hello everyone and thank you for joining
us in our save a life initiative and
taking some time to learn the skills
necessary to save someone's life I'm
Lauren defend our fur the medical
educator here at the disc on Dacian to
begin this webinar I'd like to introduce
you to Maxwell maxvill was an infant
delivered by an emergency c-section one
week after the 2010 earthquake in Haiti
at the time of Maxwell's birth our
executive director dr. disc was
volunteering down in Haiti moments after
Maxwell was born a nurse took a picture
of him which is the top picture as you
can see Maxwell is blue as he was not
breathing
in his body lacked oxygen the nurse was
untrained in recognizing that he was in
need of CPR upon seeing the photo a BLS
trained healthcare provider recognized
Maxwell's need and performed immediate
life support the save Maxwell's life as
you can see in the bottom picture he
looks like a healthy baby boy and I
wanted to share this story with you
today to show you why we at the distin
do what we do we want people to be able
to recognize when someone is in need of
CPR and know the skills that will enable
them to do so the challenge that we face
is that 70% of Americans feel helpless
to act during a cardiac emergency this
is often because they do not know how to
administer CPR or that there has been a
significant lapse in time since they
last learned CPR thus only 32 percent of
cardiac arrest victims get CPR from a
bystander even sadder is that less than
8% of people who survive from cardiac
arrest outside the hospital survives we
hope that by teaching more people how to
perform CPR that these statistics will
change for the better it is important to
learn CPR because over 400,000 people
experience sudden cardiac arrest in an
out of hospital setting each year that
is in a setting where it is unlikely
that a trained health professional will
be around eighty-eight percent of
cardiac arrests occur actually in the
home there's an increased risk of death
from heart attack in the initial two
hours after onset of symptoms
however studies have shown that
immediate CPR can double or triple a
victim's chance of survival which i
think is pretty amazing many people are
afraid of performing CPR for a variety
of reasons some fear that they may
contract a disease from performing
mouth-to-mouth when giving rescue
breaths
although the chances of contracting and
disease this way aren't very high there
are barrier devices available such as
pocket mask and bag mask devices if the
victim is an adult or teen you may also
consider compression-only CPR another
common fear is the fear that they'll be
held liable if the victim does not end
up making it however there's the Good
Samaritan Act and since it has been
passed there has been no recorded cases
against someone who is trying to save
someone else's life through CPR unsure
of skills and fear of hurting or killing
the patient kind of go hand in hand but
I want you to realize that if a person
is in cardiac arrest they're dying and
you can only help them maybe you'll
break one of their ribs from compressing
a little too deep but at least they're
alive finally in the case of an unsafe
scene this is the only fear that is
acceptable to not perform CPR and in
fact you should not perform CPR because
you don't want to become a victim
yourself when performing CPR on adults
the AAA in the ECC have come up with the
adult chain of survival which sums up
the steps necessary to save someone's
life first you need to recognize cardiac
arrest and activate the emergency
response system most likely by calling
911 then perform CPR early on with an
emphasis on chest compressions when an
AED is available it should be used on
the victim
finally when further help arrives they
will perform effective advanced cardio
support and then give the victim
integrated post cardiac arrest care so
you may be thinking what exactly is CPR
while CPR stands for cardiopulmonary
resuscitation cardio refers to the heart
pulmonary refers to the lungs and
resuscitation means to recover CPR
combines rescue breathing and
compressions to support heart and lung
function when it end peers to be
inadequate by doing so you provide
oxygen to the brain and other organs
until further help arrives such as an
EMS when performing CPR it is important
to begin immediately after recognizing
that the victim is suffering from
cardiac arrest this will increase the
victims chant likelihood of survival and
after the onset of cardiac arrest brain
damage can start within four to six
minutes and is almost certain after ten
minutes if there has been no effective
CPR performed on the victim when
performing CPR you can think of the
acronym cab cab lists the order in which
you should perform the three main steps
in CPR when performing CPR you should
begin with compressions
after chest compressions you'll then
open the airway and deliver rescue
breaths here is an overview of
everything one should do when performing
CPR to begin you want to ensure that the
scene is safe as I said earlier you do
not want to become a victim yourself if
the scene is safe you should approach
the victim and assess them for
responsiveness tap them enough that if
they were sleeping you'd be able to wake
them up if you deem them unresponsive
call 911 and get an ad whether this
means you're doing it yourself or asking
someone else to go get it for you
next assess the victims breathing if
they're not breathing or only gasping
they need CPR so begin CPR starting with
30 chest compressions then deliver two
rescue breaths continue CPR at a ratio
of 30 chest compressions to 2 breaths
