ADULT CONSCIOUS HEART ATTACK
PARTNER: “You are at a family picnic by a remote lake and notice that Uncle Ebert, who is wearing a life vest, looks very ill. He is sweating profusely and is rubbing his chest with a pained facial expression.”
RESPONDER: “Checking to see if the scene is safe”
PARTNER “The scene is safe.”
RESPONDER: Takes, or verbalizes, body substance isolation precautions (puts on gloves)
RESPONDER: Verbally checks the victim. “Uncle, are you okay?”
PARTNER: “Yeah, it’s nothing. Just a bit of indigestion.” He continues to rub his chest.
RESPONDER: Tries to get more details. “Can you describe the pain?”
PARTNER: “My chest feels tight, and I keep getting these sharp pains in my jaw.”
RESPONDER: “I think you might be having a heart attack. Here, sit down.”
RESPONDER: “You, Call 911. I think he’s having a heart attack. Mom, get the Aspirin. Uncle Ebert, let’s loosen this vest a little.”
PARTNER: Your mom returns with regular adult Aspirin.
RESPONDER: “Here, Uncle, take 1 pill with a sip of water. EMS is on their way, everything is going to be fine.”
PARTNER: He slumps over in the chair.
RESPONDER: Moves him to the ground with the help of another family member. Opens Airway (Head Tilt, Chin Lift)
RESPONDER: Checks to see if the victim is breathing (look, listen, and feel) for 10 sec. Counts out loud.
PARTNER: “There is no breathing”
RESPONDER: Gives Rescue Breaths. Tilt head and lift chin, then pinch nose shut. Seal mouth and give 1 second breath with chest rise. Release nose and let air escape. Repinch nose, seal mouth, and give one more breath.
PARTNER: “The breaths went in”
RESPONDER: Properly place the heel of your hand in the middle of the sternum. Place other hand on top and interlock fingers. Position body correctly – straight back and arms, shoulders directly over hands. Give compressions (30 @ 100 per minute - 1 1/2 - 2 inch compressions).
Release the pressure on the chest in between compressions without removing hands or changing position. Keep fingers up off the chest. Count the compressions out loud.
Re-open airway, and give 2 proper rescue breaths w/ chest rise
PARTNER: (After 1 complete cycle) “EMS arrives.”
ADULT CPR
PARTNER: “You approach the scene and there is an adult lying on the ground”
RESPONDER: “Checking to see if the scene is safe”
PARTNER “The scene is safe.”
RESPONDER: Takes, or verbalizes, body substance isolation precautions (puts on gloves)
RESPONDER: Verbally checks to see if the victim is conscious and taps on shoulder
PARTNER: “There is no response from the victim”
RESPONDER: “You, Call 911 this person is unconscious. You, look for an AED.
RESPONDER: Opens Airway (Head Tilt, Chin Lift)
RESPONDER: Checks to see if the victim is breathing (look, listen, and feel) for 10 sec. Counts out loud.
PARTNER: “There is no breathing”
RESPONDER: Gives Rescue Breaths. Tilt head and lift chin, then pinch nose shut. Seal mouth and give 1 second breath with chest rise. Release nose and let air escape. Repinch nose, seal mouth, and give one more breath.
PARTNER: “The breaths went in”
RESPONDER: Properly place the heel of your hand in the middle of the sternum. Place other hand on top and interlock fingers. Position body correctly – straight back and arms, shoulders directly over hands. Give compressions (30 @ 100 per minute - 1 1/2 - 2 inch compressions).
Release the pressure on the chest in between compressions without removing hands or changing position. Keep fingers up off the chest. Count the compressions out loud.
Re-open airway, and give 2 proper rescue breaths w/ chest rise
PARTNER: (After 2 complete cycles) “When would you stop CPR?”
RESPONDER: “When AED, EMS, arrives, I’m too exhausted, there are signs of life, the scene becomes unsafe, or another trained responder takes over”
ADULT CHOKING: CONSCIOUS LEADING TO UNCONSCIOUS
PARTNER: “You are at the dinner table and the person next to you begins to cough and displays the international sign for choking”
RESPONDER: “Checking to see if the scene is safe”
PARTNER “The scene is safe.”
RESPONDER: Takes, or verbalizes, body substance isolation precautions (puts on gloves)
RESPONDER: Verbally checks to victim. “Are you okay?”
PARTNER: “The victim is coughing and making noise”
RESPONDER: “Keep coughing, try to keep coughing”
PARTNER: “The victim has stopped coughing or making any other noises”
RESPONDER: “My name is ___________. I’m trained in First Aid and CPR, may I help you?”
PARTNER: “The victim nods his/her head”
RESPONDER: Lean the person forward and give 5 back blows w/ heel of hand. Each blow is a separate attempt to dislodge the object. Give 5 quick, upward abdominal thrusts. Make sure to have a wide stance so that you can support the victim’s weight if they go unconscious.
PARTNER: (After 2 complete cycles) “When would you stop your cycles of back blows and abdominal thrusts?”
