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CHALLENGE PowerPoint Presentation

CHALLENGE

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CHALLENGE

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  1. CHALLENGE CPR/AED FOR THE Lay Responder

  2. CHALLENGES Challenges provide an opportunity for those with current or expired certifications to recertify or to extend the length of their certifications without taking a complete course. Participants must pass the written test with a score of 80% or higher and be able to successfully demonstrate the appropriate skills to the instructor without prior demonstration from the instructor. This PowerPoint presentation is designed to assist in preparation of a successful Challenge. The format is very brief because we are making this available to lifeguards who are Challenging in order to extend their Lifeguard Training Certification. Our assumption is that you are using this material as a review and should not require the specifics for each topic. If you have questions, refer to your text or question the instructor before the Challenge begins.

  3. Written Exam: 30-55 Questions. 80% +. Skills. Removing Gloves. Primary Survey. Rescue Breathing (Adult, Child, Infant) Conscious Choking (Adult, Child) Unconscious Choking (Adult, Child, Infant) Adult CPR/AED Child CPR/AED Infant CPR Standard First Aid CHALLENGE COURSE OUTLINE Student CPR Training Mask Must Be Used During Rescue Breathing.

  4. Concerns for Lay Responders • Liability • Unsure what to do • Disease Transmission • Afraid of causing more pain/injury • Scene not safe • Other people watching • Not knowing it’s an emergency

  5. OBTAIN CONSENT • Tell the victim your name & your level of training. • Can I help? • What may be wrong -- what I can do to help.

  6. VICTIM DOES NOT GIVE CONSENT? • DO NOT GIVE CARE. • Call 9-1-1. • Victim is unconscious, confused, seriously ill, under age -- not able to give consent -- consent is implied.

  7. STANDARD PRECAUTIONS • Avoid contact – • Blood. • Other body fluids. • Protective equipment— • Disposable gloves. • Breathing barriers. • Footwear. • Wash hands with soap and water.

  8. PREVENTIVE STEPS WHEN BLOOD SPILL OCCURS • Clean up immediately. • Use protective equipment. • Wipe up the spill. • Flood area for 20 minutes -- ¼ cup bleach/1 gallon water. • Dispose of material properly.

  9. EMERGENCY ACTION STEPS CHECK CALL CARE

  10. CHECK THE SCENE • Scene is safe ? • What happened ? • Victims ? • Bystanders ? • Anyone providing care ? • 9-1-1 ? CHECK THE VICTIM

  11. MOVE ONLY IF: Scene becoming unsafe. To reach another victim with more serious injury. To provide proper care. MOVES: Clothing Drag. Two-Person Seat Carry. Walking Assist. Blanket Drag. Foot Drag. MOVING A VICTIM WATER SAFETY THROUGH EDUCATION

  12. CHECK FOR SIGNS OF LIFEA = AIRWAYB = BREATHINGC = CIRCULATION

  13. important reminder TO OPEN THE AIRWAY DO A HEAD TILT AND CHIN LIFT NO BREATHING? GIVE 2 BREATHS FOR 1 SECOND EACH

  14. ADULT – 12 YEARS AND UPIf breaths went in, look for severe bleeding as you place your hands to start chest compressions.CHILD – 1 YEAR TO 12If breaths go in, check for pulse, groove at side of the neck for 10 seconds INFANT – NEWBORN TO 1If breaths go in, check for pulse, on inside of arm between elbow and shoulder for 10 secnds

  15. CALL 9-1-1 ADULT – FIRST IF THEY ARE UNCONSCIOUS CHILD OR INFANT - AFTER 2 MINUTES OF CARE IF ALONE AND NO KNOWN HEART CONDITION OR DID NOT WITNESS COLLAPSE

  16. CARE FOR THE CONDITIONS YOU FINDADULT No breathing 2 breaths and begin CPR 30 COMPRESSIONS/2 BREATHSCHILD/INFANT No breathing has pulse – Rescue Breathing 1breath/3 seconds = 40 breaths /2 minutes then recheck pulseNo breathing/no pulse begin CPR 30 COMRESSIONS/2 BREATHS 2 minutes=5 cycles of 30/2

