CPR/AED FOR THE Lay
Responder

Challenges provide an opportunity for those with current or expired certifications to recertify or to extend the length of their certifications without taking a complete course.
Participants must pass the written test with a score of
80% or higher and be able to successfully demonstrate the appropriate skills to the instructor without prior
demonstration from the instructor.
This PowerPoint presentation is designed to assist in preparation of a successful Challenge. The format is very brief because we are making this available to lifeguards who are Challenging in order to extend their
Lifeguard Training Certification. Our assumption is that you are using this material as a review and should not require the specifics for each topic. If you have questions, refer to your text or question the instructor before the Challenge begins.

•
• o o o o o o
Written Exam: 30-55
Questions. 80% +.
Skills.
Removing Gloves.
Primary Survey.
Rescue Breathing
(Adult, Child, Infant)
Conscious Choking
(Adult, Child)
Unconscious Choking
(Adult, Child, Infant)
Adult CPR/AED o o o
Child CPR/AED
Infant CPR
Standard First Aid
Student CPR Training
Mask Must Be Used
During Rescue
Breathing.

• Liability
• Unsure what to do
• Disease Transmission
• Afraid of causing more pain/injury
• Scene not safe
• Other people watching
• Not knowing it’s an emergency

• Tell the victim your name & your level of training.
• Can I help?
• What may be wrong -- what I can do to help.

• DO NOT GIVE CARE.
• Call 9-1-1.
• Victim is unconscious, confused, seriously ill, under age -- not able to give consent -- consent is implied.

• Avoid contact – o Blood.
o Other body fluids.
• Protective equipment— o Disposable gloves.
o Breathing barriers.
o Footwear.
• Wash hands with soap and water.

• Clean up immediately.
• Use protective equipment.
• Wipe up the spill.
• Flood area for 20 minutes -- ¼ cup bleach/1 gallon water.
• Dispose of material properly.

• Scene is safe ?
• What happened ?
• Victims ?
• Bystanders ?
• Anyone providing care ?
• 9-1-1 ?
CHECK THE VICTIM

• MOVE ONLY IF: o Scene becoming unsafe.
o To reach another victim with more serious injury.
o To provide proper care.
• MOVES: o Clothing Drag.
o Two-Person Seat
Carry.
o Walking Assist.
o Blanket Drag.
o Foot Drag.
PrepPlus WATER SAFETY THROUGH EDUCATION

ADULT – 12 YEARS AND UP
If breaths went in, look for severe bleeding as you place your hands to start chest compressions.
CHILD – 1 YEAR TO 12
If breaths go in, check for pulse, groove at side of the neck for 10 seconds
INFANT – NEWBORN TO 1
If breaths go in, check for pulse, on inside of arm between elbow and shoulder for 10 secnds

No breathing 2 breaths and begin CPR 30 COMPRESSIONS/2
BREATHS
No breathing has pulse – Rescue Breathing 1breath/3 seconds = 40 breaths /2 minutes then recheck pulse
No breathing/no pulse begin CPR 30
COMRESSIONS/2 BREATHS 2 minutes=5 cycles of 30/2

• VICTIM
CLUTCHING
THROAT WITH
BOTH HANDS –
USUALLY
CHOKING.
• PARTIAL
OBSTRUCTION –
WHEEZING
SOUDS – STILL
MOVING AIR.
• UNCONSCIOUS –
TONGUE OFTEN
BLOCKS AIRWAY.
• COMPLETE –
CANNOT SPEAK –
BREATHE –
COUGH.

