cpr and aed

O2 wa 717 preflight

1. Presence

2. Mask is attached to high outlet

3. Pressure gauge reads between 1800-2000

4. If gauge reads less than 1800 notify the FFA

5. If gauge reads less than 1500 submit an IF incident report within 24 hours

O2 wa 717 operations:

ASTWANM

1. Announce no smoking, oxygen is being administered. Check for compliance. Request medical assistance if needed

2. Secure portable o2 bottle to self when transporting, then to PAX lap, PAX companion, or empty adjacent seat

3. Turn the bottle on by rotating the knob counterclockwise, check the flow

4. Wipe PAX lips to clean any minerals oil to avoid burn when o2 is administered

5. Apply o2 mask over nose and mouth

6. Notify the FFA who will notify the PIC that o2 has been administer, ask to contact MedLink

7. Monitor the o2 bottle and PAX symptoms and vital signs

O2 wa 717 duration

3-4 lpm for 40 minutes

O2 wa 787 preflight

Presence

Mask is attached

Switch is in the OFF position

Pressure gauge reads between 1500-1850 psi

If gauge is less then 1500 psi notify the FFA

O2 wa 787 operation

ASTWANM

1. Announce no smoking, oxygen is being administered. Check for compliance. Request medical assistance if needed

2. Secure portable o2 bottle to self when transporting, then to PAX lap, PAX companion, or empty adjacent seat

3. Turn the bottle on by flipping the ON/OFF switch DOWN to the ON position. The LED light will illuminate

4. Wipe PAX lips to clean any minerals oil to avoid burn when o2 is administered

5. Apply o2 mask over nose and mouth

6. Notify the FFA who will notify the PIC that o2 has been administer, ask to contact MedLink

7. Monitor the o2 bottle and PAX symptoms and vital signs

O2 wa 787 duration

4lpm for 180 minutes

O2 wa A321/A330 preflight

Presence

Mask is attached

Pressure gauge reads 1850 PSI

If the gauge reads less than 1850 psi notify the FFA

O2 wa A321/A330 Operation:

ASTWANM

1. Announce no smoking, oxygen is being administered. Check for compliance. Request medical assistance if needed

2. Secure portable o2 bottle to self when transporting, then to PAX lap, PAX companion, or empty adjacent seat

3. Turn the bottle on by rotating the knob counterclockwise, check the flow

4. Wipe PAX lips to clean any minerals oil to avoid burn when o2 is administered

5. Apply o2 mask over nose and mouth

6. Notify the FFA who will notify the PIC that o2 has been administer, ask to contact MedLink

7. Monitor the o2 bottle and PAX symptoms and vital signs

O2 wa A321/A330 Duration

2lpm for 120 minutes

4lpm for 60 minutes

AED preflight:

1. Bracket is locked

2. Green seal - unit has been serviced and is operable

3. No seal/ red deal - unit needs to be serviced, notify FFA

4. No beeping sound

5. Status indicator light is flashing green every 5-10 seconds

AED operation

1. Turn ON (press green on/off button)

2. Follow voice prompts

3. To remove pads:

   1. Pull the green handle on the bottom of case to expose the green tab on the Pad-Pak

   2. Pull the green tab to access the pads

4. Remove the pads and place as shown in the diagram on the unit

   1. If the apply pads message is repeated, check to ensure that excess moisture and hair is removed from the PAX

5. During CPR, the AED will play an audible beep and the Safe to Touch icon will flash at 100 beats per minute as a guide on how frequently to compress a PAX’s chest

6. DO NOT turn AED off until emergency medical personnel remove the PAX from the AC

Protect kit preflight

1. Presence

2. Tamper seal intact

3. Check expiration date, if expired notify the FFA

What is the FAs role in first aid situation?

To provide basic first aid until professional medical personnel can take over as directed by MedLink

The FAs role in a first aid situation is not to ____

Diagnose a persons condition or to prescribe medical treatment

Medical emergency action chart ARPSM

1. ASSESS the scene for safety

2. Communicate and coordinate with crewmembers - establish FA ROLES in a medical emergency

3. Conduct PRIMARY survey

4. Conduct SECONDARY survey

5. Initiate contact with MEDLINK

Where are medical alert tags worn

Neck or wrist

medical alert tags indicate important information such as:

Medical conditions

Drug of food allergies

Medicines taken

Emergency contacts

FAs are not to _______ or ________ any medication, only making is available if requested

What is the procedure for over the counter Medication use from the PSK?

1. MedLink does not have to be notified when over the counter medicines from the PSK are going to be used

2. Over the counter medicines are found in the PSK on board each AC

3. If guardian requests onboard medication, give it to the guardian to administer to the child

4. Notify the FFA that over the counter medications were provided to a PAX

In a non-emergency situation can a PAX with documented medical needs be allowed to use their own needle/syringe medications?

Yes

As an FA can you accept PAX medication for safekeeping?

