Pro First Aid

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So now, in this session,

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we're going to cover 2 person CPR on the adult with no AED.

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So some of the points that we're going to emphasize here

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is how we're going to help each other out.

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Because we know that doing deep, 2-inch plus compressions

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at least 100 times a minute if not more than 100 times a minute --

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that's fast -- that's more than 1 a second.

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We know that we're going to get exhausted.

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It's not a matter of if, it's a matter of when.

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And the ideal situation is that you've got a second rescuer

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who's able to switch with the compressor and take over chest compressions

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so that they can then consistently maintain those deep,

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2-inch plus compressions at least 100 times per minute.

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So we're going to basically walk through this step by step.

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And how we're going to choreograph this so that we're not stumbling,

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stepping on the patient, so on and so forth.

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That we can continue this rescue until the next level of care arrives and takes over.

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So in a situation like this, we see that the person is here.

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We don't have our gloves on, but keep in mind that we're going to,

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in the practice session that we're going to follow this up with.

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We'll have our gloves on,

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we need to make sure we have our personal protective equipment,

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the scene is safe, and now we're ready to rescue.

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We call out to the patient - they do not respond.

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We tap and shout on the collar bone.

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Are you okay? There is no response.

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At that same time, we are now looking for

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normal breathing, or abnormal breathing, no breathing.

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Abnormal breathing, again, meaning agonal gasp for breath.

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This is not respirations. This is a drive to breathe

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that's not getting oxygen circulating into the bloodstream.

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This person is unresponsive, not moving, not breathing.

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We're going to activate emergency medical services or call a code

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and then we're going to check for a carotid pulse for no more than 10 seconds.

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This patient does not have a pulse, is not moving, not breathing.

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I'm going to find the center of the chest and start my 2-inch plus compressions.

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We're going to do this 30 times.

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The rescuing partner is going to then do the head-tilt chin-lift.

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Really get that head back far.

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Cover the mouth and nose with their one-way valve mask.

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And they're going to give two full ventilations.

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About a one-second breath each.

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We're going to check for chest rise and chest fall.

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Chest rise and chest fall.

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If it doesn't rise and fall, we probably have to re-adjust the head.

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Because the #1 obstruction in an unconscious patient is the tongue.

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Normally this corrects it. They're going to try again.

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Then we get chest rise and fall. We know the air went in.

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We can continue our chest compressions.

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We're going to do this until an AED arrives,

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or emergency medical services,

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or the code team comes and relieves us.

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When I get exhausted, I need to indicate to my partner:

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we need to change, I'm getting tired.

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So after these compressions, let's switch.

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25, 26, 27, 28, 29, 30.

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He gives two more ventilations.

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Comes around carefully.

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I reposition myself with my mask.

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and 5, and 6, and 7, and 8 and 9 and 10, and 11, and 12, and 13...

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In this case, I've got a bag valve mask.

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If you as a rescuer, or you're in a clinical setting,

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have a bag valve mask, this is optimally the thing you're going to use.

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It doesn't even matter if it doesn't have oxygen.

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There is some science now showing us that that's not as emphasized

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anymore in resuscitation cases.

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But if I have a bag valve mask, I can now use this,

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do my C-E method of sealing the mask,

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give two nice, slow, full breaths,

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get chest rise and fall while the rescuer on the compressions continues.

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And again, we do this until the next level of care comes and relieves us.

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And we'll keep switching on and off every couple minutes

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so that we don't fatigue and stop compressing as deeply as we should.

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The scene is safe, I have my gloves on, mask.

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Are you alright, are you okay? No response.

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You in the gray shirt, go get emergency response and come right back.

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1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15

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16, 17, 18, 19, 20, 21, 22, 23...

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Hey Dan, I know CPR, I can help you.

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26, 27... take over as soon as I am done with these.

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Okay

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30.

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1 and 2 and 3 and 4 and 5 and 6 and 7 and 8 and 9 and 10.

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And I do this up to 30. I would do it for about two minutes.

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I'm going to start getting exhausted.

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I'm going to call out, "let's switch."

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And 25, 26, 27, 28, 29, and 30.

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I happen to have a bag valve mask.

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So I'm going to continue ventilations with the bag valve mask.

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... 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20,

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21, 22, 23, 24, 25, 26, 27, 28, 29, 30.

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One... two. Two nice slow breaths.

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We continue this until you became exhausted and needed to switch.

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You would call out a switch.

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Or until EMS arrived, a code team arrives,

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or someone equally trained who is able to help take over.