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Basic CPR Lecture

Whats CPR?
- Cardio Pulmonary Resuscitation
5 Main Sequences
-

Check for response


Open airway and check breathing
Breathe for casualty
Assess for circulation
Commence CPR

ABC's Of CPR
-

Airway
Breathing
Circulation

General Knowledge
-

When one breathes in, the body absorbs only 5% of the oxygen.
The exhaled gas contains 16% of oxygen that is sufficient to save a life.
Heart beats at 60 to 80 beats per minute.
3 main parts to feel for pulse. (Carotid, brachial and radial)

Additional Knowledge
-

When checking for response, use AVPU code for the different degree of
responses.
CPR can be done on baby or children too but force is controlled.
Blood flows away from the heart through arteries.
Blood flows to the heart through veins.

CPR Procedure (IMPORTANT!!!)


Step 1: Check for response (Hello, hello, are you okay?) [Wait for response for 5
sec; No response]
Step 2: Call for help (Help! Call for ambulance 995!)
Step 3: Tongue-Jaw-Lift (look if there is any foreign bodies, use fish-hook method
if there is any)
Step 4: Head tilt, chin lift. Look, listen and feel for breathing for 5 to 10 secs.
[Breathing absent]
Step 5: Give two quick blows.
Step 6: Check for pulse for 5 to 10 seconds. [Pulse absent]
Step 7: Commence CPR. (4 cycles of 15 compressions and 2 quick blows.)
Step 8: Check for pulse for 5 to 10 seconds. [Present continue step 9; absent
return to Step 7]
Step 9: Check for breathing for 5 to 10 seconds. [Present go on to Step 14;
absent continue Step 10]
Step 10: Give 12 artificial ventilation.
Step 11: Check for breathing for 5 to 10 seconds. [Present continue Step 12;
absent return to Step 10]
Step 12: Check for pulse for 5 to 10 seconds. [Present continue Step 13; absent
return to Step 7]
Step 13: Check for breathing for 5 to 10 seconds. [Present continue Step 14;
absent return to Step 10]
Step 14: Turn casualty to recovery position. Check for pulse and breathing at
every 5 minutes interval.

BASIC CARDIAC LIFE SUPPORT

Trainee's Particulars
Name:
Module 1: One Rescuer Adult CPR

NIRC No.:

Passing Criteria
1. Establish unresponsiveness
- Call, tap or gently shake the victim
2. Call ambulance 995
3. Assess airway
- Check airway (tongue-jaw lift, remove foreign body if visible)
- Open airway (head tilt-chin lift or jaw thrust)
- Check breathing (look, listen, feel) up to 10 seconds
- Give 1st quick blow (2 sec/breath) & watch chest rise
4. Suspect Choking
- Chest does not rise (re-tilt head and give another quick blow)
- Chest still does not rise (confirm choking)
5. Unconscious Choking
- Locate landmark for chest compression
- Correct body and hand position
- Compress vertically 4-5cm downwards
- Say mnemonic (1 & 2 & 3 & 4 & 5...)
- 15 compression and tongue-jaw lift till foreign bodies seen and
remove it
6. Assess airway
- Give 2 successive blows (2sec/breath) & watch chest rise
7. Check carotid pulse
- Locate landmark & palpate up to 10 seconds
-If no pulse, start CPR
8. Locate landmark for chest compression
9. Demonstrate correct technique of compression
- Correct body and hand position
- Compress vertically 4-5cm downwards
- Say mnemonic (1 & 2 & 3 & 4 & 5...)
- Give cycle of 15 chest compressions followed by 2 quick blows
10. Assess pulse and breathing after 4 cycles
11. If breathing is absent, perform rescue breathing
- Blow 3-a-thousand, 4-a-thousand, 5
- Give 12 rescue breaths in one minute
12. Assess pulse then breathing again. (All present)
13. Place the victim in the recovery position when:
- Victim is unconscious
-There is no evidence of trauma
-Spontaneous breathing present
-Successfully resuscitated with the presence of pulse and breathing
Result:
Name of Assessor
Signature of Assessor
Signature of Trainee
Date

Mark when performed


1st Attempt
2nd Attempt

Passed/
Referred

Passed/
Referred

3rd Attempt

Passed/
Referred