  17. VICTIM CLUTCHING THROAT WITH BOTH HANDS – USUALLY CHOKING. UNCONSCIOUS – TONGUE OFTEN BLOCKS AIRWAY. PARTIAL OBSTRUCTION – WHEEZING SOUDS – STILL MOVING AIR. COMPLETE – CANNOT SPEAK – BREATHE – COUGH. AIRWAY OBSTRUCTION

  18. BREATHING EMERGENCIES

  19. BREATHING SLOW OR RAPID SHORTNESS OF BREATH DIZZINESS - LIGHTHEADED TINGLING HANDS – FEET CHEST PAIN SKIN FLUSHED PALE ASHEN BLUISH GASPING NOISES WHEEZING GARGLING HIGH-PITCHED SIGNS OF RESPIRATORY DISTRESS WATER SAFETY THROUGH EDUCATION

  20. important reminder CHOKING: MOST COMMON CAUSE OF RESPIRATORY EMERGENCY. WATER SAFETY THROUGH EDUCATION

  21. SKILL CHECK: CONSCIOUS CHOKING – ADULT/CHILD • SURVEY SCENE – CHECK VICTIM. • ASK VICTIM: “ARE YOU CHOKING?” • GET CONSENT. • VICTIM CANNOT COUGH – SPEAK – BREATHE. • 9-1-1. • BEHIND VICTIM – ONE FOOT BETWEEN LEGS – KEEP YOUR HEAD TO SIDE. • CHILD? – STAND OR KNEEL. • PLACE FIST AGAINST ABDOMEN. • GRAB FIST – GIVE QUICK, UPWRD THRUSTS. • CONTINUE – OBJECT FORCED OUT – VICTIM BEGINS TO BREATHE OR COUGH FORCEFULLY – VICTIM UNCONSCIOUS. WATER SAFETY THROUGH EDUCATION

  22. important reminder RESPIRATORY DISTRESS RESPIRATORY ARREST WATER SAFETY THROUGH EDUCATION

  23. SKILL CHECK: RESCUE BREATHING -- ADULT • SURVEY SCENE – CHECK VICTIM – CONSCIOUS? • TAP & SHOUT – RESPONDS? NO – 9-1-1! • HEAD TILT CHIN LIFT – OPEN AIRWAY – LOOK-LISTEN-FEEL – 5 SECONDS. • NOT BREATHING – MASK -- GIVE 2 RESCUE BREATHS. • BREATHS GO IN – CHECK SIGNS OF CIRCULATION – REMOVE MASK – FEEL FOR PULSE & LOOK-LISTEN-FEEL FOR SIGNS OF CIRCULATION – NO MORE THAN 10 SECONDS. • LOOK FOR SEVERE BLEEDING. • YOU FIND SIGNS OF CIRCULATION – GIVE 1 BREATH PER 5 SECONDS. WATER SAFETY THROUGH EDUCATION

  24. SKILL CHECK: RESCUE BREATHING -- ADULT • 1 MINUTE OF RESCUE BREATHING (ABOUT 12 BREATHS) – RECHECK SIGNS OF CIRCULATION & BREATHING – <10 SECONDS. • STILL NOT BREATHING – CONTINUE RESCUE BREATHING. STOP AND CHECK EACH MINUTE. • NO SIGNS OF CIRCULATION – GIVE CPR. WATER SAFETY THROUGH EDUCATION

  25. SKILL CHECK: RESCUE BREATHING -- CHILD • SURVEY SCENE – CHECK VICTIM – CONSCIOUS? • TAP & SHOUT – RESPONDS? NO – 9-1-1! • HEAD TILT CHIN LIFT – OPEN AIRWAY – LOOK-LISTEN-FEEL – 5 SECONDS. • NOT BREATHING – MASK -- GIVE 2 RESCUE BREATHS. • BREATHS GO IN – CHECK SIGNS OF CIRCULATION – REMOVE MASK – FEEL FOR PULSE & LOOK-LISTEN-FEEL FOR SIGNS OF CIRCULATION – NO MORE THAN 10 SECONDS. • LOOK FOR SEVERE BLEEDING. • YOU FIND SIGNS OF CIRCULATION – GIVE 1 BREATH PER 3 SECONDS. WATER SAFETY THROUGH EDUCATION

