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Objectives
We will be able to describe the steps of the primary (R.B.B.P.) and secondary checklists (D.O.T.S.).
I will be able to describe and demonstrate the steps of adult CPR.
I will be able to demonstrate how to perform the Heimlich maneuver.
Journal #2
Part 1: Describe a time where you were involved in an emergency situation and called 9-1-1. If you’ve never called 9-1-1 before, name at least 3 situations where you should call 9-1-1.
Part 2: What does the following letters stand for?
N.L.W.N.V
Heart Attack and Cardiac Arrest
• A heart attack occurs when heart muscle tissue dies.
https://www.youtube.com/watch?v=n8P3n6GKBSY
• Cardiac arrest results when the heart stops beating.
Caring for Cardiac Arrest
• Chain of survival– Recognition and action– CPR– Defibrillation– Advanced care– Post-arrest care
Performing CPR
• Check for responsiveness.
• Call 9-1-1.
• Check for breathing.
• CPR if unresponsive and not breathing– Chest compressions– Rescue breaths
© Berta A. Daniels, 2010
Chest Compressions (1 of 3)
• 2 hands for adults• 1 or 2 hands for a child• 2 fingers for an infant• Compression depth
– Adult and child: 2 inches– Infant: 1½ inches
(1/3 depth of the chest)• Compression rate
– At least 100 per minute– 30 compressions in
18 seconds
© Berta A. Daniels, 2010
Chest Compressions (2 of 3)
• Location– Adult and child: center of chest between nipples
– Infants: just below nipple line
• Cycles of 30 compressions and 2 breaths until:– AED becomes available.
– Victim shows signs of life.
– EMS takes over.
– You are too tired to continue.
Chest Compressions (3 of 3)
• Chest compressions alone are an acceptable alternative.
• Provide continuous chest compressions.
© Berta A. Daniels, 2010
Staying Alive
https://www.youtube.com/watch?v=n5hP4DIBCEE
Rescue Breaths
• After every 30 compressions:– Tilt the head and lift
the chin.– Close the nose.– Give 2 breaths.– See the chest rise.
© Berta A. Daniels, 2010
Airway Obstruction
• Mild blockage– Coughing forcefully
• Severe/complete blockage– Weak, ineffective cough – Unable to breathe or speak
• Common causes of obstruction– Tongue, vomit, foreign body, swelling, spasm
Caring for Airway Obstruction (1 of 5)
• Responsive adult or child: Heimlich maneuver– Abdominal thrusts just
above navel– Perform thrusts until object
is removed or victim is unresponsive.
– Chest thrusts for larger or pregnant victims
Caring for Airway Obstruction (2 of 5)
• Responsive infant– Support infant’s head and lay infant’s face
down over your forearm and thigh.– Give 5 back blows.– Roll infant face-up.– Give 5 chest thrusts.
Caring for Airway Obstruction (4 of 5)
• Unresponsive adult or child, if breath fails to go in:– Retilt the head.– Reattempt breath. – Give 30 chest
compressions.– Check airway.– Remove object if visible. © Berta A. Daniels, 2010
Caring for Airway Obstruction (5 of 5)
• Unresponsive infant, if breath fails to go in:– Retilt the head.– Reattempt breath.– Give 30 compressions.– Check the airway.– Remove the object if
visible.