No

If a PAX needs to have medication cooled, what should you do

Offer them ice to keep with them at their seat

Universal precautions refers to the practice of ___

Avoiding contact with a persons blood or other potentially infectious materials by means of wearing personal protection equipment such as gloves, goggles, face shields, etc

Define a communicable disease

Contagious, infectious disease which can be transmitted from one person to another by infectious bacteria or organisms

What are the possible symptoms of communicable diseases

1. fever

2. Rash

3. Difficulty breathing

4. Persistent vomiting

5. Change in level of consciousness

6. Reduced mental clarity

7. Swollen glands

8. Severe headaches and stiff neck

9. Persistent diarrhea

10. Persistent cough

11. Shortness of breath

12. Yellow color to skin and whites of eyes

Presence of a communicable disease cannot be confirmed until ill person is _____

Diagnosed by a medical facility

What is the procedure for a crewmember was potentially exposed to an ill person suspected of having a communicable diesease

1. Keep IF absence management informed of your health condition during incubation person identified by health authority

1. Prior to departure if you suspect a PAX of having a communicable disease what should you do

1. notify the FFA who will notify the PIC and contact the Agent to determine acceptance for travel with MedLink

During flight if you suspect a PAX of having a communicable disease what should you do

1. notify PIC and initiate contact with MedLink

2. Complete MedLink patch checklist

   1. Have PK ready

3. MedLink may request

   1. Symptoms

   2. Pax non us travel history

   3. Temperature

4. If MedLink suggests measure to prevent the spread of germs

   1. Isolate the ill pax from the other pax

   2. Provide the ill pax with mask, tissue, plastic wrap

   3. Designate a lav for the sole use by the ill PAX locking it off to prevent its use by others

5. Continue to keep PIC updated

6. Place any discarded items in a biohazard bag prior to landing

Following a medical emergency, once PAX are off the AC, FAs will perform another _________ to make sure required _____ is on board

Preflight inspection

EE

If any discrepancies are found within the EE who should you notify

FFA who will notify PIC

Who is called To replace a missing or used EE

Maintenance

Initial response to a medical emergency

1. Assess scene for safety

2. Identify self

3. Consent

4. Establish FA roles

Conduct primary surgery

Check for responsiveness and breathing. If PAX appears unresponsive tap and ask are you okay

When conducting primary survey for an infant what should you do

Tap bottom of foot and shout loudly

When conducting the primary survey if you determine the situation to be life threatening what should you do?

Begin cpr or first aid asap

When conducting the primary survey if you determine that the situation is not life threatening what should you do?

Conduct a secondary survey

Secondary survey:

Utilize the MedLink patch checklist

Request medical history

Comfort and reassure the person and travel companions

When should MedLink be contacted

Anytime there is a medical situation or emergency within the fate area, during a flight, or to determine if a pax is sit to fly

What information should you immediately report to MedLink: NAGHPS

1. Gender

2. Name

3. Age

4. Pax’s medical HISTORY

5. Name of PHYSICIAN on board

6. SYMPTOMS leading to complaint of PAX

What information should you immediately report to PIC: CAGS

1. Complaint

2. Age

3. Gender

4. Seat belt sign be turned on

Inflight medical emergency procedure:

1. Notify PIC of situation and initiate contact with MedLink

2. Request medical assistance via PA, request medical qualifications

3. Continue procedures per MedLink instructions

4. Upon arrival ensure pax remains seated so medical personnel can board and assist the ill PAX

The MedLink patch check list is a tool to

Simplify communication from the cabin to the PIC or MedLink during medical emergencies

On the MedLink patch checklist what info does MedLink require

1. Flight number and route

2. Pax name and or seat number, gender, age

3. PAX’s chief complaint or symptoms

4. If a medical responder is involved and their profession

5. medical history relevant to symptoms

6. Medications

7. Allergies to meds or food

8. General level or consciousness or distress

9. Vital signs in order of importance; pulse, respiration rate, blood pressure, temp

10. First aid equipment used

SATCOM 787 location

1. Initiated by the FD

2. Connected to the cabin interphone via a conference call between MedLink, FD, and FAs

SATCOM 787 operation

1. Notify pic of medical even and to patch in MedLink

2. Pic will connect cabin interphone by

   1. Pic may call specific FA interphone nearest the medical event

      1. FAs must pick up and remain on the conference call with MedLink and FD

   2. Pic use all call to call all fas

      1. All fas pick up interphones

      2. Fa nearest medical event must pick up and remain on conference call with FD and MedLink

      3. FAs not near medical event can reset or hang up

   3. Pic is able to monitor the conference call

SATCOM a321 location

Wireless

Above 4R J/S

SATCOM A321 operation: POWER for 3 CMC

1. Remove the wireless handset from the docking station

2. Press and hold the power button for 3 seconds

3. Select contacts from main menu

4. Select MedLink

5. Press call button

6. When call is complete press power button for three seconds to turn off wireless headset

7. Return headset to the docking station

SATCOM a330 location

FWD IFE control panel

AFT galley bulkhead A/C R

SATCOM a330 operation

1. Remove satcom device by pressing top of phone to release device from its house

2. Press the green ON button

3. The screen prompt will ask the user if he wants to make a call; press OK

4. Press *01 to call MedLink

5. Press OK after failing MedLins number

What is the compression rate for cpr

30 compressions at a rate of 100 per minute

Compression ratio for adult, child, infant

30/2

Compression depth for adult

2 to 2.4 inches

Compression depth for a child

2 inches

Compression depth for a infant

1.5 inches

After cpr if the patient is breathing on their own place them in recovery position to ___

