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Transcript of First Aid
Training Automated External Defibrillators Safe
Analyse heart rhythms (more accurately than doctors!)
Will only shock someone who is dead! The chain of survival Cardiac arrest survival rates Current UK survival rates:
94% Die AED study:
62% Died Casualty in VF and shock
delivered within 3 minutes:
26% Died Resuscitation flow chart Danger? Remove
Danger D R B Response?
Help! Open Airway A Normal Breathing?
Call 999/112 Now Give 30 chest compressions, then 2 rescue breaths.
Continue giving cycles of 30 compressions to 2 rescue breaths.
Only stop to recheck the casualty if they start to wake up AND start breathing normally.
If there is more than one rescuer, change over every 1 - 2 minutes to prevent fatigue. YES NO NO NO 30
2 D R A B Danger Response Airway Breathing Normally? WARNING:
“In the first few minutes after cardiac arrest, a casualty may be barely breathing, or taking infrequent, noisy gasps. These are known as ‘agonal’ gasps, and should not be confused with normal breathing.”
If you are in doubt, start CPR. First Aiders can use the adult sequence of resuscitation on a child or baby who is unresponsive and not breathing. Child and baby CPR Child and baby CPR The following minor modifications to the adult sequence will, however, make it even more suitable for use in children: Give five initial rescue breaths before starting chest compressions Compress the chest by about one-third of its depth: For a babyunder 1 year, use two fingers For a child over 1 year,use one or two hands to achieve an adequate depth If you are on your own, perform resuscitation for about 1 minute before going for help Vomiting Gurgling noises when giving rescue breaths? The heart From the body From the body To the lungs To the lungs The heart From the lungs To the body The heart Right Atrium Left Atrium Right Ventricle Left Ventricle The heart Angina Aorta Coronary
Artery Coronary Artery Wall Cholesterol Plaque Reduced blood flow Heart Attack Blood Clot Heart Attack Blood Clot Blood Clot Heart Attack Area of dying
heart muscle Angina and heart attack Angina Heart Attack Onset Pain Location
of Pain Duration Skin Pulse Other signs
and symptoms Factors giving
relief Sudden, usually during exertion, stress
or extreme weather. Vice-like squashing pain.‘Dull’, ‘tightness’ or ‘pressure’.Can be mistaken for indigestion. Central chest. Can radiate into
arms, neck, jaw, back, shoulders. 3 – 8 Minutes, rarely longer. Variable. Often becomes
irregular, missing beats Resting, reducing stress,
taking ‘GTN’ medication. Sudden, can occur at rest. Vice-like squashing pain.‘Dull’, ‘tightness’ or ‘pressure’.Can be mistaken for indigestion. Central chest. Can radiate into arms, neck,
jaw, back, shoulders. Usually longer than 30 minutes. Pale, grey colour. May sweat profusely. Pale, may be sweaty Variable. Often becomes irregular,
missing beats. Shortness of breath, dizziness, nausea,
vomiting, sense of ‘impending doom’. GTN medication may give partial or
no relief. Shortness of breath,weakness,
anxiety. The heart’s electrical system Primary Pacemaker
(sinoatrial node) Secondary Pacemaker
(atrioventricular node) Normal impulses Ventricular fibrillation Normal sinus rhythm Ventricular fibrillation (VF) Ventricular tachycardia (VT) No activity (Asystole) AED flowchart Unresponsive Call for help Open airway
Not breathing normally Send or go for AED
Call 999/112 CPR 30:2
Until AED is attached AED
Rhythm Shock Advised No Shock Advised 1 Shock Immediate Resume CPR 30:2 for 2 min Immediate Resume CPR 30:2 for 2 min Only stop recussitation if the victim starts to wake up
i.e. Moves, opens eyes & breathes normally Safety considerations Electrical Shock? Inappropriate Shock Jewellery Implanted Devices Medication Patches Flammable Atmosphere Pad placement Accessories AED signage Reporting AED use Ensure data is downloaded and
forwarded to the hospital as soon
as possible. Report the use of the AED
as soon as possible. www.resus.org.uk Post traumatic stress Flashbacks and Nightmares.
Numbing and avoidance.
Being ‘on guard’. Keep life as normal as possible – go back to work.
Talk about what happened.
Try relaxation techniques.
Go back to where it happened.
Be careful and drive with care.
Speak to a doctor. Beat yourself up about it.
Bottle things up.
Stay away from others or holiday on your own.
drink lots of alcohol, coffee or smoke more. } Should fade
few weeks. www.rcpsych.ac.uk Choking adult or child Choking baby Choking – unconscious casualty Start CPR! and finally… Successful Resuscitation? Priorities of treatment
Primary survey D R A B C Response Danger Airway Breathing Circulation Causes of cardiac arrest Airway Breathing Circulation A B C Suffocation, Drowning.
Tongue, Vomit, Choking, Strangulation,
Hanging, Burns, Anaphylaxis. Crushing, Collapsed Lung, Chest Injury,
Poisons, Asthma, other Diseases.
Stroke, Head Injury, Drug Overdose,
Poisoning, Spinal Injury, Electric Shock Heart Attack, Cardiac Arrest, Severe Bleeding, Poisoning, Anaphylaxis. 82%