CPR & AED Refresher Course with Nurse Eunice [Adult, Child, and Infant]

before you begin you want to survey the

scene and things that can make the scene

unsafe if you're outside of a building

that could be traffic it could be an

active stab or active shooter incident

if the scene is not safe you will not

approach you will go ahead and call

9-1-1 from a safe distance however in

our instance we're surveying the scene

and everything is safe now we need to

check for responsiveness so we're going

to go to the victim's shoulder and we're

going to say hey hey are you okay are

you okay we're going to tap and we're

going to shout we're just not going to

shout because the person could be deaf

and I really want to try to stimulate

this person because I don't want to be

compressent on their chest if they don't

need it so I'm tapping and I'm shouting

and the person is not response

non-responsive at this point if you're

in the hospital you can go ahead and

press the code button if you're outside

of a hospital system you're going to go

ahead and call 9-1-1 is going to be

asking you what's the emergency you have

a person who's not responsive that

doesn't mean that they're dead

if someone's blood sugar is low if

they've overdosed on drugs they would be

non-responsive but you still see chest

rise and fall or if you're a healthcare

professional you'd still be able to feel

a pulse and so in our instance where CPR

we're feeling for the pulse with our

index and our middle finger on um we're

feeling on the Carotid artery on the

side nearest us and we're watching for

chest rise and fall if you're old school

yes you're putting your ear to their

face but I promise you that's not really

necessary right now all right so two

fingers Carotid pulse looking for chest

rise and fall 10 seconds Max that's

right you get 10 seconds to decide

whether or not you need to render Aid

there's a breath that's called an agonal

breath it's more like a gasp

there are no signs of life and the

person lets out air you are to assume

that this person's in Cardiac Arrest

because an agonal breath is a precursor

to cardiac arrest and so now online's on

the phone I'm telling them that there's

no breathing

there's no pulse they're going to ask do

I have an AED and in our case we have

our trainer here so yes we have an AED

we're going to start high quality CPR

and it now begins with chest

compressions whenever you think of ABC

Airway breathing circulation you want to

focus on the airway as long as the

person still have a pulse but once your

victim is pulseless our job is to focus

on high quality chest compressions we

need to circulated oxygenated blood to

the brain whenever someone's heart stops

the oxygen doesn't leave their system

it's still there it's just not moving

they have residual oxygen so your goal

is to start those chest compressions

quickly the new priority is c a b

circulation air weight and then

breathing if you think about about 10

years ago

the American Heart Association came out

with guidelines which said that you can

just do hands-only CPR which means that

you wouldn't have to put your mouth on

the victim's mouth whenever the advanced

professionals arrived they're usually

going to come with equipment and then

they can take over the breast but for

our purposes today I do have a pocket

mask with a one-way valve and we're

going to use this to simulate our reps

so here we go as far as our chest

compressions are concerned whenever

you're compressing on the chest what I

like to say is don't compress on the

throat and don't press on the very end

of the breastbone that's a xiphoid

process pretend the victim has a perfect

nipple line and you're going to place

the heel of your hand in the center of

their chest yes the chest should be

exposed and men if you feel

uncomfortable exposing a woman's chest

the Good Samaritan law is going to

protect you if you are rendering Aid if

you still feel uncomfortable and you

have now one on the phone you've called

for help we want you to start those

chest compressions on top of clothing

but if you do realize and you're really

trying to save this person's life the

reason why we expose the chest is in

preparation for the AED and so we do

want you to do something and there is a

healthy fear of you know maybe lawsuit

or litigation because you're exposed a

woman's chest but that fears I hope to

negate that today and to decrease it

because we need for you to save a

woman's life the same way you save a

man's life

hand placement center on the chest you

would then take your shoulders and your

shoulders should be aligned with your

hands you're going to press straight

down

lock your elbows when you're compressed

deeply enough which is two inches for

our mannequins you're going to hear a

click a human you're gonna you're gonna

feel resistance and that resistance is a

rib and unfortunately on the breastbone

we may have to sacrifice this breast

bone right now in order to get to the

heart that's the body's natural

protective mechanism we have the rib

cage and the sternum there for a reason

however if I'm trying to save someone's

life and trying to compress on their

heart in order to circulate blood I may

have to go ahead and press deeply and

depend on the size of the person okay we

said two inches but the side view of

that person's chest is larger because

they're obese you have to bring neck

chest in a third of the way so depending

on the size of the person the more you

may have to compress but then we have an

average sized person here we're going to

compress two inches

four five six

we're gonna do 30 compressions after 30

compressions we're then going to utilize

our pocket mask which is more like a

teardrop shaped the angle of the mask

goes over the victim's nose

we're going to press and then we're

going to open up the airway with a head

tilt chin lift technique so let's repeat

that pocket mask angle portion Bridge of

the nose press tilt and now you're going

to give a breath

repeat it and follow it by a second

breath so after 30 compressions you give

two breaths each breath should last

about one second what you don't want to

do is hyperinflate the chest by giving

too much air because if you give a

really big breath you can actually

inflate their stomach and of course the

victim would vomit and we don't want

that happening so now I'm going to

repeat this process 30 compressions

followed by two breaths and now continue

doing this until help arrives until I'm

exhausted or into the AED arrives to the

scene so let's do a couple of cycles

first and then we'll utilize our AED

one two three four five six seven eight

nine ten eleven twelve thirteen fourteen

fifteen sixteen Seventeen eighteen

nineteen Twenty One 22 23 24 25 26 27 28

29 30.

perfect

one two three four five six seven eight

nine ten eleven twelve thirteen fourteen

fifteen sixteen Seventeen eighteen

nineteen twenty one twenty two twenty

three twenty four twenty five twenty six

27 28 29 30.

