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Greeting Fellow SDN members. I am calling all CPR experts a fellow SDN brother is in need of your expertise. I am taking a CPR course and I was wondering if I had mastered what I had learned. So far I had learned what to do if an adult person needs cpr, what to do when an adult person is consciously choking and unconsciously choking. Well I know for sure I mastered conscious choking with the Abdominal Thrust and chest thrusts. I think I may be a little rusty on the adult CPR and Adult Unconscious Airway Obstruction. I have listed down the steps I woud take if either situation had occured and included all the scenarios possible and the actions I woul take. Can some tell me if I am making a mistake or missing something? This will be greatly appreciated. I tried looking up videos on youtube and boy were they outdated.
Adult CPR
1) Put Gloves on
2) Check to see if the scene is safe.
3) Look for a response in the adult by tapping him on the shoulder and speaking loudly towards him for a response.
4) If there is no response, tell someone nearby to call 911. (If no one is near by, you have to do 2 minutes of CPR and then call 911)
5) After telling someone to call 911, start CPR. The first step is to open the air way by doing head tilt chin lift.
6) After doing head tilt chin lift, put your ear one inch above the patients and feel for breathing. At the same time look at the patients chest and see if its rising. Also at the same time listen to see if the patient is breathing. This is called the look, listen and feel technique.
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Side note- If the patient uncoconscious, but breathing adequately, put the patient in the recovery position and make sure the airway is still open.
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7) If the patient is not breathing, give the patient two initial breaths each lasting for about one second.
8) After that check the pulse. You check the pulse locating the carotid artery, which is on the side of the larynx or the adams apple in men. You should check the pulse for no less than 5 seconds and no more than 4 seconds.
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Side Note- If there is a pulse you perform rescue breathing for two minutes. One breath every 5-6 seconds or about 24 breaths. After that remove your mouth and allow the patient to breathe passive and you check for movement of the patients chest.
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9) If there is no pulse, you will begin chest compressions. You will do 30 chest compressions. The time it takes you to do 30 chest compressions should be about 20 seconds. The compressions should push down on the sternum about 1.5 to 2 inches.
10) Now open airway by the head tilt chin lift method. Give two breaths of air to the patient. Each breath should last about 1 second.
11) Do the cycle of breaths or ventilations and chest compression as described in 7 and 9 for 5 cycles. (You dont need to check the pulse after 2 ventilations after the first cycle.)
12) After the 5 cycles check for a pulse. If there is a pulse and breathing, put the patient in the recovery position and make sure the airway is still open.
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Side Note- If there is a pulse and no breathing, start doing rescue breaths for 2 minutes. One breath every 5-6 seconds or about 24 breaths.
Side Note- If there is no pulse begin CPR by doing first 2 ventilations each about 1 second long, followed by 30 chest compressions for 5 cycles as before. After the 5 cycles check pulse. If no pulse continue CPR until you get a pulse.
Airway Obstruction in Unconscious Adult
1) Put on gloves.
2) Check to see if the scene is safe.
3) Check the response of the adult patient.
4) If the adult patient is unresponsive, get someone to call 911.(If you are alone, do 2 minutes of what you need to do and then go call 911.
5) Begin assessment of the patient by opening the patients airway by doing the head tilt chin lift method.
6) Once the airway is open, look, listen and feel for breathing by putting your ear 1 inch above the patients mouth.
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Side Note- If patient is breathing, then put the patient in the recovery position and make sure the air way is open.
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7) If the patient is not breathing, give the patient 2 initial breaths or ventilations each lasting for about 1 second.
8) If both ventilations fail to go in, or chest does not rise, reposition head again through the head tilt chin lift method and do 2 more ventilation.
9) If ventilations again fail to go into the patient, it is a sign of airway obstruction. Thus the next step would be to do 30 chest compressions.
10) After the 30 chest compressions, do the head tilt chin lift method and check the patients mouth to se f there is anything visible obstruction to take out.
11) If no obstruction is found, continue with 2 more ventilations. If the ventilations fail, reposition head and do 2 more ventilations. Each ventilation should be about second long. If the ventilations fail again, then do 30 more chest compressions. After the compressions check the mouth for visible obstruction by using the head tilt chin lift method.
12) Repeat step 11, until obstruction is visible.
13) After the obstruction is visible take the foreign obstruction out using your pinky.
14) Reassess the patient by checking for breathing using the head tilt chin lift method and looking listening and feeling.
15) If the patient is breathing, put the patient in the recovery position and make sure the air way is open and check for breathing.