  26. IF BREATHS DO NOT GO IN • Reposition the airway and try 2 breaths again • STILL NOT GOING IN? • Give up to 30 chest compressions, look in mouth, sweep if you see something and try 2 more breaths • Continue until breaths go in, then repeate you’re “A-B-C” and care for conditions found

  27. SKILL CHECK: RESCUE BREATHING – CHILD/INFANT • SURVEY SCENE – CHECK VICTIM – CONSCIOUS? • TAP & SHOUT – RESPONDS? NO – 9-1-1! • HEAD TILT CHIN LIFT – OPEN AIRWAY – LOOK-LISTEN-FEEL – 10 SECONDS. • NOT BREATHING – GIVE 2 RESCUE BREATHS. • BREATHS GO IN – CHECK SIGNS OF CIRCULATION - FEEL FOR PULSE (BRACHIAL) & LOOK-LISTEN-FEEL FOR SIGNS OF CIRCULATION – NO MORE THAN 10 SECONDS. • LOOK FOR SEVERE BLEEDING. • YOU FIND SIGNS OF CIRCULATION – GIVE 1 BREATH PER 3 SECONDS.

  28. SKILL CHECK: RESCUE BREATHING -- INFANT • 2 MINUTE OF RESCUE BREATHING (ABOUT 40 BREATHS) – RECHECK SIGNS OF CIRCULATION & BREATHING. • STILL NOT BREATHING – CONTINUE RESCUE BREATHING. STOP AND CHECK EACH MINUTE. • NO SIGNS OF CIRCULATION – GIVE CPR.

  29. SKILL CHECK: UNCONSCIOUS CHOKING ADULT/CHILD/INFANT • SURVEY THE SCENE; CHECK VICTIM – CONSCIOUS? • TAP & SHOUT – RESPONDS? NO – 9-1-1! • HEAD TILT, CHIN LIFT – OPEN AIRWAY – LOOK-LISTEN-FEEL – 5 SECONDS. • NOT BREATHING –GIVE 2 RESCUE BREATHS. • BREATHS DO NOT GO IN – REPOSITION – GIVE 2 BREATHS AGAIN. • BREATHS DO NOT GO IN – 30 CHEST COMPRESSIONS • FOREIGN BODY CHECK (FINGER SWEEP IF VISIBLE AND SURE YOU CAN REACH). • USE MASK – GIVE 2 RESCUE BREATHS. • BREATHS STILL DO NOT GO IN – REPEAT SEQUENCE OF 5 ABDOMINAL THRUSTS – FOREIGN BODY CHECK – REATTEMPT RESCUE BREATHS.

  30. important reminder HEART ATTACK CARDIAC ARREST

  31. important reminder SIGNS OF A HEART ATTACK CHEST PAIN (MORE THAN 3-5 MINUTES); PAIN/DISCOMFORT SPREADING TO SHOULDER, JAW, ARM, BACK; NAUSEA; BREATHING DIFFICULTY; SWEATING; CHANGE IN SKIN APPEARANCE; DIZZINESS OR UNCONSCIOUSNESS.

  32. COMMON CAUSES FOR THE HEART TO FAIL ADULT – CARDIO VASCULAR DISEASE CHILD/INFANT-BREATHING EMERGENCY,BLOW TO CHEST,TRAUMA WATER SAFETY THROUGH EDUCATION

  33. C P R • COMBINES RESCUE BREATHING – CHEST COMPRESSIONS. • CIRCULATES OXYGEN RICH BLOOD TO VITAL ORGANS • MUST NOT BE DELAYED • MORE SUCCESSFUL WHEN AN AED IS USED AS WELL • SAVES LIVES!!!!!!!

  34. CARDIAC CHAIN OF SURVIVAL EARLY RECOGNITION EARLY CPR EARLY DEFIBRILLATION EARLY ADVANCED LIFE SUPPORT

  35. SKILL CHECK: CPR -- ADULT • SURVEY SCENE – CHECK VICTIM – CONSCIOUS? • TAP & SHOUT – RESPONDS? NO – 9-1-1! • HEAD TILT CHIN LIFT – OPEN AIRWAY – LOOK-LISTEN-FEEL – 10 SECONDS. • NOT BREATHING – MASK -- GIVE 2 RESCUE BREATHS. • BREATHS GO IN – CHECK FOR SEVERE BLEEDING. • BEGIN CPR– LOCATE HAND POSITION – GIVE 30 CHEST COMPRESSIONS (COMPRESS ABOUT 2 INCHES) FOLLOWED BY 2 BREATHS. • COTINUE UNTIL YOU SEE AN OBVIOUS SIGN OF LIFE, AN AED IS READY TO USE, ADVANCED CARE TAKES OVER,TOO EXHAULSTED TO CONTINUE