whenever your compressing it's really

important that you allow for chest

recoil and what chest recoil does is

whenever you compress down you circulate

blood when you allow the chest to rise

to its normal position you allow the

hard time to fill back up with blood so

if you're pressing really fast

you're not allowing full chest expansion

so press down let it raise and you're

going to continue doing this until the

scene becomes unsafe until the victims

have signs of life if they do have signs

of life you can turn them over into the

recovery position

if Health never comes and you're

exhausted you can stop your efforts you

know you can only do so much by yourself

and then of course you've called for

help so in those Advanced providers come

and they're in position and they take

over that would be another reason when

you can stop your CPR efforts

and now we have our AED the AED stands

for automated external defibrillator the

reason why we say external is because

some patients will have their implanted

defibrillators or their pacemakers and

you'll know that because you'll see like

an elevated area beneath their skin at

this point if someone's in Cardiac

Arrest don't overthink it yes you can

use

somebody has an implanted device you

just cannot place the pads on top of

that implanted device if that device was

doing what it was supposed to be doing

it would be shocking the person in

Cardiac Arrest if the person required a

shock and so the first thing you do when

the AED arrives to the scene is you're

going to power it on once you've powered

it on you want to follow the prompts

they're really user friendly and if you

work in an environment that has an AED

my request to you is always give people

homework is I want you to take a picture

of the AED find the name find the brand

and then go research that on YouTube

because I need for you to know how to

work your company's AED in the event of

an emergency and a lot of people say

well we have employee health so we have

the nurse and my question is what

happens if it's the nurse who's in

cardiac arrest

so I need for you to be a responsible

adult and go ahead and use the AED

that's at your workplace learn how to

work it not just a nurse or the

healthcare professionals we're going to

power this on in a few moments

after we power it on it's going to tell

me

to apply the past in the past have an

image it has a diagram on it which shows

you the pad placement and with an

exposed chest it is high right

low left okay and so when we say low

left when I talk about the stomach we'll

talk about with that crease of the

breast would be because that's where the

strongest part of the heart is after we

apply the pads peel and stick it is

going to tell us to connect it you have

to learn how to use your AED because

some models operate differently

once we connect it it is going to say

analyzing heart rhythm do not touch the

victim and I want you to make sure that

no one's touching you're going to make

sure that everybody's clear I am not

preparing you to work as a as part of a

multi-rescular team I want you to use

this AED exactly as it states so once we

clear it it analyzes it's going to let

you know whether or not a shock is

required and if a shock is required

there's going to be a light that flashes

when that light flashes you press it

just make sure no one's touching first

and then you go right back into your

compressions because there is not a

residual charge any energy that's left

over that can harm you all right so we

talked about it let's actually perform

it

all right so what's the first thing I do

in aeda wraps to the scene

you said power it on you're correct

second thing I do

is listen

ing test plug-in pads connector next to

if you don't know how to place the pads

follow the instructions that are on the

actual pad iPad

plug-in connector make sure the chest is

exposed and clear

once my pads are placed

it's flashing to let me know where to

connect it at apply pads plug-in

connector analyzing heart rhythm no one

can touch when it's analyzing make sure

no one's clear patient everybody is

clear

shock advised it will flash when it's

time for me to press the button

be clear

No One Touch everybody remain clear

shocked now press the orange button now

the button is flashing is what I'm going

to press

delivered and we go right back into our

chest compressions

the tone that you hear that beeping

is called a metronome it helps you keep

the pace of your compressions

so if you go too fast

