DEPARTMENT OF Health Emergency Manac Basic Lire SUPPORT eM iT PARTICIPANT’S WORKBOOK Scanned with CamScannerHEALTH EMERGENCY MANAGEMENT BUREAU . UNIT OF COMPETENCY | sion PART A: PRINCIPLES OF EMERGENCY CARE eat sas Syne Hands be Cormai aha ccernwa Sante ees Nap cama myn Korn 0" pee ee! 1 moc ars sob estes ena ssw ‘end vate ses Tesepotcammny am sions 2 ___ he ertpny ps tg wth epson . = iar sper tne ty ene one 3. Ronan i egos oes: 1 Gromee event testhsoe de der ones aidan: | = Ak rte 1 ere 2. hrepeetle mates, mores td ahr heth ect secon morons ad des and = Domo fttertam 31, Eur orale secondary lo eergnces ad dates Proprio and ucon 1 tyne ‘ovey cael ‘oil reer cr To rsttensice Dass Risk Rout Magee or Heath (ORRAI a lees EMERGENCY ACTION PRINCIPLES 1 Once yourscopies hat an energy a oad ad doc tw ack. yu mat ako sae at Bw scone fe steareccossecrwes 1 Tostesben HED apc sci ts cnn oes DARL ‘ey yo eh le pa 2 Toebonen RO cae tip LGUs dese reier tig pee are ese sons 2 Tose pe Holey mange heath es of sas Fiona 4 Toba ne capct LGU tore ORR 1 Melee tare tbe 5 Tedeetneap lammatsiet pepe ind andcae WON pete aca? a + Tenienty oust as rained est air i 1 Geteonen i precae {LEGAL BASES INTHE CONDUCT OF BASIC LIFE SUPPORT TRAINING |. Aamiserasie Orer(hO} 186 2004, Secon VI Implementing Guiles — “The Bas Li Supp (5) Tang ismanisony to al heath wakes" 2 Rept 1871 "Bs eSupport Tein im Sebo Rot In some everpencies, ou wi res to cal erie modes ave ble adit fx ad Ba sone sh. ‘tons, youu needa anon! ote vee 5 ‘om Hew Dom HENS, 4 Scanned with CamScannerPadcryets Wit Rao Tak Mngt re Parco s Wott nn i Np omen ‘© Call First and CPR First. Both trained and untrained bystanders should te instucted to Activate Medical Assistance as soon as they have detomineg 3 that an adult vctm requires emergency care, a __ In every emergency situation, you must {it find out there are conditons that are of immediate threat tothe victim's if. ‘= Adults and Adolescents ‘+ Witnessed colapse of chil- ‘dren and infants = Ifyou are alone with no mo- bile phone, leave the victim to activate emergency re- ‘sponse system and get AED/ ‘emergency equipment belore bboginning CPR = Otherwise, send someone and begin CPR immediately, use the AED as soon as it ts avaiable + Aduits and Adolescents with | likely asphyxiat arrest (eg, drowning) + Unwitnessed collapse of children and infants 41. Give 5 cycles (2 minutes) of CPR 2. Leave the vitim to activate emergency response system | and gel the AED. | 3. Retum to the child or infant and resume CPR, use the AED as soon as tis aval. | ‘© Use of Social Media to Summon Rescuers. ‘= Use of Mobile Phone in Activation of Emergency Medical Service (EMS), ‘© Information to be remembered in activating medical assistance ‘What happened? Locaten? and drop the phone last DOH NEMB. Number of persons injured? Extent of injury and fist and givon? The telephone number trom where you are calling? Person who actwated medical assistance must ilentiy hinvherself “gp fb 6 ____ tis a systemate method of gathering add {tonal infomation about the injures or conditions that may need care 4.1 Interview the victim. ‘S- signs and symptoms ‘A-alergies M- medications P- past medical history L-last meal taken’ E- events prior 19 injury 4.2.Check vital signs Every 15 minutes for stable condition and every § minutes if unstable 43 Head-to-toe examination D-detonmity C-contusion Ac abrasion P- puncture 8-bum T-tendemess L-laceration S- swelling 5. Proper refer to advance medical authority for further evaluation an! manage: ‘ment Endorsement to EMS / ambulance team / emergency response team or + plysician Roles! transport victim to nearest health faty 7 DOH HEME: Scanned with CamScannerUNIT OF COMPETENCY | PART B: INTRODUCTION TO BASIC LIFE SUPPORT (at) ‘Three Kinds of Life Support 1 Aset of emergency procedures that cong, ‘ing respiratory or cardiac arest and the proper application of Cardo Pune? Resustiaton (CPR) wih or wio Automated Extemal Defbrllaion (AED fe! gn Body Aiay Obstruction Management (FBAOM) and Rescue Breath ‘or fo