NEAR
DROWNING
CHOKING ILLNESS
SHOCK
ELECTRIC
SHOCK
HEART
ATTACK
INJURY TO
CHEST OR
LUNGS
ALLERGIC POISONING
HEART
DISEASE
STRESS
DRUGS

• BREATHING o SLOW OR RAPID
• SHORTNESS OF
BREATH
• DIZZINESS -
LIGHTHEADED
• TINGLING o HANDS – FEET
• CHEST PAIN
• SKIN o FLUSHED o PALE o ASHEN o BLUISH
• GASPING
• NOISES o WHEEZING o GARGLING o HIGH-PITCHED
PrepPlus WATER SAFETY THROUGH EDUCATION

PrepPlus
WATER SAFETY THROUGH EDUCATION

SKILL CHECK: CONSCIOUS
CHOKING – ADULT/CHILD
 SURVEY SCENE – CHECK VICTIM.
 ASK VICTIM: “ARE YOU CHOKING?”
 GET CONSENT.
 VICTIM CANNOT COUGH – SPEAK – BREATHE.
 9-1-1.
 BEHIND VICTIM – ONE FOOT BETWEEN LEGS –
KEEP YOUR HEAD TO SIDE.
 CHILD? – STAND OR KNEEL.
 PLACE FIST AGAINST ABDOMEN.
 GRAB FIST – GIVE QUICK, UPWRD THRUSTS.
 CONTINUE – OBJECT FORCED OUT – VICTIM
BEGINS TO BREATHE OR COUGH FORCEFULLY –
VICTIM UNCONSCIOUS.
PrepPlus WATER SAFETY THROUGH EDUCATION

PrepPlus
WATER SAFETY THROUGH EDUCATION

SKILL CHECK: RESCUE
BREATHING -- ADULT
 SURVEY SCENE – CHECK VICTIM – CONSCIOUS?
 TAP & SHOUT – RESPONDS? NO – 9-1-1!
 HEAD TILT CHIN LIFT – OPEN AIRWAY – LOOK-
LISTEN-FEEL – 5 SECONDS.
 NOT BREATHING – MASK -- GIVE 2 RESCUE
BREATHS.
 BREATHS GO IN – CHECK SIGNS OF
CIRCULATION – REMOVE MASK – FEEL FOR PULSE
& LOOK-LISTEN-FEEL FOR SIGNS OF CIRCULATION
– NO MORE THAN 10 SECONDS.
 LOOK FOR SEVERE BLEEDING.
 YOU FIND SIGNS OF CIRCULATION – GIVE 1
BREATH PER 5 SECONDS.
PrepPlus WATER SAFETY THROUGH EDUCATION

SKILL CHECK: RESCUE
BREATHING -- ADULT
 1 MINUTE OF RESCUE BREATHING (ABOUT 12
BREATHS) – RECHECK SIGNS OF CIRCULATION &
BREATHING – <10 SECONDS.
 STILL NOT BREATHING – CONTINUE RESCUE
BREATHING. STOP AND CHECK EACH MINUTE.
 NO SIGNS OF CIRCULATION – GIVE CPR.
PrepPlus WATER SAFETY THROUGH EDUCATION

SKILL CHECK: RESCUE
BREATHING -- CHILD
 SURVEY SCENE – CHECK VICTIM – CONSCIOUS?
 TAP & SHOUT – RESPONDS? NO – 9-1-1!
 HEAD TILT CHIN LIFT – OPEN AIRWAY – LOOK-
LISTEN-FEEL – 5 SECONDS.
 NOT BREATHING – MASK -- GIVE 2 RESCUE
BREATHS.
 BREATHS GO IN – CHECK SIGNS OF
CIRCULATION – REMOVE MASK – FEEL FOR PULSE
& LOOK-LISTEN-FEEL FOR SIGNS OF CIRCULATION
– NO MORE THAN 10 SECONDS.
 LOOK FOR SEVERE BLEEDING.
 YOU FIND SIGNS OF CIRCULATION – GIVE 1
BREATH PER 3 SECONDS.
PrepPlus WATER SAFETY THROUGH EDUCATION

IF BREATHS DO NOT GO IN
 Reposition the airway and try 2 breaths again
 STILL NOT GOING IN?
Give up to 30 chest compressions, look in mouth, sweep if you see something and try 2 more breaths
Continue until breaths go in, then repeate you’re “A-B-C” and care for conditions found

