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FIRST AID ADULT CPR AED Good Samaritan Law - Protection for Voluntary Care

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FIRST AID ADULT CPR AED Good Samaritan Law - Protection for Voluntary Care SSU Dept. Intercollegiate Athletics FIRST AID ADULT CPR AED Good Samaritan Law - Protection for Voluntary Care A lay person who decides voluntarily to act in an emergency, but does not have any special or advanced medical training Expects No Compensation Good Samaritan Law - Protection for Voluntary Care California Health and Safety Code Section 1799.102 says, “No person who in goodfaith, and not for compensation, renders emergency medical or nonmedical care at the scene of an emergency shall be liable for any civil damages resulting from any act or omission.”Dec 15, 2014 First Responder A person trained in emergency care that can be called on to give such care as routine part of their job. Prerequisite for EMT Training BASIC EMERGENCY ACTION STEPS CHECK CALL 911 Potential Life-Threatening Injuries / Illness Unusual Behavior / Sounds / Odors CARE Obtaining Consent Identify yourself State level of training Explain what you observe Explain what you plan to do Ask permission If No consent – Do Not Provide Care / Call 911 Anyway Prevention of Disease Transmission Personal Hygiene PPE – Personal Protective Equipment Gloves (Change btw Patients / Don’t Touch other things / wash hands after use) Engineering Controls Work Practice Controls SAMPLE History Medical Identification Tags S – Signs and Symptoms A – Allergies Not just medications M – Medications P – Pertinent Medical History L – Last Food or Drink E – Events Leading up to the Insident Steps in General Care for Respiratory - Cardiac Arrest Check Consciousness - Unresponsiveness Shout & Tap Check Breathing 5-10 sec. Someone Call 9-1-1 30 Chest Compressions 2 SLOW Rescue Breaths Checking for Chest to Rise (About 1 second) Steps In Caring for Respiratory - Cardiac Arrest cont. Pulse Present = Rescue Breathing Adults / Children 1 Breath : every 5 seconds Infants 1 breath: every 3 seconds Be Aware of Volume Pulse Absent / Cardiac Arrest = CPR 30 Compressions (Rate of 100 min.) 2 Breaths (1 sec breath rate) Cardiac Chain of Survival (Increases Chance of Survival) Actions by a Citizen Responder Recognition of Problem Persistent Chest Pain / Profuse Sweating / Nausea Calls 9-1-1 Overview of CPR Adult Child Infant Compressions (Smooth/Reg) 100 per min 100 per min 100 per min Compression Depth 1½ - 2 inches 1 –1½ inches ½ - 1 inch Breaths 1 second long 1 second long 1 second long Cycles 1 30 to 2 (5x- Person 2min) 30 to 2 30 to 2 Cycles 2 People 30 to 2 15 to 2 15 to 2 CPR Compressions Push 1½ - 2 inches 100 – 120 compressions minute Smooth & Regular Straight Up & Down Chest Returns to Normal Position 2 breaths to 30 compressions (5 cycles in 2 min.) Continue CPR Care Till: Fatigue Unsafe Scene Victim Breaths on Their Own Transfer of Care Airway Obstruction Conscious Encourage coughing If can not breath/cough Lean then forward give 5 back blows (between Shoulder Blades) 5 abdominal thrusts (Middle Abdomen Above Navel) Until the airway becomes un-obstructed or the until the patient becomes unconscious Same for Infant (different delivery of back blows and abdominal thrusts) Airway Obstruction Unconscious Consciousness and Breathing Check 30 Chest Compressions 2 Rescue Breaths If 1st Breath Does Not Go in Retilt Before 2nd 30 Chest Compressions Finger Sweep / 2 Breaths / Chest Comp Repeat AED When Available Use as Soon as Possible Electrically Stops Heart so it Can: Redevelop a Normal Rhythm Does Not Restart a Non-Electrical Activity Heart If “No Shock is Advised” Continue CPR AED Precautions Do Not Touch Patient Stand