maintain life unti a victim recovers or advanced life support is available. z ___.. Asolof clinical intervention for the urgent ‘aT cardat ast and ether ie weatening emergencies as wel asthe incu and sil to deploy those interventions. i Gn “For post resuscitative and long term resuscitation wi. the use of adjuncive equipment such as ventilator, cardiac monitor, pulse one et. ‘Out of Hospital Cardiac Arrest (OHCA) ‘Adult Chain of Survival GGUSS The CC Lay rescuers must recogrize the patients arest and call fr hp. Ifthe vcims une sponsive wi absent or abnormal breathing. the rescuer should assume that he vi ‘is incardiac arrest. Rescuers can activate an emergency response (ie, though use ‘mobil telephone) without leaving the victim's side FIRST The SECOND te ay rescuer nds an unresponsive vicim isnot breathing or nt breathing roma {eg gasping). high qualty CPR shall be stared immediately. The probabity oS vd approximately doubles when itis inated before the aval of EMS. TheTHRDUNK: Nis recommended that public access deibilati 8 wy DOH-HEMB a a (PAD) programs beingleene®7 ow eet Ire communities with indiviuals at risk for OHCA. This would enable bystanders to fetvieve nearby AEDs and use it when OHCA occurs. ‘The FOURTHLINK: = : | provided by highly trained personnel like Emergency Medical Technicians EMTs. and parameds, povson of advanced care ous th spa woul be possible The FIFTHLINK: —_ = Post cad res cane ater retu of sportaneous Guan (ROSC) can improve the lkelood of patent sural wih good qualty of In-Hospital Cardiac Arrest (HCA) essce The FIRST LINK: _ Patents with IHCA depend on a system of appropriate surveltance and prevention ‘of cardiac aest, which s represented by a magnifying glass in the fst ink. ‘The SECOND LINK: —EEEE \Whnen cariac arest occurs, prompt notification and response to @ canac arest should resut inthe smooth interaction of a mulicsciplnary team of professional Providers, including physicians, nurses, respiratory therapists, and others. The THIROUINK: Chest compression faction (he percent of cll esusiation time spent compress- ing the ches), chest compression quality (ale, depth, and chest reco), and venta fon rate are fundamental mets defning high-quality CPR ‘The FOURTH LINK: itis the comerstoneiherapy for patents whe sled earic anet probably due ‘a ventricular ibxilaion and puse-less ventricular tachycardia. os ~ Scanned with CamScannerPuen Hott ‘The FIFTH LINK: — Comprehensive post-cardac arrest care requires optimization of hemodynamics, treatment and reversal of precipitating factors, and targeted temperature manage: ment. PEDIATRIC CHAIN OF SURVIVAL GBECGO The FIRSTLINK: —__ __ in chidren the eating cause of death is injury, and vehicular accidents are the ‘most common causes of fatal childhood injuries and child passenger's safely seals can reduce the rik of death The SECOND LINK: _ — itis most effective when started immediately alter the vcim's collapse. The proba- bility of sunival epproximately double when itis initiated before the aval of EMS. Nis associated with successful retum of spontaneous circulation and neurologically intact survival in children, TheTHIRDUNK: z — tis the event itated afer the baby collapsed to recognize that the victim has ex- perienced a cardiac arrest until the arval of Emergency Medical Services person- ‘el competent to provide care The FOURTHUIN Inia steps in stabization provide warmth by placing baby under a radiant heat ‘source, poston head ina “sniffing” postion to open the airway, lear ainay wth but syringe o sucton catheter, dry baby and stimulate breathing, TeePRTH UR Post crac est le eum of sponianous culation ROSC) ean impOe the tiettood of patient survival wih good quay of He, /p DOH-HEME, 10 om Lenni BODY SYSTEMS. ‘The Respiratory System Itdelivers oxygen to the body, as well as removes carbon dioxide from the body. The passage of air inlo and out of the lungs is called respiration. Breathing in is caled inspiration or inhalation. Breathing ‘uti called expiration or exhalation, The Circulatory System It delvers oxygen