CPR

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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

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