Courses, Training, Certification and Recertification in Red Cross First Aid, CPR and AED
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Total Lesson Plan (To be continued)

November 10th, 2011 | Posted by vanfirstaid in CPR | First Aid - (Comments Off)

Vancouver First Aid Ltd.

 

Lesson Plan

 

Introduction / Key Topics.

 

Separate the class into four groups. Each group will take a flip chart and a writing tool (felt). Each group will present the topic any way they want (skit, etc.). Groups will brainstorm without books for first 5 minutes and then will open books and write components from book for 5 – 10 minutes. Presentation will last approximately 2 minutes. Topics for groups are as follows.

 

Group 1:  What is the Red Cross? History?

Make sure groups cover history and the key statements of Red Cross (Impartiality, humanity, etc.). Go over Red Symbol as well.

 

Group 2: When to call forEMS?

Make sure people know the difference between emergencies and non-emergencies.

 

Group 3: What are concerns with doing CPR?

Make sure group covers:

  • -Good Samaritan Act?
  • -Consent?
  • -Disease control (cover hand washing, cleaning clothes after, etc.)
  • -Protective Equipment.

 

Group 4: What to do to be prepared for an Emergency:

  • -Disaster
  • -How to cope with Traumatic Events.
  • -First Aid Kits.
  • -Become a First Aider.

 

Group 5. Anatomy.

-Connection between brain, heart and lungs.

-make sure they understand the role of oxygen and that the airway goes from the nose and mouth to the lungs.

 

Next Topic:

Check Call Care:

Show Video on Check Call Care. Follow up on with any questions and a demo, describe do of Check Call Care.

 

Video Covers:

Check:

  • Check the scene – Dangers? How to deal with the dangers. (page 74)
  • Check the Person – Pinch & Shout

 

Call:

Call for help – Send somebody

 

Care:

  • Check for ABC’s without moving the person.
  • Treat any life threatening emergencies immediately. These are the ABC’s.
  • Treat for Shock if non are present.

 

Demo, Describe, Do.

 

 

Choking:

 

Play video on Choking.

 

Must knows:

  • Choking is a common respiratory emergency especially for babies in children
  • Can be mechanical (foreign objects) or anatomical (tongue or swollen tissues of mouth and throat).
  • A person who is choking severely cannot speak, breathe or cough.
  • A common sign of choking is grasping the throat with one or both hands.

 

Prevent Choking:

Enjoy your food!

Cut food to appropriate sizes.

Make sure children sit when eating.

Objects such as rocks, toys, buttons and coins often cause choking in children.

Adults and children often go into a washroom or quiet area if they have something stuck in their throat because they are embarrassed to cough in public.

 

J-Thrust and Back Blows

- Make sure the person seeks medical attention for follow up after.

 

Unconscious Obstructed Video.

If witnessed. 911. Chest compressions.

 

Un-witnessed Obstructed.….

 

Regular CPR.

Include the teaching games. (one at a time in a circle)

Them teaching each other.

 

Difference Between Adult and Child.

 

AED introduction

Protective Equipment

 

First Aid for CPR – A

  • Divide class into four different groups.
  • Alternate 4 flipcharts with Heart Attack, Angina, T.I.A, Stroke.
  • 2 minutes per flipchart and then rotate.
  • Flipchart will have What is it? Causes? Signs and Symptoms? Treatment?
  • Have them present topics with a skit when they finished filling out flipchart.

 

Show Video on the four topics with the must see’s.

 

CPR’C Stuff:

  • Infant CPR.
  • Have them teach each other.
  • Pediatric pads
  • Protective equipment.

 

 

Breathing Emergencies Video on:

 

Hyperventilation

  • It is a condition that happens when someone breathes faster than normal
  • Rapid breathing upsets the balance of oxygen and carbon dioxide.
  • Caused by Fear and Anxiety
  • Can also be caused by:
  • -Injuries to the head.
  • -Severe Bleeding
  • -Some illnesses
  • -Exercise

Main sign is shallow, rapid breathing. Some people may also say that they feel dizzy or that their lips, fingers and toes feel numb or tingly.

 

Asthma:

  • Asthma is a condition that narrows the air passages, which makes it difficult to breathe.
  • It is more common in children than in adults.
  • It is commonly triggered by:
  • Reactions to air quality, pollen, food, a drug or an insect sting
  • Emotional stress
  • Physical activity
  • Asthma attacks can usually be controlled by medication.
  • The main symptom of asthma is wheezing during exhalation
  • Asthma is often treated with prescribed medication

First Aid and CPR Course Vancouver

 

Prevent Asthma by:

  • Know what causes an attack and minimize contact if possible.
  • Stay away from smoking or smoky environments, which can cause asthma attacks.
  • Have your medication nearby in case of an attack.

Anaphylaxis:

….

