cpr

what do you do when the patient has hair on chest when trying to use an AED (with no razor available) add pad on chest and rip it off trying to get the area clear

what is the ratio of pulses and breaths (adults) 30:2

what is the ratio of pluses and breaths (child & infant) (1 rescuer) 30:2

what is the ratio of pluses and breaths (child & infant) (2 or more rescuers) 15:2

The first thing you do in chain link
(when not in hospital) assess the scene before approaching

The second thing you do in chain link
(when not in hospital) recognize cardiac arrest

how can you tell if in cardiac arrest no responsiveness
no breathing or only gasping (i.e. no normal breathing)
no define pulse felt within 10 sec

The third thing you do in chain link
(when not in hospital) activate emergency response system

The fourth thing you do in chain link
(when not in hospital) someone get AED (if alone, leave the person get AED and activate response system)

The fifth thing you do in chain link
(when not in hospital) start CPR (30:2) (15:2) & wait for advanced help to get there

how often do you switch out people doing compressions when more people are avalible after 5 sets of 30 or until they get tired

compression rate 100

120/min

Compression depth for adults At least 2 inches

Compression Depth for infants Approximately 1 1/2 inches (4 cm)

Compression Depth for children At least 1/3 AP diameter (about 2 inches or 5 cm)

hand placement (adults) 2 hands on the lower half of the breastbone (sternum)

Hand placement (children) 2 hands or 1 hand (optional for very small child) on the lower half of the breastbone (sternum)

Hand placement (Infants, 1 Rescuer) 2 fingers in the center of the chest, just below the nipple line

Hand placement (infants, 2 or more rescuers) 2 thumb

encircling hands in the center of chest, just below the nipple line

rescuer unable to achieve recommended depth on infant? may be reasonable to use heel of one hand

chest recoil

Allow chest to completely re

how long do you feel the pulse 5

10 sec
no longer than 10

CCF goal (Chest Compression Fraction) 80%

CCF (Chest Compression Fraction) a measure of the percentage of time spent performing chest compressions during CPR

how to give air with bag

place snug on patients mouth and nose

importance of up and back when giving air to allow the patients tongue to fall away from the back of their throat, opening their airway

what to stay away from when giving air to patient pushing on the neck, can block patients trachea, restricting airway

emergency number 9

1

infants classify as age less than 1 year, excluding newborns

children classify as age 1 to puberty

witnessed collapse in children and infants follow steps for adults and adolescence

alone, leave and go activate emergency system and get AED

UNWITNESSED COLLAPSE: CHILDREN and INFANTS

give two minutes of CPR

using AED on pregnant woman push baby to left

roles and responsiblity SET ROLES
team leader
advanced med
compress
timer/recorder
airway
CPR coach

fewer than 6 people

double roles

team leader assigns roles to team members
makes treatment decisions
provides feedback to the rest of the team as needed
assumes responsibility for roles not assigned

advance medicine administers medicine

compressor the person doing CPR

timer/recorder records whats happening and timers the actions

airway delivering the air

CPR coach does the AED

less than 6 people to fill roles? people have to double on roles

unable to preform role assigned ask for a new role

key to working with a team communication
closed loop comm.

clear message make sure your messages are not confusing and are clear
use respect

to avoid pauses

hover hands

what causes child and infants cardiac arrest opioids
drowning
seizures

E&C on infants don't tilt infants head as much

difference between 2 ppl vs 1 person 2 ppl

2 thumbs not fingers
2 ppl

mouth to mouth on baby cover nose and mouth with your mouth

checking responsiveness on infant tap foot

where do you put the AED on children and infants back and chest
DO NOT overlap or touch

where do you put the AED on children and infants if you dont have pedatric pads you put them in the same place as adult but DO NOT let them touch or overlap

checking pulse on infant brachial pulse

chocking in adults fist over navel cavity
other hand over first
push in

chocking in pregnant and overweight chest (fist and hand)

when do you look for object choking on when giving air

do and donts while patient is choking DO NOT blind sweep
ONLY get the object out if you can clearly and easily see it

choking for infants five back blows and five chest thrusts
slightly faced down

what to do when the cardiac arrest patients chest is wet trying to use AED quickly dry it and stick pads