cpr
DESCRIPTION
Presented by Aaron Pakenham.TRANSCRIPT
Cardiopulmonary Resuscitation
Scenario
An unconscious individual near some sort of electrical hazard. There’s no one in the vicinity but there is a house nearby which has a telephone. You do not have a mobile. What do you do?
Checking that the individual is unconscious - 4marksExamining breathing – 5 marksCPR technique – 11 marks
What to do…Give student ID to examiner
Speak through the procedure
DangerTalk your way through the initial part about DANGER
Assess the scene“I see an unconscious man lying on his back”
Assess the danger“I ensure the safety for myself and victim”“I can’t see any danger – there are no wires touching the
individual, no broken glass…”
Response“I check for victim’s response”
Shake the victim and rock shoulders
Pinch ear or sternal rub (providing different stimuli)
Ask loudly in both ears (incase they are deaf in one ear)
“Sir! Sir! Can you hear me?” Response – Leave them in the same position and get helpNo Response – SHOUT “Help” 3 times
Now make sure the victim is in Supine Position (head facing the sky, on their back looking up)
Airway“Check for any cervical spine injuries”
Feel the cervical spine region“No signs of injury”
Head tilt, Chin LiftTilt the head backRaise the victim’s chin Check for airway potency
Open the mouth using two fingers“There are no airway obstructions of foreign material”
BreathingKeep the airway open
“I will now check for signs of normal breathing”
Put your cheek next to the victim’s mouthLook – for chest riseListen – for breath soundsFeel – air on the cheek
Do this for 10 seconds – count out loud
Breathing (cont’d)If the victim is breathing normally
Put them in the recovery positionThen call an ambulanceKeep checking for breathing
If the victim isn’t breathing Call an ambulance
“Since there is no bystander around and both the victim and I do not have a phone – I would try the house near by”
“Once I have called the ambulance, I will return to the victim and commence CPR”
Then start the CPR procedure
CPR ProcedureTechnique
Kneel by the side of the victim Place the heel of one palm on the middle of the victim’s chest
with the other hand interlocked above.Find the middle of the chest (you can do it 2 ways):
2 fingers on either side of the nipplePut the heel of your palm, 2 fingers above the xiphoid process
Keep your arms completely straightTower over the chest on your kneesIf your arms aren’t straight you WILL LOOSE MARKS
30 CompressionsPress down on the sternum
4-5 cm (1/3 of chest height) right under the inter-nipple (horizontal) line.
If you push down too hard you will hear clicking and you WILL LOOSE MARKS
Rate of compressions2 per second (about 100-120 a minute)Rhythm – ‘1 and, 2 and, 3 and…) or Nelly the elephant song
Do 30 compressions…
….followed by 2 rescue breaths
2 Rescue BreathsTo give the rescue breaths:
pinch the nose shut using your index finger and thumb Keep your palm on his forehead.
Chin lift with the other hand opens the airway.
Take a deep breath inForm a tight seal around the victim’s mouth with your ownExhale air fully and at a steady rate
In such a way that you can see the chest rise
See if the chest moves up and down as you breathe.
FinishKeep doing and repeating:
30 chest compressions at 100/min followed by 2 rescue breaths
Until:The ambulance or help arrivesThe individual starts breathing
Put them in the recovery position I am completely exhausted
Extra bits and bobs In case of a toddler or drowned individual
Initially, 5 rescue breaths 30 compressionsFollowed by 2 rescue breaths
In case of a babyUse two fingers for compressions
In a situation when not able to give rescue breaths – give compressions only
Ace the StationBe calm!
A relaxed station Student takes full command Not asked any medical questions
Memorise CPR procedure that is in your red practical books - those are the guidelines the examiner
DON’T USE ANY OTHER GUIDELINES FROM THE NET!
Speak out loud the CPR procedure
Practice!
Thank youQuestions?