Clear Prevents Shock of Bystander Allows Appropriate Heart Rhythm Analysis of Patient Water - Electronic Devices Metal - Moving Vehicle Flammables (oxygen) Internal Pacemaker/Defibrillator Medication Patches Do Not Clean the Chest with Alcohol Pads Do Not Defibrillate <8 Yr-Olds or < 55 Lbs. AED Procedures Confirm Cardiac Arrest Turn On AED Attach AED to Electrodes Apply Pads to Victims Chest Upper Right Side of Chest Btw Nipple & Collarbone Lower Left Side of Chest Below Nipple (Small Child Avoid Pads Touching : Center of Chest & Back) Analyze Deliver Shock if Advised AED Protocol Check Pulse If No Pulse Do CPR until AED Fully Attached & Ready Analyze Rhythm Shock Advised Deliver Shock (150 – 360 joules) No Shock Advised Recheck Pulse In No Pulse Continue CPR Chain of Survival Actions of Citizen Responder Recognition of Problem Calls 9-1-1 Shock Definition & Effects Hypoperfusion = Inadequate Blood Volume Due to Blood Loss Fluid Loss Vasodilatation Life-Threatening Inevitable Result of any Serious Illness or Injury (Burn / Wound / Anaphylaxis) Care for Shock Call 9-1-1 Monitor vital signs - LOC Help Circulation - Position Help Breathing - Position / O2 Keep Warm Reassurance Give specific care as needed Care External Bleeding Sterile Dressing with a Gloved Hand Apply More Dressings- Do Not Remove Direct Pressure Elevation Pressure Bandage Pressure Points Tourniquet (Multiple Life-Threatening Victims) Care for Diabetic Emergency Too Much or Too Little Blood Sugar Shock Care Ingestion of Sugar (15-20 grams sugar / wo fat content) Call EMS if : Decreasing Vital Functions Care for Seizures Place patient on soft ground away from anything that may injure them Do not hold or restrain Move Nearby Objects Protect head Call 911 if: > 5 minutes Seizure is in water First time seizure Pregnant Failure to regain consciousness Known diabetes Fibrile Stroke (Ruptured or Blocked Blood Vessel in the Brain) F- Face (ask to smile) Weakness on one side of face A – Arm (raise both arms) Weakness or numbness on the arm S – Speech (repeat the sky is blue) Slurred speech or trouble speaking T- Time Time to call 9-1-1 Note time Classification of Burns Superficial (1st Degree) Partial Thickness (2nd Degree) Full Thickness (3rd Degree) Treatment Remove from Source Cool Cover Tx for Shock Injuries Sprain Ligament Strain Muscle Tendon Tx RICE If Call 911 Ice Only Head, Neck or Spinal Injury Concussion Care Call 9-1-1 Minimize movement of the neck/head Cervical Collar In-Line Stabilization Concussion Traumatic Brain Injury Chemical Disruption of Neuro Function Anatomical DamaGe to Nerves Heat Cramps / Exhaustion / Stroke Signs Extreme Sweating or None Pale Skin or Red Weakness and Exhaustion Mental Confusion Slightly Elevated Temp / Rapid Rise Treatment Remove from Activity Get Shelter from Heat Cool Body Off Replace Fluids and Electrolytes Anaphylaxis Exposure to An Allergen Food - Ingested (Shellfish / Peanuts – Legumes) / Insect Stings / Medications / Latex Signs Severe Swelling Respiratory Difficulty Tx Epinephrine Auto Injector Check Label and Medication Locate the Injection Site Grasp Firmly and Pull Off Safety Cap Tip of Injector at 90-degree Angle to Thigh Quickly and Firmly Push Tip Straight Into Outer Thigh Remove Injector and Massage Injection Site – Several Secs Check Person’s Response to Medication 2nd Dose if EMS Delayed and 5-10 min after first dose w Still Sign/Symptom Asthma – Acute Attack Defn. Sudden worsening of asthma symptoms Tightening of muscles around your airways (bronchospasm) Lining of the airways also becomes swollen or inflamed and thicker mucus (more than normal) is produced. Tx Quick-Relief Medication / Inhaler Call 911 if non improvement within 5-15 min..
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