Transcript Can-Fit-Pro CPR Course

CPR
Level A
Cardiopulmonary Resuscitation
CPR Course Level 1
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Course Outline
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Welcome, Introductions, Administration
Mission & Vision
Good Samaritan Act & Legal Issues
Disease Transmission & Barrier Devices
The heart
Risk Factors for Heart Disease
Stroke, T.I.A, Angina and Heart Attack
Adult Cardiopulmonary Resuscitation (CPR)
Recovery Position
Choking
Quiz
Questions and Wrap Up
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canfitpro
Mission
United as members, canfitpro delivers the world’s
best, accessible, affordable, and attainable fitness
education and experiences.
Vision
As the leading global provider of fitness and
wellness education, canfitpro empowers people to
lead passionate and fulfilling lives through safe, fun,
and effective physical activity.
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Five Common Fears
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Doing the wrong thing / making things worse
Getting sued
Personal safety
Diseases
Dealing with blood / gross situations
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The Good Samaritan Act
• Identify yourself
• Ask Permission
• Act Reasonable
(no cutting, sewing or poking)
• Stay with victim
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Legal Issues
• Once you initiate aid to a victim, you must
continue CPR unless:
● It is necessary in order to activate EMS
(infant CPR sequence)
● Someone with equal or greater training
takes over
● Continuing to provide assistance would
be unsafe
● You are physically exhausted
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Legal Issues
• Consent must be obtained from a victim
before a rescuer can provide assistance.
• Consent is implied if;
● Victim is unconscious
● Victim is under 18 yrs of age and no
guardian is available
● The victim is intoxicated or delusional,
or the rescuer at least believes they are
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Disease Transmission / Barrier Devices
Barrier devices are typically
available as a face shield or
face mask.
A face mask is ideal as it
reduces exposure to the
rescuer (a face shield does
not reduce risk as much as a
face mask).
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The Human Heart
The function of the
heart is to circulate
(pump) blood
throughout the body to
provide oxygen and
nutrients and to remove
waste products.
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The Human Heart
• The heart has four chambers
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The Human Heart
• The Heart’s Electrical Path
The heart's electrical
system controls the
synchronized and
rhythmic pumping
efficiency of the
heart.
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The Human Heart
• Problems with the heart's electrical system
can cause heart rhythm disorders that may
lead to sudden cardiac arrest (SCA).
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What is the
number one
killer of north
americans?
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Risk Factors
● Diabetes
● Age
● High Blood Pressure
● Being Overweight
● Gender
● High Blood Cholesterol
● Excessive Alcohol Consumption
● Family History
● Physical Inactivity
● Smoking
● Stress
● Ethnicity
● Prior stroke
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Risk Factors
Preventable
● Diabetes
● High Blood Pressure
● High Blood Cholesterol
● Being Overweight
● Excessive Alcohol
Not preventable
● Age
● Gender
● Family History
● Ethnicity
● Prior Stroke
Consumption
● Physical Inactivity
● Smoking
● Stress
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Signs and Symptoms
Signs: A sign is an objective indication of
something that is typically detected by a
physician; a sign is discovered by a physician.
Symptoms: A symptom is a subjective indication
of something that is typically reported by a patient;
a symptom is experienced by a patient.
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Stroke & TIA
Ischemic Stroke
Ischemic stroke is a
life-threatening event in
which part of the brain
does not receive
enough oxygen, usually
due to a blood clot
lodged in a cerebral
artery.
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Stroke & TIA
Signs and Symptoms
● numbness
● sudden weakness
● trouble speaking
● vision problems
● severe headache
● dizziness
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Heart Attack, Angina & Cardiac Arrest
Angina: a disease caused by the narrowing
of the coronary artery.
Heart Attack: death to an area of the HEART
muscle due to a lack of oxygen.
Cardiac Arrest: complete cessation of cardiac
activity (heartbeat).
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Heart Attack
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Heart Attack
P ale
I ndigestion
A nxious
T ightness
S .O.B.
S weat
O verall Weakness
N ausea
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Assess Environment
● Check for hazards (ladder, glass,
chemicals, etc.)
● What is the risk to you? What, if any,
further risk is there to the victim?
● What happened?
● How many victims are there?
● Is the scene changing?
● Is there an AED or First Aid kit close by?
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Determine Responsiveness
Shout or speak loudly
to victim and ask if
they are okay.
Squeeze or pinch
shoulders.
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Activate EMS
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Activate EMS
● Provide the dispatcher with the
number of victims, age, gender
condition and location of
emergency.
● Stay on line until the dispatcher
tells you it is okay to hang up.
● If a bystander calls EMS, ask them
to report back to you to ensure that
EMS has been activated.
● Ask dispatcher the estimated time
of arrival for EMS.
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Utilizing Bystanders
● Phone EMS
● Wait for EMS
● AED available
● Remove hazards from scene
● Crowd control
● Get supplies (e.g., blankets)
● Protect victim’s belongings
● Write down details of
incident
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Open Airway
Perform a head tilt,
chin lift by placing the
heel of one hand on
the victim’s forehead,
and the fingers of the
other hand under
victim’s chin.
Tilt head back to allow
airway to open.
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Check for Breathing
Place your ear over the victim’s mouth and
nose to allow you to be able to listen and
feel for exhaled air (5 sec).
Watch the victim’s chest to see if there is
any movement.
A victim that is gasping for air is not
considered “breathing”.
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Recovery Position
An unconscious adult who is breathing and has
no other life threatening emergencies should be
placed in the recovery position.
While a victim is in the recovery position, you are
able to continually reassess his or her status,
check vitals, and maintain an open airway.
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Compressions
● Place heel of one of your hands on
the victim’s chest.
● Centre this hand between the victim’s
nipples.
● Place your other hand on top of this
hand.
● Push hard and fast (rate should be
100 compressions per minute).
● Count “one and, two and, three and”,
etc.
● Be sure to allow chest to come back
to normal position between
compressions.
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Compressions
● Landmarking for
compressions is just
between the nipples of the
victim.
● Compression depth should
be 5 cm, or 2 inches.
● Aim for ~100 compressions
every minute, or just under
two compressions per
second.
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Rescue Breathing
• Seal victim’s mouth and
pinch the nose closed.
•Give two normal breaths
(allow each breath to be
delivered over one second).
• Ensure the victim’s chest
rises.
•Allow chest to return to normal
position before providing next breath.
PRACTICE
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Adult CPR (One Rescuer Sequencing)
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Assess environment
Determine unresponsiveness
Activate EMS
Attempt to get AED
Open airway
Check for breathing
Landmark and begin compressions
Provide two rescue breaths
30 compressions:2 breaths until EMS arrives
or victim responds to treatment
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Choking
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Unable to speak
Unable to cough
Hands at throat
Face changing
colour
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Choking Conscious Adult
1. Determine severity of
obstruction.
2. If mild, encourage coughing
and reassure victim.
3. If severe, shout for help,
start cycles of 5 back blows
and 5 abdominal thrusts
until airway is clear, or
victim becomes
unconscious.
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Choking Unconscious Adult
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Assess environment
Determine responsiveness
Activate EMS
Attempt to obtain AED
Open airway
Assess breathing
Landmark and provide 30 chest
compressions
8. Look in mouth for object (remove only if object seen)
9. Give one rescue breath – if it fails reposition head and try again
10. Repeat sequence until successful or EMS arrives
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CPR
Quiz
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Questions?
Comments?
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Thank you!
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