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American Red Cross First Aid Instructor's Manual CPR AED


  • First Aid/CPR/AED Instructors Manual

    First A




    D | Instructors M


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    apetryTypewritten TextM-080-2014.IN

  • American Red Cross First Aid/CPR/AED

    Instructors Manual

  • This instructors manual is part of the American Red Cross First Aid/CPR/AED program. Visit redcross.org to learn more about this program.

    The emergency care procedures outlined in this book reflect the standard of knowledge and accepted emergency practices in the United States at the time this book was published. It is the readers responsibility to stay informed of changes in emergency care procedures.


    The downloadable electronic materials, including all content, graphics, images and logos, are copyrighted by and the exclusive property of The American National Red Cross (Red Cross). Unless otherwise indicated in writing by the Red Cross, the Red Cross grants you (recipient) the limited right to download, print, photocopy and use the electronic materials, subject to the following restrictions:

    The recipient is prohibited from reproducing the materials for any reason.

    The recipient is prohibited from creating electronic versions of the materials.

    The recipient is prohibited from revising, altering, adapting or modifying the materials.

    The recipient is prohibited from creating any derivative works incorporating, in part or in whole, the content of the materials.

    The recipient is prohibited from downloading the materials and putting them on their own website without Red Cross permission.

    Any rights not expressly granted herein are reserved by the Red Cross. The Red Cross does not permit its materials to be reproduced or published without advance written permission from the Red Cross. To request permission to reproduce or publish Red Cross materials, please submit your written request to The American National Red Cross.

    Copyright 2014 by The American National Red Cross. All rights reserved.

    The Red Cross emblem, American Red Cross and the American Red Cross logo are trademarks of The American National Red Cross and protected by various national statutes.

    Published by StayWell Health & Safety Solutions

    Printed in the United States of America

    ISBN: 978-1-58480-625-7

  • This manual is dedicated to the thousands of employees and volunteers of the American Red Cross who contribute their time and talent to supporting and teaching life-saving skills worldwide and to the thousands of course participants and other readers who have decided to be prepared to take action when an emergency strikes.

    This manual reflects the 2010 Consensus on Science for CPR and Emergency Cardiovascular Care (ECC) and the Guidelines 2010 for First Aid. These treatment recommendations and related training guidelines have been reviewed by the American Red Cross Scientific Advisory Council, a panel of nationally recognized experts in fields that include emergency medicine, occupational health, sports medicine, school and public health, emergency medical services (EMS), aquatics, emergency preparedness and disaster mobilization.

    The American Red Cross First Aid/CPR/AED Instructors Manual was developed through the dedication of both employees and volunteers. Their commitment to excellence made this manual possible.


    Acknowledgments iii

    the american red cross team for this edition included:

    Guidance and support were provided by the following individuals:

    Jean ErdtmannSenior DirectorProgram Development and Sales Support

    Jennifer DeibertManagerProgram Development

    Ted T. Crites, CHES Manager, Technical Development First Aid, CPR, AED Programs

    John HendricksonProject ManagerSales Support

    Gina GunnProject ManagerSales Support

    Erich EricsonSenior AssociateProgram Development

    Don LauritzenSenior AssociateOperations

    Cheryl MurraySenior AssociateProgram Development

    Lindsay ODonnell, CHESSenior AssociateProgram Development

    Mark SchrafSenior AssociateBusiness Planning

    John ThompsonSenior AssociateProgram Administration

    Adreania TolliverSenior AssociateProgram Development

    Laurie Willshire, MPH, RNSenior AssociateProgram Administration

    Wendy Moltrup, CHESAssociateProgram Development

    Charles SnyderAssociateProgram Development

    Jack McMasterPresidentPreparedness and Health and Safety Services

    Scott ConnerSenior Vice PresidentPreparedness and Health and Safety Services

    Don VardellNational ChairPreparedness and Health and Safety Services

  • iv First Aid/CPR/AED | Instructors Manual

    the following members of the american red cross scientific advisory council also provided guidance and review:

    David Markenson, MD, FAAP, EMT-PChair, American Red Cross Scientific Advisory CouncilChief, Pediatric Emergency MedicineMaria Fareri Childrens HospitalWestchester Medical CenterValhalla, NY

