Erica Faraone Physical Education 9 th Grade

Objectives To determine – What CPR means – When CPR is needed – If the scene is safe – How to gain consent – The difference between adult, child, infant – How to help if not certified – Any risks

History 1740: Paris Academy of Science – Use for drowning victims 1957: U.S. military use – Revive unresponsive victims 1960: CPR developed – American Heart Association CPR committee

History Continued 1972: Leonard Cobb – First mass citizen training in CPR – Trained over 100,000 people in 2 years

What does CPR mean? Cardiopulmonary Resuscitation – Help people in cardiac arrest Chest compressions until AED arrives – As well as EMS

Check Scene for Safety Use senses to check for hazards: – Traffic – Unstable structures – Downed electrical lines Put on appropriate protective equipment Determine nature of injury Determine number of injured victims If scene unsafe: – Move to safe area – Wait until EMS arrives

How to Gain Consent (Victim is conscious) Who you are – State name and level of training Ask if you can help Why you are with them – Explain you want to help them What you are going to do – Be honest – Make patient feel comfortable

Gaining Consent Implied consent: – Victim is unconscious – Victim has reduced level of consciousness Judgment of consent: – Victim is: Intoxicated Delusional Minor Suffering from learning disabilities

CPR for Infants Establish unresponsiveness, then call – Make sure airway is clear Restore blood circulation with chest compressions – 30 compressions with 1 finger Open airway, give 2 breaths Resume compressions

CPR for Infants Continued After 5 cycles or 2 minutes – No breathing, reassess Continue CPR until either: – Child begins to breathe – EMS arrives Video

CPR for Children (Ages 1-8) Establish unresponsiveness, then call Restore blood circulation with chest compressions – 30 compressions with 1 hand Open airway, give 2 breaths – Breathe more gently than adults Resume compressions

CPR for Children Continued After 5 cycles or 2 minutes – No response Use AED Administer 1 shock Continue CPR Call 9-1-1

CPR for Children Continued – Continue CPR until either: Child begins to breathe EMS arrives Video

CPR for Adults Establish unresponsiveness, then call AED available, deliver one shock Begin CPR Restore blood circulation with chest compressions – 30 compressions with 2 hands Open airway, give 2 breaths

CPR for Adults Continued Perform for 5 cycles or 2 minutes – If no response, use an AED Continue CPR until either: – Adult starts breathing – EMS arrives Video

Individuals Who Are Not Certified You can still help! – Don’t go outside scope of training Establish responsiveness, then call Perform chest compressions ONLY! – 100 per minute until EMS arrives

Risks People in need of CPR – Low rate of survival – 10-20% If heart starts, damage can exist – Damage to organs – Result to prolong dying Placement of breathing tube – Damage windpipe or gullet of esophagus

Problems with CPR Injury to ribcage – Forceful compressions Injury to airway – Check for obstruction Infectious disease – Victim’s bodily fluids Fatigue – Physically demanding of rescuer

What will we be doing? Next week: –I–Individual practical exams Count as test grade –C–CPR scenario’s classwork (5) Homework if not completed in class Due next class(Wednesday 2/18/15) Worth 50 points total!

Real Life Stories 45 minutes of CPR & 7 defibrillations – 43, Lorraine Brooks, survived heart attack Cardiac arrest – 2 men performed CPR – Saved his life Good Samaritan helped 64 year old – Hands-only-CPR

References Survivor Stories. (n.d.). Retrieved 15 February 2015, from HEARTORG/General/Survivor- Stories_UCM_440875_Widget.jsphttp:// (n.d.-a). Retrieved 15 February 2015, from MEDIA_CustomProductCatalog/ m _Pediatric_ready_reference.pdf (n.d.-b). Retrieved 15 February 2015, from MEDIA_CustomProductCatalog/ m _Adult_ready_reference.pdf