ERC presentation guidelines

Cardiopulmonary Resuscitation with Automated External Defibrillator

Provider Course CPR/AED1At the end of this course participants should be able to demonstrate:How to assess the collapsed victimHow to perform chest compression and rescue breathing (CPR)How to operate an automated external defibrillator safelyHow to place an unconscious breathing victim in the recovery positionObjectives2In Europe every 45 seconds a cardiac arrest takes place

Bystander CPR is a vital intervention before arrival of emergency services

Early resuscitation and prompt defibrillation (within 1-2 minutes) can result in >60% survival

Background3

Chain of survival4 Check responseShout for helpOpen airwayCheck breathingCall 33330 chest compressions2 rescue breaths

5Approach safelyApproach safelyCheck responseShout for helpOpen airwayCheck breathingCall 33330 chest compressions2 rescue breaths6Approach safely

Check responseApproach safelyCheck responseShout for helpOpen airwayCheck breathingCall 33330 chest compressions2 rescue breaths7Shake shoulders gentlyAsk Are you all right?If he responds Leave as you find him. Find out what is wrong. Reassess regularly.

Check response8

Shout for helpApproach safelyApproach safelyCheck responseShout for helpOpen airwayCheck breathingCall 33330 chest compressions2 rescue breaths9

Open airwayApproach safelyApproach safelyCheck responseShout for helpOpen airwayCheck breathingCall 33330 chest compressions2 rescue breaths10

Check breathingApproach safelyApproach safelyCheck responseShout for helpOpen airwayCheck breathingCall 33330 chest compressions2 rescue breaths11Look, listen and feel for NORMAL breathing

Check breathing12Occurs shortly after the heart stops in up to 40% of cardiac arrests

Described as barely, heavy, noisy or gasping breathing

Recognise as a sign of cardiac arrest

Abnormal breathing13

Approach safelyApproach safelyCheck responseShout for helpOpen airwayCheck breathingCall 33330 chest compressions2 rescue breathsCall 33314

30 Chest compressionsApproach safelyApproach safelyCheck responseShout for helpOpen airwayCheck breathingCall 33330 chest compressions2 rescue breaths15Place the heel of one hand in the centre of the chestPlace other hand on top Interlock fingers or avoid putting pressure on the side of the chestCompress the chestRate 100 120 min-1Depth 5 6 cmEqual compression : relaxationWhen possible change CPR operator every 2 min

Chest compressions16

2 Rescue breathsApproach safelyApproach safelyCheck responseShout for helpOpen airwayCheck breathingCall 33330 chest compressions2 rescue breaths17Rescue breathsPinch the noseTake a normal breathPlace lips over mouthBlow until the chest risesTake about 1 secondAllow chest to fallRepeat

18Continue CPR 302

19Approach safelyCheck responseShout for helpOpen airwayCheck breathingCall 33330 chest compressions2 rescue breaths

20Defibrillation

21Approach safelyCheck responseShout for helpOpen airwayCheck breathingCall 333Attach AEDFollow voice prompts22Switch on AEDSome AEDs will automatically switch themselves on when the lid is opened

23Attach pads to victims bare chest

24Analysing Rhythm: Do not touch victim

25Shock indicatedStand clearDeliver shock

26 30 2

Shock delivered: Follow AED instructions27No shock advised: Follow AED instructions 30 2

28If victim starts to breathe normally place in recovery position

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30CPR in childrenAdult CPR techniques can be used on children

Compressions at least 1/3 of the depth of the chest

31 Age > 8 yearsuse adult AED

Age 1-8 yearsuse paediatric pads / settings if available (otherwise use adult mode)

Age < 1 yearuse only if manufacturer instructions indicate it is safe

AED in children32Any questions?33Approach safelyCheck responseShout for helpOpen airwayCheck breathingCall 33330 chest compressions2 rescue breathsApproach safelyCheck responseShout for helpOpen airwayCheck breathingCall 333Attach AEDFollow voice prompts

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