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Duty to act
Legal responsibility to respond to emergencies while on duty
Standard of care
Care must match your training and certification
Abandonment
Do not leave a victim after starting care until help takes over
Negligence
Failure to provide proper care or prevent harm
Confidentiality
Only share victim information with emergency personnel
Implied consent
Unconscious victims or minors can receive care without permission
Distressed swimmer
Struggling swimmer making little forward progress
Active drowning victim
Vertical in water with arms pressing down and unable to call for help
Passive drowning victim
Unconscious and motionless in the water
Scanning technique
Move head side to side and scan bottom to top
Emergency Action Plan
Recognize emergency, activate EAP, provide care, call EMS
Scene size-up
Check hazards, number of victims, and put on gloves
Check responsiveness
Shout and tap shoulders or infant’s foot
ABCs
Check airway, breathing, and circulation
Pulse and breathing check
Check for no more than 10 seconds
Adult rescue breathing
1 breath every 5–6 seconds
Child/infant rescue breathing
1 breath every 3 seconds
CPR ratio
30 compressions and 2 breaths
Purpose of compressions
Move blood through the body
Purpose of rescue breaths
Put oxygen into the lungs
Stop CPR when
EMS arrives, scene unsafe, AED analyzes, exhaustion, or victim recovers
Recovery position
Used for breathing victims with a pulse
SAMPLE assessment
Signs, allergies, medications, past history, last intake, events
Conscious choking care
Give care for obstructed airway immediately
Unconscious choking care
30 compressions, check mouth, attempt breaths
Signs of stroke
Weakness, slurred speech, confusion, blurred vision
Heart attack symptoms
Chest pain, sweating, nausea, trouble breathing
RICE
Rest, immobilize, cold, elevate