Treatment for Respiratory Distress:

  • You do not need to know the specific cause of the Respiratory Distress to provide care.
  • Help the person get comfortable.
  • If the room is hot and stuffy, open a window. Reducing heat and humidity often help.
  • Move the person away from any smoky environment.
  • Make sure the person rests.
  • Reassure the person and try to calm the person down.
  • Call 9-1-1 if the situation worsens or tell them to take any prescribed medication (i.e. inhaler)

Protective Equipment for CPR

October 31st, 2011 | Posted by vanfirstaid in CPR | First Aid - (0 Comments)

This blog post on protective equipment for CPR is for information purposes only. To learn the proper methods on doing CPR take a CPR course in Vancouver with Vancouver First Aid Ltd.

Imagine a lifeless body, a mouth full of spit, saliva and possibly blood and you are the only person around to help. You have taken the precautionary steps of checking for hazards and found no dangers. You have checked for responsiveness and received no response. You point out the nearest competent person and send them to call E.M.S. and bring an AED. You remember the check, call, care Red Cross system and have opened the airway and checked for breathing. You don’t feel a single breath. You landmark on the center of the chest and begin chest compression’s and complete 30 at a rhythm of at least 100 per minute. Now it is time to ventilate and give two full breaths. You look at the mouth and it is full of spit, stomach acid and some blood and you do not want to seal your lips around that mouth for fear of disease and infections. What do you do? What should have been done?

Protective Equipment:

The best response to a situation like this is not a reactionary one, rather a preventative one. If your workplace encourages or expects you to be trained in CPR then they should have the protective equipment for when the emergency situation arises. A pocket mask and pair of gloves should be available next to, or in the workplace first aid kit. If done properly, with the right equipment, a rescuer should not have any skin on skin contact with the victim. If your workplace requires you to take CPR, make sure your employer provides the necessary protective equipment to do CPR safely. Two types of breathing apparatus’ should be available. Either a pocket mask with a one-way valve to prevent transmission of fluids or a bag-valve mask for CPR HCP candidates. Gloves’ should be standard in any first aid kit.

Compression Only CPR:

If you are caught outside the workplace without protective equipment, or your workplace has ignored your wishes for a pocket mask, and you find yourself needing to rescue a stranger with a mouth full of blood you do have options.  Most people, trained in CPR are hesitant to perform mouth-to-mouth on strangers due to fears from infectious diseases. The Red Cross, and other first aid and CPR providers have allowed for compression only CPR in situations like this. Rather than have the hesitant and trained bystanders wait for E.M.S., they can increase the chances of survival for the victim by doing compression only CPR.  Compression only CPR is not as effective as compression’s with ventilation’s but it does help circulate oxygenated blood and causes some oxygen and carbon dioxide transfer from compression on the lungs.

Registration:

Whatever the situation, if the victim is not breathing, rescuers have options. Options include doing compression’s and ventilation’s with or without protective equipment or doing compression only CPR. These options cater to the comfort level of the rescuer and increase the chances of survival for the victims. To learn more about CPR or to re-certify your award take a first aid or CPR course with Vancouver First Aid Ltd. We teach the latest Red CPR methods with the most advanced equipment at the cheapest prices. We have courses throughout the Lower Mainland including Surrey, Richmond and Burnaby. To register for a course select the course from the side menu bar or from the main menu. Select the date and time that works for you and fill out the registration form to guarantee a spot in the class. If you have any questions or concerns please feel free to email us at info@vancouverfirstaid.ca or call at 778.709.9180. Learn to save a life and keep your certificate current by learning CPR!


Heart and Stroke Foundation Re-Certifications.

October 26th, 2011 | Posted by vanfirstaid in CPR | First Aid - (Comments Off)

Vancouver First Aid Ltd, provides Heart and Stroke Foundation re-certification with the Canadian Red Cross. Candidates with a Heart and Stroke Foundation award are eligible for a Red Cross re-certification. All of the major first aid and CPR providers adhere to the standards created by the International Liaison Committee on Resuscitation (ILCOR). This committee, using statistics and research, recommends changes to CPR standards to all the major providers. The major providers including the Canadian Red Cross, Lifesaving Society, Heart and Stroke Foundation and St. Johns Ambulance all follow the same new CPR standards. Because the providers are so similar in CPR they allow for re-certifications of each other awards. This means that Red Cross providers, such as Vancouver First Aid, can re-certify awards issued by the Heart and Stroke Foundation, St. Johns Ambulance and the Lifesaving Society.

In order to re-certify your award with the Canadian Red Cross through Vancouver First Aid Ltd you must meet the following criteria:

