (BLS) for Healthcare Providers for Basic Life Support (BLS) for Healthcare Providers Table of Contents Objectives... 3 One Rescuer Adult CPR Sequence... 4 One Rescuer Child CPR Sequence (1 year to Puberty)... Error! Bookmark not defined.

More information

AMERICAN HEART ASSOCIATION UPDATES:

AMERICAN HEART ASSOCIATION UPDATES: INTRODUCTION TO CPR AMERICAN HEART ASSOCIATION UPDATES: October 18, 2010 If a bystander is not trained in CPR, the bystander should provide compression-only CPR (see below) for the adult victim who suddenly

More information

Bystander s bravery and action can rescue a life of victims. Guideline Training Course

Bystander s bravery and action can rescue a life of victims. Guideline Training Course Guideline 2005 Training Course What can we do for him/her? Sudden Cardiac Arrest (SCA) Recent studies indicate that nearly 20,000 30,000 people each year die of SCA in Japan. (250,000 people in USA) Immediate

More information

APPLICATION OF POCKET MASK

APPLICATION OF POCKET MASK Module 10 APPLICATION OF POCKET MASK APPLICATION OF POCKET MASK The pocket mask is a barrier device used to provide rescue breathing. It has a one-way valve that prevents exchange of secretions between

More information

Other diseases or age process

Other diseases or age process 1 BLS For Healthcare Providers 2 Time is Critical! begins to die in 4 to 6 minutes Brain matter cannot regenerate itself In order to sustain life, the human body must have going in and out and must be

More information

R S A B C CPR. Basic Life Support Flow Chart Check for danger. Check Response. Send for Help. Check Airway. Check for Breathing.

R S A B C CPR. Basic Life Support Flow Chart Check for danger. Check Response. Send for Help. Check Airway. Check for Breathing. CPR CPR is the technique of the manual inflation of the lungs with oxygen, and compression of the heart, therefore pumping oxygenated blood around the body, and keeping the vital organs supplied with oxygen.

More information

BASIC LIFE SUPPORT CPR: Introduction. Why & When to Do it? CPR... ABCDEF

BASIC LIFE SUPPORT CPR: Introduction. Why & When to Do it? CPR... ABCDEF BASIC LIFE SUPPORT CPR: Considered when an individual cannot adequately breathe and maintain circulation to vital organs. Introduction Why & When to Do it? Collapsed patients require assistance to maintain

More information

LESSON 2: THE FIRST LIFE- SAVING STEPS

LESSON 2: THE FIRST LIFE- SAVING STEPS LESSON 2: THE FIRST LIFE- SAVING STEPS automatic external defibrillators (AEDs) cardiac arrest heart attack heimlich maneuver rescue breathing stroke INTRODUCTION In emergency situations, the people involved

More information

Name: Date: Pd. CPR Questionnaire. 3. Chest compressions are an important part of CPR because they keep flowing to the, and other.

Name: Date: Pd. CPR Questionnaire. 3. Chest compressions are an important part of CPR because they keep flowing to the, and other. Name: Date: Pd. CPR Questionnaire 1. What does CPR stand for? 2. What does the ABCD of CPR stand for? A - B - C - D 3. Chest compressions are an important part of CPR because they keep flowing to the,

More information

COALINGA STATE HOSPITAL. Effective Date: August 31, 2006

COALINGA STATE HOSPITAL. Effective Date: August 31, 2006 COALINGA STATE HOSPITAL NURSING POLICY AND PROCEDURE MANUAL SECTION Emergency Procedures POLICY NUMBER: 702 Effective Date: August 31, 2006 SUBJECT: CARDIOPULMONARY RESUSCITATION (CPR) 1. PURPOSE: To provide

More information

CPR Pro. for the Professional Rescuer. Student Handbook Preview. BLS for Healthcare Providers

CPR Pro. for the Professional Rescuer. Student Handbook Preview. BLS for Healthcare Providers CPR Pro for the Professional Rescuer Student Handbook Preview BLS for Healthcare Providers CPR Pro Student Handbook, Version 7.0 Purpose of this Handbook This ASHI CPR Pro Version 7.0 Student Handbook

