![]() If they need to be shocked, deliver the shock. As soon as an AED becomes available, apply it to the patient. This leads us to the next step in the chain of survival, CAB (compressions, airway, breathing). If there are two rescuers, one is going to go for help and an AED, the other one is going to stay and immediately begin chest compressions. If you know where a defibrillator is, if you know where that AED is, go grab it and bring it back to the patient. If you don’t have a cell phone, you’re going to have to leave the victim and call 9-1-1. If you’re alone-one rescuer, just yourself-if you have a cell phone, pull it out, call 9-1-1, put it on speaker, and go to work. You’re going to need help, and you’re going to need a defibrillator. Poke your victim with a stick, a sternal rub. Let’s look at the adult chain of survival. Honestly, if more Americans just knew this, we would save more lives. We just want to see that chest come up and down when we apply positive pressure ventilation. Our goal is to see chest rise, that’s it. We’ve gone from the frying pan into the fire, so watch your bagging. This can lead to vomiting and aspiration. If you’re bagging too fast, too aggressively, with too much tidal volume, more air can go into the belly. Excessive breaths, excessive tidal volume can actually increase intrathoracic pressure and reduce blood return to the heart. Within 1 minute, 60% of that 1 minute, at least, should be spent actively compressing, actively doing chest compressions.Įffective breathing for the patient, effective bag-valve-mask ventilation-what’s important to note here? Don’t over-bag the patient. That should be at least, minimally, 60% of the time. Compression fraction is the time that we spend actually compressing the chest. This is what they’re talking about when you hear compression fraction. Next, minimize chest compression interruption. When we do check for a pulse, no more than 10 seconds, that’s it. The new guidelines also deemphasize checking for a pulse. Again, at least 2 inches, not to exceed 2.4 inches, but we have to let that chest completely recoil before we apply the next compression. We’re leaning over the body, we’re pressing down, and we’re not allowing that chest to completely recoil. We see this all the time, especially in the adult. Remember, it’s important to allow for complete chest recoil. Compression rate: The new 2015 guideline specifies chest compressions should be performed between 100 and 120 compressions per minute. The literature states at least 2 inches in the adult, not to exceed 2.4 inches. When performing chest compressions on the adult, the compression depth is important. ![]() Let’s get started.įirst, quality chest compressions. This is important because the science suggests we do this for our patient, and, too, you may be seeing this information on a test in your immediate future. In the upcoming video series, we’re going to be covering all these topics you see here, but today we’re going to focus on the key points of performing basic life support. Welcome to Part 1 Introduction to Basic Life Support.
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