CPR/AED for American National Red Cross. All rights reserved. © 2011, 2016 The Professional Rescuers PARTICIPANT’S HANDBOOK American Red Cross CPR/AED for Professional Rescuers PARTICIPANT'S HANDBOOK © 2011, 2016 The American National Red Cross. All rights reserved. © 2011, 2016 The This handbook is part of the American PLEASE READ THE FOLLOWING Red Cross CPR/AED for Professional TERMS AND CONDITIONS (these Rescuers program. By itself, it does not “Terms and Conditions”) BEFORE constitute complete and comprehensive AGREEING TO ACCESS, USE OR training. Visit redcross.org to learn more DOWNLOAD THE FOLLOWING THE about this program. AMERICAN NATIONAL RED CROSS MATERIALS. BY PURCHASING, The emergency care procedures DOWNLOADING, OR OTHERWISE outlined in the program materials USING OR ACCESSING THE reflect the standard of knowledge and MATERIALS, YOU ACKNOWLEDGE accepted emergency practices in the AND HEREBY AGREE TO BE United States at the time this handbook LEGALLY BOUND BY BOTH THESE was published. It is the reader’s TERMS AND CONDITIONS AND responsibility to stay informed of THE AMERICAN NATIONAL RED changes in emergency care procedures. CROSS TERMS OF USE (AVAILABLE AT redcross.org/terms-of-use). YOU The care steps outlined within AGREE THAT THE INCLUDED this handbook are consistent with COURSE MATERIALS ARE the 2015 International Liaison PROVIDED “AS IS” AND WITHOUT Committee on Resuscitation (ILCOR) WARRANTIES OF ANY KIND, AND Consensus on Science and Treatment THAT ANY ACCESS TO OR USE OF Recommendations (CoSTR). The THESE COURSE MATERIALS IS AT treatment recommendations and related YOUR OWN RISK. training guidelines have been developed American National Red Cross. All rights reserved. © 2011, 2016 The by The American National Red Cross Scientific Advisory Council (SAC), a panel of nationally recognized experts in fields that include emergency medicine, emergency medical services (EMS), nursing, occupational health, sports medicine, school and public health, aquatics, emergency preparedness and disaster mobilization. II | The following materials (including Any rights not expressly granted herein downloadable electronic materials, are reserved by the Red Cross. The as applicable) including all content, Red Cross does not permit its materials graphics, images and logos, are to be reproduced or published without copyrighted by, and the exclusive advance written permission from the property of, The American National Red Red Cross. To request permission Cross (“Red Cross”). Unless otherwise to reproduce or publish Red Cross indicated in writing by the Red Cross, materials, please submit your written the Red Cross grants you (“Recipient”) request to The American National Red the limited right to download, print, Cross. photocopy and use the electronic materials only for use in conjunction with © 2012, 2016 by The American teaching or preparing to teach a Red National Red Cross. ALL RIGHTS Cross course by individuals or entities RESERVED. expressly authorized by the Red Cross, subject to the following restrictions: The Red Cross emblem, American • The Recipient is prohibited from Red Cross® and the American Red creating new electronic versions of the Cross name and logo are registered materials. trademarks of The American National • The Recipient is prohibited from Red Cross and protected by various revising, altering, adapting or modifying national statutes. the materials, which includes removing, altering or covering any copyright Printed in the United States of America notices, Red Cross marks, logos, or other proprietary notices placed or ISBN: 978-0-9983745-3-6 embedded in the materials. • The Recipient is prohibited from creating any derivative works incorporating, in part or in whole, the content of the materials. • The Recipient is prohibited from downloading the materials, or any part of the materials, and putting them on Recipient’s own website or any other third party website without advance written permission of the Red Cross. • The Recipient is prohibited from removing these Terms and Conditions in otherwise-permitted copies, and is likewise prohibited from making © 2011, 2016 The American National Red Cross. All rights reserved. © 2011, 2016 The any additional representations or warranties relating to the materials. | III INTRODUCTION The American Red Cross CPR/AED for Professional Rescuers program is designed to train professional-level rescuers to respond to breathing and cardiac emergencies in adults, children and infants until more advanced medical personnel take over. The technical content within this CPR/AED for Professional Rescuers Handbook is consistent with the most current science and treatment recommendations from the