CPR & AED

Manual
Cardiopulmonary Resuscitation &
Automatic External Defibrillator
 Training Partner -
Life Saving Mumbai

Life Saving Mumbai, is a training institute dedicated to helping people learn modern life saving techniques
as well as saving lives both on land and in water. It is one of the leading provider of training in first aid
resuscitation, water safety, lifesaving and life-guarding skills in India. Life Saving Mumbai’s major objective
is community education to enhance "Safety" consciousness, as it is convinced that alleviating the need for
a rescue is of much greater value than effecting one. Lifesavers make a crucial difference in bridging the
gap between the trauma of a victim and relief provided by the emergency services
 Course Layout
• Emergency procedures and WHS
• Venue facilities and policies
• Course duration and breaks
• Academy Handbook
• RPL
• Participant feedback
• Additional needs?
Internationally Accredited Training
Accredited By Guidelines By
 Assessment

• Theoretical
• CPR theory paper
• Practical
• 2 mins CPR on an adult and infant manikin
• Use of AED with operator change over
• Recovery position
• Post Incident Debrief and Reporting
 Policies and Procedures
• Participant Code of Conduct
• Proficiency of English Language
• Proper dress code as stipulated for the course
• Behavior and discipline while undertaking the course.

• Access
Assessment tasks may be adjusted to suit your physical needs incase of handicap, physical limitations of
trainee.

• First Aid Requirements:

• This course is approved and recognized by the Australian Lifesaving Academy, SLS NSW.
• It is mandatory for CPR refresher training to be conducted every 12 months
 Content Warning
• Course content, images and videos are for training purposes only.
• It is possible that some of the trainees maybe undergoing personal
situations
• Please be respectful to all in attendance
 Contents

• Section 1: First Aid Essentials

• Section 2: CPR & AED

 ESSENTIALS
• First Aid Essentials
• What is ‘first aid’
• Principles and responsibilities
• Calling for help
• Your response to an emergency
• Legal and social issues
• Hygiene
 What is first aid?
• First aid is?
• What are some responsibilities and roles of a first responder?
What is first aid?
 4 A’s of First Aid

Assessment Action AfterCare

Awareness
• Assess what has to be • Do what you can but • Once you attend and
• Observe done always remember have done what you
• Stop to help • Ask yourself “Can I do your safety comes first can, stay with the
it?” then that of the victim until emergency
bystander and last of services come.
the victim
Calling for help
What challenges do you face with mobile phones?

When you Call for Help Always remember

1. Don’t Panic

2. Be Clear and Precise with Information

3. Give Details of 5 W’s (as seen in slide 24)

4. If your are Panicking or hesitant, inform a bystander

to make the call and give him the information
 Your response to an emergency

• Post Traumatic Stress (PTS) can be minimized

• Workplace support
• What are some signs that may show someone might be
struggling after an incident?
• What might limit your ability to respond?
 Legal and Social Issues
• Duty of care

• Negligence

• Consent

• Cultural and Religious awareness

• Recording and Confidentiality

 Hygiene

• Sterilize/Sanitize
• Wear Gloves
• Wear Face masks
• Keep Environment clean so
as to have no foreign objects
enter wounds or cuts
Equipment
 Did you know?
We can provide all of your First Aid Equipment
Need to audit your First Aid Kit?

• IRA provides First Aid Kit, AED &

Oxy Audits in your workplace

• Ask us for a First Aid Kit order from

info@indianrescueacademy.org
and get shipping to yur workplace!
Questions

?
 D R S A B C D

Danger Response Send Airway Breathing CPR (30*2) Defibrillation

Check For Check For If Open Airway Check Give 30 Chest Attach a
Danger to Response Unresponsive and ensure Breathing Compressions Automatic
Yourself, by Talk or , send for it is clear, If patient is followed by 2 External
Patient and Touch help by If not, roll not Compressions Defibrillator
Bystanders calling 108 patient onto breathing or Should be at a (AED) as soon
their side breathing is rate of 100-120 as available
and clear not normal, per minute in and follow its
airway commence the center of prompts.
CPR the chest.
 D - DANGER