slow it down and go with that metronome

the metronome ensures that you're

allowing for chest recoil and that

you're compressing between 100 up to 120

compressions per minute and if you still

have your pocket mask a one-way valve

after your 30 compressions you go back

and give your two breaths for classroom

purposes only I am turning off this AED

because I don't want to talk over it

it's a little bit distracting in the

real world you would keep your AED on

until that person reaches their final

destination so let's say that you're in

the daycare center and you have to use

the AED you keep that AED on into the

paramedics Place airs on the paramed is

going to keep their AED on until the

person gets to the hospital even if the

person is talking to you they've

regained the pulse do not take the AED

pads off and don't turn the AED off

because these pads are usually single

use and if the person loses a post again

or if they stop breathing again another

shock may be required so we want you to

prepare and stay ready and of course if

the person does regain Consciousness

don't leave them on their back because

they could vomit once you've stopped

your CPR efforts because the person has

achieved

about pulse or they're breathing you

want to put them on their side in the

recovery position with the AED still

monitoring them and the AED is going to

reanalyze every two minutes and if the

person does require another shock you

would lay them back down

follow the prompts and when the prompts

have completed you press the shock

button you go back into your chest

compressions all right everybody so that

was a quick review for CPR and AED for

an adult and children is not much

different a child is from age one to

puberty and so if you have a large 10

year old a 10 year old is an adult size

I need you to treat him or her as an

adult so let's say we actually have a

child who has not yet reached puberty

you're still compressing two inches or

one-third this side view of their chest

it is still 30 compressions followed by

two breaths the difference would be the

reason that a child goes into cardiac

arrest more than likely it's not their

heart being an abnormal Rhythm it's

because something's in their Airway okay

maybe they drowned or maybe they have an

object in their throat so breaths are

really important and you actually do

want to look in their mouth before you

give the breast because if you can see

an object you can do a finger sweep

you can also use one or two hands with a

child if it's a really small child and

you are okay with compressing with your

one hand and you're sure that you're

getting down two inches do the

one-handed technique however I don't

have enough upper body strength with

just one hand and I want to make sure

that I'm giving this child the best

chance at survival so I'm still going to

use two hands when I'm performing CPR on

a child victim your pad placement is

also the same they do have pediatric AED

pads however if you only have the adult

pads use the adult pads and follow the

images the only difference will be is if

you have a really really small child

which I'll show you with our infant

demonstration is you cannot allow these

pads to touch and of course the small If

the child is smaller the pads are going

to be closer together if that's the case

you put one pad on the center front of

the chest and one pad in the back when

in doubt who's on the phone with you

that is right 911 have the dispatcher

they're going to work with you and

they're going to make sure that they're

helping you to help save this person's

life alright everybody this is Eunice

Mathis with Florida training academy and

if you just stay tuned for one moment

we're going to go ahead and show you how

to save an infant's life

Hello everybody welcome back we now have

our infant station set up and same as

with the adults and with the children

we're going to make sure our scene is

safe so we're going to look left and

look right make sure that there's

nothing that's going to injure us if

there is an unsafe scene if you can pick

the baby up and take them with you by

all means do so but your job is to make

sure that you are safe also and now that

we have an infant here the way that I

check for responsiveness is I actually

tap on their foot which is they're more

sensitive area so I'm going to tap on

this baby's foot there is no response

I'm going to go ahead and call 911 from

my cell phone if there's a person nearby

who can help me I can point to them and

