BLS+First Aid+AED Training

This course is divided into easy to follow modules.

1) Watch each video and/or read each transcript (Click SHOW TRANSCRIPT below each video to read course content for each unit.)

2) Answer each question.

3) Save and Submit to print your certificate.

CPR Basics (2:26)

Assess

Assess the scene for safety. Assess the victim for age and responsiveness.

C-A-B

Rescuers should assume cardiac arrest has occurred when encountering adults who have collapsed or are found unconscious. Immediately call for help and begin CPR.
Use the C-A-B (Compressions-Airway-Breathing) Order

Begin 30 Compressions
Open Airway with head tilt–chin lift and check breathing, AT THE SAME TIME
Give 2 rescue Breaths

Compressions

Chest compressions keep oxygen flowing to the brain and are the single most important factor in life saving procedures. Compressions should be swift, hard and consistent. 30 compressions each time at a rate of 100-120 per minute.

Airway

To clear the airway, use the Head Tilt/Chin Lift method. Place one hand on the forehead to tilt the victim's head back and AT THE SAME TIME place the other hand under the victim's chin. Lift the chin to open the airway and displace the tongue. Look into the victim's mouth for an obstruction. If you see an obstruction, remove it immediately.

Breathing

Administer 2 rescue breaths (1 second each).

If the first breath does not make the chest rise:

Re-tilt the head and try the breath again

After administering 2 rescue breaths:

Resume compressions

Continue CPR Cycle until:

AED becomes available
Victim is revived
You are too tired to continue
A second rescuer takes over

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Adult CPR Demonstration (1:31)

Adult CPR

For teenagers and adults.

Immediately call for help and begin CPR. Retrieve AED machine first if immediately available.

Hand position:

Two (2) hands - on the breastbone (sternum)

Compression depth:

Adult: At least 2 inches, but no more than 2.4 inches

Begin CPR
30 compressions
Check and open airway
Give 2 rescue breaths (optional)
Repeat

Continue CPR Cycle until:

AED becomes available
Victim is revived
You are too tired to continue
A second rescuer takes over

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Adult CPR Overview (2:38)

Adult CPR

For teenagers and adults.

Immediately call for help and begin CPR. Retrieve AED machine first if immediately available.

CPR Cycle

30 Compressions
Check and Open Airway
2 Breaths (REPEAT)

Perform cycles of 30 compressions (at a rate of 100-120 per minute) and then administer 2 rescue breaths

C-A-B Order

Rescuers should assume cardiac arrest has occurred when encountering adults who have collapsed or are found unconscious. Immediately call form help and begin CPR.

Use the C-A-B (Compressions-Airway-Breathing) Order

Begin 30 Compressions
Open Airway with head tilt–chin lift and check breathing, AT THE SAME TIME
Give 2 rescue Breaths

Compressions

For an unconscious adult immediately begin 30 chest compressions, at a rate of 100-120 compressions per minute. Administer to the breastbone (sternum). Compressions should be swift, hard and consistent with a depth of at least 2, but no more than 2.4 inches of the chest. Avoid leaning on the victim’s chest between compressions to allow for full chest recoil.

Compression depth:

Adult: At least 2 inches, but no more than 2.4 inches

Hand position:

Two (2) hands - on the breastbone (sternum)

Airway

Open the victim’s airway, using the head tilt-chin lift method and AT THE SAME TIME check for breathing (5-10 seconds). Look into the victim’s mouth for an obstruction. If you see an obstruction, remove it immediately.

If the victim is breathing OR begins breathing after providing CPR:

Place the victim in the recovery position

If the victim is not breathing:

Administer - Rescue breaths

Breathing

Administer 2 rescue breaths (1 second each).

If the first breath does not make the chest rise:

Re-tilt the head and try the breath again

After administering 2 rescue breaths:

Resume compressions

Continue CPR Cycle until:

AED becomes available
Victim shows signs of life
A second rescuer takes over
You are too tired to continue

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Child CPR Demonstration (1:13)

Child CPR

For children between toddler aged and puberty.

Immediately call for help and perform 5 cycles of CPR, then retrieve AED machine.

Hand position:

One (1) hand - on the breastbone (sternum)

Compression depth:

Child: At least 1/3 the depth of the chest. Approximately 2 inches.

Begin CPR
30 compressions
Check and open airway
Give 2 rescue breaths (optional)
Repeat

Continue CPR Cycle until:

AED becomes available
Victim is revived
You are too tired to continue
A second rescuer takes over

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Child CPR Overview (2:50)

Child CPR

Immediately call for help and perform 5 cycles of CPR, then retrieve AED machine.

CPR Cycle

30 Compressions
Check and Open Airway
2 Breaths (REPEAT)

Perform cycles of 30 compressions (at a rate of 100-120 per minute) and then administer 2 rescue breaths

C-A-B Order

Rescuers should assume cardiac arrest has occurred when encountering children who have collapsed or are found unconscious. Immediately call for help and begin CPR.