More information

Save a life CPR Practice. CPR and AED practice for general public

Save a life CPR Practice. CPR and AED practice for general public Save a life CPR Practice CPR and AED practice for general public Connect with the number 92% 25% 1% Percentage of people know how to do CPR in Chinese public Percentage of people know how to do CPR in

More information

PPL 10 CPR & AED TRAINING & CERTIFICATION

PPL 10 CPR & AED TRAINING & CERTIFICATION PPL 10 CPR & AED TRAINING & CERTIFICATION Knowing CPR means knowing how to save lives. The ACT Foundation is working to set up the lifesaving CPR program in every Canadian high school, so that all youth

More information

ProCPR Basic Layrescuer Adult CPR/AED

ProCPR Basic Layrescuer Adult CPR/AED ProCPR Layrescuer Adult CPR/AED Skill Evaluation Checklist Keep form for years as proof of completed evaluations. Participant Names (Please Print) Date: Instructor/Skill Evaluator Printed Name: Registry

More information

Written Exam. Basic Life Support

Written Exam. Basic Life Support Written Exam Basic Life Support Instructions: Read each of the following questions carefully and then place an X over the correct answer on the separate answer sheet provided. Please do not write on the

More information

E C C. American Heart Association. BLS for Healthcare Providers. Written Exams. January 12, 2012

E C C. American Heart Association. BLS for Healthcare Providers. Written Exams. January 12, 2012 E C C American Heart Association BLS for Healthcare Providers Written Exams Contents: Exam Memo Student Answer Sheet Version C Exam Version C Answer Key Version C Reference Sheet Version D Exam Version

More information

Basic Life Support (BLS) for the Healthcare Provider

Basic Life Support (BLS) for the Healthcare Provider Essential Medical Training, LLC Providing Quality, Professional Training Basic Life Support (BLS) for the Healthcare Provider Course Study Guide and Agenda 772-781-9249 office 772-382-0607 fax Email: treasurecoastcpr@gmail.com

More information

LESSON ASSIGNMENT. Perform Cardiopulmonary Resuscitation on a Child or Infant. After completing this lesson, you should be able to:

LESSON ASSIGNMENT. Perform Cardiopulmonary Resuscitation on a Child or Infant. After completing this lesson, you should be able to: LESSON ASSIGNMENT LESSON 6 Perform Cardiopulmonary Resuscitation on a Child or Infant. TEXT ASSIGNMENT Paragraphs 6-1 through 6-7. LESSON OBJECTIVES After completing this lesson, you should be able to:

More information

BCLS Conducted in Singapure

BCLS Conducted in Singapure BCLS Conducted in Singapure 1. ADULT ONE - MAN CPR D : Danger R : Response CPR Cycle Re-assesment Look out for unsafe environtment, e.g. Electrical current, Fire, Possible Explosion, Construction works,

More information

CPR + AED Topic 6 TECS TECS FIRE & SAFETY TRAINING PTE LTD

CPR + AED Topic 6 TECS TECS FIRE & SAFETY TRAINING PTE LTD CPR + AED Topic 6 1 Anatomy and physiology of the circulatory system 2 Principles of Resuscitation Principles of resuscitation / Determine if CPR is necessary by examining casualty, which include the following:

More information

E C C. American Heart Association. Basic Life Support for Healthcare Providers. Written Examinations. March 2011

E C C. American Heart Association. Basic Life Support for Healthcare Providers. Written Examinations. March 2011 E C C American Heart Association Basic Life Support for Healthcare Providers Written Examinations Contents: Examination Memo Student Answer Sheet Version A Exam Version A Answer Key Version A Reference

More information

MANAGEMENT OF COLLAPSED ADULT PATIENT

MANAGEMENT OF COLLAPSED ADULT PATIENT MANAGEMENT OF COLLAPSED ADULT PATIENT Author Information Dr. Venugopalan P.P. Chief Emergency Medicine Dy Director, MIMS Academy Malabar Institute of Medical Sciences Ltd. P.O. Govindapuram, Calicut, Kerala

More information

If you do not wish to perform rescue breaths, deliver compressions only, until medical assistance arrives.

