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CPR
Imagine finding your child pulse less and not breathing. What a terrifying thought! Would you know how to save your child’s life? The number of parents that do not know CPR is astounding. Simply knowing CPR could make a dramatic difference in the lives of you and your loved ones.
To perform CPR, first you must establish unresponsiveness. Try tapping the child and speaking loudly, to provoke a response. Once unresponsiveness has been determined, if you are alone, you should shout for help. Then provide basic life support for approximately one minute before going to call 911. If a second person arrives, send him or her to call the ambulance.
The next step is to open the airway. Place two or three fingers under each side of the jaw, at its angle. Lift the jaw upward and outward. If this alone does not open the airway, slightly tilt the child’s head. Check for signs of breathing by using the look, listen, and feel method. Also, check for anything that may be blocking the airway. If something is visible, remove it.
Continue by giving two slow breaths, one to one and a half seconds per breath. Watch for the chest to rise, and allow for exhalation between breaths. Check for a pulse. The carotid artery, on the side of the neck, is the easiest and most accessible. If breathing remains absent, but a pulse is present, provide rescue breathing, rescue breathing is one breath every three seconds.
If no pulse is present, give five chest compressions. To achieve effective compressions, the child should be supine on a hard, flat surface. Use one hand to maintain the position of the head. With the other hand, use two fingers to trace the lower margin of the rib cage. Find where the ribs and sternum meet, avoid doing compressions in that notch. Place the heel of your hand over the lower half in the sternum, between the nipple line and the notch. Compress the chest approximately one to one and a half inches. Follow the compressions with one slow breath.
After about one minute of CPR, check the pulse. If you are alone, now is the time to place your call to 911.
Despite the fact that from May 2009 - February 2010, in Contra Costa County alone, there were 9 sudden cardiac arrests experienced by children and youth, there is no standard curriculum in place at school for youth and their parents to learn lifesaving CPR skills. The youngest was 10 years of age and the oldest was 17, which resulted in 4 deaths and 5 saved lives (Darius Jones Foundation, 2011). In each case, there was a direct correlation between bystander use of cardio-pulmonary resuscitation (CPR) and those children who survived.
As you practice remember that inhalation and exhalation are both done through the nose and should be an equal amount of time in duration. Make sure to keep your breath flowing and your throat open. Don’t tense your shoulders or jaw. Be careful not to overfill your lungs as it will cause tension. Finally, keep your navel pulled in while breathing.
Like with anything else, it is imperative to ensure a patent airway, adequate ventilation, good oxygenation, and adequate circulation. However, stroke patients have an increased risk of losing the ability to protect their own airway and subsequently aspirate. You can help protect the patient from aspirating by simply placing them in the semi-fowlers position. Now if severe vomiting becomes a factor and the airway is compromised, intubation may need to be used to protect the patient from any further aspiration. If either the tidal volume or rate becomes inadequate, quickly assist their ventilations at a rate of 10-12 breaths per minute. If assistance is needed with ventilations, its good practice to have your BVM hooked up to oxygen too because unless your patient is intubated at this point, some of the room air you pump into them is going to go into the stomach, making for less adequate oxygenation. Along with the ABC component, you’re going to establish IV access and apply the cardiac monitor to see what the heart is doing (Mistovich, 2008). Treating the symptoms is all you’re going to be able to do. As it was mentioned before, the only way to treat the underlying problem is to get the patient to the hospital as quickly as you
According to the American Heart Association (AHA), over 350,000 people experience cardiac arrest outside of hospitals every year. Every second that a heart doesn’t beat dramatically decreases a person’s survival rate. CPR is a simple way to keep blood pumping through the body until medical personnel arrive. Only 46 percent of cardiac arrest victims receive CPR, primarily because most bystanders don’t have the proper training. Fortunately, schools are in a unique position to greatly improve that statistic.
The breath is brought into the nose and exhaled through the mouth with slightly pursed lips which should help you to feel a deeper contraction of the abdominals. = == == ==
...at is required, give him/her something to eat or drink and get medical help. Always remain calm, help the person to remain calm (as much as possible), and stay with the person until medical help arrives.