Use the C-A-B (Compressions-Airway-Breathing) Order

Begin 30 Compressions
Open Airway with head tilt–chin lift and check breathing, AT THE SAME TIME
Give 2 rescue Breaths

Compressions

For an unconscious child immediately begin 30 chest compressions, at a rate of 100-120 compressions per minute. Compressions should be swift, hard and consistent. Avoid leaning on the victim’s chest between compressions to allow for full chest recoil.

Compression depth:

Child: At least 1/3 the depth of the chest. Approximately 2 inches.

Hand position:

One (1) hand - on the breastbone (sternum)

Airway

If the victim is breathing OR begins breathing after providing CPR:

Place the victim in the recovery position

If the victim is not breathing:

Administer - Rescue breaths

Breathing

Administer 2 rescue breaths (1 second each).

If the first breath does not make the chest rise:

Re-tilt the head and try the breath again

After administering 2 rescue breaths:

Resume compressions

Continue CPR Cycle until:

AED becomes available
Victim shows signs of life
A second rescuer takes over
You are too tired to continue

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Infant CPR Demonstration (1:38)

Infant CPR

Immediately call for help and perform 5 cycles of CPR, then retrieve AED machine.

Hand position:

Two (1) fingers - on the breastbone (sternum)

Compression depth:

Infant: At least 1/3 the depth of the chest. Approximately 1.5 inches.

Begin CPR
30 compressions
Check and open airway
Give 2 rescue breaths (optional)
Repeat

Continue CPR Cycle until:

AED becomes available
Victim is revived
You are too tired to continue
A second rescuer takes over

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Infant CPR Overview (3:02)

Infant CPR

Immediately call for help and perform 5 cycles of CPR, then retrieve AED machine.

CPR Cycle

30 Compressions
Check and Open Airway
2 Breaths (REPEAT)

Perform cycles of 30 compressions (at a rate of 100-120 per minute) and then administer 2 rescue breaths

C-A-B Order

Rescuers should assume cardiac arrest has occurred when encountering children who have collapsed or are found unconscious. Immediately call or have a bystander call 911 and begin CPR.

Use the C-A-B (Compressions-Airway-Breathing) Order

Begin 30 Compressions
Open Airway with head tilt–chin lift and check breathing, AT THE SAME TIME
Give 2 rescue Breaths

Compressions

For an unconscious infant immediately begin 30 chest compressions, at a rate of 100-120 compressions per minute. Compressions should be swift, hard and consistent.

Compression depth:

Infant: At least 1/3 the depth of the chest. Approximately 1.5 inches.

Hand position:

Two (1) fingers - on the breastbone (sternum)

Airway

If the victim is breathing OR begins breathing after providing CPR:

Place the victim in the recovery position

If the victim is not breathing:

Administer - Rescue breaths

Breathing

Administer 2 rescue breaths (1 second each).

If the first breath does not make the chest rise:

Re-tilt the head and try the breath again

After administering 2 rescue breaths:

Resume compressions

Continue CPR Cycle until:

AED becomes available
Victim shows signs of life
A second rescuer takes over
You are too tired to continue

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Hands Only CPR (2:18)

Hands Only CPR

HANDS ONLY: Bystanders who witness a sudden cardiac arrest and try CPR can skip the mouth-to-mouth breathing. The American Heart Association says doing chest compressions alone, or “Hands Only” CPR, until help arrives can be just as good as performing full mouth to mouth CPR.

WHO'S IT FOR? Everyone who is not breathing. Any adult who collapses, stops breathing and is unresponsive. Children, infants and drowning victims still need mouth-to-mouth breaths if at all possible. If not possible, still perform compressions.

WHAT TO DO:

Call for help.
Then press hard and fast, about 100-120 times per minute, on the middle of the victim's chest.
Check the victims condition for breathing every 30 compressions.
Continue care until help arrives, an AED becomes available or you are too tired to continue.

*Conventional CPR is recommended for children and infants, however due to the asphyxial nature of most pediatric cardiac arrests(If the child or infant is choking on an object), rescue breaths may not be possible. In these instances, the hands only method is preferred to no CPR.

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Airway Obstruction (4:24)

Providing care for airway obstruction

*If you KNOW the victim is choking

Adult or Child

Responsive adult or child: Heimlich Maneuver

Abdominal thrusts just above navel
Continue until object is removed or victim is unresponsive
Chest thrusts should be used for larger or pregnant victims

Unresponsive adult or child

Begin CPR
Compressions (30)
Check Airway Head Tilt/Chin Lift
- Remove object if dislodged
Breaths (2)
If breath does NOT go in due to blocked airway
- Re-tilt head
- Reattempt breath
- If breath STILL does not go in, move on to compressions
Continue CPR Cycle
Remove object if dislodged
If victim regains consciousness, move onto their side to recovery position

Infant

Responsive infant: Infant Back Blows

Support infant’s head and lay face-down over your forearm
Support forearm with thigh
Give five back blows
Roll infant face up
Check for breathing/Check airway
Continue until object is removed or victim becomes unresponsive