Keep their airway open and prevent choking in the event they vomit

In recovery position the person should always be facing ________ and on their ______ side

Toward you

Left

Recovery position

1. Support the head and shoulders while turning them on side

2. Place the lower arm above head

3. Place the upper arm under chin

4. Place legs in flexed position

   1. Turn to opposite side after 30 minutes is there are signs on loss of circulation

5. Monitor persons condition

FAs are ________ to officially state the condition of a persons health

Not qualified

The person should be considered ______ and resuscitation efforts shall continue through landing unless:

Unconscious

1. Advised by MedLink

2. Fa is too exhausted to continue

3. Relieved by another trained individual

A person ______ be declared deceased on baord an AC

May not

are medical personnel on board an ac license to practice medicine

No

When can a PAX be declared deceased

Only upon arrival medical personnel can make that determination

Upon report of apparent death :

Notify MedLink

Request medical assistant and medical qualifications

Continue attempts to resuscitate

Follow MedLink instructions

Note the position and time when the apparent death was reported

Not the name of person making report

identity of apparent deceased person

Determine identities of nearby pax

PIC will advice dispatch that there is a person who appears to be deceased

1. Name and seat #

2. Destination station

Gather facts from people who traveled with pax

1. Are they family members

2. Were they aware person was ill

3. Was the person under physician care

4. Symptoms or complaints

5. Obvious cause of apparent dearth

Considerations for a continuation of flight :

Safety and welfare of other pax

Coordination amongst pax, pic, MedLink, dispatch

An apparent deceased person may not occupy which seats For landing

Exit seat

Aisle seat

How should an apparent deceased person be secured

In a seat belt and covered with a blanket

Considerations for a unscheduled landing

PRIORITIZE THIS

Unable to relocate pax away from decesased person

Other pax or fa in distress

Apparent death may be homicide

Evidence of contagious disease

Deceased person is a FA

Upon arrival with apparent deceased person

1. Do not move person until given permission by local authorities

2. Personal property turned into traveling party or if traveled alone local station

3. Fa remain on ac until local authorities arrive

4. Fa submit completed MedLink patch checklist and IF incident report

Cabin crews are _____ to perform ______ attempts Because the company is unable to determine the validity of _______

Obligated

Resuscitation

DNR orders

Used oxygen bottles must be returned and stowed ___

In their exact locations

the FFA will presort the use of portable oxygen bottles to

Pic

Notify the pic of ________

Number of bottles used

Exact location of bottles dispensed

Dangerous goods regulations prohibit pax from

Carrying their own o2 on board ac

are PAX permitted to use their own approved POC onboard the AC

yes

POC device may be used when

during all phases of flight

if a POC is being used during taxi, takeoff, and landing, where are they prohibited

bulkhead

exit seats

lie flat seats

the PIC must be notified that a POC device is

spare battery location, its presence and that it will be used in flight

If a PAX brings a POC the FFA will obtain the ______from from the agent and indicate the _____ of the POC

in cabin lithium battery notification

PAX are required to have ____ spare battery life based on the scheduled flight time

150%

PAX are limited to bring up to _______spare batteries each in the _______ Wh Range

2

101-160

the spare battery are to be placed where?

outboard OHB adjacent to the PAX

spare batteries must be packed

separately

can POC be connected to AC power outlets at any time

no

if a pax is using the poc during TTL what seat must the PAX sit in

a seat with approved stowage location beneath the seat in front of them

when not in use the POC can be stowed where during TTL

stowage area underneath seat in front of them

OHB

can a POC be stowed in an OHB when in use

no

symptoms of cardiac arrest

unresponsive

not breathing / not breathing normally

no pulse or weak pulse

primary survey for cardiac arrest

1. tap and shout “are you okay” (Assessor)

2. if the pax is unresponsive and not breathing notify the pic, contact medlink, request medical assisstance (communicator)

3. get the aed, mask, and gloves (runner)

4. scan the chest for normal breathing for 5-10 seconds

CPR treatment:

Position person __________ on __________, __________ surfac

face up, firm, flat

Begin CPR, starting with __________.

compressions

Place the __________ of one hand over the __________ of the pax’s chest, then place the __________ hand on top of the first hand, __________ fingers together.

heel, center, other, lacing

Keep __________ straight and locked. Position the __________ directly over the hands.

elbows, shoulders

Give __________ compressions at a rate of ____ per minute.

30

100 - 120

Allow __________ __________ after each compression.

full recoil

Continue CPR until the __________ arrives.

AED

Turn on AED and follow __________.

prompts

One person prepares AED while the other continues __________.

CPR

Continue CPR as instructed by AED until pax shows obvious __________ of _________, _____ or doctor advises against, or another trained individual takes over.

signs of life

medlink