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 © Copyright Paradise First Aid Pty Ltd 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 © Copyright Paradise First Aid Pty Ltd 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 © Copyright Paradise First Aid Pty Ltd 12/02/2012 V3.3 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) © Copyright Paradise First Aid Pty Ltd 12/02/2012 V3.3 Airway Remember ‘pistol grip’ Check the mouth before performing head tilt / chin lift Clear the mouth of foreign material if required © Copyright Paradise First Aid Pty Ltd 12/02/2012 V3.3 Breathing “Look, Listen & Feel” for NORMAL BREATHING © Copyright Paradise First Aid Pty Ltd 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 © Copyright Paradise First Aid Pty Ltd 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 © Copyright Paradise First Aid Pty Ltd 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 © Copyright Paradise First Aid Pty Ltd 12/02/2012 V3.3 Early ALS Defibrillation © Copyright Paradise First Aid Pty Ltd 12/02/2012 V3.3 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 © Copyright Paradise First Aid Pty Ltd 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 © Copyright Paradise First Aid Pty Ltd 12/02/2012 V3.3 Clinical Waste © Copyright Paradise First Aid Pty Ltd 12/02/2012 V3.3 Questions © Copyright Paradise First Aid Pty Ltd 12/02/2012 V3.3