CPR Quest

Home | Introduction | Task | Process| Resources | Evaluation|

Conclusion | Extension | Nurse Notes 

Introduction

You have just finished a health class where Nurse Dogood has reviewed the basics of CPR.  She stressed the importance of acting quickly in an emergency situation since two-thirds of all heart attack deaths occur before the victim reaches the hospital.  Today you will be placed in an emergency situation where minutes count.

Top of Page

Task

Your school's janitor, Mr. Fixit is lying face down in the school hallway.  He is not moving and is very quiet. When you call his name he does not respond.  You recall  that Nurse Dogood said to remember the ABC's of CPR.

Airway, Breathing, and Circulation

You must determine if Mr. Fixit is:

  1. Not breathing and has no pulse
  2. Not breathing and has a pulse
  3. Breathing, but has no pulse

Top of Page

Process

To help Mr. Fixit You must do the following things:

First you assess his airway

1. A key action for successful resuscitation is immediate opening of the airway by positioning the head properly. Tilting the head back and moving the lower jaw (chin) forward lifts the tongue and the epiglottis from the back of the throat and usually opens the airway.                                                                                           

          Hand on forehead

          Fingers under the bony part of the chin

2. Once breathing stops the only oxygen available is that which remains in the lungs and bloodstream.  When breathing ceases cardiac arrest and death are imminent.  Mouth to mouth breathing quickly gets oxygen into the victim's lungs. Rescue breathing should be performed until the victim can breathe by himself or until emergency professionals take over. 

           If the victim is conscious.  Look, Listen Feel for Breathing     

          If victim is not breathing  Give Two  breaths

                  Adult and Child

                  Pinch Nose- cover your mouth over their mouth and give two slow breaths until you see the chest rise

                 Infant

                 Give two gentle puffs over mouth and nose.

          If the victim's heart is not beating you should perform rescue breathing plus chest compressions

         Circulation

        Chest compressions help maintain some blood flow to the lungs, brain and major vital organs. 

        Rescue Breathing Skills

8 years old and older

1 breath every 5 seconds X 12

 1 year old and older

1 breath every 3 seconds  X 20

Birth to 1 year of age

1 breath every 3 seconds  X 20

      CPR Skills

  Adult Child Infant
       
Compressions/Breaths 15 to 2 5 to 1 5 to 1
Cycles 4 20 20
Hand Procedure 2 hands 1 hand 2 fingers
Location Above xiphoid above xiphoid below nipple line
Depth 1 1/2- 2 inches 1 - 1 1/2 inches 1/2 - 1 inch

        Top of Page

Resources

http://www.americanheart.org

http://www.heartsavers.org

http://www.redcross.org

 

Top of Page

Evaluation

You will receive a test grade on completion of the web quest.  A mannequin will be used and the specifics of Mr. Fixit's condition will be given to you.  You will be graded on your ability to assess Mr. Fixit's condition and ability to apply proper CPR technique. You will also take a self-test to assess your understanding of basic CPR techniques.

 

Top of Page

 

Conclusion

You have successfully revived Mr. Fixit by remembering to apply basic CPR techniques.  If there is early access to the EMS system (phone first, early CPR, early defibrillation, and early advanced care can increase a person's chance to survive.)

Top of Page

 

Extension

Be familiar with your local emergency phone numbers.  Consider legal and ethical issues such as a valid DNR (do not resuscitate) order.  Consider complications of CPR and the Good Samaritan Law.

Top of Page

 

Nurse Notes

Ask questions about cardio-pulmonary resuscitation

State simple hypotheses about cause and effect relationships in the cardiac and respiratory systems regarding the importance of  keeping oxygenated blood flowing to the brain.

Keep abreast of current developments in CPR techniques

Top of Page