2. ADULT CPR / AED OBJECTIVE To give individuals in the workplacethe knowledge and skills necessaryto provide care for breathingemergencies, performcardiopulmonary resuscitation(CPR), and use an automatedexternal defibrillator (AED) forvictims of cardiac arrest. 3. EMERGENCY ACTION STEPS CHECK CALL CARE 4. EMERGENCY ACTION STEPS CHECK: scene and victim Life-threatening conditions Unconsciousness Persistent chest pain or discomfort Not breathing / trouble breathing No circulation Severe bleeding Seizure lasting more than 5 min. 5. EMERGENCY ACTION STEPS CALL 911 Responder alone, CALL FIRST, beforeproviding care for- Unconscious adult victim or child 8 yrs. orolder Unconscious infant or child known to be ata high risk for heart problems 6. EMERGENCY ACTION STEPS CALL 911 Responder alone: Provide 1 minutes of care, then CALL FASTfor: Unconscious victim less than 8 yrs. Old Victim of submersion / drowning Drug overdoses 7. EMERGENCY ACTION STEPS CARE: Provide proper care such as rescuebreathing/CPR/obstructed airway/carefor bleeding 8. LEGAL PROTECTION Good Samaritan Law Obtaining Consent 9. LEGAL PROTECTION Good Samaritan Law Enacted to give legal protection topeople who willingly provide emergencycare to injured persons withoutexpecting anything in return Requires responder to: Use common sense and a reasonable levelof skill 10. LEGAL PROTECTION cont. If a conscious victim does not grant youconsent, do not give care, but still call9-1-1 IMPLIED CONSENT A victim who is unconscious, confused, or seriously ill Victim would agree to have care given to him/her 11. LEGAL PROTECTION OBTAINING CONSENT The victim accepts your offer to help To obtain consent, conscious victim State your name Tell victim your training level Ask if you can help Explain what you plan to do 12. PREVENTING DISEASE TRANSMISSION FOLLOW BASIC PRECAUTIONS: Use protective equipment- disposablegloves/ breathing barriers Wash hands immediately after givingcare Avoid contact with victims blood/bodyfluids 13. PREVENTING DISEASE TRANSMISSION BLOOD SPILLS Disposable gloves Wipe up spill with an absorbentmaterial Use a mixture of 10-1 (water/bleach) Dispose of soiled supplies in abiohazard waste bag 14. BEFORE PROVIDING CARE Move an injured victim if:-scene becomes unsafe-You have to reach another victim who may have a more serious injury-Need to move victim to provide proper care (collapsed on a stairway) 15. VICTIM TRANSFERS Clothes drag Two-person seat carry Walking assist Blanket drag Foot drag 16. CALLING 9-1-1 Provide dispatcher with: Location Address Name What happened Number/condition of injuredDO NOT HANG UP UNTIL DISPATCHER DOES! 17. SHOCK Life-threatening condition in whichnot enough blood is being deliveredto all parts of the body 18. S & S of SHOCK Restlessness or irritability Pale, cool, moist skin Nausea and vomiting Blue tinge to lips/nail beds Rapid breathing/pulse Altered level of consciousness 19. CARE FOR SHOCK CALL 9-1-1 Monitor ABCs Keep victim from getting chilled/overheated ELEVATE LEGS ABOUT 12 INCHES ONLY IF YOUDO NOT SUSPECT HEAD/NECK, OR BACKINJURY 20. CHECKING FORCONSIOUSNESS Check scene and victim Tap victim on shoulder, ask Are youokay? If unresponsive call 9-1-1 21. Checking Conscious Victim Ask- what happened? Victim unable to give information, checkfor medical identification bracelet- Call911 Head to toe examination Care for conditions found/shock Monitor ABCs Explain to EMS victims condition 22. UNCONSCIOUS VICTIM Check scene/victim Tap victims shoulder- no response Call911 Look, listen and feel for breathing- 5 sec. Victim unconscious but breathing-place inrecovery position 23. Unconscious Cont. Cannot tell if victim is breathing Head tilt/chin lift 5 sec.Victim not breathing: 2 rescue breaths Breaths do not go in reattempt Breaths go in .check for circulation 10 sec(Find carotid artery)EMS and monitor 24. Rescue Breathing Victim not breathing but has a pulse Two slow breaths (2 sec.) with a briefpause in between 1 breath every 5 sec. Do not ventilate with more forcenecessary to cause the chest to expand Maintain head-tilt 25. Cardiac EmergenciesHeart Attack 26. Cardiac EmergenciesHeart Attack S&S Persistent chest pain Pain/discomfort in either arm that spreads to theshoulder, neck, jaw Nausea, shortness of breath, breathing trouble Sweating, changes in skin appearance Dizziness/unconsciousness 27. Cardiac Emergencies Cardiac Chain of Survival 1. Early recognition and early access 2. Early CPR 3. Early defibrillation 4. Early advanced life support 28. CPR Cardiopulmonary Resuscitation Purpose? CPR does not restart a victims heart; itkeeps blood that contains oxygenflowing to the brain and vital organsuntil an AED or advanced medicalpersonnel arrive. 