Chapter 28 Lesson 2

1. Chapter 28 Lesson 2 CPR & First Aid for Shock & Choking

2. You’ll learn to… • Identify the appropriate steps for responding to life-threatening emergencies. • Analyze strategies for responding to an emergency situation requiring CPR. • Analyze strategies for responding to a shock or choking victim.

3. Life-Threatening Emergencies • If a victim in an emergency is unresponsive, you must begin immediately the chain of survival,a sequence of actions that maximize • First two-links: call 9-1-1 & begin CPR • Next two-links: early defibrillation & transfer to advanced care (usually the responsibility of the emergency medical personnel when they arrive)

4. Life-Threatening Emergencies continued… • Defibrillator-is a device that delivers an electrical shock to the heart to restore its normal rhythm. • An automated external defibrillator (AED) is a handheld device that you can be trained to use.

5. CPR • A person whose breathing & heartbeat have stopped may need CPR. • Cardiopulmonary Resuscitation- is a life-saving first-aid procedure that combines rescue breaths with chest compressions, supplying oxygen to the body until normal body functions can resume. • You must be properly trained by a professional and certified before administering CPR.

6. CPR for Adults • The steps of CPR are known as the ABCs- A- airway, B- Breathing, & C- circulation • If a person is unresponsive, tap him/her on the shoulder & ask in a loud voice, “Are you okay?” • If the victim does not respond, call 9-1-1 or have someone else call. • Then kneel beside the victim & follow these steps…

7. CPR for Adult continued… • Airway- look inside victim’s mouth, remove anything that you see blocking the airway. • Open the airway- gently tilt the head back by lifting the chin with one hand while pushing down on the forehead with the other.

8. CPR for Adult continued… • Breathing- Look, listen & feel for breathing. • Look for chest movement • Listen at victim’s mouth for breathing • Feel for exhaled air on your cheek, if victim is not breathing normally, begin rescue breathing

9. Rescue Breathing… • rescue breathing… • Keeping the victim’s head in the proper position, pinch nostrils shut. • Place your mouth over the victim’s mouth forming a seal. Give 2 slow breaths, each for about 2 seconds long. The victim’s chest should rise with each breath.

10. CPR for Adult continued… • Circulation- check for signs of circulation, such as breathing, coughing, or movement. If there are no signs of circulation, a person trained in CPR should begin chest compressions immediately. If the victim responds but is still not breathing normally, give 1 rescue breath every 5 seconds.

11. CPR for Adult continued… Perform chest compressions: Place the heel of one hand on the breastbone right between the nipples. Place the heel of your other hand on top of the first hand. Position your body directly over your hands. Your shoulders should be in line with your hands. DO NOT lean back or forward. As you gaze down, you should be looking directly down on your hands. Give 15 chest compressions. Each time, press down about 2 inches into the chest. These compressions should be FAST with no pausing. Count the 15 compressions quickly:

12. CPR for Adult continued… Give the person 2 slow, full breaths. The chest should rise. Continue cycles of 15 chest compressions followed by 2 slow, full breaths. After about 1 minute (four cycles of 15 compressions and 2 breaths), re-check for signs of circulation. Repeat steps until the person recovers or help arrives. If the person starts breathing again, place him or her in the recovery position.Periodically re-check for breathing and signs of circulation until help arrives.

13. CPR for Infants & Children • The ABC’s are the same for infant and children as checking an adult • Click on link below: • Infant Child CPR Instructions

14. First Aid for Shock • When something happens to reduce blood flow throughout the body, limiting the amount of oxygen carried to the cells, shock may occur. • Shock is a failure of the cardiovascular system to keep an adequate supply of blood circulating to the vital organs of the body. • It requires immediate medical attention.

15. Signals of Shock • Restlessness / irritability • Altered consciousness • Nausea • Pale, cool, moist skin • Rapid breathing • Rapid pulse

16. Caring for Shock • Have victim lie down, elevate legs about 12” (unless you suspect head, neck, back injuries) • Call 9-1-1 • Control any external bleeding • Help victim maintain body temperature • Do not give food or drink, may cause vomiting • Reassure victim

18. First Aid for Choking • Choking occurs when a person’s airway becomes blocked. • If obstruction is not removed, the victim can die from lack of oxygen within a few minutes. • Signs of choking: • Person may clutch throat (universal sign) • May cough weakly • Make high pitched noises • May turn blue in the face

19. First Aid for Choking continued… • If you suspect someone is choking, “Ask you choking?” and look for universal choking sign. • Then ask, “Can you speak?” • If the person cannot speak, the airway is completely blocked & the victim need first aid. • Stand behind victim an give abdominal thrusts.

20. Abdominal Thrusts • Place thumb side of fist against middle of abdomen, just above navel. • Grasp fist with other hand • Give quick inward / upward thrusts • Repeat until object is coughed up or unconscious

21. Infant choking • Click on link below • http://www.youtube.com/watch?v=f5FFBSh366E

22. Chapter 28 Lesson 2 Review Questions • Define cardiopulmonary resuscitation. • Why should you never you never give a shock victim anything to eat or drink? • What is the universal sign for choking? • Explain why is important to check the airway before beginning CPR. • Compare the strategy for responding to a choking adult with the strategy for responding to a choking infant.