CPR and the Heimlich Manuver

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CPR and the Heimlich Manuver
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Statistics

• Cardiovascular disease stroke are the 1 and 3
  cause of death in the U.S.
• More than 950,000 Americans die from
  cardiovascular disease each year.
• Many of these lives can be saved by beginning
  CPR, calling 911, and the use of AEDs by trained
  rescuers.

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The Chain of Survival
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• 1. Recognize an Emergency. First, you or
  other witnesses must recognize the emergency. You
  must recognize the warning signs of a heart
  attack, cardiac arrest, stroke, or choking.
  Anyone who is unresponsive should receive
  emergency care. Heart attack, cardiac arrest,
  stroke, and foreign-body airway obstruction can
  each cause unresponsiveness. Although many
  conditions not just cardiac arrest can cause
  unresponsiveness, all unresponsive victims will
  benefit from activation of the Chain of
  Survival.

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Some Warning Signs of a Heart Attack

• Chest discomfort. Most heart attacks involve
  discomfort in the center of the chest that lasts
  more than a few minutes, or that goes away and
  comes back. It can feel like uncomfortable
  pressure, squeezing, fullness or pain.   
• Discomfort in other areas of the upper
  body. Symptoms can include pain or discomfort in
  one or both arms, the back, neck, jaw or
  stomach.   
• Shortness of breath. This feeling often comes
  along with chest discomfort. But it can occur
  before the chest discomfort.   
• Other signs These may include breaking out in a
  cold sweat, nausea or lightheadedness 

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Warning Signs of a Stroke

• Sudden numbness or weakness of the face, arm or
  leg, especially on one side of the body   
• Sudden confusion, trouble speaking or
  understanding   
• Sudden trouble seeing in one or both eyes   
• Sudden trouble walking, dizziness, loss of
  balance or coordination   
• Sudden, severe headache with no known cause

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Call 911 (or the EMS system in your area). As
soon as an emergency is recognized, call 911.
When you or another rescuer calls 911, let the
dispatcher ask you questions.
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2. Begin Cardiopulmonary Resuscitation (CPR).
CPR is the critical link that buys time between
the first link (call 911) and the third link (use
the AED). The earlier you give CPR to a person in
cardiac or respiratory arrest, the greater their
chance of survival. CPR keeps oxygenated blood
flowing to the brain and heart until
defibrillation or other advanced care can restore
normal heart action.
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Adult CPR 15 compressions to 2 breaths Child
CPR 5 compressions to 1 breath Infant CPR 5
compressions to 1 breath
Adult Rescue Breathing 1 breath every 5
seconds Child Rescue Breathing 1 breath every 3
seconds Infant Rescue Breathing 1 breath every 3
seconds
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Check ABC's

• Airway Open the airway
• Breathing Check breathing and perform
• rescue breathing if needed (with and
• without a barrier device)
• Circulation Check for signs of circulation
• and perform compressions and ventilations

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3. Use the Automated External Defibrillator
(AED) to Treat Ventricular Fibrillation. Most
sudden cardiac arrest victims are in ventricular
fibrillation (VF). VF is an abnormal, chaotic
heart rhythm that prevents the heart from pumping
blood. VF causes more cardiac arrests than any
other rhythm (about 80 to 90 of cases). You
must defibrillate a victim immediately to stop VF
and allow a normal heart rhythm to resume. The
sooner you provide defibrillation with the AED,
the better the victim's chances of survival. If
you provide defibrillation within the first 5
minutes of a cardiac arrest, the odds are about
50 that you can save the victim's life. But with
each passing minute during a cardiac arrest, the
chance of successful resuscitation is reduced by
7 to 10. After 10 minutes there is very little
chance of successful rescue.
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4. Transfer to Advanced Care. The fourth link
in the Chain of Survival is advanced care. This
link is provided by highly trained EMS personnel
called "paramedics." Paramedics give basic life
support and defibrillation as well as more
advanced care. They can give cardiac drugs and
insert endotracheal breathing tubes. These
advanced actions (1) help the heart in VF respond
to defibrillation or (2) maintain a normal rhythm
after successful defibrillation.
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AED
Automated External Defibrillators (AEDs)
represent a significant breakthrough for adult
out-of-hospital resuscitation. The availability
and proper use of a defibrillator within minutes
of an adult sudden cardiac arrest can greatly
increase a victim's chances for survival.
AEDs are not recommended for use in children who
are younger than 8 years old, or who weigh less
than 55 pounds.