29. CPR victim is not breathing and does not havea pulse Chest compressions combined with givingbreaths 30 compressions to 2 rescue breaths 30. CPR Continue CPR until: You feel signs of circulation AED is available Another trained responder takes over You are too exhausted to continue The scene becomes unsafe 31. UNCONSCIOUS CHOKING Care is similar to CPR with the exceptionthat a foreign object search isperformed between chest compressionsand breaths. Chest compressions force air into victimslungs to dislodge the object. 32. CONSCIOUS CHOKING Victim is conscious, but cannot cough,speak, or breath Get consent before giving care Assume airway is blocked Universal sign of choking Clutching throat with both hands 33. Conscious Choking Skill Perform 5 back blows/5 abdominal thrusts Stand behind and slightly to the side Place one arm diagonally across victims chest and lean the victim forward Firmly strike victim between shoulder blades with heel of hand 5 times Place thumb side of fist against middle of the abdomen just above the navel. Grasp fist with other hand and give 5 quick upward thrusts 34. Conscious choking Repeat 5 back blows/5 abdominalthrusts until- Object is expelled Victim starts to breathe or cough Victim becomes unconscious EMS personnel arrive 35. AED Automated External Defibrillator A machine that analyzes the heartsrhythm This shock, called defibrillation, mayhelp the heart reestablish an effectiverhythm 36. AED PRECAUTIONS Do not: Touch the victim while the AED isanalyzing or defibrillating Use alcohol to clean victims chest(flammable) Use an AED in a moving vehicle Use an AED on a victim lying on aconductive surface (metal) or water 37. AED PRECAUTIONS Do not: An AED on a child under 8 yrs. Orunder 55 pounds Use an AED on a victim (nitroglycerinpatch) remove patches Cellular phone/radio transmitter within6 feet of AED 38. OPERATION OF THE LIFEPAK 500 AED To prepare for ECG analysis anddefibrillation: 1.Verify that the patient is in cardiac arrest 2. Press ON/OFF to turn on the AED (thegreen LED will light). The CONNECTELECTRODES message and voice prompt willoccur until the patient is connected to theAED. 39. LIFEPAK 500 AED3. Prepare the patient for electrode placement: Place the patient on a hard surface away fromstanding water or conductive material. Remove clothing from the patients uppertorso. Remove excessive hair Clean the skin and dry it with a towel or gauze. Do not apply alcohol, or antiperspirant to theskin. 40. LIFEPAK 500 AED 4. Apply the electrodes to the patients chest. Place the (Heart) or + electrode lateral tothe patients left nipple with the center of theelectrode in the midaxillary line. Place the other electrode on the patientsupper right torso, lateral to the sternum andbelow the clavicle. Firmly press the electrode onto the patientschest to eliminate air pockets between the gelsurface and the skin. 41. LIFEPAK 500 AED 5. Connect the electrode connector to the AED(if it is not already connected) 6. Follow screen messages and voice promptsprovided by the AED. If the patient recovers consciousness and/orsigns of circulation and breathing return, placethe patient in the recovery position and leavethe AED attached. 42. LIFEPAK 500 AED Warnings and hazards: delivers up to 360 joules of electrical energy. If a person is touching the patient, bed, or anyconductive material in contact with the patientduring defibrillation, the delivered energy maybe partially discharged through that person. Air pockets between the skin and electrodes cancause patient skin burns. DO NOT repositionelectrodes once applied. If the position must bechanged, remove and replace with newelectrodes.