SKILL CHECK: RESCUE
BREATHING – CHILD/INFANT
 SURVEY SCENE – CHECK VICTIM – CONSCIOUS?
 TAP & SHOUT – RESPONDS? NO – 9-1-1!
 HEAD TILT CHIN LIFT – OPEN AIRWAY – LOOK-
LISTEN-FEEL – 10 SECONDS.
 NOT BREATHING – GIVE 2 RESCUE BREATHS.
 BREATHS GO IN – CHECK SIGNS OF
CIRCULATION - FEEL FOR PULSE (BRACHIAL) &
LOOK-LISTEN-FEEL FOR SIGNS OF CIRCULATION –
NO MORE THAN 10 SECONDS.
 LOOK FOR SEVERE BLEEDING.
 YOU FIND SIGNS OF CIRCULATION – GIVE 1
BREATH PER 3 SECONDS.

SKILL CHECK: RESCUE
BREATHING -- INFANT
 2 MINUTE OF RESCUE BREATHING (ABOUT 40
BREATHS) – RECHECK SIGNS OF CIRCULATION &
BREATHING.
 STILL NOT BREATHING – CONTINUE RESCUE
BREATHING. STOP AND CHECK EACH MINUTE.
 NO SIGNS OF CIRCULATION – GIVE CPR.

SKILL CHECK: UNCONSCIOUS
CHOKING
ADULT/CHILD/INFANT
 SURVEY THE SCENE; CHECK VICTIM –
CONSCIOUS?
 TAP & SHOUT – RESPONDS? NO – 9-1-1!
 HEAD TILT, CHIN LIFT – OPEN AIRWAY – LOOK-
LISTEN-FEEL – 5 SECONDS.
 NOT BREATHING –GIVE 2 RESCUE BREATHS.
 BREATHS DO NOT GO IN – REPOSITION – GIVE 2
BREATHS AGAIN.
 BREATHS DO NOT GO IN – 30 CHEST
COMPRESSIONS
 FOREIGN BODY CHECK (FINGER SWEEP IF
VISIBLE AND SURE YOU CAN REACH).
 USE MASK – GIVE 2 RESCUE BREATHS.
 BREATHS STILL DO NOT GO IN – REPEAT
SEQUENCE OF 5 ABDOMINAL THRUSTS – FOREIGN
BODY CHECK – REATTEMPT RESCUE BREATHS.

CHEST PAIN (MORE THAN 3-5 MINUTES);
PAIN/DISCOMFORT SPREADING TO
SHOULDER, JAW, ARM, BACK; NAUSEA;
BREATHING DIFFICULTY; SWEATING;
CHANGE IN SKIN APPEARANCE;
DIZZINESS OR UNCONSCIOUSNESS.

PrepPlus
WATER SAFETY THROUGH EDUCATION

• COMBINES RESCUE BREATHING –
CHEST COMPRESSIONS.
• CIRCULATES OXYGEN RICH BLOOD
TO VITAL ORGANS
• MUST NOT BE DELAYED
• MORE SUCCESSFUL WHEN AN AED
IS USED AS WELL
• SAVES LIVES!!!!!!!

SKILL CHECK: CPR -- ADULT
 SURVEY SCENE – CHECK VICTIM – CONSCIOUS?
 TAP & SHOUT – RESPONDS? NO – 9-1-1!
 HEAD TILT CHIN LIFT – OPEN AIRWAY – LOOK-
LISTEN-FEEL – 10 SECONDS.
 NOT BREATHING – MASK -- GIVE 2 RESCUE
BREATHS.
 BREATHS GO IN – CHECK FOR SEVERE BLEEDING.
 BEGIN CPR– LOCATE HAND POSITION – GIVE 30
CHEST COMPRESSIONS (COMPRESS ABOUT 2
INCHES) FOLLOWED BY 2 BREATHS.
 COTINUE UNTIL YOU SEE AN OBVIOUS SIGN OF
LIFE, AN AED IS READY TO USE, ADVANCED CARE
TAKES OVER,TOO EXHAULSTED TO CONTINUE

SKILL CHECK: CPR -- ADULT
 USE MASK – GIVE 2 BREATHS.
 REPEAT AT LEAST 3 MORE CYCLES OF 15/2 –
REMOVE MASK – RECHECK SIGNS OF CIRCULATION
& BREATHING FOR NO MORE THAN 10 SECONDS.
 STILL NO SIGNS – CONTINUE CYCLES OF 15/2 –
RECHECK SIGNS EVERY FEW MINUTES.
PrepPlus WATER SAFETY THROUGH EDUCATION