and nutients to the bodys tissues and removes waste prod: ucts. It consists of the heart, blood ves- sels, and blood. Breathing and Circulation 1. Air that enters the lungs contains about __% oxygen and only a trace of carbon dioxide. Air that is exhaled from the lungs contains about ___oxygen and __%carbon dioxide, The right side ofthe heart pumps bload to the lungs, where blood picks up oxy- {gen and releases carbon dice ‘The oxygenated blood then retums (0 the left side of the heart, where it is ‘pumped to the tissues of the body. 4. In the body tissues, blood releases oxygen and takes up carton dioxide ater ‘wich iflows back to the ight side ofthe heart ‘Al body Issues rege oxygen bu he brain requires mein any oer ts- DOH-HEMB ~ Scanned with CamScanner“Clinical death 0-1 min.» cardiac initabilty 4-4 min. - brain damaged not tkely 4-6 min. - brain damage possible “Biological death 6 - 10 min, - brain damaged very likely ‘More than 10 min, - reversible brain damaged “J wes cRMCALY a 1 tars 1 Sana ‘The Nervous System Itis composed of the brain, spinal cord and nerves. Ithas two major functions - communi- cation and contol. Ills a person be aware of ‘and react to the environment. It coordinates the body's responses to stimuli and keeps body systems working logether, DOH HEMB 2 UNIT OF COMPETENCY I PART A: CARDIOPULMONARY RESUSCITATION (CPR) CPRis a series of assessments and interventions using techniques and maneuvers ‘made to bring victims of cardiac and respiratory arrest back to Me. Is the condition in which circulation ceases and vital organs are deprived of oxygen, ‘THREE CONDITIONS OF CARDIAC ARREST Cardio Vascular Collapse. The heart is still beating but its action is so weak that Blood i ol being eculated though the vascular ystom to the brain and body tssues. ‘Ventricular Fibrillation. Occurs when the individual fascicles of the heart beat in- dependeiy rater tan in coordinated, synchronized manner that produces tytn her beat Cardiac Standstill, 1 means thatthe heart has stopped beating. WHEN TO START CPR you see a victim wh is: 4.UnconscioustUnresponsive 2.Not breathing or has no normal breathing (only gasping) 3.No definite pulse WHEN NOT TO START CPR Al victims of cardiac arrest should receive CPR unless: 1. Patient has a valid DNAR (Oo Not Attempt Resuscitation) order. 2. Patient has signs of imeversible death (Rigor Mots, Decapitation, Dependent Liviity 3. _No physiological benefit can be expected because the vital functions have dete- farted asin sept or cardiogenic shock. Confirmed gestation of < 23 weeks or birth weight < 400 grams, anencephaly {between 37- 41 weeks, 2700 - 4000 grams) = " ‘tempt to perform CPR would place the rescuer at isk of pySial injury. Re 13 iw DOH-HEMB “=== Scanned with CamScannerwmenro stor cre 2a an the vince ‘§— SPONTANEOUS sas of circulation are restored + Place otal see hd Be rte T— TURNED over to medical services or properly trained and authorized personne} lapped and paralle! 0 — OPERATOR is already exhausted and cannot continue CPR: CHILDCPR P— PHYSICIAN assumes responsibilty (dectares death, takes over, tc.) : Cmcnan 2302 forsingle rescuer, 15.2 for2-man rescuer (optional or HC §—SCENE becomes unsafe (such as traffic, impending or ongoing vdlenco ~gun ee a fires, et.) INFANT CPR + dust below he nipple ne, lower haf of stemum (1 finger breadth below imaginary 'S— SIGNED waiver tostop CPR ripple tine) + Two fingers, flexing atthe west (lone rescue) ‘COMPRESSION ONLY:CPR ‘+ 2thumb-enciring hands ecnique (two rescuers) it aperson cannat perform mouth-to-mouth ventilation for an aul itn, chestcon- CAB: Open AIRWAY pression only- CPR shouldbe provided rather than no attempt of CPR beng 2. This must be done to ensure an open passage fr spontaneous breathing OR ‘Chest compression ony- CPR is recommended only in the folowing cumstances: "mouth to mouth during CPR 1. When a rescue is unviling or unable fo perform mouth-o-mouth rescue eat . Head. TavChin-Lit Manouver ‘ing or Tilt the head back with your one hand and lift up the 2. For use in dispatcher-assisted CPR instructions where the simplicity ofthis MO chin with your other hand. . ‘hed tecrique alow untrained bystanders o rapidly intervene. 