International Liaison Committee on Resuscitation (ILCOR) 2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations (CoSTR), the 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, and the American Red Cross Scientific Advisory Council (SAC), a panel of nationally recognized experts in fields that include emergency medicine, emergency medical services (EMS), nursing, occupational health, sports medicine, school and public health, aquatics, emergency preparedness and disaster mobilization. More information on the science of the course content can be found at the following websites: ilcor.org redcross.org/take-a-class/scientific-advisory-council ACKNOWLEDGMENTS This handbook is dedicated to the thousands of employees and volunteers of the American Red Cross who contribute their time and talent to supporting and teaching © 2011, 2016 The American National Red Cross. All rights reserved. © 2011, 2016 The lifesaving skills worldwide and to the thousands of course participants and other readers who have decided to be prepared to take action when an emergency strikes. Many individuals were involved in the development and revision process in various supportive, technical and creative ways. The American Red Cross CPR/AED for Professional Rescuers Handbook was developed through the dedication of employees and volunteers. Their commitment to excellence made this handbook possible. IV | © 2011, 2016 The American National Red Cross. All rights reserved. © 2011, 2016 The | V CONTENTS CHAPTER 1 CHAPTER 3 The Professional Rescuer Cardiac Emergencies Legal Considerations ............................. 3 Cardiac Chain of Survival .................... 87 Before Providing Care ........................... 5 Heart Attack ...........................................88 Bloodborne Pathogens .......................... 5 Cardiac Arrest .......................................90 How Pathogens Spread ........................ 7 CPR .........................................................90 Preventing the Spread AEDs .......................................................93 of Bloodborne Pathogens ................... 10 Multiple-Rescuer Response ..............100 If You Are Exposed ................................17 Wrap-Up ...............................................102 Taking Action .........................................17 Wrap-Up .................................................28 CHAPTER 2 Glossary................................................113 Index ......................................................119 Breathing Emergencies Recognizing and Caring American National Red Cross. All rights reserved. © 2011, 2016 The for Breathing Emergencies .................. 41 Giving Ventilations ................................46 Airway Obstruction ...............................56 Emergency Oxygen ...............................61 Oxygen Delivery Devices .....................64 Suctioning ..............................................67 Wrap-Up .................................................68 VI | SKILL SHEETS • REMOVING DISPOSABLE • CHOKING .............................................74 GLOVES ................................................. 29 o Adult and Child ....................................74 • USING A o Infant .......................................................77 RESUSCITATION MASK ................... 30 • EMERGENCY OXYGEN ...................79 o Head-Tilt/Chin-Lift .............................. 30 o Assembling the Oxygen System ......79 o Jaw-Thrust (With Head o Administering Emergency Extension) Maneuver ........................... 31 Oxygen ...................................................81 o Jaw-Thrust (Without Head • USING A MANUAL Extension) Maneuver ........................... 32 SUCTIONING DEVICE ......................82 • MOVING A VICTIM– • CPR ........................................................103 EMERGENCY MOVES ...................... 33 o One-Rescuer CPR ...........................103 o Pack-Strap Carry................................. 33 o Two-Rescuer CPR— o Clothes Drag ........................................ 33 Adult and Child ..................................105 • MOVING A VICTIM– o Two-Rescuer CPR—Infant ..............107 NON-EMERGENCY MOVES .......... 34 • USING AN AED ................................ 109 o Walking Assist ..................................... 34 o Two-Person Seat Carry ..................... 34 • PRIMARY ASSESSMENT– ADULT, CHILD AND INFANT ........... 35 • GIVING VENTILATIONS ................... 70 o Giving Ventilations .............................. 70 o Using a Bag-Valve-Mask Resuscitator—Two Rescuers ........... 72 © 2011, 2016 The American National Red Cross. All rights reserved. © 2011, 2016 The | VII The