SKILL CHECK: CPR -- CHILD
 SURVEY SCENE – CHECK VICTIM – CONSCIOUS?
 TAP & SHOUT – RESPONDS? NO – 9-1-1!
 HEAD TILT CHIN LIFT – OPEN AIRWAY – LOOK-
LISTEN-FEEL – 5 SECONDS.
 NOT BREATHING – MASK -- GIVE 2 RESCUE
BREATHS.
 BREATHS GO IN – CHECK SIGNS OF
CIRCULATION – REMOVE MASK – FEEL FOR PULSE
& LOOK-LISTEN-FEEL FOR SIGNS OF CIRCULATION
– NO MORE THAN 10 SECONDS.
 LOOK FOR SEVERE BLEEDING.
 NO SIGNS OF CIRCULATION – LOCATE HAND
POSITION – GIVE 5 CHEST COMPRESSIONS USING
ONE HAND (COMPRESS ABOUT 1½ INCHES).
PrepPlus WATER SAFETY THROUGH EDUCATION

SKILL CHECK: CPR -- CHILD
 USE MASK – GIVE 1 BREATH.
 REPEAT AT LEAST 11 MORE CYCLES OF 5/1 –
REMOVE MASK – RECHECK SIGNS OF CIRCULATION
& BREATHING FOR NO MORE THAN 10 SECONDS.
 STILL NO SIGNS – CONTINUE CYCLES OF 5/1 –
RECHECK SIGNS EVERY FEW MINUTES.
PrepPlus WATER SAFETY THROUGH EDUCATION

SKILL CHECK: CPR -- INFANT
 SURVEY SCENE – CHECK VICTIM – CONSCIOUS?
 GENTLY TAP & SHOUT – RESPONDS? NO – 9-1-1!
 HEAD TILT CHIN LIFT – OPEN AIRWAY – LOOK-
LISTEN-FEEL – 5 SECONDS.
 NOT BREATHING – MASK -- GIVE 2 RESCUE
BREATHS.
 BREATHS GO IN – CHECK SIGNS OF
CIRCULATION – REMOVE MASK – FEEL FOR PULSE
(USE BRACHIAL PULSE) & LOOK-LISTEN-FEEL FOR
SIGNS OF CIRCULATION – NO MORE THAN 10
SECONDS.
 LOOK FOR SEVERE BLEEDING.
 NO SIGNS OF CIRCULATION – LOCATE FINGER
POSITION.
PrepPlus WATER SAFETY THROUGH EDUCATION

SKILL CHECK: CPR -- INFANT
 GIVE 5 CHEST COMPRESSIONS IN LESS THEN 3
SECONDS USING TWO FINGERS (OTHER HAND IS
ON INFANT’S FOREHEAD) (COMPRESS ABOUT ½
TO 1 INCH).
 USE MASK – GIVE 1 BREATH.
 REPEAT AT LEAST 19 MORE CYCLES OF 5/1 –
REMOVE MASK – RECHECK SIGNS OF CIRCULATION
& BREATHING FOR NO MORE THAN 10 SECONDS.
 STILL NO SIGNS – CONTINUE CYCLES OF 5/1 –
RECHECK SIGNS EVERY FEW MINUTES.
PrepPlus WATER SAFETY THROUGH EDUCATION

SKILL CHECK: TWO-RESCUER
CPR -- ADULT
 R-1: SURVEY SCENE – CHECK VICTIM –
CONSCIOUS?
 R-1: TAP & SHOUT – RESPONDS? NO – 9-1-1!
 R-1: HEAD TILTCHIN LIFT – OPEN AIRWAY –
LOOK-LISTEN-FEEL – 5 SECONDS.
 R-1: NOT BREATHING – MASK – GIVE 2 RESCUE
BREATHS.
 R-1: BREATHS GO IN – CHECK SIGNS OF
CIRCULATION FOR NO MORE THAN 10 SECONDS.
 R-2 : NO SIGNS OF CIRCULATION – LOCATE HAND
POSITION – GIVE 15 COMPRESSIONS AFTER R-1
SAYS “VICTIM HAS NO SIGNS OF CIRCULATION.
BEGIN CPR.”
 R-1: CHECKS IF COMPRESSIONS ARE EFFECTIVE
FEELING CAROTID ARTERY.
PrepPlus WATER SAFETY THROUGH EDUCATION