2 ow Tht Merve is strict @ Heahcare Provider technique ad not fr ; ‘The Compression Airway-Breathing (C-A-B) Lay Rescuers (I suspected with cereal trauma). | > es) » Early CPR improves the likelihood of survival. Place the index and middle gingers to physically push 7 ‘+ Chest Compressions are the foundations of CPR. ‘the posterior aspects of the lower jaw upwards while ‘+ Compressions create blood flow by increasing intra-thoracic a ‘andi the thumbs push down on the chin to open the mouth. compress the heat; generale blood flow and oxygen diver to them Unantna * ee CAB: BREATHING ‘+ Maintain open airway + Pinch nose shut (if mouth to mouth RB is prefered) CAB: COMPRESSION resto + Open your mouth wide, take a nomal breath, and make a tight seal around out + CIRCULATION represents a heart that is actively pumping blood, side of victim's mouth ‘ecognaed by the presence ofa pulse inthe neck cosiy( + Give 2 ful breaths (1 sec each * Assume there is no CIRCULATION if the following exist: (1)Un a gs + Observe chest fe oe "Not breathing, (3) Not moving and (4) Poor skin color + 302 (Compression o Ventilation ratio) ‘+ ROSC-Retum of Spontaneous Circulation-sign of file + Seycles or2 minutes 15 DOH-HEMB DOH.HEMB 4 Scanned with CamScannerParcpnts tk FR arse Fromme amps Wertznat BASIC LIFE SUPPORT SEQUENCE ADULT CARDIAC ARREST ALGORITHM - 2015 UPDATE 1 Verify Scene Safety Vetere ey + Survey or scene safety fist ; {Make sure the envionment is safe for rescuers and vitim + Observe standard precautions [wear personal protective equipment (PPE 2 Introduce Yourself ‘+ Make sure to introduce yourself fist before engaging with the victim. + ‘tm ___ Iinow BLS/CPR. I can help * | 3. Check for Responsiveness, ‘+ Check for responsiveness by tapping the victim and ask loudly, “Are you Ok + ADULT, ADOLESCENTS and CHILD BLS = Tap the shouklers + INFANT BLS - Tap the sole ofthe feet 4. Activate Emergency Response System (EMS) + Shout for nearby help. : Hasrerm steno + Activate EMS via mobile phone or phone patch (i availabe) ‘leer + Send someone to do so. + Ifyou are alone with no mobile phone, leave the victim to activate the EMS, ‘and get the AED (readily available) before beginning CPR 5. Recognition of Cardiac Arrest + Unresponsive + No beating or only gasping + No puise. "Check for breathing 2nd pulse simultaneously for no more than 10 seconds => HOW TO CHECK FOR BREATHING | ‘Observe for chest ise. Distinguish between normal breathing from no normal breathing (ony gasping) > HOW TO CHECK FOR PULSE + Adult & Adolescents ——_———- = Check for Carotid Pulse “ + Pediat: = Child BLS + Check for Carotid pulse + Infant BLS, + Check for Brachial or Femoral Pulse 6.High Quality CPR yshe core Cea prose takeover eric v OOH-HEMB DOH-HEMB 16 “=== "Scanned with CamScannerReet ype ee Patents Wot PEDIATRIC CARDIAC ARREST ALGORITHM FOR THE SINGLE RESCUg, PEDIATRIC CARDIAC ARREST ALGORITHM FOR 2 OR MORE RESCUERS Acton ecampecy emp sme as ieotantifcvrsiens tse” poliecne At eel Aesune CR Inmeslesfe stow? vests (prompted AED to alow aca). Codaue nth DOW-HEMB DOHHEMB Scanned with CamScanner1s Workbook Portemsnt Bars Like Sippel Iran, PEDIATRIC CARDIAC ARREST ALGORITHM FOR THE SINGLE RESCUER Achvate emergency’ response system (if 3% already dene). Retr renetin and t:onter uni emergensy responders arrive, ockable DOH-HEMB + pithse (simalzanecu: le polze deficitely felt ‘within 10 secorés? Doreatis, sti if second re AED ae 2 v After about 2 sunutes.ifsill ‘enfy reene safery Gcomprecsiens and as iss availa } te CFR 392) exiesgeccy’ recponce sytem and retrieve AED {ifrct sready der palze pe Achvate exergency respons eystem (if notalneady doce, andremeve + 2 of acres |e lone acavar << minutes check}. Continue unt ALS prev take over or victim starts te move, Scanned with CamScanner il prompted by AED to alowPatepart's Worbook Haase Lae Sipe Team, PEDIATRIC CARDIAC ARREST ALGORITHM FOR 2 