Unresponsive infant

Begin CPR
Compressions (30)
Check airway and open using head tilt/chin lift
Perform 5 back blows
- Remove object if dislodged
Breaths (2)
If breath does NOT go in due to blocked airway
- Check airway
- Perform 5 back blows
- Check for dislodged item
- Check airway and re-tilt head
- Reattempt breath
- If breath STILL does not go in, move on to compressions
Continue infant obstructed airway CPR Cycle:
- 30 Compressions - Check Airway - Perform 5 Back Blows - Check Airway - Give 2 Breaths - Repeat
Remove object if dislodged
If victim regains consciousness, encourage vocalization

Tongue and Airway Obstruction

Airway obstruction in an unresponsive victim lying on his or her back is usually the result of the tongue relaxing in the back of the mouth, restricting air movement. Opening the airway with the head tilt-chin lift method may be all that is needed to correct this problem.

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Two Rescuer CPR

Assess the Scene

Determine:

If it is safe to help
Number of patients
If you will need additional assistance from EMS
What personal protective devices are readily available to you

Assess the Patient

Check the person for responsiveness
Tap on the patient’s shoulder and shout, “Are you okay?”
Look at the patient’s chest and face
Determine if the patient is breathing normally

Agonal breathing is NOT normal breathing and needs care

Activate EMS

Call 911 or direct a bystander to call 911 and return
Provide the dispatcher with the patient’s location, details of the emergency situation, including how many patients are injured and what treatment is occurring
Request an AED machine, if available

Check Pulse

Primary checks for pulse (about 10 seconds):
Adult and Child:

Check the carotid artery in the neck

Infant:

Check the brachial artery inside the upper arm

If unable to locate a pulse, do not waste valuable time searching. Immediately begin CPR
Use the C-A-B Order

C-A-B

Rescuers should assume cardiac arrest has occurred when encountering adults who have collapsed or are found unconscious. Immediately call or have a bystander call 911 and begin CPR.

Use the C-A-B (Compressions-Airway-Breathing) Order:

Begin 30 Compressions
Open Airway with a head tilt–chin lift and check breathing at the same time
Give 2 rescue breaths

Adult 2 Rescuer CPR

Primary rescuer (ventilator) and secondary rescuer (compressor) begin CPR after determining responsiveness and checking for pulse:

Secondary rescuer calls for a switch after every 5 CPR cycles (approximately every 2 minutes)
Primary rescuer (at the head) finishes 2 rescue breaths before moving into position to begin compressions
Switch should take no more than 10 seconds
Recheck pulse every 2 minutes

***If the primary rescuer starts CPR alone, the secondary rescuer should take over compressions upon arrival.

Primary (Ventilator) Rescuer:

At the head of the patient
Determines responsiveness
Checks pulse
Begins compressions

Secondary (Compressor) Rescuer:

At the chest of the patient
Activates EMS
Calls for a switch (every 5 CPR cycles)
Administers first 2 rescue breaths

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Child and Infant 2 Rescuer CPR

Primary rescuer (ventilator) and secondary rescuer (compressor) begin CPR after determining responsiveness and checking for pulse:

Secondary rescuer should call for a switch after every 10 CPR cycles of 15 compressions (approximately every 2 minutes)
Primary rescuer (at the head) finishes 2 rescue breaths before moving into position to begin compressions
Switch should take no more than 10 seconds
Recheck pulse every 2 minutes

***If the primary rescuer starts CPR alone, the secondary rescuer should take over compressions upon arrival.

Primary (Ventilator) Rescuer:

At the head of the patient
Determines responsiveness
Checks pulse
Begins compressions

Child (under the onset of puberty): Use one hand on the breastbone (sternum)
Infant: Use 2 thumbs on the breastbone, under the nipple line, with hands encircling the chest

Secondary (Compressor) Rescuer:

At the chest of the patient
Activates EMS
Calls for a switch (every 5 CPR cycles)
Administers first 2 rescue breaths

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Bag Valve Mask

If a bag-valve mask IS available:

Attach it to a source of oxygen (set at 12–15 L/min)
If oxygen is unavailable, remove the residual bag reservoir and use room air
Use the “C-E” or “2 thumbs up” technique to seal the bag valve to the patient’s face
Use remaining fingers to hold the patient’s jaw up to seal the mask
Squeeze the bag fully to make the patient’s chest rise
Stop squeezing the bag when the chest rises to avoid overinflation
Ventilate at a rate of:

1 breath every 6 seconds for an adult
1 breath every 6 seconds for a child or infant

If an advanced airway is in place, do not exceed 1 breath every 6 seconds to avoid hyperventilation
An adult mask turned upside down can sometimes be used for an infant

If a bag-valve mask IS NOT available or is ineffective:

Use a mouth-to-mask or face shield method for rescue breaths
Follow standard rescue breath methods:

Adult: 30 compressions and 2 breaths
Child and Infant: 15 compressions and 2 breaths

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First Aid Basics (5:54)

First Aid Basics

Fear of being sued has caused reluctance for bystanders to become rescuers in emergency situations. However, initial rescuers are rarely sued and in most emergencies you are not legally required to provide first aid.

