High-Performance Team and Emergency Response Part 2

100 to 120

1 & 6

minimize pauses in chest compressions

-opioid-associated life-threatening emergency is a condition that can cause a person to stop breathing but still have a pulse
-naloxone is a medication that can temporarily reverse the effects of opioid overdose
*common routes of administration for naloxone include intravenous, intramuscular, and intranasal
-for a person who is unresponsive and not breathing normally but has a pulse:
*give 1 rescue breath every 6 seconds in an adult
*give 1 rescue breath every 2 to 3 seconds in a child or infant
*then, if your local protocol allows, give naloxone. Don't delay breaths to give naloxone

1. Perform a head tilt-chin lift
2. Place your mouth over the infant's mouth and nose to create an airtight seal
3. Give one breath, blowing for about 1 second, watching for chest rise

no pauses for ventilations

give 1 rescuer breath every 6 seconds

High-quality CPR can increase the mother's and the infant's chance of survival

-perform compressions and use an AED as you would for any cardiac arrest victim. Shock from the AED will not harm the infant
-if additional rescuers are present and rescuers are trained, perform continuous lateral uterine displacement, in addition to high-quality BLS
-if the woman is revived, place her on her left side. This may help improve blood flow to her heart and therefore, to the infant

-with a severe airway obstruction, the victim will show signs of poor air exchange and difficulty breathing such as
*silent cough
*inability to speak or breathe
*cyanosis (turning blue)
-an adult or older child may clutch the neck with both hands, making the universal choking sign. If the victim nods that they are chocking, you must act

intramuscular
intranasal
intravenous

3 steps

stand or kneel behind the victim and place your arms around the victim's waist; with one hand, locate the navel.

make a fist with the other hand and place the thumb side of your fist against the victim's abdomen, just above the navel and well below the breastbone

-grasp your fist with the other hand and press your fist into the victim's abdomen with a quick, forceful upward thrust
-repeat thrusts until the object is expelled from the airway or the victim becomes unresponsive

if the victim is too large for you to wrap your arms around the waist:
-wrap your arms around his or her chest
-perform chest thrusts instead of abdominal thrusts

1 & 6

inability to speak

2 to 3

begin chest compressions

chest

-if a choking victim becomes unresponsive, send someone to activate the emergency response system
-lower the victim to the ground
-perform CPR with 1 exception: each time you open the airway to give breaths, look for the obstructing object
-if you see an object that can be easily removed, carefully remove with your fingers. Do not do a blind finger swab

3 steps

-first sit or kneel with the infant in your lap
-hold the infant facedown and resting on your forearm, with the head slightly lower than the chest
-support the head and jaw with your hand

-rest your forearm on your thigh to provide support
-deliver up to 5 back slaps forcefully between the infant's shoulder blades, using the heel of your hand
*deliver each slap with sufficient force to attempt to remove the foreign body

-place your free hand on the infant's back, supporting the head with the palm of your hand. This will cradle the infant as you turn the infant over faceup
-keep the infant's head lower than the chest, and deliver up to 5 quick downward chest thrusts
*do this at a rate of about 1 per second, each with the intention of creating enough force to dislodge the foreign body
-repeat the sequence until the object is removed or the infant becomes unresponsive

if the infant becomes unresponsive:

-shout for help and send someone to activate the emergency response system
-place the infant on a hard, flat surface
-begin CPR with 1 exception: each time you open the airway to give breaths, look for the obstructing object
-if you see an object that can be easily removed, carefully remove it with your fingers. Do not do a blind finger sweep
-if you are alone, after 2 minutes of 5 cycles of CPR, activate the emergency response system

upward

excessive chest hair
implanted defibrillators/pacemakers
water
transdermal medicine patches

the airway is checked for the obstructing object

-if no shock is advised and after any shock delivery, immediately resume high-quality CPR, starting with chest compressions
-when 2 or more rescuers are present, one rescuer should continue chest compressions while the other prepares the AED
-continue with high-quality CPR until an AED prompts to clear

5 & 5

check the airway for the obstructing object

leave the victim to activate the emergency response system and get the AED

-use smaller-sized pads, if available
-if child pads are not included, use adult pads
-a manual defibrillator is preferred for infants less than 1 year of age

1. Prevention
2. Activation of emergency response system
3. High-quality CPR
4. Advanced resuscitation
5. Post-cardiac arrest care
6. Recovery

1. Early recognition and prevention
2. Activation of emergency response
3. High-quality CPR
4. Defibrillation
5. Post-cardiac arrest care
6. Recovery