Saga

SAVE A LIFE GIVE A LIFE TACT Academy for Clinical Training Team

SAVE A LIFE!

Why Are We Here? Each year, cardiovascular disease and sudden cardiac arrest claim the lives of countless Peoples before they reach a MOST hospital. 80 percent of cardiac arrests occur at home and at-risk patients are more likely to suffer cardiac arrest. We will learn about the value of CPR education for communities as well as family members and caregivers of at-risk patients.

We are talking about fathers, mothers, brothers, sisters and valued members of the community…

! y n a m o o T

 335,000 cases of Sudden Cardiac Arrest (SCA) each year

Nearly all

 95% of SCA victims will die  May be first sign of cardiovascular disease and strike without warning

 Bystander CPR doubles survival rates  Increasingly, studies demonstrate the importance of effective CPR compressions in AED success  Even the CPR-only units in the Public Access Defibrillation Trial had higher-than-expected survival  Recent data suggests more emphasis should be put on reducing time from collapse to start of CPR

What is FIRSTAID?

First – Aid: Aim Preserve life

Prevent deterioration

Promote recovery

First – Aid: Role Assess the situation Make the area safe Emergency aid Get help Aftermath

C P R Cardio

Pulmonary

Resuscitation

C P R: Definition • Maintaining airway patency • Supporting breathing • Supporting circulation • Only equipment employed: Protective devices AED

ABCDs of CPR Airway Breathing Circulation Defibrillation

Response Check victim for response

No Response Shout for help

A = Airway

B = Breathing Look

Listen

Feel

B = Breathing

C = Circulation Chest Compressions

Chest Compressions

Mouth-to-Mouth Breaths • Mouth-to-mouth Breaths • Magic Ratio • 30:2

Are you comfortable giving mouth breathing?

What is it? “Compression-Only CPR” Or “Minimally Interrupted CPR”

Is CPR Rocket Science?

D = Defibrillation

Time To Defibrillation • Survival is inversely proportional to time to defibrillation

AED: 4 Universal Control Steps Power

Attach Analyze Shock

A E D: Pad Placement

A E D: Safety • Analysis and shock: no one should touch patient! • Physical: add hand gestures

A E D: Safety Only then press to shock

Immediately resume CPR as per the AED prompt

When do we STOP?

When do we STOP? Qualified help arrives and takes over Victim starts breathing normally You become exhausted 

Recovery Position

Recovery Position

Recovery Position

Recovery Position

Recovery Position

Foreign Body Airway Obstruction (FBOA)

FBOA - Causes • Airway obstruction is caused by food such as fish, meat or poultry in adults • In infants and children: eating (usually confectionery), and with non-food items such as coins or toys

FBOA • Potentially treatable cause of accidental death • Most choking events are associated with eating (universal sign of choking) • They are commonly witnessed • Opportunity for early intervention while the victim is still responsive

FBOA - Types • Mild airway obstruction • Severe airway obstruction Victim is conscious Victim is unconscious

FBOA – Mild • Response to question ‘Are you choking?’ Victim speaks and answers yes • Other signs Victim is able to speak, cough, and breathe

FBOA - Severe • Response to question ‘Are you choking?’ Victim unable to speak Victim may respond by nodding  • Other signs Breathing sounds wheezy Attempts at coughing are silent Victim may be unconscious

Mild FBOA - Management • Encourage him to continue coughing, but do nothing else

Severe FBOA - Management • Abdominal thrusts • Stand behind the victim and put both arms round his upper abdomen • Lean the victim forwards

Severe FBOA - Management • Clench your fist and place it between umbilicus and lower end of the sternum

Severe FBOA - Management • Grasp this hand with your other hand and pull sharply inwards and upwards

FBOA – Unconscious Victim • Support the victim carefully to the ground • Immediately call an ambulance • Begin CPR • Check mouth every time airway is opened

FBOA - Management • The finger sweep • Aftercare • Referral for medical review

FBOA - Caution • Pregnant women • Victims shorter than yourself

FBOA: < 1 Year • Back blows

FBOA: < 1 Year • DO NOT use Abdominal Thrust • Alternate back slaps with chest thrusts.

FBOA: < 1 Year • Caution: Removing an obstruction from the infant’s mouth • Danger: Pushing the obstruction further down infant’s throat

CHEST PAIN

Chest Pain: Causes • Chest wall pain: Muscle overuse, bruising • Indigestion / Reflux • Pneumonia + Pleurisy • Pulmonary embolism • Heart attack

Heart Attack • Blocked coronary artery • Typical & Atypical presentations • Nitroglycerine & Aspirin • Role for CPR

• GET MEDICAL HELP!!!!!!

When in doubt……… Do not hesitate……… Do not take a chance……… Get Medical Assistance!!! IMMEDIATELY!!!!!

WARNING SIGNS OF STROKE

Signs & Symptoms • Sudden weakness or numbness in the face, arm or leg on one side of the body • Sudden dimness, blurring or loss of vision, particularly in one eye • Loss of speech or trouble talking or understanding speech

Signs & Symptoms • Sudden, severe headache — a bolt out of the blue — with no apparent cause • Unexplained dizziness, unsteadiness sudden fall,

Stroke Management • In the event of any of the signs and symptoms of stroke………… • GET MEDICAL ASSISTANCE IMMEDIATELY!!!!!

Remember………… Time is Muscle..... Time is Mind..... TIME IS LIFE!!!