CPR (CARDIOPULMONARY RESUSCITATION): BSIP: Body Substance Isolation Precaution – Required to first aid responder to practice strict infection control t isolate or prevent risk of exposure from body secretions (Blood & Body fluids = Blood, urine, feces, tears etc. are infectious) PPE: Personal Protective Equipment – “Barriers to prevent transfer of microorganisms and prevent injury. – Gowns – Gloves – Caps – Mask – Goggles/Face Shield – Shoe Cover DCAPBTLS: D – Deformity (malformation C – Contusion (bruise) A – Abrasion (scrape, scratch) P – Puncture (pierce, stab) B – Burn (injury from flame) T – Tenderness (inflammation) L – Laceration (deep cut, tear) S – Swelling (lump, enlargement) When to STOPS the CPR? S – Spontaneous Signs of Life (Breathing and Circulation) T – Turn over to EMS (Emergency Medical Services) O – Operator is exhausted P - Physician assumes responsibility Give 5 cycles of 30 compression and 2 ventilations each cycle. Total: 150 compressions and 10 ventilations (blow) Compression Area Adult (13 years old and above) Center of the chest (in lower half sternum) Child (1 to 12 years old): Center of the chest (on lower half of sternum) Infant (Under 1 yr. old) Center of the chest (on lower half sternum just below nipple line) Dept of Compression: Adult: 1.5 to 2 inches (5cm) Child: 1 to 1.5 inches Infant: 0.5 to 1 inch Speed: (Adult, Child and Infant) at least 100 compressions per minute Performing CPR: 0-4 minutes: can revive the brain 5 minutes: brain damage Greater that 10 minutes: brain dead CPR FOR ADULTS Survey The Scene “I have my BSI ON. The scene is safe. I have 1 victim her. My name is ___________ First responder. Can I help? Check Responsiveness “Hey, hey are you OK? (2x). the victim is unresponsive. Girl with white shirt, please activate EMS as I assess the victim” Check Airway (Maximal Head Tilt – Chin Lift) for Adult “The mouth and nose are clear. No obstruction seen” Check Breathing LLF (Look, Listen, Feel) – Check the Pulse on the CAROTID. “1, 1002 1003 1004 1005 1006 1007 1008 1009 10010” “Negative (-) Pulse * Negative (-) Breathing. Please follow up EMS as I do CPR” 5 Cycles: 30 Chest Compression & 2 Ventilation (M-M, Pinch Nose & LLF) “1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 1 2 3 4 5 6 7 8 9 and 1” Give Ventilation 2x & LLF: “1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 1 2 3 4 5 6 7 8 9 and 2” Give Ventilation 2x & LLF: “1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 1 2 3 4 5 6 7 8 9 and 3” Give Ventilation 2x & LLF: “1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 1 2 3 4 5 6 7 8 9 and 4” Give Ventilation 2x & LLF: “1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 1 2 3 4 5 6 7 8 9 and 5” Give Ventilation 2x & LLF: Check Breathing LLF (Look, Listen, Feel) – Check the Pulse on the CAROTID. “1, 1002 1003 1004 1005 1006 1007 1008 1009 10010” Positive (+) Pulse “Negative (-) Breathing. Follow – Up EMS as I do Rescue Breathing” Blow 1 1002 1003 1001 Blow 1 1002 1003 1002 Blow 1 1002 1003 1003 Blow 1 1002 1003 1004 Blow 1 1002 1003 1005 Blow 1 1002 1003 1006 Blow 1 1002 1003 1007 Blow 1 1002 1003 1008 Blow 1 1002 1003 1009 Blow 1 1002 1003 1010 Up to 1024 Check Breathing LLF (Look, Listen, Feel) – Check the Pulse on the carotid. “1, 1002 1003 1004 1005 1006 1007 1008 1009 10010” “Positive (+) Pulse * Positive (+) Breathing. Please follow up EMS as I Do recovery position”. Assist the Victim in side lying position towards you. Perform a back massage “1,1002 1003 1004 1005 1006 1007 1008 1009 10010” NO BLOOD, NO DCAPBTLS CPR FOR INFANT Survey the Scene “I have my BSI ON. The scene is safe. I have 1 victim here. My name is_______ First responder. Can I help? Check Responsiveness “Hey, hey are you OK? (2x). the victim is unresponsive. Girl with white shirt, please activate EMS as I assess the victim” Check Airway (Neutral Plus position) for Infant “The mouth and nose are clear. No obstruction seen” Check Breathing LLF (Look, Listen, Feel) – Check the Pulse on the BRACHIAL. “1, 1002 1003 1004 1005 1006 1007 1008 1009 10010” “Negative (-) Pulse * Negative (-) Breathing. Please follow up EMS as I do CPR” 5 Cycles: 30 Chest Compressions & 2 Ventilation (M-M&N, No Nose Pinch & LLF) “1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 1 2 3 4 5 6 7 8 9 and 1” Give Ventilation 2x: “1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 1 2 3 4 5 6 7 8 9 and 2” Give Ventilation 2x: “1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 1 2 3 4 5 6 7 8 9 and 3” Give Ventilation 2x: “1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 1 2 3 4 5 6 7 8 9 and 4” Give Ventilation 2x: “1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 1 2 3 4 5 6 7 8 9 and 5 Give Ventilation 2x: Check Breathing LLF (Look, Listen, Feel) – Check the Pulse on the BRACHIAL. “1, 1002 1003 1004 1005 1006 1007 1008 1009 10010” “Positive (+) Pulse * Negative (-) Breathing. Please follow up EMS as I do Rescue Breathing” 40 breaths for 2 minutes (1 breath every 3 seconds) Blow 1 1001 Blow 1 1002 Blow 1 1003 Blow 1 1004 Blow 1 1005 Blow 1 1006 Blow 1 1007 Blow 1 1008 Blow 1 1009 Blow 1 1010 Up to 1040 Check Breathing LLF (Look, Listen, Feel) – Check the Pulse on the BRACHIAL. “1, 1002 1003 1004 1005 1006 1007 1008 1009 10010” “Positive (+) Pulse * Positive (+) Breathing. Please follow up EMS as I Do recovery position”. Assist the Victim in side lying position towards you. Perform a back massage (circling motion) “1,1002 1003 1004 1005 1006 1007 1008 1009 10010” NO BLOOD, NO DCAPBTLS