If you do not wish to perform rescue breaths, deliver compressions only, until medical assistance arrives. Basic Life Support Care and resuscitation of a collapsed adult Basic life support (BLS) is a life saving technique, it involves chest compressions combined with rescue breaths (mouth to mouth). BLS can

More information

THE AMERICAN SAFETY & HEALTH INSTITUTE ADULT CPR EXAM

THE AMERICAN SAFETY & HEALTH INSTITUTE ADULT CPR EXAM THE AMERICAN SAFETY & HEALTH INSTITUTE ADULT CPR EXAM 1. During an adult victim s assessment, responder should check victim for responsiveness. If no response, responder should first: A. Check for signals

More information

EMERGENCY LIFE SUPPORT GUIDELINES For further information contact: Karen Davey,

EMERGENCY LIFE SUPPORT GUIDELINES For further information contact: Karen Davey, For further information contact: Karen Davey, CHD Nurse Block A, Mamhilad House, Mamhilad Park Estate, Pontypool, Torfaen NP4 0YP Karen.davey@torfaenlhb.wales.nhs.uk Tel: 01495 332159 Fax: 01495 332342

More information

BLS. Compressions Airway Breaths. Basic Life Support Quick Reference. Critical Concepts

BLS. Compressions Airway Breaths. Basic Life Support Quick Reference. Critical Concepts BLS Basic Life Support Quick Reference C-A-B Compressions Airway Breaths Critical Concepts High-quality CPR improves a victim s chances of survival. The critical characteristics of high-quality CPR include

More information

B.L.S احیای پایھ کودکان American Heart Association

B.L.S احیای پایھ کودکان American Heart Association B.L.S احیای پایھ 2010 American Heart Association کودکان زنجیره حیاتی کودکان 1.prevention, 2.early CPR, 3.prompt access to the emergency response system, 4.rapid PALS, 5. integrated post cardiac arrest

More information

Basic Life Support & Automated External Defibrillation Course. OBJECTIVES

Basic Life Support & Automated External Defibrillation Course.  OBJECTIVES OBJECTIVES Basic Life Support & Automated External Defibrillation Course www.erc.edu At the end of this course participants should be able to demonstrate: How to assess the collapsed victim. How to perform

More information

American Heart Association. Basic Life Support for Healthcare Providers

American Heart Association. Basic Life Support for Healthcare Providers American Heart Association Basic Life Support for Healthcare Providers Pre course Review Materials Revised Huntsville Hospital Training Center Disclaimer: This document is solely produced by Huntsville

More information

Basic Life Support. Based on UK Resuscitation Guidelines (2010)

Basic Life Support. Based on UK Resuscitation Guidelines (2010) Basic Life Support Based on UK Resuscitation Guidelines (2010) Clinical Skills and Simulation Team With acknowledgements also to Basic Life Support Faculty - SoNMS PowerPoint content last updated 26/05/2015

More information

NOTES ON HOW TO ACT IN RESPONSE TO AN OUT-OF-HOSPITAL CARDIAC ARREST

NOTES ON HOW TO ACT IN RESPONSE TO AN OUT-OF-HOSPITAL CARDIAC ARREST NOTES ON HOW TO ACT IN RESPONSE TO AN OUT-OF-HOSPITAL CARDIAC ARREST January 2016 CONTENTS 1. Survival Chain... 2 2. Adult Basic Life Support... 3 3. Foreign body airway obstruction in adults... 8 4. Automated

More information

CPR Professional Skills Notes

CPR Professional Skills Notes CPR Professional Skills Notes CPR = Cardiopulmonary Resuscitation AED = Automated external defibrillator (vs. manual defibrillator in a hospital) ERS = Emergency Response System BLS = Basic Life Support

More information

Breathing Process: Inhalation

Breathing Process: Inhalation Airway Chapter 6 Breathing Process: Inhalation Active part of breathing Diaphragm and intercostal muscles contract, allowing the lungs to expand. The decrease in pressure allows lungs to fill with air.

More information

LESSON ASSIGNMENT. Remove an Upper Airway Obstruction in an Adult , Clear an Upper Airway Obstruction.