  • A candidates previous certification must have been completed via a credible provider such as the Lifesaving Society, Heart and Stroke Foundation, the Canadian Red Cross or St. Johns Ambulance.
  • A candidate must have completed their previous certification with a Canadian provider. If a candidate has an award from a provider from a different country, he or she must receive approval from the Canadian Red Cross before attending a renewal course.
  • A candidates must have been issued a certificate within the past 5 years to be eligible for a re-certification course. Candidates that have not completed a course within the past 5 years must re-take the first aid and / or CPR course.
Available courses for renewal at Vancouver First Aid Ltd:
Standalone CPR courses:
  • CPR level “A” and AED
  • CPR level “C” and AED
  • CPR Health Care Provider (HCP) and AED
First aid and CPR courses:
  • Emergency first aid with CPR “A” and AED
  • Emergency first aid with CPR “C” and AED
  • Standard first aid with CPR “C” and AED
  • Standard first aid with HCP and AED
When attending a re-certification course candidates should:
  • Bring previous certification card and manual.
  • Dress comfortably.
  • Bring a snack / lunch if applicable for the course.
Benefits to a renewal course versus a full course:
  • A renewal course is significantly cheaper than a full course. Some re-certification courses are nearly half the price as a full course.
  • A re-cert course is significantly shorter than a full course. Most re-cert courses are half the length as full courses.
  • Refresher courses cover the same curriculum as the full course but give more opportunity for candidates to work on area that need improvement.
Registration and Locations:
Vancouver First Aid Ltd strives to offer courses in convenient and comfortable locations throughout the Vancouver Lower Mainland. Are courses are the cheapest in Vancouver and we promise to never cancel a course. We know how important it is for you to remain certified so we do everything we can to keep your certification valid. To register for a course in your area select the course from the side menu bar. Once you have selected your course choose the date and time that works for you. For more information on locations select the “locations” tab on the main menu. We would be happy to answer any of your questions. We can be reached via email at info@vancouverfirstaid.ca or via phone at 778.709.9180. Learn to save a life and take a first aid and CPR course!

 

Fall Changes to Vancouver First Aid

October 12th, 2011 | Posted by vanfirstaid in CPR | First Aid - (Comments Off)

Vancouver First Aid Ltd proudly introduces 5 new first aid and CPR web-pages. These web-pages were designed to attract a national audience and to promote first aid and CPR training throughout Canada. We strive to offer comfortable and convenient courses and registration. These website will hopefully allow us to attract a bigger audience and teach more people the confidence and skills to deal with emergency rescue scenarios such as anaphylaxis, heart disease and myocardial infarctions. The following is a list of new web-pages that will partner with Vancouver First Aid Ltd.

First Aid and CPR

This website will attract an audience looking for courses combining the skills of first aid and CPR. This website will cater to only the following courses:

  • Standard First Aid
  • Standard First Aid Re-certifications
  • Emergency First Aid
  • Emergency First Aid Re-certifications
  • Childcare First Aid
  • Childcare First Aid Re-certifications
CPR Level C
This website will focus on attracting clients and customers interested in CPR courses with a strong focus on CPR “C”. This website will cater to the following Red Cross courses.
  • CPR level “A”
  • CPR level “A” re-certifications
  • CPR level “C”
  • CPR level “C” re-certifications
  • CPR level HCP
Emergency First Aid
The website is designed to attract customers looking for emergency first aid courses. This website will focus on the following Red Cross training:
  • Emergency First Aid
  • Emergency First Aid re-certifications.
Red Cross First Aid
This website will cater to clients and customers looking for Red Cross first aid and CPR courses. This website will have a strong focus on the major programs offered by the Red Cross. These programs include
  • Babysitting
  • Childcare First Aid
  • Emergency First Aid
  • Standard First Aid
  • CPR “A”
  • CPR “B”
  • CPR “C”
  • CPR “HCP”
  • Re-certification Courses
First Aid Courses
This website will attract an audience looking for first aid courses throughout Canada. This website will focus on the following Red Cross first aid courses:
  • Occupational First Aid
  • Standard First Aid
  • Emergency First Aid
  • Childcare First Aid
  • First Aid Re-certifications
At Vancouver First Aid Ltd we welcome all visitors and we encourage the growth of first aid and CPR training throughout Canada. We strive to build a healthier and rescue ready population in Canada. If you have any questions or concerns please feel free to ask at info@vancouverfirstaid.ca or call us at 778.709.9180. Take a first aid and CPR course and be prepared to save the life of a loved one.

Child CPR

September 27th, 2011 | Posted by vanfirstaid in CPR - (Comments Off)

Vancouver First Aid proudly incorporates Child CPR into all of its First Aid and CPR training.  CPR-B is no longer offered as a stand alone CPR course because the methods for CPR on Adults is nearly identical to that for Children. Because of the similarity between CPR-A and CPR-B, the material taught in CPR-B is now incorporated into CPR level A. This blog will focus on the minor differences between adult and child CPR.

Prior to introducing the differences of between child and adult CPR its important to differentiate, in the world of first aid and CPR, how you differentiate between an adult and a child. This has brought a lot of confusion to CPR. At one point, a child was determined by the weight of the victim, but some rescuers got confused and had a hard time determining the weight of a unconscious victim. Size differences brought along the same problems. Age was also used, but rescuers were delayed in there rescues as some found it difficult to determine the age of the unconscious victim. The best method of determining whether the victim is to be treated as an adult or child is by using signs of puberty. If the rescuers notices signs of puberty on the victim (facial hair, bone structure, breast growth), then they are to be treated as an adult. Using signs of puberty is the clearest method of determining whether to do adult or child CPR.