    Jonathan L. Epstein, MEMS, NREMT-PVice Chair, American Red Cross Scientific Advisory CouncilNortheast EMS, Inc.Wakefield, MA

    Richard N. Bradley, MD, FACEPCPR Subcouncil Chair, American Red Cross Scientific Advisory Council Associate Professor of Emergency MedicineUniversity of Texas Medical School at HoustonHouston, TX

    Jeffrey Pellegrino, PhD, EMS-I, EMTFirst Aid Subcouncil Chair, American Red Cross Scientific Advisory CouncilAssistant Director Faculty Professional Development CenterKent State UniversityKent, OH

    David C. Berry, PhD, ATC, EMT-BMember, American Red Cross Scientific Advisory CouncilAssociate Professor of Kinesiology and Athletic Training Education Program DirectorSaginaw Valley State UniversityUniversity Center, MI

    Nancy MonahanPresident

    Sunil BhedaSenior Vice PresidentProduct Development

    Paula BattVice PresidentSales and Client Services

    David CaneManaging Editor

    Danielle DiPalmaEditorial Director

    Laura ScottSenior Content Manager

    Michelle ClarkSenior Graphic Designer

    Maureen PanczaEditorial Project Manager

    the stayWell team for this edition included:

    the sounding Board for this edition included:

    George BradbySenior Safety EngineerNorthrup Grumman ShipbuildingHampton Roads Chapter, American Red CrossCarrollton, VA

    Nathan DeeterHR Training Specialist The Arc of Anchorage Anchorage, AK

    Laura JacksonCPR and First Aid Program ManagerGreater Kansas City Chapter, American Red CrossKansas City, MO

    Karen PoundsAssistant Director, Health and Safety ServicesGreater Houston Area Chapter, American Red CrossPearland, TX

    Janet ReedTraining SpecialistAmerican Red Cross of Central MassachusettsWestboro, MA

    William M. SnellingIT/Chair Instructional Support CommitteeSoutheastern Pennsylvania Chapter, American Red CrossPhiladelphia, PA

    Danielle GahlInstructional Programs ManagerAmerican Red Cross Serving King and Kitsap CountiesSeattle, WA

    Timothy ArchuletaHealth and Safety OfficerAmerican Red Cross of Greater Los AngelesLos Angeles, CA

    Lynne OsborneManager of Workplace ProgramsSoutheastern Michigan Chapter, American Red CrossDetroit, MI

  • Table of Contents v

    Purpose of the Program ____________________________1

    Program Participants _______________________________1

    Instructor Responsibilities __________________________1

    American Red Cross Resources _____________________2

    Program Courses and modules ______________________3

    Program Content __________________________________3

    Criteria for Course Completion and Certification _______3

    Participant materials _______________________________4

    Resources and materials for Instructors ______________4

    Instructional Design Elements in the First Aid/CPR/AED Program ________________________7

    Recommended Class size _________________________ 11

    Course Times ____________________________________11

    Classroom space _________________________________11

    Class safety ______________________________________13

    Health Precautions for Course Participants __________13

    Participants with Disabilities and other Health Considerations _____________________________14

    Program modifications for Different settings _________14

    lesson 1 Before giving Care and Checking an Injured or Ill Person __________________ 17

    lesson 2 Cardiac Emergencies and CPR ___________25

    lesson 3 AED ___________________________________33

    lesson 4 Breathing Emergencies _________________41

    lesson 5 sudden Illness _________________________49

    lesson 6 Environmental Emergencies _____________53

    lesson 7 soft Tissue Injuries _____________________57

    lesson 8 Injuries to muscles, Bones and Joints _____63

    lesson 9 Conclusion ____________________________71

    sECTIon A


    sECTIon B

    sECTIon C



    the FIrst aId/cPr/aed ProGraM

    Appendix A: Activity Resources ___________________83

    Appendix B: Course outlines _____________________99

    Appendix C: Health Precautions and guidelines During Training _____________________103

    Appendix D: master Checklist of Program materials, Equipment and supplies _____________105

    Appendix E: Teaching strategies _________________107

    Appendix F: Criteria for Assessing Participants ____115

    Appendix g: AED Resource Information ___________119

    Appendix H: Video segments for the First Aid/CPR/AED Program _________125