CPR - Paradise First Aid

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Perform CPR
National Unit of Competency
HLTCPR201B – Perform CPR
Paradise First Aid Pty Ltd – Registered Training Organisation 32268
© Copyright Paradise First Aid Pty Ltd
12/02/2012 V3.3
Course Induction & Housekeeping
 Emergency Exits
 Mobile Phones
 Breaks
 Refreshments
 Smoking
 Toilets
 Certification
 Assessment
 Policies & Procedures
 Enjoy!
= Picture of real/makeup injury on next slide
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12/02/2012 V3.3
Legal Considerations
First-aiders could be expected to;
1: Act in accordance with their level of training and do so to the best of their ability
2: Stabilise the casualty until advanced assistance is available
3: Maintain a consistent level of training
 Scope of Practice
 First Aid Code of Practice 2004 (Qld)
 Duty of Care / Obligation
 Consent
 Recording
 Negligence
© Copyright Paradise First Aid Pty Ltd
12/02/2012 V3.3
What is First Aid?
Immediate and temporary treatment of
a person of sudden illness or injury while
awaiting the arrival of medical aid
Basic lifesaving skills
Doing the best you can with the resources you have
© Copyright Paradise First Aid Pty Ltd
12/02/2012 V3.3
What is First Aid?
 Culturally aware, sensitive and respectful
 Reassuring
 Confidentiality
 Skills & Limitations
 Australian Resuscitation Council
 Debriefing
© Copyright Paradise First Aid Pty Ltd
12/02/2012 V3.3
Perform a Scene Survey
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12/02/2012 V3.3
Emergency Action Plan
 D – Danger
 R – Response
DRS ABCD
Help
 S – Send
Defibrillator
 A - Airway
 B - Breathing
 C – CPR
 D – Defibrillation
© Copyright Paradise First Aid Pty Ltd
12/02/2012 V3.3
Danger & Safety
Hazard – A source or situation with the potential for harm in terms
of human injury or ill-health, damage to property, the environment,
or a combination of these.
Risk – The potential of the hazard being realised
 Environmental / Physical Dangers
Fire, fumes, fuel, electricity, gas, trip & slip hazards, visibility,
sharp objects, chemicals, bystanders/relatives,
 Communicable Diseases
Diseases or infections transmitted by bodily fluid or touch
 Manual Handling
Always follow safe manual handling practices when dealing with first
aid situations. Use help to lift if available
© Copyright Paradise First Aid Pty Ltd
12/02/2012 V3.3
Response
Is the casualty conscious or unconscious?
“Talk & Touch”
COWS
C – Can you hear me?
O – Open your eyes
W – What’s your name?
S – Squeeze hands / shoulders
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Send for Help
000 – Emergency number for all emergency
services in Australia
112 – International standard emergency number
106 – Text emergency number (deaf)
ICE – In Case of Emergency (mobile phone)
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Airway
 Remember ‘pistol grip’
 Check the mouth before performing head tilt / chin lift
 Clear the mouth of foreign material if required
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12/02/2012 V3.3
Breathing
“Look, Listen & Feel”
for NORMAL BREATHING
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12/02/2012 V3.3
Recovery Position
All casualties who are unconscious and
breathing normally must go into the recovery
position regardless of their injuries.
Important Points
 Head must have full head tilt
 Face should be angled towards the floor
Spinal Injuries – Use the spinal log roll if possible
© Copyright Paradise First Aid Pty Ltd
12/02/2012 V3.3
Important note – Pregnant women must be rolled on to their left side
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12/02/2012 V3.3
Cardiac Arrest
When to Start CPR
 Unresponsive
 Not Breathing Normally
Always ensure that the ambulance has been called
before commencing CPR
© Copyright Paradise First Aid Pty Ltd
12/02/2012 V3.3
What is CPR?
Cardiopulmonary Resuscitation
its purpose is to maintain a flow of oxygenated blood to
the brain and the heart, thereby delaying tissue death
and extending the brief window of opportunity for a
successful resuscitation without permanent brain
damage. Defibrillation and advanced life support are
usually needed to restart the heart.
© Copyright Paradise First Aid Pty Ltd
12/02/2012 V3.3
CPR
Ratio
30 Compressions - 2 Breaths
Depth
1/3 the depth of chest
Rate
100 min
Same for Adults, Children & Infants
© Copyright Paradise First Aid Pty Ltd
12/02/2012 V3.3
CPR
If during CPR…
 the casualty starts to breath normally
- put the casualty into the recovery position
- monitor airway and breathing
 the casualty vomits or regurgitates
- put the casualty on their side and clear the mouth
- reassess breathing
- continue CPR if needed
© Copyright Paradise First Aid Pty Ltd
12/02/2012 V3.3
CPR
If you are unable or unwilling to give rescue breaths,
do chest compressions only.
“Any attempt at resuscitation is
better than no attempt”
© Copyright Paradise First Aid Pty Ltd
12/02/2012 V3.3
When to Stop CPR
 Another first aider takes over
 Professional help arrives
 The casualty starts to breath normally
 The situation becomes too dangerous to continue
 You become too exhausted to continue
 A medical Doctor tells you to stop
© Copyright Paradise First Aid Pty Ltd
12/02/2012 V3.3
CPR Practical
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12/02/2012 V3.3
Children & Babies
 Children 1 – 8yrs
 Infants 0 – 1yrs
Ratio
30 Compressions - 2 Breaths
Depth
1/3 the depth of chest
Rate
100 min
© Copyright Paradise First Aid Pty Ltd
12/02/2012 V3.3
Chain of Survival
Early Access
(call for help)
Early CPR
Early
Defibrillation
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Early ALS
Defibrillation
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Choking
Mild Airway Obstruction Treatment
 Reassure the casualty
 Encourage the casualty to lean forward
 Encourage the casualty to keep coughing
 Call 000/112 if object is not clearing
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12/02/2012 V3.3
Choking
Severe Airway Obstruction Treatment
 Call 000/112 quickly, but attend to the casualty first if
alone
 Give up to 5 firm back blows between the shoulder
blades
 If unsuccessful – give up to 5 chest thrusts
 If casualty becomes unconscious, start CPR
© Copyright Paradise First Aid Pty Ltd
12/02/2012 V3.3
Choking – Children & Babies
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Clinical Waste
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Questions
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12/02/2012 V3.3
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