LESSON ASSIGNMENT. Remove an Upper Airway Obstruction in an Adult , Clear an Upper Airway Obstruction. LESSON ASSIGNMENT LESSON 5 Remove an Upper Airway Obstruction in an Adult. TEXT ASSIGNMENT Paragraphs 5-1 through 5-7. TASK TAUGHT LESSON 081-831-0019, Clear an Upper Airway Obstruction. After completing

More information

At the end of this course participants should be able to demonstrate:

At the end of this course participants should be able to demonstrate: ١ ٢ At the end of this course participants should be able to demonstrate: How to assess the collapsed victim. How to perform chest compression and rescue breathing. How to place an unconscious breathing

More information

Child/Infant Cardiopulmonary Resuscitation and AED

Child/Infant Cardiopulmonary Resuscitation and AED Child/Infant Cardiopulmonary Resuscitation and AED Course Health Science Unit VI CPR/AED & First Aid Essential Question What would you do if a child stopped breathing? TEKS 130.204 (c) 8 (H) Prior Student

More information

European Resuscitation Council. Basic Life Support & Automated External Defibrillation Course

European Resuscitation Council. Basic Life Support & Automated External Defibrillation Course Basic Life Support & Automated External Defibrillation Course OBJECTIVES At the end of this course participants should be able to demonstrate: How to assess the collapsed victim. How to perform chest compression

More information

Chapter 9 Airway Respirations Metabolism Oxygen Requirements Respiratory Anatomy Respiratory Anatomy Respiratory Anatomy Diaphragm

Chapter 9 Airway Respirations Metabolism Oxygen Requirements Respiratory Anatomy Respiratory Anatomy Respiratory Anatomy Diaphragm 1 Chapter 9 Airway 2 Respirations Every cell of the body requires to survive Oxygen must come in and carbon must go out 3 Metabolism Metabolism--Process where the body s cells convert food to Adequate

More information

LESSON ASSIGNMENT. Perform Cardiopulmonary Resuscitation on an Adult , Administer External Chest Compressions.

LESSON ASSIGNMENT. Perform Cardiopulmonary Resuscitation on an Adult , Administer External Chest Compressions. LESSON ASSIGNMENT LESSON 4 Perform Cardiopulmonary Resuscitation on an Adult. TEXT ASSIGNMENT Paragraphs 4-1 through 4-5. TASKS TAUGHT LESSON OBJECTIVES 081-831-0046, Administer External Chest Compressions.

More information

Adult Cardiopulmonary Resuscitation and Use of an AED

Adult Cardiopulmonary Resuscitation and Use of an AED Adult Cardiopulmonary Resuscitation and Use of an AED Course Health Science Unit VI CPR/AED & First Aid Essential Question What do you need to know and do during a cardiac emergency? TEKS 130.204 (c) 8

More information

Student Guide Preview. BasicPlus. CPR, AED, and First Aid For Adults

Student Guide Preview. BasicPlus. CPR, AED, and First Aid For Adults Student Guide Preview BasicPlus CPR, AED, and First Aid For Adults BasicPlus CPR, AED, and First Aid For Adults Student Guide Version 7.0 Purpose of this Guide This MEDIC First Aid BasicPlus Version 7.0

More information

2. Women may experience others signs/symptoms in addition to the common ones. What are the additional symptoms?

2. Women may experience others signs/symptoms in addition to the common ones. What are the additional symptoms? Name: Sports Medicine II Date: Block 3A Caring for Cardiac Emergencies CPR/AED for the Professional Rescuer Notes Questions/Main Ideas Notetaking Column 1. Name some signs and symptoms of a heart attack.

More information

Guide to Compression-only Bystander CPR

Guide to Compression-only Bystander CPR Guide to Compression-only Bystander CPR The Value of CPR During a cardiac arrest, CardioPulmonary Resuscitation (CPR) is important because it is the best treatment until the arrival of a Defibrillator,

More information

BLS STUDY SYLLABUS Revised 01/2007

BLS STUDY SYLLABUS Revised 01/2007 Incidence and Cost of Cardiovascular Disease Cardiovascular disease (CVD) is one of the biggest killers in America, accounting for nearly 50% of all deaths. CVD includes stroke, rheumatic heart disease,

More information

Introduction Welcome to COMPREHENSIVE BASIC LIFE SUPPORT Course. BLS is the foundation for saving lives after cardiac arrest. You will learn the skills of highquality cardiopulmonary resuscitation (CPR)

