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Life Saving Techniques. UCHS MCJROTC 25 Feb 2013. Who Benefits. Likely a father, grandfather or uncle Someone choking in a restaurant- a family member or close friend Next door neighbor You could save a life Open to page 387, LE-I. Learning Objectives. How do you open a blocked airway?
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Life Saving Techniques UCHS MCJROTC 25 Feb 2013
Who Benefits Likely a father, grandfather or uncle Someone choking in a restaurant- a family member or close friend Next door neighbor You could save a life Open to page 387, LE-I
Learning Objectives How do you open a blocked airway? What is the first thing you should do when approaching an accident scene? What are some heart attack symptoms? What is an AED? Where are they?
Duty to Rescue Under Civil Law the duty to rescue is far more extensive. Any person above legal age, who sees another human being in peril, must take all reasonable steps to provide help. Failure to do so may result in prosecution An exception may be if the rescuer puts himself/herself in danger Simply alert the relevant entity with a 911 call
Good Samaritan Law Laws or acts protecting from blame those who choose to aid others who are injured or ill. Take initiative! DO SOMETHING! Get formal training, like Red Cross classes, but this information could save a life!!
Considerations • If aid begins, the responder must not leave the scene until: • It is necessary to call for needed medical assistance. • Somebody of equal or higher ability can take over. • Continuing to give aid is unsafe
Other Considerations The procedures described in this article are not a substitute for CPR training. All parents and those who take care of children should learn infant and child CPR if they haven't already. See www.americanheart.org for classes near you. Time is very important when dealing with an unconscious person who is not breathing. Permanent brain damage begins after only 4 minutes without oxygen, and death can occur as soon as 4 - 6 minutes later.
First Response • Check to insure area is safe • Check for responsiveness • Gently shake & ask if they are OK • Encourage them to keep coughing • Once they stop breathing, and/or become unconscious • CALL 911- You or preferably someone else • Use Heimlich Maneuver • Demo- any volunteers???
“Best” Thing to Do If Victim is not responding, has no pulse, is not breathing- CALL 911!!
Heimlich Maneuver A person who is choking cannot talk, cough, or breathe, and may turn gray or blue. The Heimlich maneuver can help get the food or object out. WARNING: Do not try the Heimlich maneuver unless you are sure the person is choking. Once they’re unconscious, relaxing may loosen the object in the throat Video link
Heimlich Maneuver • By thrusting upward, air is forced under pressure out of the lungs dislodging the obstruction • 2) *Never “practice” on a friend and actually perform the movements
Prevent choking in Children Do not give popcorn, nuts, or hard candy to children younger than 4, and supervise older children when they eat these foods. Cut hot dogs and grapes lengthwise. Do not give young children small objects that may cause choking, such as marbles or jacks. Look for age guidelines when selecting toys for children. Keep balloons and plastic bags away from any child who may put them in his or her mouth
Check for Responsiveness CPR Video 1. Check for responsiveness. Shake or tap gently. Clap or shout, "Are you OK?“ 2. Call 911 if there is no response. Shout for help and send someone to call 911. If you are alone, call 911 and retrieve an automated external defibrillator (AED) if one is available, even if you have to leave the person. 3. Carefully place the person on their back. If there is a chance the person has a spinal injury, two people should move the person to prevent the head and neck from twisting.
(Head Tilt) Chin Lift Use only chin-lift if you suspect a neck injury.
Check for Breathing LOOK, LISTEN AND FEEL If the chest does NOT rise, try the chin lift-head tilt again, and give two breaths.
Chest Compressions Place the heel of one hand on the breastbone – just below the nipples. Place the heel of your other hand on top of the first hand. Position your body directly over your hands. Give 30 chest compressions. These compressions should be FAST and hard. Press down about 2 inches into the chest. Each time, let the chest rise completely. Count the 30 compressions quickly
Chest compressions Compress chest 1/3 to ½ depth of victim’s chest
Look, Listen, Feel…Person still not breathing • With the airway open (using the head tilt-chin lift), pinch the nostrils shut for mouth-to-mouth breathing and cover the person's mouth with yours, making a seal. Cover the person’s mouth tightly with your mouth. • Pinch the nose closed. • Keep the chin lifted and head tilted. • Give 2 more breaths. Each breath should take about a second and make the chest rise.
Monitor the situation Continue CPR (30 chest compressions followed by 2 breaths, then repeat) until the person recovers or help arrives. If an AED for adults is available, use it as soon as possible. If the person starts breathing again, place them in the recovery position. Periodically re-check for breathing until help arrives.
Good Position for Chest Compressions…. • Arms straight • Weight of body over your hands
Remain on the scene until properly relieved When practicing- NEVER compress the chest- only do this on a DUMMY, NOT a person!! Reassess the victim- check for breathing & pulse Recheck for pulse every 3 to 5 minutes
Compression-Only CPR Recommended as the method of choice for the untrained rescuer Easier to perform and instructions are easier to give over the phone Can yield a higher success rate Exceptions with drowning or other breathing irregularities
Heart Attack- what is it? Coronary Artery
Heart Attack Defined: The interruption of blood supply to part of the heart Likely due to a blockage of a coronary artery due to plaque (from cholesterol) Oxygen is restricted to heart Heart cells begin to die Causes damage or death of heart muscle tissue
Heart Attack Symptoms Sudden Chest pain Shortness of breath Nausea Vomiting Heart palpitations Sweating Weakness
AED- Automatic External Defibrillator What is this? When is it used? What does it look like? How does it work? Where do I get one?
AED -Victim having heart attack -Found in public places (one in the front office) -Applies electrical therapy -Allows heart to re-establish effective rhythm
CPR is being administered while a second rescuer prepares for defibrillation with an AED (Automatic External Defibrillator)
Infant & Child CPR Same principles At side of infant, straddle a child Leave hand on infant’s forehead Two fingers instead of hand heel 30 compressions to two breaths? Smaller breath
Review For best and safest results, take a class from a qualified instructor before performing CPR, but DO SOMETHING! What are the steps you take How do you open a blocked airway? What is the first thing you should do when approaching an accident scene? What are some heart attack symptoms? What is an AED? Where are they?