Child CPR differs from adult CPR most significantly when the application of an AED is involved. AED’s can come with three different pads. They have the traditional adult pads, some also have child pads and a very few have pediatric pads for infants. Adult pads can be applied on a child as long as they do not come within 1 inch of each other. They can be applied using the same placement as on a adult or they can be applied the same way as child pads are (front and back). Child pads can also be used on a child, however, because they lack the energy output, they can not be applied to an adult victim.  If the rescuer does not know whether to apply adult or child pads, he or she can use the adult pads and keep them at least one inch apart. Rescuers must also keep in mind that AED pads are one time use only and that he or she should be careful to place it correctly on the first attempt.

A small difference between adult and child CPR is the compression depth on an child when doing chest compression’s. Two inches is the minimum for an adult and two inch’s is the goal for a child. However, since rescuers rarely bring rulers with them when applying CPR it isn’t beneficial to promote the use of the inch’s when determining proper depth of chest compression’s.  To keep things simple, the rescuer should attempt to do chest compression’s to a depth of one half or one third the depth of an adult, child and infant. The number of chest compression’s for a child, when compared to Adult CPR, does not change. The ratio of 30 chest compression’s to 2 breaths is identical whether it is an adult, child or infant.

When a child is dramatically smaller than the rescuer the rescuer should use one hand when doing chest compression’s. The free hand can be used to keep the airway open to minimize time between cycles of chest compression’s when ventilating the victim. However, to minimize confusion, the rescuer, if not sure, can do two handed CPR.

Child CPR does not differ much from adult CPR. Other than the type of pads and the application of pads when using a AED there aren’t any major differences between adult CPR and child CPR. The same CPR standards that are applied for a adult rescue can be used for a child.

The material posted in this blog is for information purposes only. If you want to learn more about Child CPR and its differences from Adult CPR receive first aid and CPR training from Vancouver First Aid Ltd. First Aid and CPR classes in Surrey are now being offered. To register for a course select the course of your choosing from the menu bar or from the side bar. If you have any questions or concerns please feel free to call at 778.709.9180, email at info@vancouverfirstaid.ca or use our “contact us” page. Learn to save the life of a loved one by taking an adult and child CPR course in Vancouver.

CPR Lesson Plan for CPR A and CPR C.

September 23rd, 2011 | Posted by vanfirstaid in CPR - (Comments Off)

CPR A and CPR C Lesson with Vancouver First Aid Ltd.

Divide The Class into Appropriate Groups.

Activity 1 (20 minutes)

Divide Class into Groups

1 – Presentation on Red Cross – What is it? What do they do?

2 – Anatomy – Draw us the Human Body and What does the Brain, Heart and Lungs do?

3 – How do you do CPR?

4 – What Does CPR do?

5 – When to stop CPR or not do it at all.

*Team name for each group written on top of Flipchart

*They have to present there flipchart to the class (1 Vanna White, 1 Pat Sayjak)

 

Activity 2

Adult Basic CPR– Non Breathing – Unconscious

(a)Demo CPR on a Adult (1 minute)

(b)Describe Each Step (5 minutes)

(c) As a group have them each do the CPR on a manikin

(d) Have them each go at there own pace

-Stop them when they are going over the CPR and time the compressions (compression only – for 1 minute)

-Go over details of compressions.

 

Activity 3

Divide class into as many groups as instructors.

Each group gets on manikin to do Basic CPR on

1st person from each group does step 1, 2nd person does step 1 and 2, 3rd person does step 1, 2 and 3, etc…

For each mistake the group needs to start again.

 

 Activity 4

Unconscous Obstructed Airway

(a)Demo CPR on a Adult (1 minute)

(b)Describe Each Step (5 minutes)

(c) As a group have them each do the CPR on a manikin

*Really drill into them that the only difference is hook and look after 30 chest compression’s.

 

Activity 5 – Child CPR (CPR-B)

Difference Between Adult and Child

Explain to the class the differences / or lack of, between adult and child.

Show them the options of one or two hands and have them try.

Have them DO CPR for a child.

 

Activity 6. – Protective Equipment

Explain to the class the precautions and why use gloves and pocket mask

Hand each participant a pocket mask and Demo, Describe, Do CPR with a pocket mask.

 

 Activity 7. – AED’s

Divide the class into groups of 3.

Hand each group an AED and have them attempt to make it part of there CPR process. Also, have them attempt to CPR with more than one trained rescuer. *Have them do CPR for a while before introducing the AED.

After they have had a try DISCOVERING how to use an AED, Demo, Describe, Do.

 

Activity 8. – Choking Victims – Conscious.

Outline a fun story that leads to choking.

Demo, Describe Do.

*Explain the top choking hazards (Grapes, Hot Dogs (sausages), etc.)

*Explain how to treat for complications for Choking Hazards.

Lead into Choking Victims – Unconscious.

-Start with 9.1.1 and hook and look.

 

Activity 9.  – Choking Victims – Conscious to Unconscious.

Have the class pair up and teach this portion to the other classmate and receive feedback. If they can teach it, then they know it. Give them 10 minutes to teach and give feedback.

 

Activity 10. – Complications

Recovery Position – Demo, Describe, Do.

Vomitting – Demo, Describe, Do.

Regurgitation – Demo, Describe, Do.