More information

Once student shouts for help, instructor says, Here s the barrier device. I am going to get the AED. STOP TEST

Once student shouts for help, instructor says, Here s the barrier device. I am going to get the AED. STOP TEST Adult CPR and AED Adult Skills CPR Testing and Checklist AED Skills Testing Checklist Student Name Date of Test Hospital Scenario: You are working in a hospital or clinic, and you see a person who has

More information

First Aid Lukáš Dadák, M.D. Dept. of Anesthesia &ICU FN USA

First Aid Lukáš Dadák, M.D. Dept. of Anesthesia &ICU FN USA First Aid 2011 Lukáš Dadák, M.D. Dept. of Anesthesia &ICU FN USA 15740@mail.muni.cz How to survive? Do not kill the patient. Reason of lectures - to pass the exam - to know important information for life

More information

CPR for HEALTHCARE PROVIDER EXAM ANSWER KEY (2011) Correct Answer is in Bold Red Font

CPR for HEALTHCARE PROVIDER EXAM ANSWER KEY (2011) Correct Answer is in Bold Red Font Correct Answer is in Bold Red Font Part 1 - Chain of Survival 1. High-quality CPR improves a victim s chances of survival. The critical characteristics of highquality CPR include: Start compressions within

More information

First Aid Skills Checklist

First Aid Skills Checklist ,, Care Adult, Child, Baby the Scene the Person Shout for Help or EMS/9-1-1 Is it safe? What happened? How did it happen? How many ill or injured people are there? Is there someone to help me? Is there

More information

Electrical Shock Survival

Electrical Shock Survival Electrical Shock Survival Remember Electric shock may stun and stop the victim s breathing. Delay in rescue and resuscitation may be fatal. Isolate the electricity Low voltage (240/415): Immediately switch

More information

2005 Top Ten Major Changes in Treatment Recommendations *

2005 Top Ten Major Changes in Treatment Recommendations * 2005 Top Ten Major Changes in Treatment Recommendations * This document reviews the top ten new treatment recommendations and guidelines for ASHI s basic life support training programs for professional

More information

Welcome to American Heart Association

Welcome to American Heart Association Welcome to American Heart Association Basic Life Support for Healthcare Providers University Hospital Training Center 2006 (based on 2005 Guidelines) Mandatory Caution Statement BLS courses may include

More information

Student CPR. Student Manual. Printer Friendly Version

Student CPR. Student Manual. Printer Friendly Version Student CPR Student Manual Printer Friendly Version 1. 2. Introduction The Five Fears Fear of Disease Solution: Universal precautions. Whenever the possibility of coming in contact with bodily fluids exists,

More information

Mastermind Study Group

Mastermind Study Group Mastermind Study Group 2018 Arunima 1 EMERGENCY RESPONSE First Aid Basics Medical Emergencies Injury Emergencies Environmental Emergencies CPR and AED 2 First Aid Basics Assessing the Scene! Look out for

More information

American Heart Association. Heartsaver CPR

American Heart Association. Heartsaver CPR American Heart Association Heartsaver CPR Adult Module Pretest February 2001 2001 American Heart Association Heartsaver CPR Course Adult Module Pretest Please do not mark on this examination. Record the

More information

LESSON ASSIGNMENT. Initiate Rescue Breathing on an Adult. After completing this lesson, you should be able to:

LESSON ASSIGNMENT. Initiate Rescue Breathing on an Adult. After completing this lesson, you should be able to: LESSON ASSIGNMENT LESSON 3 Initiate Rescue Breathing on an Adult. TEXT ASSIGNMENT Paragraphs 3-1 through 3-12. TASK TAUGHT 081-831-0018, Open the Airway. 081-831-0048, Perform Rescue Breathing. LESSON

More information

BASIC LIFE SUPPORT - PAEDIATRIC

BASIC LIFE SUPPORT - PAEDIATRIC BASIC LIFE SUPPORT - PAEDIATRIC First Issued by/date BKW PCT May 2003 Issue Version Purpose of Issue/Description of Change 3 Policy reviewed. No changes in procedure or legislation since policy revised

More information

Effective First Aid. Keeps a victim calm and helps them recover faster.