OR MORE RESCUERS: Werks seen 2 ah tobe Feote “CPR be cer begins CPR swith 30:2 ratio ABD analyzes lay j —— Shockable ri Yes, shockabte a Give 1 shocis. Recunve CPR ian tt 2 mirutes (until prot eciatey ipted (anti prompted by . sthytiv cheek). Continue until ALS providers DOH-HEMB 19 Scanned with CamScannerPantegant's Workbook TABLE OF COMPARISON ON CARDIOPULMONARY RESUSCITATION FOR Scene safety Recognition of cardiac arrest Activation of emergency response system Compression-Ventilation ratio with- out advanced airway Compression-Ventilation ratio with advanced airway Compression rate Compression Depth Hand placement Chest recoil Minimizing interruptions Location for Pulse Check (HCP only) Counting for standardization Pur- pose DOH-HEMB ‘Make sure No (Breathing and pulse you are alone with no mobile phone, leave the victim to activate the emergency response system and get the AED before beginning CPR 1 or 2 rescuers 30:2 Continuous Give 1 breath Atleast 2inches (Sem) 2 hands on the lower half of the breastbone (sternum) Allow the recoil of chest after’ Limit interruptions Carotid Pulse 1 or 2rescuers 4-29 up to 5 cycles (20 compressions within 18 seconds) Scanned with CamScanner!OPULMONARY RESUscrtaTion FoR LTS 8 ADOLESCENTS, CHILDREN, AND INFANTS ee Te Make sie -peenvronment is safe for rescuers and victim Chek for respensiveness % aang era sso Pr wow) dele pe fe nin 10 seconls (Breathing apy. canbe ermal simulans in ese than 10 seconds) are alone wth no mabe poe, ave to activate the emergency response Witnessed collapse — Follow steps for adults and adolescents onthe left mand get the AED bole bong Unwitnessed collapse — Give 5 cytes (2 mnutes) of CPR 1 0r2 rescuers 4 rescuer (30:2) 30:2 2ormore wescvers (15:2) Contos eangassion a a rate of 100120/min Give bet erry 6 seconds (10 breats/min) 100-12 ‘east 19 ofthe AP dameterof he ‘least 18 ofthe AP ckameer ofthe chest Atleast 2inches (Sem) chest cefecet inches (om) or About tp Inches (4m) + resever Ae 2 fingers inthe cere ofthe chest just : 5.0 hand (oponal fr ver bow the np no. sont lover haf the breastbone gaat Fanon er tlw eee Coal! (strum) thumb ncietng hands inthe center ofthe chest, just below the nipple line ‘Allow the reco of chest alleP2th compressions: donot ean othe chest aller each compression Limi interruptions est compression oess than 10 seconds Caro Paseo Femoral a Carotid Pulse fl elieel Femoral Pulse Brachial Paseo moral Pu tor 2rescuers ined wanna 1-29 up to 5 cycles fhtirt up 105 cycles ompressions within 18 seconds) ocompressons wii seconds) 0. compress win 18 seconds) Gctewnete Hae upto to ees “ip (15 compressions win 9 seconde), (45 compressions within 9 seconds) i on Dow news KD Le Scanned with CamScanner‘CAROLOPULMONARY RESUSCITATION Corte CPR ut “AED ses an ead or we ENS proves tt over he care fe vin + Reasece vii every 2s 1 Reszsers may Sich os x Two Ma Resor) pater comes concious, place patil ecorey postion (CPR with Advanced Airway + Oye of 30 compressions? venitlatons shout be cnoed wlan aranced aways plaod + an adanced aay ake in ple: ‘Contnve chest conpessions at ato 100120 permit, wiht pases for vetaton eniafon lo reat vey 6 sec (10 brea por inte) ‘AternativeTechriques and Anil Devices for CPR. 1. Hands-Ony (Compress. CPR ‘Outcame tbr tan oueome of NO CPR ay reser shold compessen el tay ae unig or wsboo prove resco beahs 2. Mockaneal asin Dvex “A metal ston dee consis ca compressed gs orale: pemord plat moined on ator, is wed to depress fo soma. 3. Loo! Dstibuing Band Docs ’ cromfeeni chest compression device conyse of peutic ot ‘ec ecsed contin band and taboo Easy ose an bate operated, squeezes pales ne chest 0 imrore toed tou bh eat and ean Recovery Postion in PR ‘eat and Chit {Bend the amt he ptt a place te trk othe Yes hand agate is her eherk at Pol here “Turntha wesm lorrds o as cre uit ‘OKT in External Chest Compression: + deer + beer Nasser 1 Roster oH ieMB 2 UNIT OF COMPETENCY 11 ‘PART B: AUTOMATED EXTERNAL DEFIBRILLATOR (AED) [AEDsavecopisicatedcompunized doves at can aie est yin rd sere igh votage