RESPONDER: “When the object is forced out, the person can breathe or cough again, or the person becomes unconscious”
PARTNER: “The person has now become unconscious”
RESPONDER: Help lower victim to the floor. “You, Call 911, this person is choking and unconscious”
RESPONDER: Opens Airway (Head Tilt, Chin Lift) Checks to see if the victim is breathing (look, listen, and feel) for 10 sec. Counts out loud.
PARTNER: “There is no breathing”
RESPONDER: Gives Rescue Breaths. Tilt head and lift chin, then pinch nose shut. Seal mouth and give 1 second breath with chest rise. Release nose and let air escape. Repinch nose, seal mouth, and give one more breath.
PARTNER: “The breaths do not go in”
RESPONDER: Retilt head and attempt rescue breaths again.
PARTNER: “The breaths still do not go in.”
RESPONDER: Begin modified CPR. Remove face-shield from victim’s face. Give compressions (30 @ 100 per minute - 1 1/2 - 2 inch compressions). Release the pressure on the chest in between compressions without removing hands or changing position. Keep fingers up off the chest. Count the compressions out loud.
RESPONDER: Holds tongue down with thumb and lifts jaw. Looks for an object.
PARTNER: “You see an object.”
RESPONDER: Finger sweeps. Attempt rescue breaths.
PARTNER: “The breaths go in.”
RESPONDER: Recheck for signs of life for 10 seconds.
PARTNER: There are no signs of life.
RESPONDER: Continue with CPR
CHILD CHOKING: CONSCIOUS LEADING TO UNCONSCIOUS
PARTNER: “You are at a barbeque and a child eating a hot dog begins to cough and choke. Her parents are not around.”
RESPONDER: “Checking to see if the scene is safe”
PARTNER “The scene is safe.”
RESPONDER: Takes, or verbalizes, body substance isolation precautions (puts on gloves)
RESPONDER: Verbally checks to victim. “Are you okay?”
PARTNER: “The victim is coughing and making noise”
RESPONDER: “Keep coughing, try to keep coughing”
PARTNER: “The victim has stopped coughing and is not making any other noises”
RESPONDER: “My name is ___________. I’m trained in First Aid and CPR, I’m going to help you. (consent implied)
RESPONDER: Lean the person forward and give 5 back blows w/ heel of hand. Each blow is a separate attempt to dislodge the object. Give 5 quick, upward abdominal thrusts. Make sure to have a wide stance so that you can support the victim’s weight if they go unconscious.
PARTNER: “When would you stop your cycles of back blows and abdominal thrusts?”
RESPONDER: “When the object is forced out, the person can breathe or cough again, or the person becomes unconscious”
PARTNER: “The person has now become unconscious”
RESPONDER: Help lower victim to the floor. “You, Call 911, this person is choking and unconscious”
RESPONDER: Opens Airway (Head Tilt, Chin Lift). Checks to see if the victim is breathing (look, listen, and feel) for 10 sec. Counts out loud.
PARTNER: “There is no breathing”
RESPONDER: Gives Rescue Breaths. Tilt head and lift chin, then pinch nose shut. Seal mouth and give 1 second breath with chest rise. Release nose and let air escape. Repinch nose, seal mouth, and give one more breath.
PARTNER: “The breaths do not go in”
RESPONDER: Retilt head and attempt rescue breaths again.
PARTNER: “The breaths still do not go in.”
RESPONDER: Begin modified CPR. Remove face-shield from victim’s face. Give compressions (30 @ 100 per minute - 1 1/2 - 2 inch compressions). Release the pressure on the chest in between compressions without removing hands or changing position. Keep fingers up off the chest. Count the compressions out loud.
RESPONDER: Hold tongue down with thumb and lifts jaw. Look for an object.
PARTNER: “You see an object.”
RESPONDER: Finger sweeps. Attempt rescue breaths.
PARTNER: “The breaths go in.”
RESPONDER: Recheck for breathing and pulse for 10 seconds.
PARTNER: “The child is breathing and has a pulse.”
RESPONDER: Monitor the ABCs until help arrives.
INFANT CHOKING: CONSCIOUS
PARTNER: “You are at your neighbors’ and the infant is playing with his older brother’s legos. All of a sudden the infant begins to have trouble breathing”.
RESPONDER: “Checking to see if the scene is safe”
PARTNER “The scene is safe.”
RESPONDER: Takes, or verbalizes, body substance isolation precautions (puts on gloves)
RESPONDER: Verbally checks to victim. “Are you okay?”
PARTNER: “The victim is coughing and making noise”
RESPONDER: “Keep coughing, try to keep coughing”
PARTNER: “The victim has stopped coughing and is not making any other noises”
RESPONDER: To neighbor: “I’m trained in First Aid and CPR, may I help your baby?”
PARTNER: “Your neighbor says yes”
RESPONDER: Support infant on your forearm which is rested on your leg. Baby’s legs should straddle your forearm. Head should be tilted downward. Hold neck and head securely without covering the mouth. Give five back blows with the heel of your hand. Each blow is a separate attempt to dislodge the object.