Effective First Aid. Keeps a victim calm and helps them recover faster. 1 First Aid Overview Marcy Thobaben, LPN EMT-B Bluegrass Health & Safety, Inc. Disclaimer: This presentation is for information and background only and is not intended to certify or train anyone in First

More information

City of Miami s Public Access Defibrillation Program

City of Miami s Public Access Defibrillation Program City of Miami s View on line at: www.miamigov.com/fire/pad E-Mail: PADcoordinator@MiamiGov.com Team For Life 53 PAD - Public Access Defibrillator Program Table of Contents Page Index 54 Program Overview

More information

Some things to think about

Some things to think about Be the Beat Some things to think about Why are we learning hands only CPR? Why is it important to be knowledgeable in hands only CPR? What do you already know about hands only CPR? What is the difference

More information

a person is hurt? REMEMBER! You can also phone for an ambulance by calling 112. What should I do if... LEVEL 1 Session 1 THE CONSCIOUS CASUALTY

a person is hurt? REMEMBER! You can also phone for an ambulance by calling 112. What should I do if... LEVEL 1 Session 1 THE CONSCIOUS CASUALTY a person is hurt? D Look around and check for danger. If the person is awake, use the phone to call 999. REMEMBER! You can also phone for an ambulance by calling. R Check for response. Shake the person

More information

FIRST AID (CPR) Yerevan Dc. Anna Toplaghaltsyan

FIRST AID (CPR) Yerevan Dc. Anna Toplaghaltsyan FIRST AID (CPR) Yerevan 2018 Dc. Anna Toplaghaltsyan First aid is The assistance given to any person suffering a sudden illness or injury, with care provided to preserve life, prevent the condition from

More information

Cardio Pulmonary Resuscitation

Cardio Pulmonary Resuscitation 1 CPR (HLTCPR201B Perform CPR) 2 Action Plan D anger R esponse S end for help A irway B reathing C PR D efibrillation 3 D anger Check for dangers to: Yourself Bystanders Casualty Walk 360 o around the

More information

Adult, Child, and Infant Written Exam CPR and AED

Adult, Child, and Infant Written Exam CPR and AED Adult, Child, and Infant Written Exam CPR and AED Instructions: Read each of the following questions carefully and then place an X over the correct answer on the separate answer sheet provided. Please

More information

BASIC LIFE SUPPORT (BLS) PROVIDER HANDBOOK

BASIC LIFE SUPPORT (BLS) PROVIDER HANDBOOK BASIC LIFE SUPPORT (BLS) PROVIDER HANDBOOK P R E S E N T E D B Y ADVANCED MEDICAL CERTIFICATION (AMC) W R I T T E N B Y DR. KARL FRITZ DISQUE 1 Copyright 2013 Satori Continuum Publishing All rights reserved.

More information

SOCIETY TRAINING MANUAL BASIC LIFE SUPPORT (BLS) HEALTHCARE PROVIDERS FOR

SOCIETY TRAINING MANUAL BASIC LIFE SUPPORT (BLS) HEALTHCARE PROVIDERS FOR SOCIETY BASIC LIFE SUPPORT (BLS) FOR HEALTHCARE PROVIDERS TRAINING MANUAL This CPR Society training program follows and is consistent with the most current 2015 American Heart Association scientific guidelines

More information

Shasta, Tehama Trinity Joint Community College District Automated External Defibrillator (AED) Program

Shasta, Tehama Trinity Joint Community College District Automated External Defibrillator (AED) Program Shasta, Tehama Trinity Joint Community College District Automated External Defibrillator (AED) Program Introduction To help ensure the safety and well-being of the Shasta College community and visitors

More information

STUDENT BOOK PREVIEW STUDENT BOOK. CarePlus. CPR and AED

STUDENT BOOK PREVIEW STUDENT BOOK. CarePlus. CPR and AED STUDENT BOOK STUDENT BOOK PREVIEW CarePlus CPR and AED CarePlus CPR and AED Student Book Version 8.0 Purpose of this Guide This MEDIC First Aid CarePlus Version 8.0 Student Book is solely intended to facilitate

