CPR Course

first step before even beginning CPR

access the scene, make sure that it’s safe to do CPR there

• is the ground flat and sturdy?

• are there people around?

how to check responsiveness

shake patient and call them

how to check for breathing in adults

• no more than 10 secs

• check if chest is rising and falling

• check for gaspingor abnormal breathing patterns

how to check pulse in adults

two fingers between trachea and muscle and feel for carodid pulse

CPR requirements in adults

• 100-120 bpm

• 2 inches deep

• 2 hands on lower breast plate

• complete recoil, no leaning

• no interruptions longer than 10 seconds

what do feedback devices do?

provide rate of compressions, depth of compressions, and recoil from compressions

what does a pocket mask do, and how do you use it?

• helps in mouth to mouth

• stay on patient’s side

• use patient’s nose bridge to align

• hold down with both hands

• 1 breath per 6 seconds, 10 breaths per min

how to use a bag mask

• stay behind patient

• use nose bridge to align

• hold down with one handed c grip

• compress with other hand, full recoil

• pressure ventilated

• 1 breath per 6 seconds, 10 breaths per minute

2 types of arrhythmias

pulseless ventricular tachycardia (PVT) and ventricular fibrillation (VT)

what does an AED do

analyzes heart rhythms and identifies the presence of arrhythmias, then delivers a shock

anterolateral placement of AED pads

right collar bone and next to left nipple a little under armpit

anteroposterior placements

• center of chest, center of back

• in between midline and nipple of left breast, and same place on the back left

shock rhythm

1 shock, immediate CPR for 2 mins, and continue

pediatric chain link

prevention

adult chain link

defibrilation

pulse check for infants

two fingers on inside of of upper arm

pulse check for children

inner thigh midway betwen hip and pubic areato check for a pulse in children, locate the inner thigh midway between the hip and pubic area.

depth for CPR in infants

1.5 in

depth for CPR in children

2 in(approximately 5 cm)

infant compressions with one vs two ppl

1 - 30 seconds 2 breaths

2 - 15 seconds 2 breaths

how many breaths for children

20/30 breaths per minute so 1 breath every 2-3 secs

search for an infant’s _____ pulse

brachial

roles of EMT team

• compressor

• airway

• CPR coach

• team leader

• time keeper/recorder

compressor

• performs chest compressions

• side of patient

airway

• open airways

• behind patient’s head

CPR coach

• focus on performance

• make improvements

team leader

• assigns role

• foot of victim or moves around

timer/recorder

• keeps track of everything

• interruptions tracked

when to rotate roles during CPR

every 5 cycles or two minutes

who accounts for number of compressions

time keeper/recorder

types of communication to use

closed loop communication and clear messaging

• specific meanings to each team

what effect does minimizing pauses in compressions during CPR have on chest compression fraction (CCF)

increases CCF

when is compression paused

changing compressors and checking pulse

what action can u do after resuscitation that improves performance

debriefing

hair chest

shave area or use first set too wax

apply pads

victim in water or sweat for AED

dry and move to dry location

transdermal medicine patch AED

take patch off and wipe area then place pad

pacemaker AED

don’t place pad over pacemaker

how much oxygen does the victim get during mouth to mouth

17%

steps for mouth to mouth

head tilt, chin lift, pinch nose and seal lips tightly.

other ways to give breaths

Laryngeal mask airway, supraglottic airway device, and endotracheal tubes

do u pause compressions when giving breaths

no

what is naloxone

meds that can temporarily reduce the effects of opioid overdose

ways to administer naloxone

intravenous, intranasal, and intramuscular

how to do CPR in pregnant patients

compressions and AED, also, if trained, do lateral uterine displacement. If a woman resuscitates, place her on her left side to increase blood flow.

Symptoms of choking

silent cough, inability to speak or breathe, cyanosis (turning blue)

steps for abdominal thrusts (hymlic maneuver)

1. Stand behind the person. 2. Make a fist and place it above their navel. 3. Grasp the fist with the other hand and thrust inward and upward.

which direction should abdominal thrusts be

up

if victim is too obese, then where do you do thrusts

victims chests

steps for choking in infants

1. Place the infant face down on your forearm, supporting the head. 2. Give five back blows between the shoulder blades. 3. If choking persists, turn the infant face up and give five chest thrusts.