So now let's talk about the team approach as it relates to CPR for a moment. Now in
this case, there are three main takeaways that I would like you to get from this. And
that is that it's important to have an established team leader when you have a team approach
to any type of life support. That team leader is set up as a director of sorts; and they
help orchestrate a very fluid and organized manner of rescue skills and attempts. Number
two, that we use great communication skills, which include something called 'closed-loop
communication.' Now an example of closed-loop communication would be that the team
leader gives a directive to another rescue team member. That rescue team member repeats
back that command that they heard and it's established that they understand it and that
they're going to execute it. Thirdly, ideally taking notes and logging when we're beginning
skills, when we're doing them, and that we understand them correctly. The team leader
will also be watching for variations or for quality assurance. Which means if the team
leader sees that CPR is not being done correctly, rescue breaths are not being done correctly,
or any facet of the rescue at all, that team leader should then encourage through positive
notions that the person needs to either increase something or decrease something and help them
get back on track. Now lastly, you might notice we're in the back of an ambulance. This
ambulance is an advanced cardiac life support ambulance. And we've used a few props to
help you have more of a realism to this scenario. But don't be confused by that and we really
don't even mean for you to be maybe distracted by it so much. This is about basic life support.
So we want you to stay focused on that. With the inclusion of the automated external defibrillator.
You may also and lastly notice that we're using a real human patient and therefore full
CPR compressions will not be done for obvious reasons. I'm going to go ahead and grab
a blood pressure here, sir. So you're going to feel a squeeze on your arm. Speaker 2:
Cindy, make sure you're writing down the times and everything please with the vitals
and everything. Speaker 3: Writing down the times. Speaker 1: How long have you been feeling
this chest pain? Did it just come on this morning? Or what? Can you tell me? I mean
has it been happening for a while? Sir? Can you hear me? Speaker 2: Just a minute here,
let me check. Sir, sir? Are you okay? You alright? I'm not getting a response. He's
not breathing. Speaker 1: No, I didn't get a blood pressure either and I don't have
a radio pulse. Speaker 2: Eyes look clouded. Would you go ahead and bare his chest and
start CPR, please? Cindy, could you go ahead and write the time down on CPR? Speaker 3:
Write the time down. Speaker 1: CPR beginning at 12:51. Speaker 2: Okay. Cindy would you
also go ahead and get the AED prepared and ready to use? Speaker 3: I'll get the AED
ready. Speaker 2: The action ready to go. Speaker 1: fourteen, fifteen, sixteen, seventeen,
eighteen, nineteen, twenty, twenty-one, twenty- two, twenty-three, twenty-four, twenty-five,
twenty-six, twenty-seven, twenty-eight, twenty- nine, thirty. Speaker 2: Breaths. Breathe.
Speaker 1: Good breath in. Chest rise. Speaker 2: Continue. Speaker 1: One, two, three, four,
five, six, seven, eight, nine, ten, eleven, twelve, thirteen, fourteen, fifteen, sixteen,
seventeen, eighteen, nineteen, twenty, twenty- one, twenty-two, twenty-three, twenty-four,
twenty-five, twenty-six, twenty-seven, twenty- eight, twenty-nine, thirty. Speaker 2: Breaths
go in. breaths rise. Kay, clear. Speaker 3: Clear. Speaker 1: Clear. Speaker 3: Everyone
clear. Speaker 1: Clear. Speaker 2: Back to it please. Speaker 1: Okay. First shock delivered
at 12:52. Speaker 2: Okay, Cindy, you got that? Speaker 3: I got that. 12:52. Speaker
1: Six, seven, eight, nine, ten, eleven, twelve, thirteen, fourteen, fifteen, sixteen, seventeen,
eighteen, nineteen, twenty, twenty-one, twenty- two, twenty-three, twenty-four, twenty-five,
twenty-six, twenty-seven, twenty-eight, twenty- nine, thirty. Speaker 2: Breaths going in.