More information

Frequently Asked Questions About AEDs updated 11/2/2015

Frequently Asked Questions About AEDs updated 11/2/2015 Frequently Asked Questions About AEDs updated 11/2/2015 What does AED stand for? AED stands for automated external defibrillator. What s an AED? An AED is a device used to administer an electric shock

More information

CPR & BASIC FIRST AID FOR CHILDREN CPR & BASIC FIRST AID FOR CHILDREN

CPR & BASIC FIRST AID FOR CHILDREN CPR & BASIC FIRST AID FOR CHILDREN CPR & BASIC FOR CHILDREN Student Guide Contents First Aid provider 4 Legal Considerations 5 Disease Transmission & Universal Precautions 6 Unconscious & not breathing - CPR 7 CPR- Child & Infant Sequence

More information

Accidents happen anywhere

Accidents happen anywhere Bulletin 2325 Maine Farm Safety Program by Dawna L. Cyr, farm safety project assistant, and Steven B. Johnson, Ph.D., Extension crops specialist Basic First Aid Accidents happen anywhere and anytime. The

More information

NHS. Blackpool Teaching Hospitals. NHS Foundation Trust. Basic Life Support. Page 1

NHS. Blackpool Teaching Hospitals. NHS Foundation Trust. Basic Life Support. Page 1 Blackpool Teaching Hospitals NHS Foundation Trust NHS Basic Life Support Page 1 Page 2 Introduction Why do this course? Because it will help you save lives! It will help you: Assess a collapsed victim;

More information

BLS Guideline 3 COMPRESSIONS

BLS Guideline 3 COMPRESSIONS Australian Resuscitation Advisory Network BLS Guideline 3 COMPRESSIONS Scope Who does this guideline apply to? This guideline applies to all persons are unresponsive to pain and present with absent or

More information

Introduction to Medical Careers. Introduction CPR & AED

Introduction to Medical Careers. Introduction CPR & AED Introduction to Medical Careers Introduction CPR & AED First Aid Initial care provided for an acute illness or injury, when advanced care procedures are not readily available. Intended to preserve life,

More information

2.This section will move into the Airway Management, Rescue Breaths & Cardiopulmonary Resuscitation (CPR).

2.This section will move into the Airway Management, Rescue Breaths & Cardiopulmonary Resuscitation (CPR). Wilderness First Aid Fundamentals The period between the World Wars saw an increased awareness in personal first aid training. To cover all eventualities, from accidents at work to travel in foreign lands.

More information

LIFE SAVING GUIDE. of life savers

LIFE SAVING GUIDE. of life savers LIFE SAVING GUIDE Training a nation of life savers HEARTSTART TAUGHT MY SON The British Heart Foundation has a vision to create a nation of life savers. As part of that vision, we re doing everything we

More information

AIRWAY Management. How to manage an airway on the battlefield TRAININGGROUNDS

AIRWAY Management. How to manage an airway on the battlefield TRAININGGROUNDS TRAININGGROUNDS How to manage an airway on the battlefield CRAWL TRAININGGROUNDS What is Airway? A Compromised airway is one of the three leading cause of preventable death on the battlefield Airway management

More information

RIIERR205A Apply Initial Response First Aid

RIIERR205A Apply Initial Response First Aid RIIERR205A Apply Initial Response First Aid Site: Student Name: Student Signature: In signing this document as the assessor you confirm the assessment was conducted according to criteria specified in this

More information

Personal Safety- S.E.T.U.P.

Personal Safety- S.E.T.U.P. First Aid & CPR Personal Safety- S.E.T.U.P. Stop - Pause to identify hazards Environment - Consider your surroundings Traffic - Be careful along roadways Unknown hazards - Consider things that are not

More information

Cardiac Emergencies. Chapter 8

Cardiac Emergencies. Chapter 8 Chapter 8 Cardiac Emergencies A cardiac emergency is a life-threatening emergency that can occur at any time to a victim of any age. Lifeguards may be called upon to care for a victim of a cardiac emergency.

