1. ADULT CPR/ AED
TRAINING

2. ADULT CPR / AED
 OBJECTIVE
To give individuals in the workplace
the knowledge and skills necessary
to provide care for breathing
emergencies, perform
cardiopulmonary resuscitation
(CPR), and use an automated
external defibrillator (AED) for
victims of cardiac arrest.

3. EMERGENCY ACTION STEPS
 CHECK
 CALL
 CARE

4. EMERGENCY ACTION STEPS
 CHECK: scene and victim
 Life-threatening conditions
• Unconsciousness
• Persistent chest pain or discomfort
• Not breathing / trouble breathing
• No circulation
• Severe bleeding
• Seizure lasting more than 5 min.

5. EMERGENCY ACTION STEPS
 CALL – 911
 Responder alone, CALL FIRST, before
providing care for-
• Unconscious adult victim or child 8 yrs. or
older
• Unconscious infant or child known to be at
a high risk for heart problems

6. EMERGENCY ACTION STEPS
 CALL – 911
 Responder alone:
• Provide 1 minutes of care, then CALL FAST
for:
• Unconscious victim less than 8 yrs. Old
• Victim of submersion / drowning
• Drug overdoses

7. EMERGENCY ACTION STEPS
 CARE:
 Provide proper care such as rescue
breathing/CPR/obstructed airway/care
for bleeding

8. LEGAL PROTECTION
 Good Samaritan Law
 Obtaining Consent

9. LEGAL PROTECTION
 Good Samaritan Law
 Enacted to give legal protection to
people who willingly provide emergency
care to injured persons without
expecting anything in return
 Requires responder to:
• Use common sense and a reasonable level
of skill

10. LEGAL PROTECTION cont.
 If a conscious victim does not grant you
consent, do not give care, but still call
9-1-1
 IMPLIED CONSENT
 A victim who is unconscious, confused,
or seriously ill
 Victim would agree to have care given
to him/her

11. LEGAL PROTECTION
 OBTAINING CONSENT
 The victim accepts your offer to help
• To obtain consent, conscious victim
• State your name
• Tell victim your training level
• Ask if you can help
• Explain what you plan to do

12. PREVENTING DISEASE
TRANSMISSION
 FOLLOW BASIC PRECAUTIONS:
 Use protective equipment- disposable
gloves/ breathing barriers
 Wash hands immediately after giving
care
 Avoid contact with victim’s blood/body
fluids

13. PREVENTING DISEASE
TRANSMISSION
 BLOOD SPILLS
 Disposable gloves
 Wipe up spill with an absorbent
material
 Use a mixture of 10-1 (water/bleach)
 Dispose of soiled supplies in a
biohazard waste bag

14. BEFORE PROVIDING CARE
 Move an injured victim if:
- scene becomes unsafe
- You have to reach another victim who
may have a more serious injury
- Need to move victim to provide proper
care (collapsed on a stairway)

15. VICTIM TRANSFERS
 Clothes drag
 Two-person seat carry
 Walking assist
 Blanket drag
 Foot drag

16. CALLING 9-1-1
 Provide dispatcher with:
 Location
 Address
 Name
 What happened
 Number/condition of injured
DO NOT HANG UP UNTIL
DISPATCHER DOES!

17. SHOCK
 Life-threatening condition in which
not enough blood is being delivered
to all parts of the body

18. S & S of SHOCK
 Restlessness or irritability
 Pale, cool, moist skin
 Nausea and vomiting
 Blue tinge to lips/nail beds
 Rapid breathing/pulse
 Altered level of consciousness

19. CARE FOR SHOCK
 CALL 9-1-1
 Monitor ABC’s
 Keep victim from getting chilled/overheated
 ELEVATE LEGS ABOUT 12 INCHES ONLY IF YOU
DO NOT SUSPECT HEAD/NECK, OR BACK
INJURY

20. CHECKING FOR
CONSIOUSNESS
 Check scene and victim
 Tap victim on shoulder, ask “Are you
okay?”
 If unresponsive call 9-1-1

21. Checking Conscious Victim
 Ask- what happened?
 Victim unable to give information, check
for medical identification bracelet- Call
911
 Head to toe examination
 Care for conditions found/shock
 Monitor ABC’s
 Explain to EMS victim’s condition

22. UNCONSCIOUS VICTIM
 Check scene/victim
 Tap victim’s shoulder- no response Call
911
 Look, listen and feel for breathing- 5 sec.
 Victim unconscious but breathing-place in
recovery position

23. Unconscious Cont.
 Cannot tell if victim is breathing
• Head tilt/chin lift
• 5 sec.
Victim not breathing:
• 2 rescue breaths
• Breaths do not go in – reattempt
• Breaths go in ….check for circulation 10 sec
(Find carotid artery)
EMS and monitor

