CPR
Recognizing Emergencies
Injuries resulted in 160,000 deaths in the
U.S. in 2003
List on your own as many different emergencies you can think of.
– Emergency: meaning the person probably needed to go to the hospital or 911 was called.
Emergencies
Car crash
Fire
Water emergencies
Weather emergencies
Poisoning
Cardiac emergencies
Choking
Breaks or fractures
Sever Bleeding
Unconscious
Not breathing
Seizures
Sports injuries
Falling from a height
Diabetic
Allergic reactions
Sudden Illness
Group Work
In groups of 2-3 people use 1 sheet of blank paper to list 3 examples under each category.
– Unusual Sights (Ex. Smoke)
– Unusual Appearances or Behaviors
(Ex. Clutched chest)
– Unusual Odors
– Unusual Noises
Recognizing Emergencies
Unusual Sights
Stopped vehicle on the road
Broken glass
Overturned pot in kitchen
Spilled medicine container
Downed electrical wires
Sparks, Smoke, Fire
Recognizing Emergencies
Unusual Appearances or Behaviors
Unconsciousness
Confused or Unusual Behavior
Trouble Breathing
Clutching chest or throat
Slurred, confused or hesitant speech
Unexplainable confusion or drowsiness
Sweating
Change in skin color
Unable to move a body part
Recognizing Emergencies
Unusual Odors
Stronger than usual
Unrecognizable odors
Inappropriate odors
Recognizing Emergencies
Unusual Noises
Screaming, yelling, calling for help
Breaking glass, crashing metal
Tires screeching
Sudden loud noises
Unusual Silence
Steps to Help in an Emergency
3.
4.
1.
2.
Recognize an emergency exists.
Decide to act
Activate the EMS system
Give care until help arrives
Activity with a partner
Talk to the person next to you:
Make a list of the reasons people would not want to “Act” in an emergency?
Barriers to Act
What would prevent someone from giving care?
The presence of other people
Being unsure of the ill or injured person’s condition
The type of injury or illness
Fear of catching a disease
Fear of doing something wrong
Fear of being sued
Unsure if they should call 911
Good Samaritan Laws
Protect people who willingly provide emergency care to ill or injured persons without accepting anything in return.
Give care based on your training
“At The Scene”
Card activity with 3-4 people
Answer the questions for each scene on a post it note.
“Popcorn” around the room and ask groups to share their answers
Discuss differences in answers
Breathing Emergencies
Having trouble or can not breathe at all.
Could turn into cardiac emergencies, if untreated
Partners answer:
– Signs of an emergency?
– How to recognize an emergency?
– Common causes for adult / child?
Obtaining Consent
You must have the person’s permission for a conscious adult.
Tell them who you are, how much training you have, what you think is wrong, and how you plan to help.
Do not give care if they refuse – you may still call 911.
If the victim is a child, you must get consent from their parent/guardian
Obtaining Consent Cont…
If the victim is unconscious it is implied consent.
If the parent/guardian is not there, it is implied consent.
Check, Call, Care
2.
3.
1.
4.
5.
6.
Check
Is it safe?
What happened?
How many people are involved?
Is there immediate danger involved?
Is anyone else available to help?
What is wrong?
Check, Call, Care Cont…
Call first or Care first?????
Page 17,18, 19.
Life Threatening Conditions
1. Unconsciousness
2. Chest Pain
3. Not Breathing
4. Having Trouble Breathing
5. No Pulse
6. Severe Bleeding
7. Seizure lasting more than 5 minutes.
Preventing Disease Transmission
4.
5.
6.
1.
2.
3.
7.
8.
9.
Avoid contact with bodily fluids
Use a breathing barrier
Bandage any open wounds you may have
Use a barrier like gloves
Do not eat or drink when giving care
Do not touch objects that may have bodily fluids on them
Have a 1 st aid kit
Wash your hands!
Tell EMS if you have contacted any bodily fluids
Glove Removal
Partially remove first glove
– Pinch wrist, only touch gloves, remove partially, leave thumb and index finger in glove
– With thumb and index finger still in glove, pinch outside surface of second glove and remove completely
– Use interior clean surface of glove to remove the rest of glove that is still on.
– Discard and wash hands thoroughly
Conscious Adult
1. CHECK the scene, CHECK person
2. Obtain Consent
3. Call 911 if you need to
4. Interview the Person (SAMPLE)
5. Check head to toe
Video
SAMPLE
S – Signs & Symptoms
A – Allergies
M – Medicine
P – Past History
L – Last Oral Intake
E – Events that led up to the event
Shock
A condition in which the circulatory system fails to deliver oxygen-rich blood to the body’s tissues and vital organs.
Shock Cont…
Signals of Shock
–Restlessness or irritability
–An altered level of consciousness
–Pale, cool or moist skin
–Nausea and vomiting
–A blue color to the lips and nailbeds
–Rapid breathing
–Rapid Pulse
A B C’s
A – Airway
B – Breathing
C – Circulation
Moving a Victim
1.
2.
3.
Only move a victim when:
You are faced with immediate danger
When you have to get to another person who may have a more serious problem
When it is necessary to give proper care.
Page 23, 24, 25 On how to move a victim.
Checking an Unconscious Adult
CHECK scene, CHECK person
Tap shoulder
No response CALL 911
Open airway, 10 seconds
Not breathing, give 2 rescue breaths
If breathing, put into recovery position
Recovery Positions
Without a suspected spinal injury
Roll to side
Suspected spinal injury: H.A.IN.E.S
High Arm In Endangered Spine
Pg 46
Signals of a Heart Attack
Persistent chest pain lasting more than 3-5 minutes. It may come and go.
Pain in either arm
Discomfort or pressure that spreads to the shoulder, arm, neck or jaw.
Nausea, shortness of breath, trouble breathing
Sweating, changes in skin appearance
Dizziness or unconsciousness.
Cardiac Chain of Survival
3.
4.
1.
2.
Early Recognition and early access
Early CPR
Early defibrillation
Early advanced life support
In Case of a Heart Attack
5.
6.
3.
4.
1.
2.
Call 911
Have the person stop and rest
Loosen tight clothing
Closely monitor the person until EMS arrives
Be prepared to give CPR or use an AED
Interview the person to get a history
CPR
1.
2.
After checking the ill or injured person
Give cycles of 30 chest compressions and 2 rescue breaths.
Compress the chest of an adult 1 ½ inch to 2 inches.
Reasons to Stop CPR
The scene becomes unsafe
You can see signs of life and circulation
An AED is ready to use
You are too exhausted to continue
A trained responder arrives and takes over
A- Automated
E- External
D – Defibrillator
AED
Using the AED
1.
2.
3.
Turn on the AED
Wipe the victim dry
Assemble the AED if necessary
4.
5.
Let the AED analyze the heart rhythm
Follow the directions of the AED
6.
Be sure to use pediatric pads for children
Page 98-101