PrepPlus
• Used to move more O
2
.
• Use for respiratory distress.
• Self-inflating bag
– one-way valve
– mask.
• Protects against disease.
• Increases O
2 levels in blood.
• Highly effective by 2 rescuers – tight seal; effective ventilations.
WATER SAFETY THROUGH EDUCATION

SKILL CHECK: BVM
RESUCITATOR - TWO-RESCUERS
 R-1: SURVEY SCENE – CHECK VICTIM –
CONSCIOUS?
 R-1: TAP & SHOUT – RESPONDS? NO – 9-1-1!
 R-1: HEAD TILTCHIN LIFT – OPEN AIRWAY –
LOOK-LISTEN-FEEL – 5 SECONDS.
 R-1: NOT BREATHING – MASK – GIVES 2 RESCUE
BREATHS.
 R-1: BREATHS GO IN – CHECK SIGNS OF
CIRCULATION FOR NO MORE THAN 10 SECONDS –
PATIENT HAS SIGNS OF CIRCULATION.
 R-1: ASSEMBLES BVM – POSITIONS MASK OF
BVM.
 R-2 : SEALS MASK & OPENS AIRWAY.
PrepPlus WATER SAFETY THROUGH EDUCATION

SKILL CHECK: BVM
RESUCITATOR - TWO-RESCUERS
 R-1: BEGINS VENTILATIONS BY SQUEEZING BAG
JUST ENOUGH FOR CHEST TO CLEARLY RISE.
 R-1: 1 VENTILATION EVERY 5 SECONDS.
 R-2 : COUNTS OUT LOUD – “ONE-ONE THOUSAND,
TWO-ONE THOUSAND…”
 R-1: CHECKS SIGNS OF CIRCULATION &
BREATHING AFTER 12 BREATHS – NO MORE THAN
10 SECONDS.
 VICTIM HAS SIGNS OF CIRCULATION – R-1
REPLACES BVM – R-2 SEALS AND OPENS AIRWAY –
R-1 CONTINUES TO VENTILATES.
 VICTIM HAS NO SIGNS OF CIRCULATION –
RESCUERS BEGIN 2 PERSON CPR.
PrepPlus WATER SAFETY THROUGH EDUCATION

SKILL CHECK: TWO-RESCUER
CPR -- ADULT
 R-1: USE MASK – 2 RESCUE BREATHS.
 R-1 & R-2 : REPEAT 3 MORE CYCLES OF 15/2.
 R-1: REMOVES MASK – RECHECKS CIRCULATION
& BREATHING – NO MORE THAN 10 SECONDS.
 NO SIGNS OF CIRCULATION – R-1 & R-2
CONTINUE 15/2 CYCLES – RECHECK EVERY FEW
MINUTES.
TO CHANGE POSITION—
 R-2 : CALLS “CHANGE” AT END OF 15.
 R-1: GIVES 2 BREATHS.
 R-2 : MOVES TO HEAD – CHECKS FOR
CIRCULATION & BREATHING – NO MORE THAN 10
SECONDS.
PrepPlus WATER SAFETY THROUGH EDUCATION

SKILL CHECK: TWO-RESCUER
CPR -- ADULT
 R-1: MOVES TO CHEST – FINDS HAND POSITION.
 R-2 : “NO PULSE, BEGIN CPR.”
 R-1: PROVIDES 15 COMPRESSIONS.
 R-2 : PROVIDES 2 BREATHS.
 R-1 & R-2 : CONTINUE 15/2 CYCLES.
PrepPlus WATER SAFETY THROUGH EDUCATION