elect hoc, La I estan nd nprtnce ‘rantinn tomcat inate tae Then tee yes scence ares Year ton) Treo le esr WF clan Is pete or uses Verh ctetcne nealing be sucetlsd oars winner cet (eaten era rest Seen maybe ec pe rus pce dottees Shockabe Rhythms Non Shockable Rhythms ‘enrilr Faiain (VF) pay Puan vorecla Tacyeaete Pals Eee Ate PEA) erica Fitton (VF) \Vs common and etal itl then in ats wih winesse cada Suna tesa igs wn eda slander CPR proves ar el- fen cers atin 310 Smite cage 7 api eeiaion ie weatnontefchoce Gf Rye easing ‘af sen cas arest 0 2 Usdess qmenng ote eat na ad ow / 2 Mpcoriom' doped! aan pl 2 Dow HENS Scanned with CamScannerPtcrnt Wstce PF Nese Pan Pulseless Ventricular Tachycardia The pulseless ventricular tachycardia rhythm is primarily identified by several een + Therates usualy greater than 180 beats per minute and the rhythm generaly has avery wide QRS complex in ECG tracings. + The patent wil be pulseless + The rhythm originates inthe venticles. Causes of VF and Cardiac Arrest 1. Hypoxia + Near drowning + Rebreather maifuncton + Burst long + Choking + Decompression ines + Garbon monoxide poisoning 2. Bleeding 3. Heat attack 4. Drug overdose DEFIBRILLATION + Shock success = Terminabon of VF fort least 5 seconds following the shock + VF frequently recurs ater successful shocks & these recurfence should not be equated to shock faire ‘Automated Extemal Defibritator (AED) Controlled elect shock ‘May restore an organized rhythm Enables heat to contac & pump blood Paced in areas of public access ‘so called as PAD Puble Access Detar Area ~ Railway stations = nape = Shopping centers + Steed in - ~ Secured display unis = Aecessbe fal rained rescuers Gealy marked Lt + Should aluays be stored ready to use wt ly charged batery Razors to shave the casuals ches shold be stored wih the defitritate, along vwih gloves in vaious sizes DOH-HEMB an Zz Pace neo ne Da Set Fane oilerent Types of AED {AED Trainer + Not capable of delvering a shock {Dorota tobe confused vith eal unis 2. SemiAvlomated Defiriator + Requires the user o pres the button for analysis and shock 3, Fully Automated Defibillator ] + Noinorverton requied for analysis and shock + They ae programmed to run sel test and they vl indeate when maste- ances needed ‘Several Factors That Can Affect AED Analysis «Patient movement (eg. agonal gasp) + Repositioning the pationt Use AED Only When Victims Have the Following 3 Clinical Findings + Noresponse No breathing + No Pulse: Note: Defiritationis also indicated for pulseless ventricular tachycarda (VT) Special Conditions that Affect the Use of AED. + The victim is1 month old or less. +The victims has a hairy chest. . he ci singin water, immersed in water, or waters covering te vci's + The victim has implanted defirilator or pacemaker. * The victim has a tansdermal medication patch or other object on the surface ofthe ‘kin where the AED electrode pads are placed. CRITICAL concePrs: our (4) Universal Steps of AED Operation P—POWER ON he AED. ‘A ATTACH the eecrodes pads lo he vchm's chest ‘A= Gieathe vim and ANALYZE the hear rythm 3. Clear tte wc and delve’ a SHOCK (idea), Ve L DOH.HEMBcme rt (evens ‘AED PROCEDURES 1. Delve 9 Shock (tinceated) ithe AED prompt os “SHOCK ADVISED” 1 Contrue CPR ur an AEDs avaable ake ne 2. One the AED avalible, Power on he AED and flow he wee romps > Noone louhes the vt! 3. Expose chest Ory he sh of shave, necessary 2 Verbal warring to co rescuer! bystanders: 4 tach pas in vc’ ae chest. = "Clear : . ~ Physical and hand gestures \ _ itis 8 Yars of Age and Older Vetims 4 10.0 Years a Ape = Presse Shock baton andinmed- > ‘em ahi pate HDT we al” Der el pd ‘lel resume CPR a fore enay a sored “fhe AED promptly es "NO SHOCK cot ge cba hake on * > Coninae CPR fo? mines > Fallow voce prompt + be AED prompt es "NO SHOCK ADVISED" forthe second tne > Cheek or psa Shock First vs. CPR First For witnessed adit carac ares when an AED is inmediaely vale iis reasonable thal ie defslar be used as soon as posse + Foradults wth unmenitored cara astro hom an AEDis atin vb, itis