(gentle music)
- Now we're gonna cover adult CPR
for the single rescuer for healthcare professionals.
We've ensured that our scene is safe, our gloves are on,
and our rescue mask is available with a one-way valve.
And we're gonna call out to the victim
to see if they're responsive.
Sir, can you hear me?
Are you okay?
They don't respond.
So I place a hand on the forehead,
and I tap on the collarbone.
Sir, sir, can you hear me?
They didn't respond to my taps and shouts,
so I'm gonna activate EMS, call 911 or call a code.
If I have a bystander, I can tell them,
Hey you in the plaid shirt,
go call 911 and come back,
and if you can find an AED, bring it with you.
I might need your help.
If I have a cellphone, I could whip that out too,
and actually call 911 and put it on speakerphone
and allow for some help that way as well,
or just access it through that technology.
Now that I've gone ahead and done that,
I can continue my assessment.
I'm gonna look for signs of normal breathing
as I check for a carotid pulse.
How do we find that carotid pulse?
It's located between the trachea
and the sternocleidomastoid muscle,
in the valley between those two structures.
We're gonna use the flat part of our two fingers
and press moderately in that valley.
I check for no more than 10 seconds,
and I note that the patient is not breathing normally,
and they do not have a pulse.
Now you might say also, well, what do you mean,
breathing normally, what does that mean?
Breathing normally is someone who is breathing
and oxygenating.
Agonal respirations, which is basically like
a fish out of water who's gulping or gasping for a breath,
does not equal regular breathing or normal breathing.
So, to me, agonal respirations are no respirations,
and there's no pulse, and they're unresponsive.
So we're gonna go right into CPR.
Now let's talk about the technique of CPR.
Right between the breasts, on the sternum,
lower third of the sternum.
We wanna do a 2 to 2.4 inch deep compression,
and we wanna compress at a rate
between 100 and 120 compressions per minute.
That's about two per second.
The other thing to note is that,
as you see me sitting on this bench,
I would not stay here to do these compressions.
It's, A, gonna be very difficult and exhausting for me,
and B, I'm gonna end up rolling over their chest,
which does not adequately compress
this hollow organ we call the heart.
We want to compress that heart which is sandwiched between
the sternum and the spine,
so that we can maximize that cardiac output.
The second feature of that is that,
once we do our 2 to 2.4 inch deep compression,
we want to allow for what we call full recoil.
That full recoil
means we come right back up to the neutral position
before we do our next compression.
And then, lastly, as we stand over our patient,
I want to come directly over the top of them
with my elbows locked, and using my upper body weight
to do my full 2 to 2.4 inch deep compression,
100 to 120 times per minute.
So here we go.
One and two and three and four and five and six
and seven and eight and nine and 10, 11 and 12,
13, 14,
15, 16
17, 18,
19, 20,
21, 22,
23, 24,
25, 26,
27, 28,
29, 30.
I grab my rescue mask,
seal it over the patient's face and nose,
give them a full aggressive head-tilt/chin-lift,
and try two breaths.
(breathes)
first breath goes in, chest rise and fall,
(breathes)
second breath goes in, chest rise and fall.
Right back into the same location,
and 30 more chest compressions.
I'm gonna continue this 30 chest compressions
to two rescue breaths, until help arrives,
AED arrives,
or until my patient begins responding
and breathing normally.