Summer, 2006

PEH 245 - Dr Black - - MID-TERM ADULT CPR SKILLS

1. Position Victim - demonstrate on partner

• Check Scene
• Establish unresponsiveness (tap, speak)
• Send for help - "Call 911, we have an unconscious victim"
• Check for breathing (none)
• Move near arm overhead against ear
• Hand grabs neck, other grabs hip
• Roll victim over keeping head in line with body
• Straighten person out

2. Obstructed Airway - demonstrate on partner (easy pressure)

• Ask, "Are you choking?  I can help!"
• Send for help "We have a choking victim"
• Give five back blows
• Fist on lower abdomen just above navel
• Elbows out, thumb in, one hand over other
• Inward and upward five abdominal thrusts, short pause between each
• Repeat 5 back blows & 5 thrusts until success or unconsciousness

3. Rescue Breathing (demonstrate on manikin)

• Check Scene
• Establish unresponsiveness
• Send for help
• Open airway
• Look, listen, feel for breathing (none)
• Two slow breaths (successful)
• Check for pulse (OK)
• Check for severe bleeding (none)
• Mouth-to-mouth, 12 breaths in about1 minute
• Recheck pulse
• Continue until?

4. Obstructed Airway - unconscious (demonstrate on manikin)

• Check Scene
• Establish unresponsiveness
• Send for help
• Open airway
• Look, listen, feel for breathing (none)
• Try two slow breaths (unsuccessful)
• Reopen airway & retry two slow breaths (unsuccessful)
• 30 chest compressions in about 18 seconds
• Grab jaw & mouth check (finger sweep if object observed)
• Open airway - two slow breaths (repeat if unsuccessful)
• Continue until?

5. CPR (demonstrate on manikin)

• Check Scene
• Establish unresponsiveness
• Send for help
• Open airway
• Look, listen, feel for breathing (none)
• Two slow breaths (successful)
• Check for pulse (none)
• Check for severe bleeding (none)
• Correct hand placement (middle of chest)
• Correct rescuer position (directly over chest)
• Press chest 1½ to 2 inches straight down
• 30 chest compressions in about 18 seconds
• Two rescue breaths, then repeat compressions & breaths
• Recheck pulse
• Continue until?

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