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Transcript of CPR
* Know the basics. Don't be basic.
Save a life
First Assess the scene.
How are you going to do CPR if you are on fire?
But if I help them they will sue me right?
Reasonable and prudent course = small chance of legal problems
Call for help ASAP
We know you want all the glory,
but you must call 911 or have someone else do it
Yeah, pretty much. Just kidding. Health professionals should know about Good Samaritan Laws!
* Sometimes there may be an external cause to a sudden alteration in health. Be aware of this possibility
* Always assess the situation
If Unconscious then consent is assumed by law
If the person is conscious, ask before helping them.
* An urgent alteration in health requires a proper plan of action. Luckily much smarter people have figured out this plan for us.
CAB = useful tool to remember the steps of pre-CPR assessment.
Don’t spend more than 10 seconds checking the pulse
CPR is similar for healthcare providers and a random person, but the health care provider is the only one that checks for a carotid pulse.
Breathing (mouth to mouth)
A person may not be breathing, but not enter cardiac arrest. Careful and quick assessment of a pulse is required. The carotid pulse is the most reliable.
The absence of a pulse is called
cardiac arrest (sudden cessation of functional circulation). Performing compressions on someone with a pulse can hurt them.
Maintain a head tilt while assessing the carotid pulse.
Assess the airway to ensure that the person is not breathing. Establish and maintain an airway by gently tilting the jaw upward and the forehead back. Do this with your fingers of one hand under the chin and the other on top of the forehead.
Assess the Carotid pulse on one side only
Maintain the airway when supplying oxygen via mouth to mouth.
Pinch the nostrils closed with the thumb and index finger of the head tilt hand.
For a person with a pulse, supplying breaths at a rate of one breath per every 6-8 seconds, or 8-10 times per minute.
3. Call for help. Activate the EMS system.
Steps for Adult One-rescuer CPR:
1. Determine unresponsiveness.
2. Determine breathlessness.
4.Continue repetitions of 30 compressions and two breaths until an
AED (Automatic External Defibrillator)
1. Determine pulselessness.
2. If pulse is present, continue rescue breathing about 8 to 10 times per minute, or one breath every 6 to 8 seconds. Activate EMS System
3. If pulse is not present, perform 30 chest compressions at the rate of at least 100 per minute followed with two slow breaths.
For two-rescuer CPR, there is a "ventilator" and the "compressor."
The ventilator is the rescuer at the victim's head.
The compressor is the rescuer at the victim's chest.
If unresponsive, ventilator asseses for breathlessness for 5 to 10 seconds.
Compressor activates EMS and call for an
Two Rescue CPR:
Ventilator assess for pulselessness 5 to 10 seconds.
If there is a pulse, ventilator initiates rescue breathing at the rate of one breath every 6 to 8 seconds, or 8 to 10 times per minute.
If there is no pulse, then the compressor starts compressions.
The compression ventilation ratio is 30:2 at a compression rate of 100 per minute.
After every 2 minutes, the rescuers switch and reassess pulse and breathing.
Two-rescuer CPR (continued:
If the victim has a suspected neck injury, avoid tilting the head when using jaw-thrust or chin-lift.
Gently lift the chin forward to help open the airway.
1. If the victim is not breathing, give two slow breaths (1 second each). Allow for exhalation between breaths.
2. If unable to give two breaths, reposition victim's head and reattempt to ventilate.
3. If still unable to give two breaths, proceed with procedures to manage airway obstruction by a foreign body.
Call for someone to call 911.
Look to see if the child is breathing. If no breathing then begin compressions a minute but only with one arm.
*Same thing as child CPR except you flick the foot to see if there is a reflex and if there isn't then you would begin compressions 30/minute
Aren't you curious how the CPR event in "The Office" played out?