  36. SKILL CHECK: CPR -- ADULT • USE MASK – GIVE 2 BREATHS. • REPEAT AT LEAST 3 MORE CYCLES OF 15/2 – REMOVE MASK – RECHECK SIGNS OF CIRCULATION & BREATHING FOR NO MORE THAN 10 SECONDS. • STILL NO SIGNS – CONTINUE CYCLES OF 15/2 – RECHECK SIGNS EVERY FEW MINUTES. WATER SAFETY THROUGH EDUCATION

  37. SKILL CHECK: CPR -- CHILD • SURVEY SCENE – CHECK VICTIM – CONSCIOUS? • TAP & SHOUT – RESPONDS? NO – 9-1-1! • HEAD TILT CHIN LIFT – OPEN AIRWAY – LOOK-LISTEN-FEEL – 5 SECONDS. • NOT BREATHING – MASK -- GIVE 2 RESCUE BREATHS. • BREATHS GO IN – CHECK SIGNS OF CIRCULATION – REMOVE MASK – FEEL FOR PULSE & LOOK-LISTEN-FEEL FOR SIGNS OF CIRCULATION – NO MORE THAN 10 SECONDS. • LOOK FOR SEVERE BLEEDING. • NO SIGNS OF CIRCULATION – LOCATE HAND POSITION – GIVE 5 CHEST COMPRESSIONS USING ONE HAND (COMPRESS ABOUT 1½ INCHES). WATER SAFETY THROUGH EDUCATION

  38. SKILL CHECK: CPR -- CHILD • USE MASK – GIVE 1 BREATH. • REPEAT AT LEAST 11 MORE CYCLES OF 5/1 – REMOVE MASK – RECHECK SIGNS OF CIRCULATION & BREATHING FOR NO MORE THAN 10 SECONDS. • STILL NO SIGNS – CONTINUE CYCLES OF 5/1 – RECHECK SIGNS EVERY FEW MINUTES. WATER SAFETY THROUGH EDUCATION

  39. SKILL CHECK: CPR -- INFANT • SURVEY SCENE – CHECK VICTIM – CONSCIOUS? • GENTLY TAP & SHOUT – RESPONDS? NO – 9-1-1! • HEAD TILT CHIN LIFT – OPEN AIRWAY – LOOK-LISTEN-FEEL – 5 SECONDS. • NOT BREATHING – MASK -- GIVE 2 RESCUE BREATHS. • BREATHS GO IN – CHECK SIGNS OF CIRCULATION – REMOVE MASK – FEEL FOR PULSE (USE BRACHIAL PULSE) & LOOK-LISTEN-FEEL FOR SIGNS OF CIRCULATION – NO MORE THAN 10 SECONDS. • LOOK FOR SEVERE BLEEDING. • NO SIGNS OF CIRCULATION – LOCATE FINGER POSITION. WATER SAFETY THROUGH EDUCATION

  40. SKILL CHECK: CPR -- INFANT • GIVE 5 CHEST COMPRESSIONS IN LESS THEN 3 SECONDS USING TWO FINGERS (OTHER HAND IS ON INFANT’S FOREHEAD) (COMPRESS ABOUT ½ TO 1 INCH). • USE MASK – GIVE 1 BREATH. • REPEAT AT LEAST 19 MORE CYCLES OF 5/1 – REMOVE MASK – RECHECK SIGNS OF CIRCULATION & BREATHING FOR NO MORE THAN 10 SECONDS. • STILL NO SIGNS – CONTINUE CYCLES OF 5/1 – RECHECK SIGNS EVERY FEW MINUTES. WATER SAFETY THROUGH EDUCATION