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Side Note- If the patient is not breathing follow steps 7 onward in the Adult CPR section.
Side Note- Unconscious Airway obstruction is exactly the same is CPR except you have to remember to check the mouth using had tilt chin lift for visible obstruction after 30 compressions.
Adult CPR
1) Put Gloves on
2) Check to see if the scene is safe.
3) Look for a response in the adult by tapping him on the shoulder and speaking loudly towards him for a response.
4) If there is no response, tell someone nearby to call 911. (If no one is near by, you have to do 2 minutes of CPR and then call 911)
5) After telling someone to call 911, start CPR. The first step is to open the air way by doing head tilt chin lift.
6) After doing head tilt chin lift, put your ear one inch above the patients and feel for breathing. At the same time look at the patients chest and see if its rising. Also at the same time listen to see if the patient is breathing. This is called the look, listen and feel technique.
--------------------------------------------------------------------------
Side note- If the patient uncoconscious, but breathing adequately, put the patient in the recovery position and make sure the airway is still open.
--------------------------------------------------------------------------
7) If the patient is not breathing, give the patient two initial breaths each lasting for about one second.
8) After that check the pulse. You check the pulse locating the carotid artery, which is on the side of the larynx or the adams apple in men. You should check the pulse for no less than 5 seconds and no more than 4 seconds.
--------------------------------------------------------------------------
Side Note- If there is a pulse you perform rescue breathing for two minutes. One breath every 5-6 seconds or about 24 breaths. After that remove your mouth and allow the patient to breathe passive and you check for movement of the patients chest.
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9) If there is no pulse, you will begin chest compressions. You will do 30 chest compressions. The time it takes you to do 30 chest compressions should be about 20 seconds. The compressions should push down on the sternum about 1.5 to 2 inches.
10) Now open airway by the head tilt chin lift method. Give two breaths of air to the patient. Each breath should last about 1 second.
11) Do the cycle of breaths or ventilations and chest compression as described in 7 and 9 for 5 cycles. (You dont need to check the pulse after 2 ventilations after the first cycle.)
12) After the 5 cycles check for a pulse. If there is a pulse and breathing, put the patient in the recovery position and make sure the airway is still open.
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Side Note- If there is a pulse and no breathing, start doing rescue breaths for 2 minutes. One breath every 5-6 seconds or about 24 breaths.
Side Note- If there is no pulse begin CPR by doing first 2 ventilations each about 1 second long, followed by 30 chest compressions for 5 cycles as before. After the 5 cycles check pulse. If no pulse continue CPR until you get a pulse.
Airway Obstruction in Unconscious Adult
1) Put on gloves.
2) Check to see if the scene is safe.
3) Check the response of the adult patient.
4) If the adult patient is unresponsive, get someone to call 911.(If you are alone, do 2 minutes of what you need to do and then go call 911.
5) Begin assessment of the patient by opening the patients airway by doing the head tilt chin lift method.
6) Once the airway is open, look, listen and feel for breathing by putting your ear 1 inch above the patients mouth.
--------------------------------------------------------------------------
Side Note- If patient is breathing, then put the patient in the recovery position and make sure the air way is open.
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7) If the patient is not breathing, give the patient 2 initial breaths or ventilations each lasting for about 1 second.
8) If both ventilations fail to go in, or chest does not rise, reposition head again through the head tilt chin lift method and do 2 more ventilation.
9) If ventilations again fail to go into the patient, it is a sign of airway obstruction. Thus the next step would be to do 30 chest compressions.
10) After the 30 chest compressions, do the head tilt chin lift method and check the patients mouth to se f there is anything visible obstruction to take out.
11) If no obstruction is found, continue with 2 more ventilations. If the ventilations fail, reposition head and do 2 more ventilations. Each ventilation should be about second long. If the ventilations fail again, then do 30 more chest compressions. After the compressions check the mouth for visible obstruction by using the head tilt chin lift method.
12) Repeat step 11, until obstruction is visible.
13) After the obstruction is visible take the foreign obstruction out using your pinky.
14) Reassess the patient by checking for breathing using the head tilt chin lift method and looking listening and feeling.
15) If the patient is breathing, put the patient in the recovery position and make sure the air way is open and check for breathing.
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Side Note- If the patient is not breathing follow steps 7 onward in the Adult CPR section.
Side Note- Unconscious Airway obstruction is exactly the same is CPR except you have to remember to check the mouth using had tilt chin lift for visible obstruction after 30 compressions.