Good Samaritan Law – provides protection against lawsuits for persons who are acting in good faith, while providing reasonable first aid. These laws are not a substitute for competent first aid or for staying within the scope of rescuer training. Laws vary from state to state, and it is important to become aware of your state’s guidelines.

Although laws vary, Good Samaritan protection generally applies when the rescuer is:

Acting in an emergency situation
Acting in good faith, indicating that he or she has good intentions
Acting without compensation
Not guilty of malicious misconduct or gross negligence toward the victim (intentionally NOT following established medical guidelines)

Duty to Act – requires an individual to provide first aid when they have a legal duty. If a rescuer does not have a legal duty to provide care he or she is not required to provide first aid.

Duty to act may imply in the following situations:

When it is a requirement of employment. If you are designated as responsible for providing first aid to meet Occupational Safety and Health Administration (OSHA) requirements and you are called to emergency, you are required to provide first aid. (some examples of occupations that may require a duty to act include, but are not limited to: park rangers, athletic trainers, law enforcement officers, life guards, teachers)
When a pre-existing responsibility to a person exists. If you have a pre-existing relationship and are responsible for a person, for example a parent, you must give first aid if they need it (some examples of pre-existing relationships are parent/child, driver/passenger).

Consent

Permission from a responsive (alert) person allowing you to provide care.

Implied Consent

When a victim is unconscious, it is understood that if the person were responsive (alert), he or she would request and allow you to provide care.

First Aid Basics

First aid is the immediate care given to someone in an emergency situation, due to an illness or injury before EMS (Emergency Medical Services) arrives and takes over. Most of the time first aid is provided by a bystander (or by the victim) with minimal or no medical equipment. First aid is usually provided for minor illnesses and injuries. However, first aid may also be provided to someone who has a more serious illness or injury, such as a heart attack or severe bleeding.

Action at an Emergency

When entering the scene of an emergency situation, it is important to recognize the severity of the emergency before deciding how to respond.

Assess the Scene

Always remember to check the scene for safety hazards BEFORE providing care, it is important to ensure if you and the victim(s) are in a safe location, free of imminent danger or hazards.

Determine:

• if it is safe to help

• number of victims

• if you will need additional assistance

• what personal protective devices are readily available to you

Safety

If the area is unsafe for the victim or rescuer, move the victim to a safe location, if can be done safely

Do not put you or the victim’s safety at risk

If you cannot safely provide care, do not become another victim, call for help and wait for help to arrive

Assess the Victim

•Check the victim for responsiveness

•Tap on the shoulder and shout, “Are you okay?”

•Ask the victim if you he or she would like you to provide care

•If the victim is face down and unresponsive, turn the victim over

•Check the victim for breathing

• If victim is NOT breathing – begin CPR

• If victim is breathing – check the victim and provide care

•Check the victim for obvious signs of injury, such as bleeding, broken bones, burns, or bites

•Look for medical information jewelry to determine if the victim has a serious medical condition

•Place the victim in recovery position (on side) if:

• the victim has difficulty breathing because of vomiting, or other secretions

•you have to leave an unresponsive victim to get help

•If the victim shows signs of shock, have the victim lie flat on back

•If the victim does not show signs of trauma or injury, raise the feet about 6-12 inches

•Do not raise the feet if it causes the victim any pain

Provide Care

•Decide to provide care

•Determine what type of care is needed

•Begin care immediately – early care is critical for a victim’s survival

Victim Assessment

When providing care to a victim it is important to identify and correct any condition that may not be immediately life threatening, but may have the potential to become life threatening if it is not corrected.

SAMPLE

Gather information about victim using the SAMPLE history method. Ask victim about the following information

•Signs and symptoms

•Allergies

•Medications

•Past medical history

•Last meal eaten

•Events leading to the injury or illness

Medical information tags may identify allergies, medication, or medical condition

DOTS

Use the DOTS method to check the victim head to toe for the following conditions

•Deformity

•Open wounds

•Tenderness

•Swelling

Head to Toe exam

•Head – look for blood, check eyes, check mouth for loose teeth or blood, check the nose and ears for fluid or blood, look for bruising of the eyes or behind the ears

•Neck – look for bleeding, distention of the jugular vein, open wounds, or tracheal deviation

•Chest –look for blood, broken ribs, open wounds, accessory muscle breathing

•Abdomen –look for bleeding, abdominal wounds, tenderness, bruising

•Legs –look for bleeding, bruising, open wounds, broken bones, deformities

•Pelvis –look for bleeding and instability

•Arms –look for bleeding, bruising, open wounds, broken bones, deformities

Ongoing Care

•Monitor the victim’s condition using ABC assessment:

•Airway – use head tilt-chin lift method

•Breathing – look, listen and feel for breathing

•Circulation – check for severe bleeding

•Treat for shock

•Help victim lie on back

•Keep covered and warm

•Do not give anything to eat or drink

•Remain with victim and record any changes in the victim’s condition

•Report your findings and care to EMS when they arrive

•If victim becomes unresponsive or has agonal breathing (irregular, shallow or gasping) or is not breathing at all – begin CPR immediately.

