CPR Quest Home | Introduction | Task | Process| Resources | Evaluation|
Conclusion | Extension | Nurse Notes
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.
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:
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 |
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.
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.)
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.
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