 

Activity 11 – Differences between Child and Infant unconscious, conscious obstructed and unconscious obstructed.

Demo Describe and Do.

 

Activity 12 – Follow Activity 3 for Infant Choking. Start again if there are any errors.

 

Activity 13 – Pocket Masks for infants.

 

The material posted in this blog on CPR or First Aid training with Vancouver First Aid Ltd is for information purposes only. It is to be used only by Vancouver First Aid Ltd unless expressed and written consent is provided. For information on First Aid and CPR training take a course with Vancouver First Aid Ltd. To register for a course select the course of your choosing from the menu or side bar. If you have any questions or concerns please feel free to call at 778.709.9180, email at info@vancouverfirstaid.ca or contact us via our “contact us” page.  Learn to save a life and take CPR training today.

 

 

 

 

 

 

 

 

 

CPR C and AED requirements. 2011.

September 20th, 2011 | Posted by vanfirstaid in CPR - (0 Comments)

CPR C is a eight hour course that teaches candidates cardiopulmonary resuscitation on adults and children. To complete the CPR training a simple multiple choice test needs to be completed with a minimum score of 80%. Candidates are also required to recognize victims and dangers and to show the instructor how to do CPR for the following scenarios in addition to the CPR A requirements:

Scenario 6: Infant is not breathing. 
  • Dangers: No
  • Infants Level of Consciousness: Unconscious.
  • Infant is NOT breathing and is unresponsive.

Rescuers Actions:

  1. Scene Assessment.
  2. Ask for permission from parents / guardians.
  3. Assess victims level of consciousness (Grab infants legs and Shout).
  4. Send a bystander to contact EMS.
  5. Carefully open the airway (Head-tilt, chin lift) with chin and nose parallel to the ground.
  6. Check for Breathing (Maximum ten second check for normal breathing)
  7. Victim is not breathing. Rescuer needs to ventilate two breaths / puffs (puffs – enough air to blow out a single candle) into the victim. Rescuer must seal the victims mouth and nose with his or her lips. If the first breath does not enter the lungs, rescuer must re-adjust the airway. In this scenario, after the readjustment, the breaths go in. 
  8. Expose the chest and begin 30 chest compression’s just below the infants nipple line.
  9. Give 2 breaths (puffs).
  10. Continue to do 30 chest compression’s and 2 breaths until you are too tired to continue, more advanced help arrives, or victims shows signs of life.
Scenario 7: Infant has a obstructed airway.
  • Dangers: No
  • Victims Level of Consciousness: Unconscious.
  • Victim is NOT breathing and is unresponsive.

Rescuers Actions:

  1. Scene Assessment.
  2. Ask for permission from parents / guardians.
  3. Assess victims level of consciousness (Grab infants legs and Shout).
  4. Send a bystander to contact EMS.
  5. Carefully open the airway (Head-tilt, chin lift) with chin and nose parallel to the ground.
  6. Check for Breathing (Maximum ten second check for normal breathing)
  7. Victim is not breathing. Rescuer needs to ventilate two breaths / puffs (puffs – enough air to blow out a single candle) into the victim. Rescuer must seal the victims mouth and nose with his or her lips.  The first breath does not enter the lungs. Rescuer re-adjusts and the 2nd breath does not enter.
  8. Expose the chest and begin 30 chest compression’s.
  9. Look into the victims mouth, hook the tongue down and sweep the object with your pinky finger only if present (also known as: HOOK and LOOK). DO NOT sweep in the mouth if no object is present.
  10. Attempt to ventilate.
  11. Continue steps 7 through 9 until the object is removed. Once removed, continue CPR (30 chest compression’s to 2 puffs) until victim shows signs of life.
Scenario 8: Infant is conscious and choking.
  • Dangers: No
  • Victims Level of Consciousness: Conscious.
  • Victim is coughing forcefully.
Rescuers Actions:
  1. Scene assessment
  2. If infant is coughing, promote the infant to keep coughing. Reassure the infant. If obstruction is not cleared and victim can no longer cough, continue to next step.
  3. Introduce yourself to the victim parents / guardians and ask for permission to help. Parents / guardians must grant rescuer permission before rescuer can continue. If permission granted, continue to next step.
  4. Rescuer must position him / her self onto there knees and place the infant, with the head in the palm of the hand, and the infants body on the forearm. The infant should be on the forearm, at a 45 degree angle downwards, on top of the rescuers thighs. The rescuer will do 5 chest compressions, with proper landmarking, from this position.
  5. The rescuer will alternate the infant onto the rescuers other forearm / hand with the infant now facing downward (back facing rescuer). The rescuer will do 5 back blows with the heel of his or her hand between the shoulder blades of the infant.
  6. Cycle through steps 5 and 6 until the airway obstruction is removed or until the victim goes unconscious. If the victim goes unconscious, continue to next step.
  7. Contact EMS.
  8. Look into the victims mouth using method described in scenario 7 (hook and look). Continue to do CPR mentioned in Scenario 7 (Look into the victims mouth after 30 chest compression and before attempted ventilation’s).