•Continue CPR cycle until help arrives, a second rescuer takes over or you are too tired to continue

•If you do not know CPR begin “Hands Only” compressions at a rate of 100-120 per minute

*Agonal breathing is a sign of final stages of life. Agonal breathing is an abnormal pattern of breathing and brain stem reflex characterized by gasping, labored breathing, accompanied by strange vocalizations and/or gurgling. It is a sign that the body is not receiving the oxygen it needs. It occurs when a person is actively dying. If a victim is experiencing agonal breathing CPR must begin immediately.

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Medical Emergencies (3:32)

Providing Care for Medical Emergencies

Asthma

Look for wheezing, coughing, vomiting, shortness of breath and/or fainting

•Administer inhaler, if available

•Encourage victim to remain calm and relax

•If victim loses consciousness call for help and begin CPR immediately

•Remain with victim until assistance arrives

Choking

•Elicit response to question, “Are you choking?”

•Observe signs of obstruction (speaking and breathing)

•Responsive Adult or Child - begin Heimlich Maneuver ( see Airway Obstruction)

•Unresponsive Adult, Child– begin CPR (see CPR)

•ANY choking Infant-begin CPR/Airway Obstruction protocol.

Check for debris/5 back blows/5 chest compressions

If victim loses consciousness call for help and begin CPR immediately

Allergic Reaction

•Administer Epinephrine Pen

•Call 911

If victim loses consciousness call for help and begin CPR immediately

•If victim does not respond to first dose a repeat dose may be administered

***Anaphylaxis is the most severe form of allergic reaction. It has a rapid onset and may cause death

Heart Attack

•If victim loses consciousness or is NOT breathing when found - begin CPR immediately

•Call for help

•If victim is breathing

• Encourage victim to remain calm and in a comfortable position (recovery position if possible)

• Offer 1 adult dose or 2 low dose aspirin, if certain the victim is experiencing a heart attack and has no known allergy

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Medical Emergencies 2 (6:52)

Providing Care for Medical Emergencies 2

Fainting

Instruct the victim to remain lying flat on the ground until he/she can sit up and feel normal

If the victim fell – check for injuries caused by the fall

Remain with victim until he/she feels normal and alert

•Can stand and walk without assistance

•Is aware of what happened and who he/she is

Diabetic Victim

It is important to recognize the signs of a diabetic episode to prevent the progression of symptoms.

Symptoms of a diabetic episode are:

•A change in behavior

•Confused, irrational or irritable

•Sleepiness or lack of response

•Hunger, thirst or overall weakness

•Victim appears sweaty and/or pale

If the victim can sit up and swallow

•Give glucose tablet if available OR

•Give a food or drink that contains sugar (chocolate does not contain enough sugar)

•Fruit juice

•Milk

•Sugar

•Honey

•A regular soft drink

•Diet foods and drinks do not have sugar

If the victim cannot sit up and swallow

•Do NOT give food or drink

•Have victim sit quietly or lie down until EMS arrives

Stroke

Use FAST assessment to determine if stroke is occurring

F - Facial droop
A - Arm weakness
S - Speech difficulty
T - Time to call EMS

•Encourage the victim to remain calm and quiet

•DO NOT give anything to eat or drink

•Monitor victim and be prepared to begin CPR

Seizure

•Protect the victim from injury

•Move furniture or other unsafe objects out of the way

•Place a small pad or towel under the victim’s head, if possible

•Do NOT place objects in the victim’s mouth

•Encourage the victim to remain calm

•Remain with the victim until EMS arrives and takes over

Shock

Shock is a life-threatening medical condition as a result of insufficient blood flow throughout the body. Shock often accompanies severe injury or illness. Medical shock is a medical emergency and can lead to other conditions such as lack of oxygen in the body's tissues (hypoxia), heart attack (cardiac arrest) or organ damage. It requires immediate treatment as symptoms can worsen rapidly.

*DO NOT move a shock victim with a suspected neck, back, spine or head injury.

•Help the victim lie on his/her back

•Cover the victim to keep him/her warm

•Check the victim using ABC method:

•Airway – use head tilt-chin lift method

•Breathing – look, listen and feel for breathing

•Circulation – check for severe bleeding

•Record any changes in the victim’s condition

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Injury Emergencies (6:54)

Providing Care for Injury Emergencies

Massive blood loss, either external or internal, is a leading cause of shock and can be fatal in minutes.

