So now, in this session,
we're going to cover 2 person CPR on the adult with no AED.
So some of the points that we're going to emphasize here
is how we're going to help each other out.
Because we know that doing deep, 2-inch plus compressions
at least 100 times a minute if not more than 100 times a minute --
that's fast -- that's more than 1 a second.
We know that we're going to get exhausted.
It's not a matter of if, it's a matter of when.
And the ideal situation is that you've got a second rescuer
who's able to switch with the compressor and take over chest compressions
so that they can then consistently maintain those deep,
2-inch plus compressions at least 100 times per minute.
So we're going to basically walk through this step by step.
And how we're going to choreograph this so that we're not stumbling,
stepping on the patient, so on and so forth.
That we can continue this rescue until the next level of care arrives and takes over.
So in a situation like this, we see that the person is here.
We don't have our gloves on, but keep in mind that we're going to,
in the practice session that we're going to follow this up with.
We'll have our gloves on,
we need to make sure we have our personal protective equipment,
the scene is safe, and now we're ready to rescue.
We call out to the patient - they do not respond.
We tap and shout on the collar bone.
Are you okay? There is no response.
At that same time, we are now looking for
normal breathing, or abnormal breathing, no breathing.
Abnormal breathing, again, meaning agonal gasp for breath.
This is not respirations. This is a drive to breathe
that's not getting oxygen circulating into the bloodstream.
This person is unresponsive, not moving, not breathing.
We're going to activate emergency medical services or call a code
and then we're going to check for a carotid pulse for no more than 10 seconds.
This patient does not have a pulse, is not moving, not breathing.
I'm going to find the center of the chest and start my 2-inch plus compressions.
We're going to do this 30 times.
The rescuing partner is going to then do the head-tilt chin-lift.
Really get that head back far.
Cover the mouth and nose with their one-way valve mask.
And they're going to give two full ventilations.
About a one-second breath each.
We're going to check for chest rise and chest fall.
Chest rise and chest fall.
If it doesn't rise and fall, we probably have to re-adjust the head.
Because the #1 obstruction in an unconscious patient is the tongue.
Normally this corrects it. They're going to try again.
Then we get chest rise and fall. We know the air went in.
We can continue our chest compressions.
We're going to do this until an AED arrives,
or emergency medical services,
or the code team comes and relieves us.
When I get exhausted, I need to indicate to my partner:
we need to change, I'm getting tired.
So after these compressions, let's switch.
25, 26, 27, 28, 29, 30.
He gives two more ventilations.
Comes around carefully.
I reposition myself with my mask.
and 5, and 6, and 7, and 8 and 9 and 10, and 11, and 12, and 13...
In this case, I've got a bag valve mask.
If you as a rescuer, or you're in a clinical setting,
have a bag valve mask, this is optimally the thing you're going to use.
It doesn't even matter if it doesn't have oxygen.
There is some science now showing us that that's not as emphasized
anymore in resuscitation cases.
But if I have a bag valve mask, I can now use this,
do my C-E method of sealing the mask,
give two nice, slow, full breaths,
get chest rise and fall while the rescuer on the compressions continues.
And again, we do this until the next level of care comes and relieves us.
And we'll keep switching on and off every couple minutes
so that we don't fatigue and stop compressing as deeply as we should.
The scene is safe, I have my gloves on, mask.
Are you alright, are you okay? No response.
You in the gray shirt, go get emergency response and come right back.
1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15
16, 17, 18, 19, 20, 21, 22, 23...
Hey Dan, I know CPR, I can help you.
26, 27... take over as soon as I am done with these.
Okay
30.
1 and 2 and 3 and 4 and 5 and 6 and 7 and 8 and 9 and 10.
And I do this up to 30. I would do it for about two minutes.
I'm going to start getting exhausted.
I'm going to call out, "let's switch."
And 25, 26, 27, 28, 29, and 30.
I happen to have a bag valve mask.
So I'm going to continue ventilations with the bag valve mask.
... 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20,
21, 22, 23, 24, 25, 26, 27, 28, 29, 30.
One... two. Two nice slow breaths.
We continue this until you became exhausted and needed to switch.
You would call out a switch.
Or until EMS arrived, a code team arrives,
or someone equally trained who is able to help take over.