Speaker 1: Good chest rise and fall. Speaker 2: Second breath. Speaker 1: Good chest rise
and fall. Speaker 2: Continue. Speaker 1: Three, four, five, six, seven, eight, nine,
ten, eleven, twelve, thirteen, fourteen, fifteen, sixteen, seventeen, eighteen, nineteen, twenty,
twenty-one, twenty-two, twenty-three, twenty- four, twenty-five, twenty-six, twenty-seven,
twenty-eight, twenty-nine, thirty. Speaker 2: Okay. Breaths going in. Speaker 1: Good
chest rise and fall. Good chest rise and fall. Speaker 2: Continue. Speaker 1: Four, five,
six, seven, eight, nine, ten, eleven, twelve, thirteen, fourteen, fifteen, sixteen, seventeen,
eighteen, nineteen, twenty, twenty-one, twenty- two, twenty-three, twenty-four, twenty-five,
twenty-six, twenty-seven, twenty-eight, twenty- nine, thirty. Speaker 2: Okay. Breath in.
Speaker 1: One breath in. Good chest rise and fall. Speaker 2: We got about another
minute right here. After the two minute mark, I'd like to go ahead and call for a switch
so Cindy can take over please. Speaker 1: Switch after two minutes. Seven, eight, nine,
ten, eleven, twelve, thirteen, fourteen, fifteen, sixteen, seventeen, eighteen, nineteen, twenty,
twenty-one, twenty-two, twenty-three, twenty four, twenty-five, twenty-six, twenty-seven,
twenty-eight, twenty-nine, thirty. Speaker 2: Breaths go in. Speaker 1: Good chest rise
and fall. Good chest rise and fall. Seven, eight, nine, ten, eleven, twelve, thirteen,
fourteen, fifteen, sixteen, seventeen, eighteen, nineteen, twenty, twenty-one, twenty-two,
twenty-three, twenty-four, twenty-five, twenty- six, twenty-seven, twenty-eight, twenty-nine,
thirty. Speaker 2: Breaths going in. Speaker 1: Good chest rise and fall. Good chest rise
and fall. Four, five, six, seven, eight, nine, ten, eleven, twelve, thirteen, fourteen, fifteen,
sixteen, seventeen, eighteen, nineteen, twenty, twenty-one, twenty-two, twenty-three, twenty-
four, twenty-five, twenty-six, twenty-seven, twenty-eight, twenty-nine, thirty. Speaker
2: Let's all stand clear. Speaker 3: Clear. Speaker 1: Clear. Speaker 3: Everyone clear.
Speaker 1: Clear. Speaker 2: Cindy go ahead and take over compressions. Would you go and
get the I.V. established? Speaker 1: Yep. Speaker 3: One, two, three, four, five, six,
seven, eight, nine, ten, eleven, twelve, thirteen, fourteen, fifteen, sixteen, seventeen, eighteen,
nineteen, twenty, twenty-one, twenty-two, twenty-three, twenty-four, twenty-five, twenty-
six, twenty-seven, twenty-eight, twenty-nine, thirty. Speaker 2: And the breaths. Speaker
3: Good chest rise and fall. Good chest rise and fall. Speaker 2: Continue. Speaker 3:
One, two, three, four, five, six, seven, eight, nine, ten, eleven, twelve, thirteen, fourteen,
fifteen, sixteen, seventeen, eighteen, nineteen, twenty, twenty-one, twenty-two, twenty-three,
twenty-four, twenty-five, twenty-six, twenty- seven, twenty-eight, twenty-nine, thirty.
Speaker 2: Breaths. Speaker 1: I.V. is established and patent. Speaker 3: Good chest rise. Good
chest rise and fall. Speaker 2: Continue please. Speaker 3: One, two, three, four, five, six,
seven, eight, nine, ten, eleven, twelve, thirteen, fourteen, fifteen, sixteen, seventeen, eighteen,
nineteen, twenty, twenty-one, twenty-two, twenty-three, twenty-four, twenty-five, twenty
six, twenty-seven, twenty-eight, twenty-nine, thirty. Speaker 2: Just going to start our
first dose of epi please. Speaker 1: First dose of epi. What dosage? Speaker 2: Go ahead
and do one milligram I.V. push. Speaker 1: One milligram. I.V. push. Speaker 1: We hope
that this scenario helps. And we know that understanding a good team approach to CPR
encourages great practices which leads to more lives saved.