Basic Life Support (BLS) for Healthcare Providers (HCP) 2013

Student Review Sheet

Please note: This review sheet reflects the New 2010 Guidelines for CPR & ECC. You will practice and test on these skills below. Please plan to be at your live class for 4 hours. Class Location: Cox College, Cox North Campus. Enter in from the Jefferson Ave entrance for Cox College. Use the white phone to gain access into Cox College. Take the elevator to the left of the Cox College main desk. Go to B for Basement Classroom #3. Note: You should have received an email confirmation from our registration system, Eventbrite. Please do not be late! The door closes promptly at the class start time. We are unable to allow late comers to enter the class due to the nature of the program. If you are late you will be asked to reschedule for another time. This American Heart Association (AHA) BLS for HCP course skills include: 1) One and two-man adult, child and infant CPR 2) Conscious/unconscious obstructed airway (choking) 3) Bag-valve mask usage 4) Pocket mask usage 5) AED usage The following review will prepare you for the skills performance test and written exam which will be conducted at your live course. Remember CAB C: Compressions Push hard and fast on lower half of the breastbone. A: Airway Tilt the head back and lift the chin to open the airway. B: Breathing Give 2 rescue breaths. Chain of Survival Adult: Phone 911, Give CPR, Use the AED, Advanced Care by EMS Rescuers and Integrated post-cardiac arrest care. Pediatric: Injury Prevention, Give CPR, Phone 911, Advanced Care by EMS Rescuers and Integrated post-cardiac arrest care. Automated External Defibrillator (AED) Only use an AED on an unconscious adult, child (1-8 years old) or infant (less than 1 year old) who is not breathing and has no pulse present. Use the AED as soon as it is available. Choose the correct size AED pads for the adult or child/infant younger than 8 years of age. If available use the smaller size pad for children and infants. If not available, use the standard adult pads, making sure the pads do not touch or overlap. You may not use the small pads on an adult. The small pads will not deliver the correct shock dose for an adult. Healthcare providers should give CPR until the AED arrives. CPR should continue until AED pads are placed and the AED is ready to analyze. If the victim is a child or infant and the rescuer did not witness the arrest, the rescuer should give 5 cycles of CPR (about 2 minutes) before activating the emergency response system and getting the AED.

Operating an AED: 1. 2. 3. 4. Turn on the AED and Follow the voice prompts. Place the electrodes. Plug in the electrodes. Clear the victim when the AED states analyzing heart rhythm. Shout Im clear, youre clear, everybodys clear! Wave your arms to clear bystanders. The clear must be visible and verbal. Do not touch the victim during the analyzing phase. 5. Clear the victim when AED states shock advised. Shout Im clear, youre clear, everybodys clear! Wave your arms to clear bystanders. The clear must be visible and verbal. Do not touch the victim during the shock phase. 6. Press the shock button. 7. AED shocks the patient. 8. Start CPR beginning with compressions (AED operator begins compressions). 9. The AED voice will sound every 5 cycles of 30 compression/2 breaths (about 2 minutes). 10. Clear the victim for analyzing when the AED voice instructs you to do so (every 2 minutes). AED Precautions: Water: If victim is in water, remove from water and place on dry surface, dry chest and make sure rescuer is not standing in water. Medication Patches: Remove any medication patches and clean area prior to applying AED pads. Implantable devices: Keep AED pads one inch away from any implantable devices such as a pacemaker, defibrillator or port. Hairy Chest: If the victim has a hairy chest, the AED pads may stick to the hair instead of the skin on the chest. If this happens the AED will prompt you to check the pads and press down firmly on each pad. If the AED continues to tell you to check the pads, quickly pull off the pads to remove the hair. If a lot of hair remains where you will put the pads, shave the area with a razor and apply a new set of pads.

Not on your test, but good to know information: Warning Signs of a Heart Attack Chest discomfort is the most important signal of a heart attack. It lasts longer than 15-20 minutes and is not relieved or only partially relieved by rest or nitroglycerin. A feeling of weakness may accompany chest discomfort. Other signs may include sweating, nausea, vomiting or shortness of breath. The elderly, diabetics and women are more likely to present with unusual symptoms or only vague, nonspecific complaints when having a heart attack. Warning Signs of a Stroke Sudden weakness or numbness of the face, arm or leg especially on one side the body. Sudden confusion, trouble speaking or understanding. Sudden trouble seeing in one or both eyes. Sudden trouble walking, dizziness, loss of balance or coordination Severe headache with no known cause.