say Hey you call 911 and come back

and now one's going to say what's the

emergency you're going to say hey there

is a baby who's not responsive and

they're going to ask are they breathing

do they have a pulse and so you can look

for chest rise and fall on the baby you

can also in the baby's inner aspect of

their arm if you take your index and

your middle finger you can feel for the

break your pulse we don't feel for a

Carotid pulse or neck pulse in infants

because they usually have larger heads

and little necks so it's gonna be harder

to determine if they have a Carotid

pulse but here break your pulse there's

no breathing there is no pulse you can

then if you haven't called for the AED

go ahead and call for the AED also if

you have the press and mannequins they

have a feedback device and you just want

to activate it by turning the little

blue button on you're going to press it

that's on their diaper area

you can do input compression one of two

ways you can use your two fingers or if

you find that hard because maybe you

have arthritis you can do the two thumb

and circle in hand technique and I'll

show you both techniques right now the

hand placement

we're going to go in the center of the

sternum the lower half but not on their

stomach

I'm gonna do 30 compressions one two

three four five six seven eight nine ten

eleven twelve thirteen fourteen fifteen

sixteen Seventeen eighteen nineteen

twenty one twenty two 23 24 25 26 27 28

29 30 for an infant you be compressing

one and a half inches or still one-third

the side view of the chest allowing for

full chest recoil and you would still be

performing at least 100 up to 120

compressions per minute

if you have your pocket mask in your

one-way valve if you remember from the

previous video that the angled portion

goes towards the bridge of the baby's

nose

we're gonna do our head tilt chin lift

and we're going to give a breath

all right I gave my two breaths and now

for my other technique that is also

allowable I'm going to go ahead and do

the two thumb and circling hand

technique one two three four five six

seven eight nine ten eleven twelve

thirteen fourteen fifteen sixteen

Seventeen eighteen nineteen twenty one

twenty two 23 24 25 26 27 28 29 30.

wanna administer those two breaths press

tilt

and I will continue doing this until

help arrives and my help just arrived

with the AED if you're a call from a

previous video we're going to power it

on

apply pads to patient's bare chest

we have the smaller pediatric pads but

if we try to place them according to the

pad images

the password gonna touch and that is not

allowable

so we're going to place one pad

s

plug-in connector to the center front of

the baby's chest

and the second pad

[Music]

I'm now going to insert the connector

analyzing heart rhythm make sure no one

is touching the baby don't touch the

everyone's staying clear

shock advised

charging

stay clear of patient everyone remain

clear don't touch

[Music]

your compress the orange button now I'm

going to press the button that's

flashing make sure you don't touch the

infant while you're pressing this button

shock

I go right back into my chest

compressions

seven eight nine ten eleven twelve

thirteen fourteen and you will continue

30 compressions followed by two breaths

until more help arrives until you're

exhausted if the scene becomes unsafe

and again you can take the baby with you

please do so and if you're in the

hospital

then of course you have your rapid

response team are those Advanced

professionals who can take over for

classroom purposes only I'm turning off

this AED because I don't want to talk

over it but again in the real world you

would keep this AED on and it's going to

reanalyze every two minutes and you

would do that until the baby actually

reaches Final Destination and so again

if you're in a child care center that

could actually be whenever the

paramedics arrive and they Place their

AED on if you have any further questions

my name is Eunice Mathis I would love to

be your instructor I'm here in

Jacksonville Florida our website is fls

and Florida training.com you can leave a

comment down below to everybody that's

our quick review I do appreciate you I

thank you for watching I thank you for

being a lifesaver I really you know

these skills and never have to use them

versus needing to use them and never

refreshing never reviewing these skills

if you want to know how to help a

choking victim just watch the next video

alright everybody have a great day