External Bleeding

•Treat wound according to severity

•Apply pressure or tourniquet

•Immobilize partial amputations

•Do NOT remove bandages

•Take care that dressing does not become occlusive (sealing wound) in open chest wounds

•Provide care for shock, if necessary

•Victim lies on back

•Cover and keep warm

•Do not give anything to eat or drink

Internal Bleeding

Internal bleeding is difficult to identify. If the victim has suffered trauma to the head or torso assume they may have internal bleeding.

•Have the victim lie down and remain still

•If vomiting occurs, roll victim on his or her side

•Check the victim using ABC method:

•Airway – use head tilt-chin lift method

•Breathing – look, listen and feel for breathing

•Circulation – check for severe bleeding, rapid swelling or hard, distended torso

•Provide care for shock, if necessary

•Victim lies on back

•Cover and keep warm

•Do not give anything to eat or drink

•Record any changes in victim

•Report findings to help when they arrive

Nose Bleeds

•Pinch victim’s nose

•Tilt the victim’s head forward

•Keep constant pressure on both sides of the nostrils until the bleeding stops

•If bleeding continues, press harder

•Apply a cold pack to the bridge of the nose

Bleeding from the Mouth

Determine if the injury is IN the mouth or if the blood is coming from the throat.

•If you can reach the area

•Apply pressure with clean, sterile dressings

•Check the mouth for any missing teeth, or parts of teeth

•Clean the wound with saline or clean water

Eye Injury

•Instruct victim to keep eyes closed

•Use clean water to rinse the eye(s)

•If the eye(s) have been punctured or penetrated by an object, stabilize and leave the object in place until help arrives

Embedded (Impaled) Objects

•Expose the injured area

•Stabilize the object

•Do NOT remove the object

•Control bleeding around the object

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Injury Emergencies 2 (9:59)

Providing Care for Injury Emergencies 2

Head, Neck or Spine Injury Victim

•Minimize movement

•Encourage victim to remain as still as possible

•Do not apply a cervical collar or move the victim

•Stabilize the head and neck with your hands, if possible

•Advise victim to remain calm and still

Move ONLY to move the victim out of a life threatening location to a safe area.

Victim with a Broken Bone or Sprain

•Advise the victim to remain still and avoid using or moving the injured body part

•Apply a cold pack to the injured area

•Do NOT try to straighten a bent or deformed body part

•Do NOT try to move a broken bone that has come through the skin

•Make a splint if you are unable to access EMS support immediately (example hiking in the woods)

•Use something to support the arm or leg from moving (magazine, stick, rolled up towels)

•Place the splint so that it goes beyond the injured area and supports the joints above and below the injury

•Tie the splint to the injured body part for support

•Use tape, gauze or cloth to secure it

•Check to make sure the splint is not too tight

(You should be able to put a few fingers between the splint and the injured body part)

•If the injured part is bleeding, apply direct pressure to stop the bleeding and apply dressing to the wound BEFORE applying the splint

•If there are no materials to make a splint, have the victim self-splint by using his/her arm to hold the injured arm in place

•Do NOT try to straighten body parts when applying a splint

Burn Injuries

•Victim is on fire

•Direct the victim to stop, drop and roll

•Cover the person with a wet blanket to put the fire out

•Remove the blanket after the fire is out

•If the victim is burned

•Determine the type and severity of burn

•Stop the burning process

•Open airway and check breathing

Always seek medical attention if:

•Victim is younger than 5 and older than 55

•Victim has difficulty breathing

•Victim has other injuries or electrical injuries

•Face, feet, hands and/or genitals are burned

•Child abuse is suspected

•Second degree burn larger than 20% BSA

•Third degree burn

First Degree Burns (superficial)

•Cool burn with cold water – no ice

•Apply moisturizer, such as aloe-vera gel

•Adult: administer ibuprofen for pain relief

•Child: administer acetaminophen for pain relief

Second Degree Burns (partial thickness)

•Cool burn with cold water – no ice

•Apply antibiotic ointment

•Cover burn with dry, nonstick, sterile dressing

•Adult: administer ibuprofen for pain relief

•Child: administer acetaminophen for pain relief

•For larger Second Degree Burns – see caring for third degree burns

Third Degree Burns (full thickness with peeling and/or burnt flesh)

•Seek medical attention immediately

•If the person is on fire, put the fire out

•Remove jewelry and clothing that is not stuck to the skin

•Cover the person with a blanket

•Open airway and check for breathing

•Monitor breathing

•Care for shock – see shock section

Chemical Burns

•Flush skin

•Remove contaminated clothing

•Cover burn

•Seek medical care

•Monitor breathing

•Care for shock – see shock section

Electrical Burns

•Turn off the main power source, if possible

•Cover burns

•Check for spinal injuries

•Assess the victim, once safe

•Record any changes in the victim’s condition

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Environmental Emergencies (4:52)

Environmental Emergencies

Animal Bites

Move away from the animal, if possible

•Snake bites: Assume it is venomous if you are unsure. DO NOT cut the bite or attempt to suck the venom out by mouth. DO NOT apply a tourniquet.

•Bat bites: Do NOT kill the bat. Catch if possible, Rabies test cannot be completed on a dead bat.