when an AED is brought to the scene use
it immediately minimising interruptions
in CPR and continue performing CPR and
using the AED until help arrives when
performing chest compressions during CPR
it is important to know the following
information your hand should be placed
on the breastbone of the victim in the
center of their chest for infants you
only need two fingers to perform chest
compressions usually compress at array
of a hundred to 120 compressions per
minute which is to the beat of the song
stayin alive and add a depth of one
third the chest for adults this is
at least two inches for children about
two inches and for infants about one and
a half inches in between each chest
compression you should allow for
complete chest recoil to let the heart
fill back up with blood completely you
should also have the victim lying flat
on their back on a firm flat surface to
allow for the most effective chest
compressions finally you should minimize
interruptions between chest compressions
when giving rescue breaths there are two
methods for opening the airway the head
tilt chin lift in the jaw thrust the jaw
thrust method should be used if you
suspect the victim suffered from trauma
create a tight seal with your mouth or
mask before giving a breath deliver two
breaths each lasting for one second and
watch for chest rise to ensure that the
breath was effective otherwise try
repositioning the airway try to avoid
over ventilation and limit this
interrupting in chest compression to
thirty seconds maximum early or I had
mentioned the use of an AED again some
of you may be thinking what is an AED an
AED is an automated external
defibrillator it is a computerized afib
relator that analyzes the heart rhythm
recognizes whether rhythm is shockable
or not and then advises the operator on
what to do next they're very easy to use
to begin you should turn on the AED
place AED pads on the chest according to
the diagrams and then plug in the
connector listen to the prompts of the
AED if a shock is advised the AED will
charge and prompt you to deliver a shock
otherwise it'll prompt you to resume CPR
after a shock is delivered if it's
advised you should go back to performing
CPR until the AED prompts you to stop so
that it can reassess the rhythm again
the online portion of an HTTP will go
into more detail on special situations
with
the ad I also want to cover on how to
relieve choking for choking in adults
and children you should perform
abdominal thrusts to do so stand behind
the victim and wrap your arms under
their ribcage making a fist with one
hand located midway between the bottom
of the breastbone in the knee
cuff that fist with your other hand and
pull inward and upward at an angle doing
so until the object the victim is
choking on becomes dislodged or the
victim becomes unconscious if the victim
becomes unconscious you should help
lower them to the ground and begin CPR
immediately for infants you should
perform 5 chest thrusts and 5 back slaps
until the object is dislodged if the
victim becomes unconscious begin CPR
immediately and when going to give
rescue breaths while performing CPR you
can look into their throat and see you
can see the airway obstruction and if
you can you can try to figure it out but
if you cannot see the airway obstruction
you should not try to figure it out as
you may push it further into the throat
or harm them in another way again I'd
like to mention that hands-only CPR can
be performed for teens and adults who
suddenly collapse in and out of hospital
setting if you feel uncomfortable doing
mouth-to-mouth so let's go through this
review real quick before I show you the
skills video so for chest compressions
you should perform 30 chest compressions
at a rate of 100 to 120 compressions a
minute and the depth should be at least
1/3 the depth of the chest for adults
this is at least 2 inches for children
it's about 2 inches and for infants it's
about 1 and a half inches
when performing CPR you should make sure
that the victim is lying on a firm flat
surface you should allow for complete
chest recoil in between each compression
and you should minimize interruptions
between chest compressions when
delivering rescue breaths you can open
the airway using one of two methods
either the head-tilt chin-lift maneuver
or the jaw thrust create a tight seal
when giving breaths whether it be with
your mouth or with a mask and deliver
the breath over one second look for
chest rise for each breath and spend no
longer than 10 seconds and again you can
use barrier devices such as pocket mask
or bag mask devices to deliver the
breaths when using an AED it's very easy
to use you just power the AED on attach
the pads plug in the connector and
follow the AEDs prompts for choking for
adults and children you do the Heimlich
maneuver which consists of abdominal
thrusts
and then for infants you do 5 chest
thrusts and 5 back slaps and if at any
time the victim becomes unresponsive
you should start CPR so I'm going to go
ahead and show you the skills video here
is adult CPR
okay and now here is infant CPR
now here is adult AED
and then here is
and then here is adult choking
and then finally here is infant choking
so if you have any questions regarding
anything you've learned today you can
shoot me an email at Lauren if darpur at
dis foundation org however the course
online will go over everything in more
detail so don't forget that you can
certify online at an HTTPS for free just
use the coupon code that I gave you
during checkout so that's all I have
thanks guys so much for helping us to
empower to save life