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►►►
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These materials have been developed based on applicable federal laws and regulations in place at the time the materials were created. The program
is being provided for educational and informational purposes only and does not constitute and is not intended to provide OSHA compliance certification,
regulatory compliance, a substitute for any "hands on“ training required by applicable laws and regulations, or other legal or professional advice or
services. By accessing the materials, you assume all responsibility and risk arising from the use of the content contained therein.
©2010 Grainger Safety Services, Inc.
CPR for Lay Rescuers
►►►
These materials have been developed based on applicable federal laws and regulations in place at the time the materials were created. The program
is being provided for educational and informational purposes only and does not constitute and is not intended to provide OSHA compliance certification,
regulatory compliance, a substitute for any "hands on“ training required by applicable laws and regulations, or other legal or professional advice or
services. By accessing the materials, you assume all responsibility and risk arising from the use of the content contained therein.
©2010 Grainger Safety Services, Inc.
Learning Objectives
Objectives:
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Recognize the role of CPR
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Understand the current
guidelines for lay rescuer CPR
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Be prepared to manage other
issues that arise performing CPR
Agenda
Agenda:
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Overview
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CPR for lay rescuers procedure
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Companion issues
►Section 1
Overview of the
Issue
What is CPR?
Brain suffers from oxygen
starvation:
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Damage after four minutes
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Irreversible damage after seven
minutes
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Use CPR to “buy time”
CPR Facts and Statistics
According to the American Heart
Association (AHA):
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Coronary Heart Disease (CHD)
accounts for over 550,000 adult
deaths
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330,000 are due to Sudden
Cardiac Arrest (SCA)
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SCA causes 900 American
deaths daily
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SCA is often caused by
Ventricular Fibrillation (VF)
More CPR Facts and Statistics
CPR and AED benefits:
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Doubles survival rate
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Maintains vital blood flow
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Without CPR, survival chances
fall 10 percent per minute
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Defibrillation restores normal
heart rhythm and pumping
What Does OSHA Have to Say?
OSHA standards that require CPR training:
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1910.146 - Permit-required Confined Spaces
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1910.266 - Logging operations– First Aid and
CPR Training
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1910.269 - Electric Power
Generation, Transmission,
and Distribution
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1910.410 - Qualifications of
Dive Teams
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1926.950 - Construction of
Power Transmission and
Distribution Facilities
►Section 2
Lay Rescuer Adult
CPR Procedure
CPR Guidelines
CPR performance guidelines:
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Provide standard approach for
best results
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Changes intend to simplify CPR
CPR at Home
CPR at home:
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80 percent of cardiac arrests
happen at home
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CPR can mean the difference
between life and death
The Adult CPR Procedure
Basic CPR steps:
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Check responsiveness
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No response, call for help
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Tilt victim’s head back
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Provide two rescue breath’s
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Begin chest compressions
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Continue with 2 rescue breaths
and 30 compressions
2005 Guideline Changes
Guidelines changed in 2005:
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Published in 2005 issue of
American Heart Association
journal Circulation
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Publication available at
http://www.circulationaha.org
Rescue Breaths
Rescue breaths:
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Give each rescue breath
over 1 second
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Each rescue breath should make
the chest rise
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Rescue breaths and chest
compression in ratio of 30:2
Chest Compressions
Effective chest compressions:
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Perform at center of chest
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Push hard and fast
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Allow chest to recoil completely
after each compression
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Use equal compression and
relaxation times
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Limit interruptions
Chest Compression Ratios
Ratios:
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Chest compressions to rescue
breaths is 30 to 2
The Reality of Lay Rescuer CPR
Common consequences:
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Cracked ribs
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Victim to vomit
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CPR and defibrillation increases
recovery to approximately 80%
►Section 3
Companion
Issues
Companion Issues
Additional Issues:
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First aid kits
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Bloodborne pathogens
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Disinfection
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Medical waste
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Good Samaritan Laws
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Maintaining competency
First Aid Kits
The supplies should be:
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Adequate
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Reflective of occurring injuries
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Readily available for
emergency access
First Aid Kit Contents
American National Standards
Institute:
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ANSI Z308.1 - 2003, Minimum
Requirements for Workplace First
Aid Kits
► Homeland
Security National Terror
Alert Resource Center:
http://www.nationalterroralert.com/
readyguide/firstaidchecklis
Bloodborne Pathogens
Bloodborne pathogens:
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Any pathogenic microorganism
present in human blood or other
infections materials cause
disease
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Pathogenic microorganisms
cause diseases such as hepatitis
C, hepatitis B, AIDS, malaria,
syphilis
Bloodborne Pathogen Infection Rate
According to the CDC:
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75,000 infected with HBV
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3.9 million infected with HCV
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2.7 million chronically infected
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24-27% unaware of their
HIV infection
Disinfection
Workplace blood spill plan:
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Secure the area
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Access spill response kit
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Wear protective equipment
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Disinfect the area
Medical Waste Management
Medical waste:
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Solid or liquid waste presenting
a threat of infection
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Non-liquid tissue, body parts,
blood, blood products,
and body fluids
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Used absorbent materials
Good Samaritan Laws
Common features:
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No person is required to give aid
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Not given in exchange for reward
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Responder must not leave
the scene
Remaining Competent
CPR requires practice:
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Steps may be forgotten after
3 months
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Demonstrate technique to a
instructor
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OSHA does not specify
frequency of CPR training
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Undergo CPR retesting annually
Additional Information
Best Practices Guide: Fundamentals of a
Workplace First-Aid Program. US Department
of Labor. OSHA 3317-05N. 2006.
The American Red Cross
http://www.redcross.org
The American Heart Association
http://americanheart.org
2005 American Heat Association Guidelines for
Cardiopulmonary Resuscitation and Emergency
Cardiovascular Care. Published in the
December 13 2005 edition of the American
Heart Association Journal Circulation.