Insect Bites and Stings

Observe the victim and ask about allergies. If the victim has allergies or loses consciousness, call for help and begin CPR. Administer epi-pen if available.

•Bee stings: scrape the stinger with a hard card type object.

All Bites and Stings

•Advise the victim to remain still and calm

•Victim should avoid moving the part of the body that was bitten

•Remove any clothing that covers the area

•Flush the wound with running water

•Clean it with soap and water

•Stop any bleeding by applying pressure and dressings

•If a bite breaks the skin, see a healthcare provider

•Place an ice pack over any area that has bruising or swelling

•For serious bites, call 911 and remain with victim until EMS arrives

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Weather Emergencies (7:18)

Weather Related Emergencies

Heat Cramps

•Advise the victim to lie down, rest and cool off

•Stretch cramped muscle

•Provide drink that contains electrolytes, such as juice or a sports drink

•Give the victim water if the others are not available

•A cool ice pack may be applied to the sore muscle for up to 20 minutes, if the victim can tolerate it.

•Monitor breathing

Heat Exhaustion

•Stop activity and rest in a cool place

•Remove excess or tight clothing

•Provide drink that contains electrolytes, such as juice or a sports drink

•Give water if other drinks are unavailable

•Advise victim to lie down, raise legs 6 to 12 inches

•Apply cool damp cloths to the neck, armpit and groin area, if possible

•Spray with a cool water spray, if possible

•Monitor breathing

Heatstroke

Heatstroke can rapidly become fatal if the victims core body temperature is not lowered.

•Begin cooling the victim immediately

•Place in cool water up to neck, if possible

•Cool with a cool water spray, if possible

•Stop cooling the victim once behavior is normal again – continued cooling can lead to hypothermia

•If the victim is able to drink

•Provide drink that contains electrolytes, such as juice or a sports drink

•Give water if other drinks are unavailable

Frostbite

•Move the victim to a warm place

•Remove tight clothing and jewelry from the frostbitten area

•Remove wet clothing

•Pat the body dry

•Put dry clothes on the victim, if possible

•Cover with a blanket

•Do not try to thaw the frozen part if you think there may be a chance of refreezing

•Try not to touch the frostbitten area

•Do NOT rub the damaged area

Hypothermia (Low Body Temperature)

•Move the victim out of the cold

•Remove wet clothing

•Pat the body dry

•Put dry clothes on, if possible

•Cover with a blanket and any other coverings you may have

•Cover the head, but not the face

•Place victim near a heat source and place containers of warm – not hot – water in contact with the skin

•Remain with victim and record any changes

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Rescuing and Moving (6:04)

Rescuing and Moving Victims

It is important to know when and how to rescue and move victims in an emergency situation. However, as a bystander becoming a rescuer in an emergency situation it is imperative that you DO NOT put your own safety at risk, in an attempt to help others, unless it is your duty to act. Instead activate EMS and remain on the scene, record important information to report when someone who is better trained arrives.

Types of Rescue

Water Rescue

Reach-Throw-Go

Reach for the victim
Throw anything that floats
Go by swimming (must be trained)

Enter the water as a last resort

Ice Rescue

Extend a pole or throw a line, with floatable object to victim
Pull victim to shore

Electrical Emergency Rescue

Turn off power at circuit breaker, fuse box or outside switch, if possible
Unplug power cord, if possible
Stay clear of high-voltage power lines
Wait for trained personnel with proper equipment if scene is unsafe

Hazardous Materials Incidents

Look for signs on hazardous materials
Look for signs on vehicle
Look for spilled liquids or solids
Avoid strong, unusual odors
Stay away and upwind
Wait for trained personnel to arrive

Motor Vehicle Crashes

Park in a safe area and call or direct bystander to call EMS
Turn on emergency hazard lights
Assess the scene for safety
Apply PPE
Turn off ignitions of involved vehicles, if possible
Activate flares and/or reflectors, if available
If you suspect spinal injuries in victim, stabilize head and neck - see head, neck and spine injury section
Check and care for life threatening injuries first

Fires

Call EMS or direct a bystander to call EMS
Assess the scene for safety
Quickly remove people from the site
Use a fire extinguisher for small fires
Check and care for life threatening injuries first

Confined Space

Any area not intended for human occupancy may have dangerous atmosphere (low oxygen levels)
Rescue requires special training and equipment
Call or direct bystander to call EMS
Only enter the space if you are trained and have protective equipment
Check motionless victims first
Remove victim(s) and provide care

Moving Victims

Only move victims if:

There is immediate danger to the victim
It is necessary to provide care
It does not put you, the rescuer in danger
You can protect victim’s head, neck and back

Recovery Position

Keeps victim’s airway open
Allows any fluid to drain from the mouth
Can prevent aspiration
How to place victim in position

Extend out victim’s closest arm above his/her head
Place victims leg farthest from you over the other leg
Support victim’s head and neck
Place victim’s other arm across his/her chest
Roll victim toward you
Use victim’s knee of the top leg to prop the body
Place victims hand under the chin

