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Archives for “CPR”

New CPR Guidelines 2010

New CPR Guidelines – 2010 The AHA today previewed the new CPR guidelines 2010. The new cpr guidelines put a preference on compressions first over the traditional ABC’s or Airway, Breathing, and Circulation. The new guidelines now use the C-A-B approach. Persons finding a person in suspected cardiac arrest should: 1. Assess the victim 2. [...]


Compression Only CPR Recommended

Emergency dispatchers should advise bystanders to use chest-compression-only CPR on heart attack victims, rather than the standard protocol of chest compressions and mouth-to-mouth ventilation, according to a new study. The findings echo the results of other recent reports that have compared the two strategies. Continuous, uninterrupted chest compressions may be the key to successful CPR, [...]


CPR Compression to Breath Ratio

The current American Heart Association Guidelines establish a universal compression to breath ratio of 30 to 2 for Adults, Infants, and Children when performing CPR with rescue breaths. Compressions should be performed hard and fast at the rate of 100 compressions per minute. In healthcare settings, 15 to 2 may be used on infants and [...]


Answer: No, recovery (if any) from defibrillation after suffering from a shockable rhythm is a delayed process. Time down before defibrillation has been shown to be equatable to potential recovery time after a shock. Link to this post!


What does a flatline mean?

A flat-line on a cardiac monitor indicates a asystolic heart rhythm. Asystolic or Asystole means that there is no electrical heart activity. Unlike TV, in real life, use of a defibrillator provides no valid treatment for asystole or a flatline. You can not shock a flatline (or asystole) back into a regular rhythm or restart [...]


Cardiopulmonary resuscitation (CPR) is an emergency procedure for a victim in cardiac arrest. Cardiac arrest is when a persons heart quits beating. CPR involves rescuer provided physical interventions to create artificial circulation for a victim who is unconscious/non responsive, not breathing, and does not have a pulse. The main purpose of CPR is to maintain [...]


Legal Considerations of CPR & First Aid When providing CPR or First Aid you should consider the legal ramifications of your actions. Generally, lay persons have no legal duty to act to aid someone else in need. Election to help someone else is guided by an internal moral compass of what is reasonable and expected. [...]


Universal Precautions & Bloodborne Pathogens Your personal safety is your number 1 priority in any situation. Bodily fluids such as blood and saliva may contain pathogens that may cause disease or illness. You should attempt to isolate direct contact with bodily fluids to limit your risk of exposure to these pathogens. Pathogens can enter your [...]


What is a Heart Attack?

Link to this post!


Heart Attack A heart attack is a life threatening medical emergency in which the heart muscle suffers an event in which part of the heart is damaged or dies. A person having a heart attack may have chest discomfort, pain, or pressure; discomfort in the upper body including the arms, back, neck, or jaw; shortness [...]


Choking is a common medical occurrence and typically does not require emergency intervention. Rescuers should initiate care in cases of severe choking such as when a person is unable speak, makes the universal choking sign, or is turning blue. When witnessing someone believed to be in severe choking you should ask them if they are [...]


1:) Hairy Chest: If the victim has a hairy chest you will need to remove the hair prior to placing the AED pads on the victims chest. You may do this with a razor that is typically found with an AED or by attaching one set of AED pads and pulling them off forcibly removing [...]


Automated External Defibrillator’s (or AED’s) are devices that treat the most common cause of sudden cardiac arrest by delivering a electrical shock to a persons body. What an AED treats is an abnormal heart rhythm called Ventricular Fibrillation (or V-Fib) that causes the heart to stop circulating blood. V-Fib is a heart condition in which [...]


Healthcare Provider Considerations: Healthcare Providers when performing CPR should consider the following considerations: Use of BVM or Bag Value Mask: A bag valve mask is a device that is commonly used in healthcare settings to deliver rescue breathing to person who is not breathing or is breathing ineffectively. A BVM delivers positive pressure ventilation and [...]


CPR – Mouth to Mask

Mouth to Mask Breathing is the delivery of rescue breaths through a barrier mask to protect the rescuer from becoming exposed to the victims bodily fluids. Barriers devices such as a pocket mask should be used to provide rescue breathing when available and delivering rescue breaths. Pocket Masks are usually made of plastic and contain [...]


CPR – Child and Infant CPR

ABC’s of Life for Children (1 to Puberty): Airway: Same as an Adult except look in the airway for a potential choking object that potentially could be removed. Breathing: Same as an Adult. If giving rescue breaths, give a lower volume of air when giving breaths. Give just enough breath to see the chest rise. [...]


Due to children and infants going into cardiac arrest most likely to respiratory cause; one must consider the value of outside resources in the life saving effort. You should recognize that time is the enemy, especially in pediatric victims, and delay in treatment or care may result in a poor outcome. The sooner care is [...]


Defining a child: A child is a victim who is over the age of 1 and up to the age of puberty. Puberty is defined as breast development in females and underarm or facial hair in males. Puberty is used as the establishment of adulthood as developmental changes may effect aspects of CPR. In addition [...]


CPR – Rib Fracture

Rib Fracture: While performing CPR, rib fracture is common. You may feel ribs break, feel or hear bone rubbing on bone, or see free floating ribs on the victims chest. Chest compressions should continue without delay or modification. If the person survives the cardiac arrest their ribs will heal. Saving their life out weighs the [...]


CPR – Checking for a Pulse

Checking For A Pulse: Layperson rescuers should not check for a pulse while performing CPR. The average person has little practice in obtaining a pulse therefore it is unrealistic to expect accuracy during an emergency situation. You should assume that unless the victim wakes up during your assessment or shows signs of life during CPR [...]


The fundamental principle of CPR is that we want blood and oxygen circulating throughout the body at all times. Circulation equates to potentially prolonging and mitigating cellular injury and death. The primary intervention to be performed for circulation is Chest Compressions. Chest Compressions circulate blood and oxygen. When performing CPR with rescue breathing, give 30 [...]


CPR – Mouth to Mouth

Mouth to Mouth breathing is considered the easiest and most readily available option as it does not require any special equipment to perform. Mouth to Mouth breathing is performed by opening the victims airway (head-tilt/chin-lift), covering the victims mouth completely with your mouth, pinching the victims nose (to keep the oxygen from escaping back out [...]


CPR – Breathing

ABC’s of Life A = Airway, B = Breathing, C = Circulation Breathing: While maintaining an open airway, lower your head down and LOOK at the victims chest, LISTEN for coming out the victims mouth and nose, and FEEL for movement on the victims chest. You should Look, Listen, and Feel for 5 to 10 [...]


CPR – Opening the Airway

ABC’s of Life A = Airway, B = Breathing, C = Circulation Airway: When a person becomes unconscious, they loose all muscle tone. The tongue being a muscle relaxes and may block the airway (trachea/windpipe) of the victim. The tongue is the most common cause of airway obstruction in an unconscious adult. To mitigate this [...]


Call 911 / Getting Additional Resources: If your assessment of the victim determines that they are unconscious & unresponsive or not acting appropriately you must call 911 and/or obtain additional resources. If you fail to call 911 or obtain additional resources you will be responsible for providing care indefinitely. An ambulance does not magically appear [...]




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