24. Rescue Breathing
 Victim not breathing but has a pulse
 Two slow breaths (2 sec.) with a brief
pause in between
 1 breath every 5 sec.
 Do not ventilate with more force
necessary to cause the chest to expand
 Maintain head-tilt

25. Cardiac Emergencies
Heart Attack

26. Cardiac Emergencies
Heart Attack S&S
 Persistent chest pain
 Pain/discomfort in either arm that spreads to the
shoulder, neck, jaw
 Nausea, shortness of breath, breathing trouble
 Sweating, changes in skin appearance
 Dizziness/unconsciousness

27. Cardiac Emergencies
 Cardiac Chain of Survival
 1. Early recognition and early access
 2. Early CPR
 3. Early defibrillation
 4. Early advanced life support

28. CPR
 Cardiopulmonary Resuscitation
 Purpose?
 CPR does not restart a victim’s heart; it
keeps blood that contains oxygen
flowing to the brain and vital organs
until an AED or advanced medical
personnel arrive.

29. CPR
 victim is not breathing and does not have
a pulse
 Chest compressions combined with giving
breaths
 30 compressions to 2 rescue breaths

30. CPR
 Continue CPR until:
 You feel signs of circulation
 AED is available
 Another trained responder takes over
 You are too exhausted to continue
 The scene becomes unsafe

31. UNCONSCIOUS CHOKING
 Care is similar to CPR with the exception
that a foreign object search is
performed between chest compressions
and breaths.
 Chest compressions force air into victim’s
lungs to dislodge the object.

32. CONSCIOUS CHOKING
 Victim is conscious, but cannot cough,
speak, or breath
 Get consent before giving care
 Assume airway is blocked
 Universal sign of choking
 Clutching throat with both hands

33. Conscious Choking Skill
 Perform 5 back blows/5 abdominal thrusts
 Stand behind and slightly to the side
 Place one arm diagonally across victim’s chest
and lean the victim forward
 Firmly strike victim between shoulder blades
with heel of hand 5 times
 Place thumb side of fist against middle of the
abdomen just above the navel. Grasp fist with
other hand and give 5 quick upward thrusts

34. Conscious choking
 Repeat 5 back blows/5 abdominal
thrusts until-
 Object is expelled
 Victim starts to breathe or cough
 Victim becomes unconscious
 EMS personnel arrive

35. AED
 Automated External Defibrillator
 A machine that analyzes the heart’s
rhythm
 This shock, called defibrillation, may
help the heart reestablish an effective
rhythm

36. AED PRECAUTIONS
 Do not:
 Touch the victim while the AED is
analyzing or defibrillating
 Use alcohol to clean victim’s chest
(flammable)
 Use an AED in a moving vehicle
 Use an AED on a victim lying on a
conductive surface (metal) or water

37. AED PRECAUTIONS
 Do not:
 An AED on a child under 8 yrs. Or
under 55 pounds
 Use an AED on a victim (nitroglycerin
patch) remove patches
 Cellular phone/radio transmitter within
6 feet of AED

38. OPERATION OF THE
LIFEPAK 500 AED
 To prepare for ECG analysis and
defibrillation:
 1.Verify that the patient is in cardiac arrest
 2. Press ON/OFF to turn on the AED (the
green LED will light). The CONNECT
ELECTRODES message and voice prompt will
occur until the patient is connected to the
AED.

39. LIFEPAK 500 AED
3. Prepare the patient for electrode placement:
 • Place the patient on a hard surface away from
standing water or conductive material.
 • Remove clothing from the patient’s upper
torso.
 • Remove excessive hair
 • Clean the skin and dry it with a towel or gauze.
 • Do not apply alcohol, or antiperspirant to the
skin.

40. LIFEPAK 500 AED
 4. Apply the electrodes to the patient’s chest.
 • Place the (Heart) or + electrode lateral to
the patient’s left nipple with the center of the
electrode in the midaxillary line.
 • Place the other electrode on the patient’s
upper right torso, lateral to the sternum and
below the clavicle.
 Firmly press the electrode onto the patient’s
chest to eliminate air pockets between the gel
surface and the skin.

41. LIFEPAK 500 AED
 5. Connect the electrode connector to the AED
(if it is not already connected)
 6. Follow screen messages and voice prompts
provided by the AED.
 If the patient recovers consciousness and/or
signs of circulation and breathing return, place
the patient in the recovery position and leave
the AED attached.

42. LIFEPAK 500 AED
 Warnings and hazards:
• delivers up to 360 joules of electrical energy.
 • If a person is touching the patient, bed, or any
conductive material in contact with the patient
during defibrillation, the delivered energy may
be partially discharged through that person.
 Air pockets between the skin and electrodes can
cause patient skin burns. DO NOT reposition
electrodes once applied. If the position must be
changed, remove and replace with new
electrodes.