When do we not start CPR? Patient with no pulse or respirations exhibiting Dependent Lividity and/or Rigor Mortis Obvious Mortal Injuries An approved "Do Not Resuscitate" order or signed "Living Will“ ALS Units on the scene have assumed responsibility off patients care. 2
Patient with no pulse or respirations exhibiting Dependent Lividity and/or Rigor Mortis 3
Obviously Mortal Injuries 4
DNR or Living Will 5
Chain of survival consist of : 1.Immediate recognition of cardiac arrest and activate of emergency response system. 2.Early CPR that emphasizes chest compressions 3.Rapid defibrillation if indicated.defibrillation 4.Effective advanced life support. 5.Integrated post-cardiac arrest care.
1.Don your PPE. 2.Determine responsiveness and breathing 3.Call for HELP 4.Check for a pulse, if none present 5.Start Chest Compressions Sequence of events:
Hand positioning for Compressions and Ratio 8 Rate: at least 100 per minute at least 100 per minute at least 100 per minute Depth: at least 2 inches at least 2 inches at least 1.5 inches Ratio: 30:2 with 1 or 2 rescuer 30:2 with 1 or 15:2 with 2 rescuer 30:2 with 1 or 15:2 with 2 rescuer Ages : ? To Puberty Puberty to 1 year 1 year to Birth
Open the Airway
VentilationsVentilations 10 Pocket Mask Bag-Valve -Mask Each breath should be 1 second in duration
Cardiac Science G3 Pro 11
Cardiac Science G3 Pro 1.Use as Soon as Possible!! 2.Turn it on by opening the lid. 3.Apply the pads to chest. 4.Stand back and let it analyze. 5.“STAND CLEAR” If shock advised press the red button. 6.Start CPR immediately after the shock is delivered.
Trauma Codes Are we as BLS responders going to treat the trauma arrest patient any differently? NO! They Need CPR The need no delay in getting to the Trauma center
After the Cardiac Arrest 1.Ensure the patient and their family are cared for. 2.Ensure all sharps and bio waste are properly disposed of. 3.IF a coroner is to be requested that must be done by Law Enforcement 4.Plug in a new set of pads in the AED and ensure it is “Rescue Ready”. Put it back in service, download will occur later. 5.Ensure EMS Bag is restocked and operationally ready. 6.Notify the Duty Chief that the AED has be deployed on a cardiac arrest patient. They will facilitate getting the data downloaded.