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Published by: nursesed on Nov 14, 2011
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NEO Orange County
3303 Harbor Blvd., Suite G3Costa Mesa, CA 92626(714) 979-4022
NEO San Diego
 10379 Azuaga St, Suite 143San Diego, CA 92129(858) 780-28292
Nurses Educational Opportunities provides BLS classesMonday through Saturday each week. An appointment is requiredand can be obtained by calling the office in San Diego or OrangeCounty. At the designated appointment time you will be asked towatch a video, take the written test, and demonstrate skills.This First Responder prestudy guide in conjunction withthe American Heart Association (AHA) Basic Life Support Textwill nicely prepare you for your upcoming class. You must havethe new 2010 AHA BLS textbook at the time of the class. Thistext book is available for an additional charge in both offices. Thetext book can be shipped to you.An American Heart Association provider card will bepresented to you at the completion of the class.Recertification courses require presentation of your recentBLS provider card. A copy of that will also be accepted if you donot have the original.Lay rescuers may provide Hands-Only CPR™ (chestcompressions only) once the recognition of unresponsiveness isacknowledged and after 911 is notified. Lay rescuers are notrequired to check the victims pulse, open the airway or give rescuebreaths.
(2010 Update)
Healthcare Professionals should be trained BLS with the2010 AHA updates which are described in NEO’s First Responderstudy guide.Recognition of signs and symptoms for the following lifethreatening situations is imperative to know:Acute Coronary Syndrome (Heart attack)Acute Cerebral Vascular Accident (Stroke)Foreign Body Airway ObstructionCardiac Arrest
5Check the carotid pulseWhen you check for pulse, you must take less than 10seconds to assess. Anything greater than 10 secondstakes to long and prolongs initiation of chestcompressions.
(2010 Update)
The key is to keep the blood circulating and minimizeinterruptions
(2010 Update)
Do not spend more than 10 sec. checking for a pulseIf you find a pulse, support the victim with rescuebreathingIf you can’t get a pulse within 10 seconds, initiateCPR starting with 30 chest compressionsfollowed by 2 breaths
(2010 Update)
Place your hands in the lower half of the breastbone of the chest and begin chest compressions
(2010 Update)
Push hard – at
2 inches in depth for the adult.
Push fast – at a rate of at least 100 X minute.
Whenreading the questions on the test, be careful. Look forthe word “rate”. That must alert you to the answer of 100X min.
Allow the chest to fully recoil
Minimize interruptions
One-man and two-man adult CPR compression toventilation ratio should be 30:2
Provide ventilations
Open the airway – head tilt, chin lift or jaw thrustSeal your mouth over the victims mouth and
givetwo rescue breaths –
 just enough to make thechest rise and fall
The healthcare provider should use the barrier devicefor one-man CPR
Two healthcare provider should ventilate using thebag/mask
With advanced airway in place, compression rateremains at 100 X min with one breath every 6-8sec.
When the AED or Crash Cart arrives, connect thedevice to the victim as soon as possible.
Theprobability of successful defibrillationdiminishes rapidly over time.After the AED delivers a shock, immediately restartCPR beginning with chest compressions.
When the AED or Crash Cart arrives
Place the AED at the head of the victim
Power on the AED – That means you “turn it on”
Choose the correct size pads/paddles
Attach the pads/paddles to the chest
Attach the electrode cable to the AED
Clear to analyze
If shock indicated, clear the victim and self .
Deliver a shock. Do not touch the victim during the“shock” or it could shock you while shocking thevictim.
If the AED gives you a “no shock indicated” continueBLS

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