reasonable that CPR be ntted wie the debi equsent being otivod and applies ant etbliabn, tindate, be ateled i ueacers a Berne “Analyzing bear tym, 40 not Re touche pent. make ue i ‘AED ALGORITHM aS paetnine tate fi i Seas Base comecnnionts Zs fever LLNM ED ee oe sarucpenreomers oe OH HEME, Scanned with CamScannerAED Mintenance Become falar eh your AED ae ow topes Check tne AED frit potlens sch as signs cf damage. Check ne "Yeady fre eect on you AED (ls eps) day Porm a wer based maintenance accrking tthe mauler eam mendstons 5. Make sure the AED caning cas contains the flowing suppes aa ies 1+ 2setsol eta eects pas (0 ets ta) + 2poctettcemasts Text bate (appropri your AED); some AEDs ‘svete yrs 2spossberaars ‘to 10 coh wes S trie gau pats (044 inches), india wrapped 1 sistent eh owl Remeber: RED matncons rrr. Most AED probloms are eased by ‘opera ror” Ine prom recommends ver based rae DOH HEHE rs aS @. UNIT OF COMPETENCY Il PART A: RESPIRATORY ARREST ANO RESCUE BREATHING (Fr Heath Care Providers ely) Introduction Respicaary atest can resi rom a numberof causes, cg sutmer- ‘snineakowning, stoke, FBAO, smoke inkaao, epg, up ovet tse, electrocution, suffocation, inure, myocardial con, ighring stik, and coma ron any cause, When primar respisry ares ocis, Ihe heart ad lngs can continue fo oxygenate, = Is the condition in which beating stops 0 inadequate. ‘CAUSES of Respiratory Arrest 1 Obstucon 411 Analomizal Obstruction 1.2Mechanial Obstucton 2 Dseases 21 Bronchitis 23 Chore Chstcte Plone Os- 22Pomenia ‘eas (COPD at eberespiatny ies, 8.Oter causes of Respiratory Ares 31 Chestcomprssion by ptyseal 3.4 Econ foes) 35 Enel hangin 32 Creator cotpse 36 Pong Zo 33 Dromng S7sumaaten SUEY RESCUE BREATHING + fealecinaye of rating at pron ngs sip itr open atpzngetmen orb pwoon kero oer + Given ows who are ot rating er nae bu st hae ps 1 Gaealiota reve heal or hee hm oer le hp comes 29 owes Scanned with CamScannerWAYS TO VENTILATE THE LUNGS Isa qc, eflectve mayo provide Ongena vet. Taion eve 2 ___. lt econmenfed when sng o vere Wushu neath come be oped (Mma) he mae Boye! oraige mam iomow seats ateato sre te vn an are) tis ts ang aN aa your ot Trista ek 6. could verona patent by wy 3 Eh ae Wi yah 9S a Pets nse 1 1 ced deter ventana patent by ura 2 “n= pe Weck o's sng ene my ae, aT sed ongennsen ‘SPECIAL CONSIDERATIONS + esuer Se 908 pti 2 es unr ein is might ett he ‘aneay + Reser et seh bunt it he cin + Ree ft ose evs mou came (ess moh a roses + Exch ese beat shout give exon tosh he chest ise ant be gen att «Reser sts sa ering mre ets (na an te rumber recommen Shorvedetatsewnloyowotsens 4 Rezzuee shal ake areal breath ra dep tet} moth emo cr mou "ober deve esc rea DOH HEME ‘TABLE OF COMPARISON ON RESCUE BREATHING Head Tatchin Ut {HCP or suspected spine iy, peram Jaw Thus Maneve) = Nagata Normal treath eno to make he ces se 1 rath oe 5-6 seconds (24am treaty? -Sstconds tbe2mn) wea or? rn) Renrmsess rey enemies every 2 mses rinses rate 002 005,104 1001, beaie, rae, 102 10, {OIZO00.004, eae, 02, 1 ae rae, 02,100, ‘upto 1024 and Breathe... up 10 1040 and breathe treats ‘CAUTION: you gine beats io tly or who much ce, as aly et te Sonic ao’ han he ngs Ti eon couse ast fen. Gastc infin ‘uel develops dag meu iomaut, mouth mash or bap ask venation Cas endan can esi sete complestons sich as vong, asprin, o preuno Reser can she he ok of ase nation by veg Qn Beals op. ‘yortoo relay. oP 3 on HEN Scanned with CamScannerPatcaat Hebd UNIT OF COMPETENCY Ill PART B: FOREIGN BODY AIRWAY OBSTRUCTION 's a condition when sold material ke chunked foods, coins, ‘vomitus, smal ays, ez ae bockng the airway. ‘CAUSES OF OBSTRUCTION 1. improper chewing of large pieces of fod, 2 Excessive intake of alcoha. 3. relaxation of tongue back int the throat b. Aspirated vomits (stomach conten!) 