AED Protocol for infant and child:

AED protocol remains the same for children but rescuers need to be able to use AED pads for children. Adult pads are applicable to children, however, must be placed in such a way that they are apart by at least 1 inch. Child pads CAN NOT be used on a adult. Pads exist for infants, however, they must only be pediatric pads. Candidates are not required to know how to use or place pediatric pads. If no bystanders are present and a AED is nearby, rescuers should do 2 minutes of CPR before retrieving AED.

EMS Protocol for infant and child:

If no bystanders are present rescuers should do 2 minutes of CPR and leave the child or infant in recovery position before leaving to contact EMS. If victim is small enough, rescuer can take victim with him or her to contact EMS.

Vomitting and Protective Equipment remains the same for CPR for adults and children in CPR level C.

The material posted here is for information purposes only. To learn to how to and when to do CPR take CPR training in Vancouver with Vancouver First Aid Ltd. We also offer CPR training in Surrey and throughout the Lower Mainland. To register for a CPR course select the course from the menu bar or the side bar and complete the registration form. If you have any questions or concerns feel free to use our “contact us” page, call us at 778.709.9180 or email us at info@vancouverfirstaid.ca . Learn to save the life of a loved one and take a CPR class.

The following is a basic video on CPR and AED techniques for adult rescue.

Techniques shown in this video by our Red Cross CPR instructor show the most up to date standards of CPR set by the International Liaison Committee on Resuscitation (ILCOR) for 2011 and 2012.

CPR A and AED Requirements.

September 19th, 2011 | Posted by vanfirstaid in CPR - (0 Comments)

CPR A is a four to five hour course that teaches candidates cardiopulmonary resuscitation on adults and children. To complete CPR level “A” training a simple multiple choice test needs to be completed with a minimum score of 80%. The material posted on this page is for information purposes only. To learn to recognize and treat patients take a CPR level “A” course in Vancouver or Surrey. Candidates are also required to recognize victims and dangers and to show the instructor how to do CPR for the following scenarios:

Scenario 1: Dangers Present.

  • Dangers: Yes.
  • Victims Level of Consciousness: Unconscious.
  • Victim is NOT breathing and unresponsive.

Rescuers Actions:

  1. The first step is scene assessment. The rescuer can not enter the scene unless it is safe. In this scenario, the rescuer can not enter the scene.

Scenario 2: Victim is breathing but not conscious.

  • Dangers: No
  • Victims Level of Consciousness: Unconscious.
  • Victim IS breathing but unresponsive.

Rescuers Actions:

  1. Scene Assessment.
  2. Assess victims level of consciousness (Pinch and Shout).
  3. Send a bystander to contact EMS.
  4. Open the Airway (Head-tilt, chin lift)
  5. Check for Breathing (Maximum ten second check for normal breathing)
  6. Victim is breathing. Rescuer should place victim in recovery position in continue to monitor vitals.
Scenario 3: Victim is not breathing. 
  • Dangers: No
  • Victims Level of Consciousness: Unconscious.
  • Victim is NOT breathing and is unresponsive.

Rescuers Actions:

  1. Scene Assessment.
  2. Assess victims level of consciousness (Pinch and Shout).
  3. Send a bystander to contact EMS.
  4. Open the Airway (Head-tilt, chin lift)
  5. Check for Breathing (Maximum ten second check for normal breathing)
  6. Victim is not breathing. Rescuer needs to ventilate two breaths into the victim. If the first breath does not enter the lungs, rescuer must re-adjust the airway. In this scenario, after the readjustment, the breaths go in. 
  7. Expose the chest and begin 30 chest compression’s.
  8. Give 2 breaths.
  9. Continue to do 30 chest compression’s and 2 breaths until you are too tired to continue, more advanced help arrives, or victims shows signs of life.
Scenario 4: Victim has a obstructed airway.
  • Dangers: No
  • Victims Level of Consciousness: Unconscious.
  • Victim is NOT breathing and is unresponsive.

Rescuers Actions:

  1. Scene Assessment.
  2. Assess victims level of consciousness (Pinch and Shout).
  3. Send a bystander to contact EMS.
  4. Open the Airway (Head-tilt, chin lift)
  5. Check for Breathing (Maximum ten second check for normal breathing)
  6. Victim is not breathing. Rescuer needs to ventilate two breaths into the victim. The first breath does not enter the lungs. Rescuer re-adjusts and the 2nd breath does not enter.
  7. Expose the chest and begin 30 chest compression’s.
  8. Look into the victims mouth, hook the tongue down and sweep the object if present. Do not sweep in the mouth if no object is present.
  9. Attempt to ventilate.
  10. Continue steps 7 through 9 until the object is removed. Once removed continue CPR (30 chest compression’s to 2 breaths) until victim shows signs of life.
Scenario 5: Victim is conscious and choking.
  • Dangers: No
  • Victims Level of Consciousness: Conscious.
  • Victim is coughing forcefully.
Rescuers Actions:
  1. Scene assessment
  2. If victim is coughing, promote the victim to keep coughing. Reassure the victim. If obstruction is not cleared and victim can no longer cough, continue to next step.
  3. Introduce yourself to the victim and ask for permission to help. Victim must grant rescuer permission before rescuer can continue. If permission granted, continue to next step.
  4. Position yourself behind the victim so that you can safely guide the victim to the ground if he/she were to go unconscious.
  5. Landmark on the victims stomach and do 5 J-thrusts.
  6. Pivot next to the victim and do 5 back blows.
  7. Continue to do cycle through steps 4 and 5 until the obstruction is removed or the victim goes unconscious. If the victim goes unconscious, continue to next step.
  8. Contact EMS.
  9. Look into the victims mouth using method described in scenario 4 (hook and look). Continue to do CPR mentioned in Scenario 4 (Look into the victims mouth after 30 chest compression and before attempted ventilation’s).
For All CPR Scenarios:

 

Vomiting and Regurgitation: 
During CPR, if victim regurgitates finish the cycle of chest compression’s and place victim into recovery position to clean out regurgitation. Once airway is clean roll victim back and continue CPR. Regurgitation is not a sign of life. If the victim vomits, stop CPR and move victim into recovery position. Vomiting IS a sign of life. Rescuer must check for vitals while victim is in recovery position. If no vitals are present, rescuer must roll victim back and continue CPR. If vitals are present, continue to monitor vitals and keep victim in recovery position.

 

Protective Equipment:
When helping any patient rescuers must be aware of safety precautions and know how to use proper safety equipment such as gloves and a pocket mask. Rescuers are required to know how to properly ventilate a victim with a pocket mask or a bag valve mask.

 

AED Protocol. 
Rescuer need to know how to apply a AED and follow AED protocols when it arrives on scene for any unconscious and non-breathing victim. Rescuers, if possible should continue CPR when applying a AED (by using a trained bystander), or should immediately stop CPR to apply a AED and follow AED prompts.

 

The material posted in this blog is for information purposes only. To learn to recognize and treat victims with CPR level A take a CPR A course with Vancouver First Aid Ltd. We offer the cheapest, most convenient and comfortable classes in the Lower Mainland. First Aid training in Surrey is now available. To register for a CPR A course with Vancouver First Aid select the course of your choosing from the menu bar or side bar. Fill out the registration form and prepay to guarantee yourself a spot in the class.

 

 

Infant CPR/AED – HCP Level – 2011 Guidelines.

September 15th, 2011 | Posted by vanfirstaid in CPR - (0 Comments)

The material posted in this blog is for information purposes only. If you want to learn how and when to administer CPR and an AED take CPR training with Vancouver First Aid ltd. We also offer CPR recertification courses and we have a new facility for CPR training in Surrey.

The Scenario: You walk into room and find two parents in distress with the mother holding a infant who is not breathing. The parents say the infant was choking. No signs of C-spine injury. No other injuries.

For CPR HCP with 2011 Guidelines the “Must See’s” to complete this component are:

  1. Scene Assessment. The rescuer must assess the sign and possible mechanisms of injury.
  2. Permission. Rescuer must obtain permission from parents / legal guardian prior to beginning treatment.
  3. Self Protection: To protect the rescuer and patient from disease transmission the rescuer must demonstrate proper use of personal protective equipment including the use of gloves and a breathing barrier. Breathing barrier can include either a bag valve mask or a pocket mask.
  4. Assess level of consciousness – The rescuer must assess the level of consciousness for the victim by shouting and touch / tickling the infant patients’ feet.
  5. Airway – Rescuer must attempt to open the airway of the victim applying a head tilt / chin or jaw thrust. Rescuer should position the infants head to the “sniffing” position or the position in which the chin and the nose are parallel to the ground.
  6. Breathing – Check for breathing by using “look, listen and feel” method for 5 seconds.
  7. Circulation – Check for circulation for 10 seconds.
  8. Activate EMS / Manage Bystanders – The rescuer must know the appropriate procedures for activating EMS and how to effectively use a bystander to contact EMS. Rescuer must also send bystander to locate a AED with pediatric pads.
  9. Start CPR – If the rescuer is a lone rescuer then he or she will begin CPR at 30 compression to 2 breaths. If there are 2 rescuers they will do CPR at 15 compressions to 2 breaths.
  10. AED – Rescuer(s) should begin AED protocol as soon as it arrives on the scene. Rescuers should place the pediatric pads in the appropriate position on the infant victim and follow AED prompts.
  11. ABC Reassessment – Rescuers should reassess the victim every 2 minutes and modify CPR appropriately if a pulse is present but no effective breathing.
  12. Rapid Body Survey – If possible, rescuer should attempt to do a rapid body survey to check for other injuries.

The material posted in this blog on infant CPR is for information purposes only. If you want to learn to recognize and treat a victim at a CPR HCP standard enroll in CPR training with Vancouver First Aid. We offer first aid and CPR classes in Surrey and throughout the Lower Mainland. We offer both Red Cross First Aid and Lifesaving Society First Aid. If you want to register for a full first aid course or a renewal course select the class of your choice from the menu bar or from the side bar. If you have any questions or concerns please feel free to call us at 778.709.9180 or email us at info@vancouverfirstaid.ca or use our “contact us” page.

