Cardiopulmonary Resuscitation with Automated External Defibrillator
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Transcript of Cardiopulmonary Resuscitation with Automated External Defibrillator
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Cardiopulmonary Resuscitation with Automated External Defibrillator
Provider Course CPR/AED
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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 (CPR)– How to operate an automated external defibrillator
safely– How to place an unconscious breathing victim in
the recovery position
Objectives
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In Europe every 45 seconds a cardiac arrest takes place
Bystander CPR is a vital intervention before arrival of emergency services
Early resuscitation and prompt defibrillation (within 1-2 minutes) can result in >60% survival
Background
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Chain of survival
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Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
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Approach safelyApproach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
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Approach safely
Check responseApproach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
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Shake shoulders gently
Ask “Are you all right?”
If he responds• Leave as you find him.
• Find out what is wrong.
• Reassess regularly.
Check response
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Shout for helpApproach safelyApproach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
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Open airwayApproach safelyApproach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
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Check breathingApproach safelyApproach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
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Look, listen and feel for NORMAL breathing
Check breathing
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Occurs shortly after the heart stops in up to 40% of cardiac arrests
Described as barely, heavy, noisy or gasping breathing
Recognise as a sign of cardiac arrest
Abnormal breathing
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Approach safelyApproach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
Call 112
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30 Chest compressionsApproach safelyApproach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
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• Place the heel of one hand in the centre of the chest
• Place other hand on top • Interlock fingers or avoid
putting pressure on the side of the chest
• Compress the chest– Rate 100 – 120 min-1
– Depth 5 – 6 cm– Equal compression : relaxation
• When possible change CPR operator every 2 min
Chest compressions
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2 Rescue breathsApproach safelyApproach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
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Rescue breaths
Pinch the noseTake a normal breathPlace lips over mouthBlow until the chest risesTake about 1 secondAllow chest to fallRepeat
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Continue CPR
30 2
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Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
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Defibrillation
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Approach safelyCheck responseShout for helpOpen airway
Check breathingCall 112
Attach AEDFollow voice
prompts
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Switch on AEDSome AEDs will automatically switch themselves on when the lid is opened
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Attach pads to victims bare chest
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Analysing Rhythm: Do not touch victim
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Shock indicated
Stand clearDeliver shock
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30 2
Shock delivered: Follow AED instructions
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No shock advised: Follow AED instructions
30 2
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If victim starts to breathe normally place in recovery position
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CPR in children
Adult CPR techniques can be used on children
Compressions at least 1/3 of the depth of the chest
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• Age > 8 years• use adult AED
• Age 1-8 years• use paediatric pads /
settings if available (otherwise use adult mode)
• Age < 1 year• use only if manufacturer
instructions indicate it is safe
AED in children
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Any questions?
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Approach safelyCheck responseShout for helpOpen airway
Check breathingCall 11230 chest
compressions2 rescue breaths
Approach safelyCheck responseShout for helpOpen airway
Check breathingCall 112
Attach AEDFollow voice
prompts