Depending on the Situation

Clear the danger
Or
Take Victim out of Danger
 R - RESPONSE
• First Aider needs to note
• the level of consciousness
• Conscious - If “Yes” put in “Recovery Position”
• Semi Conscious - If “Yes” put in “Recovery Position”
• Unconscious - Call for help and follow the ABCD
Steps to follow the Response
• Talk - What happened?Need any help?
My name is .... I am a lifesaver

• Touch & Feel to check response: Tap Shoulders/ask

to lift hand/pinch to check for pain
 S – SEND – (108)
Call for help with 5 “W”
• Call Doctor / Ambulance / inform
casualty in a hospital 1. What happened to the victim
• Ask for Equipment if available
• Ambu Bag 2. Where did it happened
• O2 clylinder
• Neck Guard 3. Where injured in body
• Stretcher / Spine board / Wheel chair
• First Aid Box 4. Who is injured
• AED (Automated External Defibrillator)
5. Wait for any question
A - AIRWAY

Jaw Lifting
 B – BREATHING
Check Breathing

• Look : For normal movement in chest & upper

abdominal area.
• Listen : Listen to breathing at the mouth and nose.
• Feel : Feel for breathing against face or hand.

Please Note:
• Victim Breathing: Recovery
Position
• Victim Not breathing: Go for CPR
 C - CPR
CPR (30*2)
• Give 30 Chest Compressions followed by 2 Rescue
Breaths.
• If Unwilling or Unable to give Rescue Breaths
continue chest compressions.
• *For drowning, give initial 2 rescue breaths before
starting compressions.
• Ensure adequate backward head tilt when giving
rescue breaths
• Compressions Should be at a rate of 100-120 per
minute in the center of the chest and be 1/3 of the
patients chest depth.
• For Infant do not tilt head while administering
breaths. Use fingers to Compress chest.
 D - DEFIBRILLATION

• Attach a Automatic External

Defibrillator (AED) as soon as
available and follow its prompts.
 Section 2
• Cardiopulmonary Resuscitation (CPR)
• What is CPR
• CPR Rates and Ratios
• Automated External Defibrillators
• Recovery Roll
• Chain of Survival
 CPR
• CPR is a used to ‘buy time’ when the
heart fails to effectively circulate
blood, oxygen and nutrients around
the body
• Irreversible brain damage may occur
within 2-3 min
 CPR - Essentials
CARDIO PULMONARY RESUSCITATION
HEART LUNGS BRAIN Total function
of the body
Pumps Blood + Bring in Revive To bring back
Oxygen to life

0 Min 4 Min 5 Min 10 Min Brain

Dead
Head tilt / chin lift
 Pregnancy

• If possible, raise the right

hip / buttock
• To create better blood
flow from the mother to
the foetus
 Rates and Ratios
Adult Child Infant
Ratio (Compressions: Breaths) 30:2
Compress using 2 Hands 1 or 2 hands 2 Fingers
Depth of Compression 1/3 depth of chest
Head Tilt Full As required Neutral
Rate of Compression 100-120 per minute
Compression Point Middle of chest (sternum)
Rescue Breathing Enough to inflate chest
(Mouth to mouth and nose on
infant)
 Recovery Position
• In an unconscious person, care
of the airway takes precedence
over any injury, including the
possibility of a spinal injury

• What could happen if an

unconscious, breathing
casualty is left in the supine
position?
Automated External Defibrillators

• Automated External
Defibrillators (AED’s) stop
a heart in cardiac arrest
Why use an AED?
 Heart Rhythms
• Normal rhythm:
• AED will NOT shock

• No rhythm:
• AED will NOT shock
• Shockable rhythms
• AED will shock.
AED Pad Placement
 Chain of Survival

(There are several different interpretations)

Questions

?
 Assessments

• CPR Theory Paper:

• 14 Multiple Choice Questions
• Pass Mark = 12/14
 Assessments
• CPR Practical Assessment:
• 2min CPR – adult manikin
• Placed on the floor
• 2min CPR – infant manikin
• Placed on a firm surface
• Follow AED prompts with group rotation of operators
• Recovery Roll
• Provide an accurate verbal or written report
 Workplace / Community Setting Scenario

• Whilst heading to the bathroom you witness a visitor collapse. Other office workers all
start to rush around in a panicked state. You begin your primary assessment and notice
that the visitor is unresponsive and not breathing normally

