Monday, June 23, 2008

A Good Thing To Know

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I had the opportunity last week to take a CPR (Cardiopulmonary Resuscitation) refresher course. I was horrified that the last time I had taken CPR was at least 26 years ago. Luckily, no situation has required I remember the emergency procedures. Procedures, I might add, that were learned at a building that no longer exists and a method that no longer is recommended by the Red Cross. The last time I took CPR, we all took turns giving mouth to mouth on our dummies with no thought to the infamous "body fluids". My how times have changed.

The practice dolls are the same but one now uses a plastic shield that is between the dummy's mouth and the student's. It is advised to carry one on your key chain should a CPR emergency arise. Those around me all agreed locating the protective shield would probably not be first on our To-Do list if someone was not breathing and turning blue. Our instructor did reiterate that communicable diseases are rarely transmitted through saliva but the shield was recommended if time permitted.

The smallest doll was sobering. Not that I wasn't concerned when my own children were small, but somehow imagining my grandchildren in an emergency situation was terrifying. All of a sudden swimming pools, dinnertime and electrical appliances became objects of concern. Learning the methods for both Infant CPR and Infant Choking was a good thing. Reviewing all the Red Cross Emergency procedures is an even better thing.

What follows is a very brief overview of emergency procedures. It is not a substitute for training by a certified Red Cross CPR instructor. Body positions, methods and location and applications are best learned visually. A CPR class at your local Red Cross would be a great use of vacation time for you and your teen. Just like smoke alarms, CPR is something you hope you will never use but always be glad you have.

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1. CHECK
CHECK THE SCENE FOR SAFETY , then
CHECK THE PERSON FOR CONSCIOUSNESS
Get permission to give care
Tap shoulder and shout, "Are you okay?"

2. CALL
IF NO RESPONSE, CALL 911 or have someone else call
IF YOU ARE ALONE AND CARING FOR AN INFANT OR CHILD-
And you witnessed the child suddenly collapse CALL 911
If you did not see the child or infant suddenly collapse, give 2 minutes of CARE and then
call 911.

3. CARE
OPEN THE AIRWAY (tilt the head back and lift the chin)
CHECK FOR SIGNS OF LIFE (movement and breathing) for no
more than 10 seconds
IF NO BREATHING, give 2 rescue breaths and begin CPR
IF BREATHING NORMALLY, roll onto one side while waiting for help to arrive.

IF NO SIGNS OF LIFE, GIVE CPR

INFANT CPR
Give cycles of 30 chest compressions and 2 rescue breaths -

ADULT AND CHILD CPR
Give cycles of 30 chest compressions and 2 rescue breaths

CONTINUE CPR UNTIL
Scene becomes unsafe
You find an obvious sign of life
AED is ready to use
You are too exhausted to continue
Trained responder arrives and takes over

CHOKING
IF coughing, encourage person to continue coughing
Send someone to call 911
Get permission to give care

INFANT
If infant cannot cough, cry or breathe
Putting infant face down toward your knee, supporting with arm, give 5 back blows
If the object is not thrust out, turn infant, supporting head with hand and back with arm-
give 5 chest thrusts, using two fingers.

ADULT AND CHILD CHOKING
IF adult or child cannot talk, cough or breathe-
Bend victim over at waist, give 5 back blows
If the object is not forced out, give 5 quick, upward abdominal thrusts
Continue sets of back blows and chest or abdominal thrusts until-
*object is forced out
*Person can breathe or cough forcefully
*Person becomes unconscious. Perform CPR. Between giving 30 compressions and 2 breaths, look for an object and and remove if one is seen.

Note: The universal sign for choking is both hands around the throat, palms open.

American Red Cross first aid, CPR and AED training can give you the skills and confidence to act in an emergency. Call your local chapter or go to www.redcross.org for more information.

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5 comments:

  1. CPR saved my son's life, and I did not know the procedure. Luckily, a neighbor did. I learned it, and quickly!

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  2. Hi - Thank you for posting this article. I have a quick question, please.

    ADULT AND CHILD CHOKING - If adult or child cannot talk, cough or breathe:

    - Bend victim over at waist, give 5 back blows
    - If the object is not forced out, give 5 quick, upward abdominal thrusts
    - Continue sets of back blows and chest or abdominal thrusts until object is forced out


    I knew the Red Cross had gone back to teaching back blows as the first response, followed by abdominal thrusts (Heimlichs). But I didn't know they were also recommending chest thrusts as an alternate method to abdominal thrusts.

    Was this taught in the class you attended?

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  3. Hmm I think we are calling the same thing two different names. I will get back with you for sure. Abdominal, right under the ribs is what i was taught CPR is the chest area after the breaths

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  4. According to this 2007 first aid manual, Australia has replaced the Heimlich (abdominal thrusts) with chest thrusts. From the guidelines, "It is thought this causes less damage to internal organs and less chance of vomiting in children."

    ReplyDelete
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