Your questions will be addressed during class, however, you are welcome to email us questions at educationcenter@coxcollege.edu or call us at 417-269-4117.

BLS Comparison Chart

ADULT CPR
(PUBERTY AND OLDER)
Assessment: Tap shoulders and shout "Are you Okay?" Check for a response and look for normal breathing for 5-10 seconds. Call for Help (911) if outside hospital Yell for help / push code button, if available inside hospital. Tell someone to get the AED. Check carotid pulse for at least 5 seconds but no more than 10 seconds. If no pulse, start CPR. Start your CAB sequence: Compressions: Give 30 compressions. Airway: Open airway w/ head tilt chin lift. Breathing: Give 2 breaths. Repeat CAB until adult starts breathing or until help takes over. Notes: Compressions are delivered two-handed, between the nipples on the lower half of the breast bone. Deliver Compressions at least 2 inches (5 cm) the depth of chest. Assessment: Tap shoulders and shout "Are you Okay?" Check for a response and look for normal breathing for 5-10 seconds. Call for Help (911) if outside hospital Yell for help / push code button, if available inside hospital. Tell someone to get the AED. Check carotid pulse for at least 5 seconds but no more than 10 seconds. If no pulse, start CPR. Start your CAB sequence: Compressions: Give 30 compressions. Airway: Open airway w/ head tilt chin lift. Breathing: Give 2 breaths. Repeat CAB until child starts breathing or until help takes over. Notes: Compressions are delivered two-handed or one-handed depending on the size of the child, over the center of the chest between the nipples. Deliver Compressions at least 1/3 the anterior/posterior diameter of the chest. About 2 inches (5 cm) the depth of chest. Rate: 100 Compressions per minute 1-Rescuer CPR Ratio: 30 COMPRESSIONS 2 BREATHS 2-Rescuer CPR Ratio: 15 COMPRESSIONS 2 BREATHS Note: If you are alone with this child, give 5 cycles of CPR and then call for help (911) and get the AED.

CHILD CPR
(1 YEAR OLD TO PUBERTY)

INFANT CPR
(LESS THAN 1 YEAR OLD)
Assessment: Tap the infants foot and shout "Baby, Baby! Are you Okay?" Check for a response and look for normal breathing for 5-10 seconds. Call for Help (911) if outside hospital Yell for help / push code button, if available inside hospital. Tell someone to get the AED. Check brachial pulse for at least 5 seconds but no more than 10 seconds. If no pulse, start CPR. Start your CAB sequence: Compressions: Give 30 compressions. Airway: Open airway w/ head tilt chin lift. Breathing: Give 2 breaths. Repeat CAB until infant starts breathing or until help takes over. Notes: Compressions are delivered with twofingers, on the breast bone just below the nipple line. Deliver Compressions at least 1/3 the anterior/posterior diameter of the chest. About 1 inches (4 cm).

Rate: 100 Compressions per minute 1-Resuer CPR Ratio: 30 COMPRESSIONS 2 BREATHS 2-Rescuer CPR Ratio: 30 COMPRESSIONS 2 BREATHS

Rate: 100 Compressions per minute 1-Rescuer CPR Ratio: 30 COMPRESSIONS 2 BREATHS 2-Rescuer CPR Ratio: 15 COMPRESSIONS 2 BREATHS (Two-thumb encircling technique) Note: If you are alone with this infant, give 5 cycles of CPR and then call for help (911) and get the AED. Rescue Breathing 1 breath every 3-5 seconds Obstructed Airway (choking) 5 back blows & 5 chest thrusts Unconscious Obstructed Airway (choking) Deliver CPR Remove object if visible

Rescue Breathing 1 breath every 5-6 seconds Obstructed Airway (choking) Abdominal thrusts (Heimlich Maneuver) Unconscious Obstructed Airway (choking) Deliver CPR Remove object if visible

Rescue Breathing 1 breath every 3-5 seconds Obstructed Airway (choking) Abdominal thrusts (Heimlich Maneuver at the childs level) Unconscious Obstructed Airway (choking) Deliver CPR Remove object if visible

Updated by B. Keith 2-2013