Check the scene-
- make sure the scene is safe and you have protective equipment and make sure you wont need any help.
Check the Patient-
- Tap and shout if no response then look at the chest and the face.
- Then is the person breathing normaly
Activate EMS (call 911)
- Send someone to call 911 tell them to give them your location and tell them what happened
- Tell them how many are injured and what is being done.
- If the victim is unconcious with no normal breathing and is not moving begin chest compressions.
- Give 30 chest compressions at a rate of at least 100 compressions a minute for all ages.
- Adult- Place heel of the dominant hand on the center of the chest between the nipples.The second hand should be placed on top. Compress at least 2 inches deep.
- Child-Place heel of one hand in the center of the chest between the nipples. Use the second hand if neccesar. Compress at least 1/3 the depth of the chest.
- Infant-Place two fingers on the center of the chest between the nipples. Compress at least 1/3 the depth of the chest.
Adult/Child Concious Choking
- Ask "Are you choking".
- If the person is unable to speak or breath then treat the patient.
- Activate EMS.
- Stand Behind the person with one foot in-between the persons feet and your other foot behind you.
- Place the flat side of your fist just above the person's belly button. Grab the back of your fist with your other hand.
- Administer abdominal thrusts pulling inwards and upwards untill the object comes out or the person becomes unconcious.
Infant Concious Choking
- Ask"Are you choking"
- If a person is unable to breath or speak treat the person.
- Support the infants face and place body on to your forearm.
- keep the infants head lower than the feet.
- Administer 5 back blows between the shoulder blades with the palm of your hand.
- Support the infants head. Turn the baby over onto your other forearm.Give 5 chest thrusts.
- Continue back blows and chest thrusts until object comes out or infant becomes unconcious.
Adult/Child/infant Unconcious choking
- if you are giving someone abdominal thrusts and the person goes unconcious lower the patient safely to the ground.
- Activate EMS,send someone to call 911.
- Adult/Child/Infant give 30 chest compressions.
- open the airwayand check the mouth for a foreign object.if something is seen sweep it out with a finger. Use the pinky finger for an infant.
- Attempt rescue breath. If breaths do make the chest rise reposition head and reattempt rescue breaths.
- Adult/Child/Infant give 30 chest compressions.
- open the airway and check the mouth for a foreign object. If something is seen sweep it out with your pinky finger.
- Give 2 breaths.
- if breaths do not make the chest rise reposition head and reattempt rescue breath. continue compressions then do foreign object check, breathing attempts untill the air goes in and the chest rises.
- if victim is still unconcious and not breathing normally continue CPR with cycles of 30 compressions to 2 breaths.
- if the victim vomits roll the victim on his side and clear out his airway after the airway is cleared.Roll the victim back and continue care.
- Get Bandages or what over cloth you have and apply pressure to the bleeding area.
- If it is really bad call 911.
- When wrapping it start from the place further away from the Heart (So for Example Say you were bleeding in the forearm you would put some bandage on the wound and apply pressure and wrap it closer to the hand than go up the arm)
- Turn machine on
- Bare the Chest.
- Dry it off if wet.
- if there is excessive hair you need to shave it off.
- Place the pad on the persons upper right chest above the nipple.
- Place the other pad on the persons lower left ribs below the armpit.
- Make sure pads are pressed down firmly.
- Follow AED prompts.
- Then do not touch the person while the AED analyzes.
- If the AED says shock advised charging shout CLEAR and make sure no one is touching the person even you.Push the shock button when the AED tells you.
- If no shock is advised give CPR if the person is not moving and not breathing.
- As soon as the shock has been delivered give 30 chest compressions followed by 2 breaths then continue cycle until sign of life.
- The AED will reanalyze every 2 minutes and will get ready to do another shock if needed.
Pad placement for a Child/Infant-
- For Children ages 1-8 an AED with child pads and a close attenuator should be used.
- For infants under 1 year of age it is preferable to use a monual debibrillator.
- An AED with child pads and a dose attenuater can be used for infants.
- If only a standard AED with adult pads is availiableit should still be used for children and infants in cardiac arrest.
- Child pads are normally smaller than adult pads.
- For children the pads should be plced in the normal anterior-lateral position.
- Whem placing the pads on a child the pads should not touch.
- For a small child or infant the pads should be placed in one on the front of the chest and one pad on the back of the small child or infant.