True, so we see if the patient is responsive or not. Then, we check for two things simultaneously, who can mention them?
As you guys know, time is critical in treating patients. As EMTs you have to be very fast yet gentle.
Cardiac arrest
Pulse, from the neck
Now tell me which case is the most critical and life threatening where seconds matter?
Yes, we check the breathing and pulse from the carotid artery.
Correct! How do we detect that it's cardiac arrest not just fainting case?
We see if the patient is conscious or not
CPR!!!
In case there is pulse, the patient is unconscious and we should start with...
Exactly, directly one EMT will place his hands on the sternum in the middle of the patient's chest and the other, if there is more than one EMT, will be responsible for artificial breaths.
What are the guidelines to deliver effective chest compressions?
4 reps per minute
100-120 compression per minute.
Depth, reps, compression rate and ventilation
Depth should be 5-6 cm for adults.
In this case, hands on chest and start chest compressions right away, 30 compression per rep, 4 reps per minute.
Between each rep 2 breaths, after 2 rounds of CPR check pulse, if still there is no pulse repeat.
Ventilation should be 2 breaths after each rep.
Next time, we'll talk about hemorrhage and how to deal with it!
And that is everything you need to know about CPR.
You guys are right! Now we'll recap and demonstrate real fast.
Now, let's imagine that this patient is pulseless. He has cardiac arrest. What shall we do?