• You begin your workplace emergency response procedure: Send for help, CPR with use of
hygiene barriers. Note – your workplace has an AED

• You do not know your casualty’s personal details

 Heart Attack
Symptoms First Aid Action
• Severe pain in the chest spreading to the • Reassure and calm the patient.
left arm/neck. • Make the victim take half-sitting position, with knees bent
• Difficulty in breathing. with hands on either side.
• Profuse sweating. • Loosen clothing, particularly around the neck, chest and waist.
• Irregular heartbeat. • Keep the person warm in a blanket.
• Palpitation & fibrillations. • Wipe the face and forehead with a damp cloth.
• Weakness, a sinking feeling and anxiety. • Regularly record and monitor pulse and breathing.
• Nausea or vomiting. • Check if the victim is on medication and has a dose on person.
• Dizziness/Unconsciousness. • Do not try to revive the victim by throwing water or slapping
• Pale and clammy skin. the person.
• Bluish lips or nails. • Do not give anything to eat or drink.
• As a result of a major accident, severe • In case the victim becomes unconscious, check signs of life like
shock, suffocation or overdose of speech, movement and breathing. If breathing, place in the
medication/drugs. 'Recovery Position' otherwise start CPR.
 Stroke
A STROKE, also known as Brain Attack, requires similar actions to what is done in the case of a Heart Attack. It can be caused by
high blood pressure, leading to a blood vessel bursting in the brain or too little blood and, therefore, starvation of oxygen.

Symptoms First Aid Action

• Sudden severe headache. • Reassure and calm the patient.
• Nausea and vomiting. • Make the victim lie down, with head raised very slightly
• Breaking into a sweat. and to one side. This would permit saliva to drain out.
• Pressure within the skull area could • Loosen clothing, particularly around the neck, chest and
• cause a clear discharge from the nose/ear (Cerebral waist.
Compression). • Keep the person warm in a blanket.
• Paralysis. • Do not give the victim anything to eat or drink.
• Behaviour resembling that of a drunken person. • In case the victim becomes unconscious, check signs of life
• Weakness. like speech, movement and breathing. If breathing, place in
• Difficulty in or slurred speech. the 'Recovery Position' otherwise start CPR.
• Involuntary urination. • Rush to hospital and seek urgent medical help.
• Unconsciousness.
 Choking

Symptoms First Aid Actions

• Victim clutching his/her throat
is the universal sign of
CHOKING.
• Victim is red in the face with
trauma
• Victim unable to talk or breath,
in a state of panic
• Approach and reassure the victim
• Gently tilt the victims head back and lift
the chin with one hand. With other hand
give 5 back slaps between the victims
shoulder blades followed by 5 abdominal
thrusts. (Heimlich Manoeuvre). Continue
until the object is not dislodged or until
victim loses consciousness
 Fractures and Dislocations
Symptoms
· Pain / Tenderness
· Swelling
· Bruises
· Unnatural looks/Movement range.
· Grating Noise / feeling

First Aid Action

· Support the Limb
· Immobilize the affected part
· If Bleeding Control the flow without
pressing on any protruding bones
protect the injury from infection.
 Sprains
Symptoms
• Severe Pain/ Tenderness
• Swelling
• Bruising
• Difficulty in moving the affected part

First Aid Action

• Rest the Injured Part
• Use an ice pack or cold compress for
10mins
• Find available support
• Elevate the injured part
• Seek medical advise in necessary
• Use RICE METHOD
 Seizures / Fits
If this is the first time the victim has had a seizure, or the victim has more than one seizure per hour, or in case the seizure
lasts more than 2 minutes, call EMERGENCY. First Aid Action
• If the victim suspects that he is going to have a seizure of
Symptoms
if he begins to lose his balance, help him to the ground,
• Tingling sensation.
clear the area.
• Twitching, muscle spasm.
• Lay the victim on his side to prevent any vomiting
• Body stiffening.
entering his lungs.
• Drooling.
• Prevent the victim from injuring himself. Remove
• Loss of bladder or bowel control.
eyeglasses, push away any objects or furniture that
• Unconsciousness.
might injure the victim if he collides with it.
• DO NOT put your hands in or near the victim's mouth
during a seizure, if possible, put a pad between his/her
teeth.
• ·Loosen any tight clothing on the victim.
THANK
YOU