More information

Canadian Red Cross Summary First Aid Technical Changes for 2011 Implementation

Canadian Red Cross Summary First Aid Technical Changes for 2011 Implementation Canadian Red Cross Summary First Aid Technical Changes for 2011 Implementation Wound Care Second part of a SFA course On the first day and included in EFA To meet legislative requirements Assessment and

More information

Training a nation of life savers

Training a nation of life savers HEART START THE HEARTSTART COURSE Overview and Session Plans Training a nation of life savers Now that you ve taken the instructor training course, you re ready to start teaching members of the public

More information

FIRST AID. Study Topics. At a minimum, the following topics are to be studied for the first aid exam.

FIRST AID. Study Topics. At a minimum, the following topics are to be studied for the first aid exam. FIRST AID Study Topics At a minimum, the following topics are to be studied for the first aid exam. TOPIC Avoid getting air in stomach during rescue breathing Burns Kinds of Burns & Care Calling for Help

More information

Contest Description: Under Equipment and Materials

Contest Description: Under Equipment and Materials First Aid/CPR Please note the following changes in the Standards:It is important to remember that the contestant needs a partner for the 2 man CPR segment. The partner will not take the written test and

More information

BASIC KNOWLEDGE OF LABORATORY FIRST AID

BASIC KNOWLEDGE OF LABORATORY FIRST AID BASIC KNOWLEDGE OF LABORATORY FIRST AID RV: 02/02/2015 prevencio@uv.es Page 1 of 7 . General issues to be considered by the rescuer in the event of an accident are described below: - Proceed as follows:

More information

Automatic External Defibrillator (AED) and Cardiac First Response Procedure

Automatic External Defibrillator (AED) and Cardiac First Response Procedure Procedure Title Automatic External Defibrillator (AED) and Cardiac First Response Procedure Written By: Approved By: Yvonne Roache Health and Safety Officer Imelda Fitzgerald Cardiac First Response Instructor

More information

Theory Paper Masters. Surf Life Saving Australia. Champion Lifesaver 2013

Theory Paper Masters. Surf Life Saving Australia. Champion Lifesaver 2013 Surf Life Saving Australia Champion Lifesaver 2013 Theory Paper Masters Mark the best answer to each question on the answer sheet. The best answer is the one that can be found in the 33 rd edition of the

More information

The development of this workbook was undertaken by trainers and developers within SAMPLE

The development of this workbook was undertaken by trainers and developers within SAMPLE FOREWORD This publication is one of a number of workbooks produced by The Australian Medical Association (WA) Inc as a resource for the health sector. It is utilised within AMA Recruitment and Training

More information

The Value of Defibrillators. HHSEG July 26 th 2017

The Value of Defibrillators. HHSEG July 26 th 2017 The Value of Defibrillators HHSEG July 26 th 2017 Itinerary Defibrillators brief history Legislation on first aid provision Defibrillators as part of the First Aid Provision at the University Cardiac Arrest

More information

Copyright 2016 Satori Continuum Publishing

Copyright 2016 Satori Continuum Publishing Copyright 2016 Satori Continuum Publishing All rights reserved. Except as permitted under U.S. Copyright Act of 1976, no part of this publication can be reproduced, distributed, or transmitted in any form

More information

How to Perform CPR. Table of Contents

How to Perform CPR. Table of Contents Page 1 How to Perform CPR Cardiopulmonary resuscitation, more commonly known as CPR, is a method used on victims in cardiac arrest in attempt to restore breathing and blood circulation. These instructions

More information

Once student shouts for help, instructor says, Here s the barrier device. I am going to get the AED. STOP TEST

Once student shouts for help, instructor says, Here s the barrier device. I am going to get the AED. STOP TEST Adult CPR and AED Adult Skills CPR Testing and Checklist AED Skills Testing Checklist Hospital Scenario: You are working in a hospital or clinic, and you see a person who has suddenly collapsed in the

More information

DEFIBRILLATOR PROGRAM POLICY

DEFIBRILLATOR PROGRAM POLICY DEFIBRILLATOR PROGRAM POLICY EPS Code: EBB-A An Automated External Defibrillator (AED) will be maintained on the premises of the Dodgeville High School. The AED shall be used in emergency situations warranting

More information

Breathing Emergencies

Breathing Emergencies Breathing Emergencies Unit Three, Lesson Two - Breathing Emergencies Slide 1 Signs of a Breathing Emergency Restless, excitement, sleepy, dizzy Blue lips, mouth, and/or fingertips Silent, but look of surprise,

More information