Most AEDs are designed to be used by nonmedical personnel such as police, firefighters, flight attendants, security guards, and other lay rescuers who have been properly trained. Having more people in the community who can respond to a medical emergency by providing defibrillation will greatly increase sudden cardiac arrest survival rates.
If your child is conscious and is choking, use forceful slaps on the back (back blows) followed by quick abdominal thrusts as told by your child's health care provider or CPR instructor.
When an SLP examines a four-year old child with tongue thrust, he or she should examine the tongue. During speech and/or swallowing, the tongue will move forward in an exaggerated way. At rest, the tongue may also lie forward too far and may protrude between the teeth during speech or swallowing and at rest. Teeth are another structure that should be kept in mind. The position of the tongue in a child with tongue thrust can cause labioversion of the incisors (teeth tilt towards lips). Anterior open bite is another characteristic of tongue thrust. Enlarged tonsils and adenoids are a third possible sign of tongue thrust. These can cause blocked airways, which results in an open-mouth breathing pattern.
Often, people ask themselves about the risk of getting any disease during CPR training. This concern starts from the use of CPR manikins by several students. So if you also have this concern, this article is going to let you know about the use and cleaning of CPR manikins during the classes, so you understand the risks.
There are 2 types of breathing, costal and diaphragmatic breathing (Berman, 2015). Costal refers to the intercostal and accessory muscles while diaphragmatic refers to breathing using your diaphragm (Berman, 2015).It is important to understand the two different types of breathing because it is vital in the assessment of the patient. For example, if a patient is suing their accessory muscles to aid in breathing then we can safely assume that they are having breathing problems and use a focused assessment of their respiration. Assessing respiration is fairly straightforward. The patient’s respiration rate can be affected by anxiety so a useful to avoid this is to check pulse first and after you have finished that, while still holding their pulse point, check their respiration rate. Inconspicuous assessment avoids the patient changing their breathing because they know they are being assessed which patients can sometimes do subconsciously. Through textbooks and practical classes I have learned what to be aware of while assessing a patient’s respiratory rate. For example; their normal breathing pattern, if and how their health problems are affecting their breathing, any medications that could affect their respiratory rate and also the rate, depth, rhythm and quality of their breathing (Berman, 2015). The only problem I found while assessing respiration rate was I thought it seemed a bit invasive looking at the
In a pre-hospital setting, there are few moments that are as intense as the events that take place when trying to save a life. Family presence during these resuscitation efforts has become an important and controversial issue in health care settings. Family presence during cardiopulmonary resuscitation (CPR) is a relatively new issue in healthcare. Before the advent of modern medicine, family members were often present at the deathbed of their loved ones. A dying person’s last moments were most often controlled by his or her family in the home rather than by medical personnel (Trueman, History of Medicine). Today, families are demanding permission to witness resuscitation events. Members of the emergency medical services are split on this issue, noting benefits but also potentially negative consequences to family presence during resuscitation efforts.
They have to be performed properly or they won't be successful. Before you perform CPR tap on the person to make sure they are responsive. If not you should yell for help. Have someone to call 911 while you proceed to give CPR. It will be unsuccessful if its not done immediately and the person will most likely die. The best chance of rescuing the person includes defibrillation with that device. If you are giving CPR you should keep doing it until the person responses or the ambulance gets there.
Or where a toddler is drowning in a fast flowing river? There are two answers: 1) Step in and hope you don’t cause further injury—consequently you risk getting sued if you do help, or the victim dies. 2) You ‘Google’ the laws of wherever you are and consider the possible legal ramifications of helping or not helping.
Pinch the person’s nose shut using your forefinger and thumb. Keep the ball of your hand on the person’s forehead to keep their head tilted, while your other hand is still on the persons chin (“How to perform CPR, n.d.). Inhale normally before given the victim a rescue breath (“How to perform CPR, n.d.). Immediately give two full breaths while keeping an airtight seal with the person’s mouth. Each breath should be a second long. The victim should remain risen (“How to perform CPR, n.d.).