1. Saving Lives is All in Your Hands
Bystander CPR
Saving Lives is All in Your Hands

2. Objectives
List the steps for performing hands-only cardiopulmonary resuscitation (CPR).
Identify the compression rate range for performing effective CPR.
Explain the significance of the Good Samaritan law for bystanders who observe a person experiencing a cardiac arrest.

3. Facts About Sudden Cardiac Arrest
Leading cause of death
Usually occurs at home
Victims often over age 50
More than 400 deaths in Worcester County each year
Survivors are among those who receive bystander CPR

4. Bystanders and CPR
For victims of a cardiac arrest that is observed by bystanders:
Two out of three victims don’t receive bystander CPR before emergency medical services (EMS) arrive.
This greatly reduces their chances of survival.
Hands-only CPR is easier to perform than traditional CPR, is effective and may lead to more bystander CPR helping victims.
The only bad CPR is no CPR.

5. Steps for How to Perform
When someone collapses and seems lifeless:
Call 911, place phone on speaker mode to leave your hands free.
Check responsiveness of the victim.
Ask if there is a defibrillator nearby.
Place the victim on a flat surface if possible.
Perform hands-only CPR.

6. Step 1-Call 911 When someone collapses, act as quickly as possible.
When using a cellphone, place it on speaker mode if possible.
911 operators can help guide you through performing CPR and keep you posted on when help will arrive.

7. Step 2-Check Responsiveness
Gently shake the victim and ask if he/she is OK.
If the victim isn’t breathing, start CPR.
Many victims will continue breathing, but are unresponsive and their breathing is abnormal.
If the victim is unresponsive and not breathing, or breathing abnormally, start CPR.

8. Step 3- Ask About a Defibrillator
Ask if there’s a defibrillator nearby and use it if necessary.
Automatic external defibrillators (AEDs) are devices that can help restart a cardiac arrest victim’s heart if applied after collapse.
AEDs are located in many businesses, malls, airports, casinos and hospitals.
These devices will guide untrained bystanders how to use the AED each step of the way.
The AED will analyze the heart rhythm and guide the bystander to shock the victim if appropriate.
The device also will help guide the bystander in performing CPR.

9. Step 4-Place Victim on Flat, Hard Surface
Place the victim on a hard, flat surface if possible.
CPR is more effective if the victim is on a flat or hard surface.
It’s easier to give bystander CPR if kneeling at the victims side.

10. Step 5-Perform Hands-Only CPR
Start Hands-only CPR
In CPR, you compress the victims heart, which helps blood circulate to the vital organs and keeps the victim alive until his/her heart can be restarted.
CPR is done in the center of the chest between the nipples.
With both hands, compress down two inches and release at a rate of 100 to 120 times per minute.
Too slow doesn’t pump enough blood.
Too fast doesn’t allow the heart to fill with enough blood.
Two inches is enough to squeeze the blood out for circulation.
Once you have pressed down two inches, release pressure fully and compress again.
You can use the song “Staying Alive” if you know it to time your compressions.

11. Saving Lives
If we can increase bystander CPR so that all victims receive CPR when they suffer a cardiac arrest, we will save 50 or more lives each year.
Hands-only CPR is very effective.
The only bad CPR is no CPR.

12. Good Samaritan Laws
Massachusetts and most states have Good Samaritan laws that protect and encourage bystanders to provide CPR and to use a defibrillator to save lives

13. Review of Steps for Responding
When someone collapses and seems lifeless:
Call 911, place phone on speaker mode to leave your hands free.
Check responsiveness of the victim.
Ask if there is a defibrillator nearby.
Place the victim on a flat surface if possible.
Perform hands-only CPR.