The  video shows basic CPR techniques for CPR on a infant using a barrier device known as a pocket mask. All these techniques are taught in all of our hands on CPR classes.

AED Guidelines for CPR. 2011 Guidelines.

September 9th, 2011 | Posted by vanfirstaid in AED | CPR - (Comments Off)

The material posted in this blog on AED guidelines for CPR is for information purposes only. To learn to recognize and treat victims requiring a AED take a first aid and / or CPR class with Vancouver First Aid Ltd. Locations have expanded to include first aid training in Surrey and UBC.

To give any victim the best chance of survival the rescuer must implement the use of an AED. An AED is an automated external defibrillator created to flat-line irregular heart beats, such as ventricular tachycardia and fibrillation, in hopes of normalizing heart rhythms. The use of an AED can increase survival rates of victims from a low 1 to 2% with rescuers doing just CPR, to 8% with rescuers doing CPR and applying a AED. Because of the improved chances of recovery the Red Cross, Lifesaving Society, Heart and Stroke Foundation, St. John’s Ambulance and all other major providers have put AED training into all of there first aid and CPR curriculum.

The first step in using an AED is recognize the situation. Rescuers must assess the situation and send a bystander to contact EMS and locate a AED and additional help to use it. If the rescuer is alone he or she must call 911 and retrieve the AED (if nearby) before starting CPR on the victim. If the victim is either a child or an infant, the rescuer will perform 5 cycles of CPR (2 minutes) prior to calling EMS and obtaining an AED (if nearby). This is due to the fact that most children and infants suffer from respiratory arrest rather than cardiac arrest so the 2 minutes of CPR can be very successful.

The use of an AED on infants is only a knowledge component in first aid and CPR courses because the likelihood of a lay rescuer obtaining a AED with infant defibrillator pads is very low.

There are approximately two dozen types of AED’s available. It is important for rescuers to understand the basic principles of AED use. AED’s typically have two buttons: a shock button and a on/power button. After pushing the on / power button the AED will give instructions on how to operate it.

Tips on AED use:

  • AED pads must be placed on bare skin. The pads can not be placed over top medical patches (nitrod, nicotine, birth control, etc.) or pacemakers. Place the pad below the pacemaker.
  • Adult pads can be used on adults and children. Child pads can not be used on an adult as they do not carry a sufficient shock. The adult pads must be placed on the child no closer than one inch apart. They can also be placed on the front of the chest and on the back (the same way child pads are placed).
  • The AED pads are one time use. Be careful when using gloves (it is mandatory to use gloves) as the pads will adhere to the gloves.  Rescuers should also be careful in the placement of the pads as they can not be removed and used again.  Apply the pads as one would typically apply a band-aid (without touching the adhesive).
  • Unless the victim shows signs of life, the rescuer(s) must always be prepared to continue to do CPR after the analyze and “shock” or “no shock” prompts.
  • Most course guidelines promote rescuers to shave the chest of a hairy victim. However, significant evidence also suggests that the pads will still adhere and shock when placed on a hairy chest. Furthermore, the time required to shave a hairy chest with a single blade razor (typically only single blade razors are placed with AED’s and first aid kits) can take a substantial amount of time. Do your own research and make your decision on whether to follow the guideline to shave the victim’s chest. However, Red Cross and Lifesaving Society guidelines recommend that the rescuer shave the victims chest, if it is hairy, prior to pad placement.
  • Prior to applying the pads, the chest must be dry. The pads will not stick to a wet chest. Wipe off any water or sweat off of the victim prior to pad placement.
  • Victim should not have any part of the body in freestanding or still water. Victim must be in a dry area if possible. Research done by General Electric states that if the victim and rescuer are in the same “puddle” when the shock phase of the AED is occurring the rescuer will not feel any significant shock. Do your own research. However, the Red Cross and Lifesaving Society recommend that rescuers not have the victims in any form of water when using an AED.
  • Rescuers hands should be dry when applying an AED.
  • You can use an AED on victims that have been electrocuted or struck by lightning
  • If the victim is on a conductive metal surface clear all bystanders away from the area, wear non-conductive footwear and latex gloves, and stand when adminstering the shock (try not to move or hold a metal railing)
  • If adminstering oxygen remove from victims face when analyzing and adminstering shock.
  • Use the AED on a pregnant mother. You need to save the mother first before you can save the baby.
  • Continue AED protocols if you come a cross a AICD (autmoated implantable Cardio Defibrillators), however, place the pads approximately 1 inch away from the AICD or any pacemaker.

The material posted in this blog is for information purposes only. To learn how to use an AED and to learn CPR with 2011 AED guidelines take first aid training with Vancouver First Aid Ltd. First aid and CPR training in Surrey is now available.  To register for a first aid course select the class of your choice from the menu bar or from the side bar. You can also contact us via our “contact us” page, by email at info@vancouverfirstaid.ca or by phone at 778-709-9180. We offer convenient, comfortable and affordable first aid classes throughout the lower mainland. We also offer first aid and CPR recertifications.

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