RESPONDER: Give 5 chest thrusts with 2/3 fingers in line with sternum at nipple line. Position hand directly over fingers. Keep the victim’s head below his chest. Make sure to support the head and neck. Alternate 5 back blows and 5 chest thrusts.
PARTNER: (After several cycles) “The lego is forced out and the baby begins to cry.”
RESPONDER: “You, Call 911, this baby needs immediate care.” Monitor the baby’s ABCs until help arrives.
PARTNER: How would you administer care for conscious choking for a pregnant woman?
RESPONDER: Give chest compressions instead of abdominal thrusts. Do everything else the same.
CHILD CPR
PARTNER: You are at a little league game and the third baseman takes a line drive in his chest and falls to the ground”
RESPONDER: “Checking to see if the scene is safe”
PARTNER “The scene is safe.”
RESPONDER: Takes, or verbalizes, body substance isolation precautions (puts on gloves)
RESPONDER: “Are you this child’s parent? My name is ___________. I’m trained in First Aid and CPR, may I help your child?”
PARTNER: “The parent says yes”
RESPONDER: Verbally checks to see if the victim is conscious and taps on shoulder
PARTNER: “There is no response from the victim”
RESPONDER: “You, Call 911 this person is unconscious. You, look for an AED.
RESPONDER: Opens Airway (Head Tilt, Chin Lift)
RESPONDER: Checks to see if the victim is breathing (look, listen, and feel) for 10 sec. Counts out loud.
PARTNER: “There is no breathing”
RESPONDER: Gives Rescue Breaths. Tilt head and lift chin, then pinch nose shut. Seal mouth and give 1 second breath with chest rise. Release nose and let air escape. Repinch nose, seal mouth, and give one more breath.
PARTNER: “The breaths went in”
RESPONDER: Checks carotid pulse on same side of the neck for no longer than 10 sec
PARTNER: “There is no pulse”
RESPONDER: Properly place the heel of your hand in the middle of the sternum. Place other hand on top and interlock fingers. (Option: use only one hand if the child is small. Place other hand on victim’s forehead to keep airway open as you give compressions). Position body correctly – straight back and arms, shoulders directly over hands. Give compressions (30 @ 100 per minute – 1 - 1 1/2 inch compressions). Release the pressure on the chest in between compressions without removing hands or changing position. Keep fingers up off the chest. Count the compressions out loud.
Re-open airway, and give 2 proper rescue breaths w/ chest rise
PARTNER: “When would you stop CPR?”
RESPONDER: “When AED, EMS, arrives, I’m too exhausted, there are signs of life, the scene becomes unsafe, or another trained responder takes over”
INFANT CPR
PARTNER: You are at the park and you see a 10 month old baby collapse.”
RESPONDER: “Checking to see if the scene is safe”
PARTNER “The scene is safe.”
RESPONDER: Takes, or verbalizes, body substance isolation precautions (puts on gloves)
RESPONDER: “Are you this baby’s parent? My name is ___________. I’m trained in First Aid and CPR, may I help your child?”
PARTNER: “The parent says yes”
RESPONDER: Verbally checks to see if the victim is conscious and flicks foot.
PARTNER: “There is no response from the victim”
RESPONDER: “You, Call 911 this person is unconscious.
RESPONDER: Opens Airway (Head Tilt, Chin Lift)
RESPONDER: Checks to see if the victim is breathing (look, listen, and feel) for 10 sec. Counts out loud.
PARTNER: “There is no breathing”
RESPONDER: Gives Rescue Breaths. Tilt head and lift chin, then seal mouth over mouth and nose. Give 1 second breath with chest rise. Let air escape. Reseal mouth and nose and give one more breath.
PARTNER: “The breaths went in”
RESPONDER: Checks brachial pulse on same side for no longer than 10 sec
PARTNER: “There is no pulse”
RESPONDER: Properly place the 2/3 fingers in line with sternum at nipple line. Position hand directly over fingers. Place other hand on victim’s forehead to keep airway open as you give compressions. Give compressions (30 @ 100 per minute - 1/2 - 1 inch compressions). Release the pressure on the chest in between compressions without removing fingers or changing position. Count the compressions out loud.
Re-open airway, and give 2 proper rescue breaths w/ chest rise
PARTNER: “When would you recheck for signs of life?”
RESPONDER: “Never. I would continue CPR until EMS arrives, I’m too exhausted, there are signs of life, the scene becomes unsafe, or another trained responder takes over”
CHILD RESCUE BREATHING
PARTNER:” You are watching your brother’s Junior High football game and one of his teammates falls to the ground after being tackled.”
RESPONDER: “Checking to see if the scene is safe”
PARTNER “The scene is safe.”
RESPONDER: Takes, or verbalizes, body substance isolation precautions (puts on gloves)
RESPONDER: “Are you this child’s parent? My name is ___________. I’m trained in First Aid and CPR, may I help your child?”
PARTNER: “The parent says yes”
RESPONDER: Verbally checks to see if the victim is conscious and taps on shoulder
PARTNER: “There is no response from the victim”
RESPONDER: “You, Call 911 this child is unconscious. You, look for an AED.