  41. SKILL CHECK: TWO-RESCUER CPR -- ADULT • R-1: SURVEY SCENE – CHECK VICTIM – CONSCIOUS? • R-1: TAP & SHOUT – RESPONDS? NO – 9-1-1! • R-1: HEAD TILTCHIN LIFT – OPEN AIRWAY – LOOK-LISTEN-FEEL – 5 SECONDS. • R-1: NOT BREATHING – MASK – GIVE 2 RESCUE BREATHS. • R-1: BREATHS GO IN – CHECK SIGNS OF CIRCULATION FOR NO MORE THAN 10 SECONDS. • R-2: NO SIGNS OF CIRCULATION – LOCATE HAND POSITION – GIVE 15 COMPRESSIONS AFTER R-1 SAYS “VICTIM HAS NO SIGNS OF CIRCULATION. BEGIN CPR.” • R-1: CHECKS IF COMPRESSIONS ARE EFFECTIVE FEELING CAROTID ARTERY. WATER SAFETY THROUGH EDUCATION

  42. Used to move more O2. Use for respiratory distress. Self-inflating bag – one-way valve – mask. Protects against disease. Increases O2 levels in blood. Highly effective by 2 rescuers – tight seal; effective ventilations. BAG-VALVE-MASK (BVM) WATER SAFETY THROUGH EDUCATION

  43. SKILL CHECK: BVM RESUCITATOR - TWO-RESCUERS • R-1: SURVEY SCENE – CHECK VICTIM – CONSCIOUS? • R-1: TAP & SHOUT – RESPONDS? NO – 9-1-1! • R-1: HEAD TILTCHIN LIFT – OPEN AIRWAY – LOOK-LISTEN-FEEL – 5 SECONDS. • R-1: NOT BREATHING – MASK – GIVES 2 RESCUE BREATHS. • R-1: BREATHS GO IN – CHECK SIGNS OF CIRCULATION FOR NO MORE THAN 10 SECONDS – PATIENT HAS SIGNS OF CIRCULATION. • R-1: ASSEMBLES BVM – POSITIONS MASK OF BVM. • R-2: SEALS MASK & OPENS AIRWAY. WATER SAFETY THROUGH EDUCATION

  44. SKILL CHECK: BVM RESUCITATOR - TWO-RESCUERS • R-1: BEGINS VENTILATIONS BY SQUEEZING BAG JUST ENOUGH FOR CHEST TO CLEARLY RISE. • R-1: 1 VENTILATION EVERY 5 SECONDS. • R-2: COUNTS OUT LOUD – “ONE-ONE THOUSAND, TWO-ONE THOUSAND…” • R-1: CHECKS SIGNS OF CIRCULATION & BREATHING AFTER 12 BREATHS – NO MORE THAN 10 SECONDS. • VICTIM HAS SIGNS OF CIRCULATION – R-1 REPLACES BVM – R-2 SEALS AND OPENS AIRWAY – R-1 CONTINUES TO VENTILATES. • VICTIM HAS NO SIGNS OF CIRCULATION – RESCUERS BEGIN 2 PERSON CPR. WATER SAFETY THROUGH EDUCATION

  45. SKILL CHECK: TWO-RESCUER CPR -- ADULT • R-1: USE MASK – 2 RESCUE BREATHS. • R-1 & R-2: REPEAT 3 MORE CYCLES OF 15/2. • R-1: REMOVES MASK – RECHECKS CIRCULATION & BREATHING – NO MORE THAN 10 SECONDS. • NO SIGNS OF CIRCULATION – R-1 & R-2 CONTINUE 15/2 CYCLES – RECHECK EVERY FEW MINUTES. TO CHANGE POSITION— • R-2: CALLS “CHANGE” AT END OF 15. • R-1: GIVES 2 BREATHS. • R-2: MOVES TO HEAD – CHECKS FOR CIRCULATION & BREATHING – NO MORE THAN 10 SECONDS. WATER SAFETY THROUGH EDUCATION

  46. SKILL CHECK: TWO-RESCUER CPR -- ADULT • R-1: MOVES TO CHEST – FINDS HAND POSITION. • R-2: “NO PULSE, BEGIN CPR.” • R-1: PROVIDES 15 COMPRESSIONS. • R-2: PROVIDES 2 BREATHS. • R-1 & R-2: CONTINUE 15/2 CYCLES. WATER SAFETY THROUGH EDUCATION