How to do CPR(Cardiopulmonary Resuscitation)

.2010 Guidelines

American Heart Associationm

First Response Training, LLC

Disclaimer

This presentation is not a substitute from taking a class in person.

Please use this presentation as a refresher. Please sign up for a class to get to practice

the “hands on skills”

Conor Devery, EMT-P……….. First Response Training, LLC

Make sure scene is safe Check for responsiveness If no response, call 911 and get the AED Check for breathing Check for movement Begin chest compressions Continue 30 compressions and 2 breaths until the

AED arrives, EMS takes over, or the victim moves

If uncomfortable doing mouth to mouth – just do compressions

Adult CPR

Hand Placement

Place heel of one hand in center of chest Interlock fingers of the other handLean forward so your shoulders are over your hands Press straight down with elbows straight

Push down at least 2 inchesPush at a rate (speed) of 100 compressions per minute

Airway ManagementMouth – to - Mouth Mouth – to - Mask

If you are uncomfortable doing mouth-to-mouth then skip it and

Just do Compressions

Adult CPR - Reminders Take 5-10 seconds to check for breathing and

movement. Ensure chest rises with each breath Place hands in the center of the chest for

compressions Allow chest to recoil completely or return to its

normal position Compression rate: 100/minute Compress at least 2 inches

Child CPR Check for responsiveness Yell for help but don't leave the victim Check for breathing Check for movement Begin chest compressions After 30 compressions give 2 breaths Continue 30 compressions and 2 breaths for 5 cycles

or 2 minutes If still no response, activate 911 and get the AED

Max. of 10 seconds

Hand Placement - Child Rescuer can use one or two hands to do

compressions Place heel of one hand in center of

chest in line with nipple line. Lean forward so your shoulders are over

your hands Press straight down with elbows

straight Push down at least 1/3 to ½ depth of chestPush at a rate (speed) of 100 compressions

per minuteIf one arm is not strong enough use both

hands.

Child CPR - Reminders

Take 5-10 seconds to check for breathing and movement

Ensure chest rises with each breath Place hands in the center of the chest for

compressions Use 1 or 2 hands for compressions Allow chest to recoil completely Compression rate: 100/minute Compress 1/3 to 1/2 the depth of the chest Phone 911 after 5 cycles of CPR if you are alone

Infant CPR Check for responsiveness Yell for help but don't leave the victim Check for breathing Check for movement Begin chest compressions After 30 compressions give 2 breaths Continue 30 compressions and 2 breaths for 5 cycles or

2 minutes If still no response, activate 911 and get the AED

Max. of 10 seconds

Infant Compressions

Infant Mouth – to – Mouth and Nose Resuscitation

Infant CPR - Reminders

Take 5-10 seconds to check for breathing and movement

Ensure chest rises with each breath Perform compressions using 2 fingers placed 1 finger

width below the nipple line Allow chest to recoil completely Compression rate: 100/minute Compress 1/3 the depth of the chest Phone 911 after 5 cycles of CPR if you are alone AED can now be used for infants

Choking Relief

When NOT to do Choking Relief

If a person appears to be choking Ask the patient “Are you choking.”If they can talk, or cough, they are not fully choking Encourage them to keep coughing Call 911Do NOT do abdominal thrusts if they can talk or cough

Adult Choking - Responsive• Stand behind the person and wrap your arms around the

person’s waist.

• Make a fist with one hand. Place the thumb side of your fist just above the person’s navel, well below the breastbone.

..

• Grasp the fist with your hand.

• Make quick, upward and inward thrusts with your fists.

• Continue thrusts until the object is dislodged or the person loses consciousness.

• If the person becomes unconscious, lower person to the floor, call 911, and begin CPR. If you see the object blocking the airway, try to remove it.

Adult Choking - Responsive

1/2 way between navel and xyphoid

Adult Choking - Unresponsive Lower them to the ground

and begin the steps of CPR Check mouth for object after

30 compressions If you see the object, you can

remove it Don't forget to call 911 and

get the AED Do not perform a blind finger

sweep

Child Choking - Responsive

Child Choking - Responsive

Performing first aid for a choking child is very similar to an adult. If the child does not clearly grab their throat other danger signs for a child and an adult include:

Inability to speak Weak, ineffective coughing Noisy breathing or high-pitched sounds while inhaling Difficulty breathing Bluish skin color Loss of consciousness if blockage is not cleared

Child Choking - Unresponsive Lower them to the ground and begin

the steps of CPR Look in the mouth before each

breath If you see the object, you can

remove it Don't forget to call 911 and get the

AED Do not perform a blind finger sweep

Infant ChokingDO NOT

•DO NOT perform these steps if the infant is coughing forcefully or has a strong cry – either of which can dislodge the object on its own.

The danger signs of true choking are:

•Inability to cry or make much sound •Weak, ineffective coughing •Soft or high-pitched sounds while inhaling •Difficulty breathing - ribs and chest retract •Bluish skin color •Loss of consciousness if blockage is not cleared

Infant ChokingStep 1: Back Blows

Step 2: Chest Thrusts

Infant Choking

Step 3: Object Removal

• Only remove object if you can see it.

• No blind finger sweeps

• If object not visible go back to back blows and chest thrusts

Choking Infant - Unresponsive

Unresponsive Infant Place them on a hard, flat surface and begin the steps of CPR

Look in the mouth before each breath

If you see the object, you can remove it

Don't forget to call 911 after 2 minutes (5 cycles) of CPR

Automated Extenal Defibrillator (AED)

Automated External Defibrillator (AED)

It is the most effective treatment for Ventricular Fibrillation, the most common initial rhythm present in a victim of sudden cardiac arrest.

The probability of successful defibrillation decreases rapidly over time

AEDs are computerized devices that allow laypersons to attempt defibrillation safely. Here are a few facts about defibrillation:

Use of an AED Power on the AED Apply pads to the victim's bare chest Plug the pads into the AED "Clear" the victim and allow it to analyze If a shock is advised, "clear" the victim again and press the shock button Continue chest compressions Every 2 minutes the AED will repeat the steps

power button

shock button

Adult(age 9 and older)

Child(1 year to puberty)

Infant(less than 1 year)

Activate 911 as soon as victim is found

if alone, after 5 cycles of CPR

Compression Location

Center of the chest between the nipples

Just below the nipple line

Compression Method

Heal of 1 hand with the other on

top

same as adult or heal of 1 hand for

small children

2 fingers(2 hands encircling-thumb for 2-rescuer)

Compression Rate

100 per minute

Compression-Ventilation Ratio

30:2

(or “hands only”)

30:2

AED yes(adult pads only)

yes(child pads preferable.

If none, use adult)

Yes(child pads preferable.

If none, use adult)

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