3. The presence of loose upper and lower dentures, 4. Children who are runing while eating 5. For smal chiiren of “hand to-mouth stage left unattended TWO TYPES OF OBSTRUCTION __.. When tongue drops back and obstruct the throat, tt "@r causes are acute asthma, croup, diphtheria, sweling, and cough (whooping) 2 ___. When foreign objects lodge inthe pharynx or snways: Tus accumulate inthe bak of the throat. CLASSIFICATION OF OBSTRUCTION 1.MILO_ OBSTRUCTION A Signs: 1. Good air exchange 2. Responsive and can cough foretuly 3. May wheeze between coughs 4. Has increased respiratory dificult and possibly cyanosis B Rescuer Actions: ‘slg as good air exchange continues, 1 Encourage tevin canine otaneouscoting an breathing effrs. DOH-HEMB 2 Prenat Ween 2._Do not interfere with the victim's own attempts to expel the foreign body, but stay wit the victim and monitor his or her condition. 3. patient becomes unconscious/unresponsive, activate the emergency | response system 2.SEVERE OBSTRUCTION A Signs: 4. Poor or no air exchange, 2. Weak or ineffective cough or no cough at al, 3 High pitched noise while inhaling or no noise at al, 4. Increased respiratory difficulty, 5. Gyanotec (turing blue) 6 Unable to speak | 7. Clutching the neck with the thumb and fingers making the universal sign of choking 8. Movement of aris absent. 8. Rescuer Actions: 1. Ask the victim ithe or she is choking 2. the vietim nods and cannot tak, severe airway obstruction is present and you ‘must perform abdominal/chest thrust and once becomes unconscious / ‘unresponsive activate the emergency response system. re UNIVERSAL SIGN OF CHOKING is a sign wherein the ‘ici is clutching his! neck with one or both hands and Sesping for breath, ABDOMINAL THRUST is an emergency proce- dure for removing a foregn object lodged in the airway that is preventing a person from breathing REMEMBER Abdominal thrust should not be used in infants ‘ unas UNE Year of age de tok of causing ny | 3 DOH-HEMB Scanned with CamScannerPatopats Wostwek fRaen Fate Nepean FINGER SWEEP a technique recommended for Ty relieving foreign body airway obstruction. Nf a sn YN ES & eg RESCUE BREATHING (RB) is a technique of =n breathing air into person lungs to supply hin AS 3 ‘or her with the oxygen needed to survive 4 * Complications from Abdominal Thrusts 4. Incorrect application ofthe Abdominal Thrust can damage the ches, ribs an intemal organs. 2. May also vomit after administering the Abdominal Thrust. 3. They shouldbe examined by a Physician to rule out any life-threatening complia- tions, Performing The Chest Thrust In Obviously Pregnant And Very Obese People + The main dtlerence in peforming the Abdominal Thrust on tis group of people is in the placement ofthe fst. + Instead of using Abdominal Thrusts, Chest Thrusts are used. + The fists are placed against the mide ofthe breastbone and do the Chest Thus + Ifthe victim is unconscious, the chest thrusts are similar o those used in CPR. "Caution: the tor obese victim, nd joan tne pregnant or bese victim becomes unconscious, cal frp DOH-HEMB Preqerts Monteat ony Ii Sipe eam FBAO MANAGEMENT | 4, Determine scone safety Inroduce yoursel patient, guardian andor bystander. 4 Determine level of breathing dificuty by checking Infant —inetfectve coughs, weak or absence of cy. '¥5o, tol parents/guardian that you ae there to help. Cilg/AGut- by asking if the vit is choking, “can you cough?” so, tll the victim that you are thereto help. 4. Property poston the patient a. Infant: support the infant on rescue’ knee or tp. b. Chil/Adult - Assume straddle positon behind 5, Locale proper site: Infant give back slaps and 5 ches uss using 2 fingers techniques. ey ecabe ». Chld/Adut-for abdominal thrust, property positon balled fist on the patient. Properly perform abdominal thrust (Atleast 5 thrusts ). 6 tf patient becomes unconscious, caetly lay hinvher down. 7. Callfor help to activate Medical Assistance and pertorm 30 Chest Compression 8 Check oral eal for presence of obstruction. I frciga body is visible perform finger sweep i ot visible propery administer frst RB. ‘9, tarbounces back, fe-position patent's head and propery administer second RB, {0,_ Ifa goes in, a58ess for pulse and consciousness 11, Itpaiet becomes conscious, propery place patient in recovery position, DOH-HEMB