Emergency Rescue Moves

When moving the victim, drag with the victim’s body position at the longest axis

Clothing Drag

Apply PPE
Stand behind victim’s head, looking toward victim’s feet
Grasp victim’s shirt, near shoulders
Lift up and walk backwards while dragging the victim to safety

Blanket Drag

Apply PPE
Stand behind victim’s head, looking toward victim’s feet
Place the victim on a blanket, sheet or large fabric
Grasp blanket above victim’s head
Lift up and walk backwards or crawl while dragging the victim to safety

Extremity Drag

Use victim’s legs or forearms
Stand holding firmly to arms or legs and pull victim to safety

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AED Basics (7:00)

AED Basics

***AED’s are designed for use on adult victims, however most can be used with pediatric victims with proper pediatric pads.

Heart Attack vs Cardiac Arrest

A heart attack and cardiac arrest are often confused with each other. Although a heart attack can lead to cardiac arrest, they are different. A heart attack is usually slow or prolonged death or damage to the heart muscle, whereas cardiac arrest is a sudden electrical malfunction caused by an outside source. Cardiac arrest often results in death if not treated quickly. The only effective lifesaving treatment for cardiac arrest, outside of a hospital, is CPR or the use of an AED.

Signs and Symptoms of Heart Attack

•Pain, fullness, and/or squeezing sensation in the chest

•Jaw pain, toothache, headache

•Shortness of breath

•Nausea, vomiting and/or general upper abdominal discomfort

•Heartburn and/or indigestion

•Arm pain (commonly in the left arm, but may be both)

•Overall fatigue

•Sweating

•Some victims (about ¼ of all heart attacks) are silent, without chest pain or symptoms

**Women, the elderly and people with diabetes are more likely to have atypical signs of a heart attack – ache in the chest, heartburn or indigestion, or an overall uncomfortable feeling in the back, jaw, neck or shoulder.

Signs and Symptoms of cardiac arrest

Cardiac arrest symptoms are sudden and immediate and include:

•Collapse

•No pulse

•No breathing

•Loss of consciousness

Treating a heart attack OR cardiac arrest

If victim is NOT breathing:

•Call or direct a bystander to call EMS

•Retrieve AED

•Check breathing

•Perform CPR (if the victim is NOT breathing or only gasping)

•Victims in cardiac arrest often have agonal breathing (also known as agonal gasps)

•Agonal breaths do not provide adequate oxygen to the body and can be described as gurgling, moaning, snorting, agonal or labored breathing

•Healthcare providers must be able to distinguish between agonal breathing and adequate breathing

•Continue CPR Cycles until EMS or second rescuer takes over, AED becomes available or you are too tired to continue.

If victim IS breathing:

•Call or direct bystander to call EMS

•Encourage victim to remain calm and in a comfortable position (recovery position if possible)

•Offer 1 adult dose of aspirin

•Stay with victim until EMS takes over

CPR must be started and continue until defibrillator (AED) becomes available.

**If an AED is immediately available, following an adult's collapse, perform 2 minutes of the CPR cycle BEFORE attaching electrodes.

AED Use

About AEDs

•Analyzes the victim’s heart rhythm

•Determines and advises when shock is needed

•Delivers electrical shock to victim in cardiac arrest

•Reestablishes a heart rhythm which will generate a pulse

DO NOT DELIVER SHOCK IF ANY OF THE FOLLOWING CONDITIONS EXIST:

Someone is touching the victim.
The victim is alert.
The victim is wet or in water.

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AED Guidelines and Use (4:10)

AED Guidelines and Use

AED Pad Placement

When placing pads, be sure they do not touch each other

Adult:

•Place one pad on the upper right chest

•Place the second pad on the left of ribcage (4-6 inches below the armpit)

•If victim has a pacemaker, place the AED pad at least 1 inch to the side of the implanted device

Child:

•Use adult or pediatric pads

•Place one pad between right nipple and collarbone

•Place the second pad on the left rib cage (3-4 inches below the armpit)

Infant:

•Use infant pads only

•One pad should be placed in the center of the CHEST and the second pad to the center of BACK

AED Shock Administration

After pads are placed, wait for AED to analyze the rhythm

If a shock IS indicated

•Do NOT touch the victim

•Ensure no one else is touching the victim

•Press the shock button

After shock is delivered

•Keep pads on the victim

•Complete 2 minutes of CPR cycle

•Reassess the victim’s condition

•Follow AED voice prompts to repeat cycle

Continue following AED voice prompts, administering CPR cycle and AED shock until

•The victim shows signs of life

•A second rescuer or EMS takes over

•You are too tired to continue

If NO shock is indicated

•Continue CPR cycle if the victim is unresponsive

•Reassess the victim’s condition

•Check heart rhythm with AED at end of each cycle and follow AED voice prompts

•Continue CPR cycle/AED check until a second rescuer or EMS takes over or you are too tired to continue

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