Identify if the patient is conscious or unconscious
3
Call 911 or ask someone else to do so
4
Provide patient with reassurance and comfort
5
Assess breathing and pulse
6
Begin chest compressions if necessary
7
Open the airway using a head tilt or chin lift
8
Give rescue breaths if necessary
9
Continue CPR until medical services arrive or patient regains consciousness
10
Get AED if available and use it as soon as it arrives
11
Approval: Use of AED
12
If AED advises shock, make sure no one is touching or moving patient
13
Administer shock
14
Resume CPR after delivering the shock
15
Monitor patient vitals
16
Document the incident and treatments provided
Check the scene for safety
This task involves assessing the surroundings to ensure that it is safe for the responder and the patient. Look out for any potential hazards such as fire, traffic, or dangerous substances. Identify and remove any threats to safety before proceeding further. The desired result is a safe environment for providing assistance to the patient. Are there any obstacles or challenges in making the scene safe? How can you mitigate those risks? Resources needed may include protective equipment like gloves or face masks.
1
Yes
2
No
3
Not sure
Identify if the patient is conscious or unconscious
Determining the patient's consciousness is vital to assess their overall condition. Gently tap the patient and speak loudly to check for any response. If they are unresponsive, it indicates that they are unconscious. If they respond or show signs of consciousness, note it down. The goal is to accurately establish the patient's state of consciousness. How can you ensure that your assessment is accurate? What are the key indicators of consciousness or unconsciousness?
1
Yes
2
No
Call 911 or ask someone else to do so
Calling emergency services as quickly as possible is crucial in a cardiac emergency. If you have immediate access to a phone, dial 911 yourself. Alternatively, request someone nearby to call emergency services while you continue the assessment and provide initial care to the patient. The desired outcome is a prompt activation of the emergency response system. Are there any challenges in accessing a phone or finding someone to help? How can you overcome these obstacles?
1
Yes
2
No
Provide patient with reassurance and comfort
Showing empathy and providing reassurance to the patient can have a positive impact on their emotional well-being. Comforting words and gentle gestures can help alleviate their anxiety and fear. Maintain a calm and supportive attitude, letting them know that help is on the way. The desired result is a patient who feels comforted and supported. How will you ensure effective communication and emotional support? Are there any specific phrases or actions to consider?
Assess breathing and pulse
Checking the patient's breathing and pulse is crucial to determine if they require CPR. Look for any signs of normal breathing, such as chest rise and fall, or listen for breathing sounds. Feel for a pulse on the patient's neck or wrist. Note down the quality of breathing and pulse, as well as any abnormalities. The goal is to evaluate the patient's cardiorespiratory status accurately. What are the key indicators of normal breathing and pulse? How will you record your findings?
1
Yes
2
No
1
Yes
2
No
Begin chest compressions if necessary
If the patient is unconscious, not breathing, or without a pulse, chest compressions are necessary to maintain blood circulation. Place the heel of one hand on the center of the patient's chest and interlock the other hand on top, keeping your elbows straight. Use your upper body weight to deliver compressions at a rate of 100-120 compressions per minute. Remember to allow complete chest recoil between compressions. The desired outcome is effective chest compressions to support circulation. How will you maintain the correct compression rate and depth? Are there any tips to ensure proper technique?
1
Yes
2
No
1
Yes
2
No
Open the airway using a head tilt or chin lift
Creating a clear airway is important for effective ventilation. If the patient is unconscious and not breathing, use the head tilt or chin lift technique to open their airway. Gently lift the patient's chin while supporting the back of their head, tilting it backward. Avoid overextension of the neck. This allows for better airflow during rescue breaths. The goal is to establish a patent airway to facilitate ventilation. How will you ensure a proper head tilt or chin lift? Are there any potential risks to consider?
1
Yes
2
No
Give rescue breaths if necessary
Rescue breaths are important to provide oxygen to the unconscious patient. Pinch the patient's nose and form an airtight seal over their mouth with your own. Deliver two slow breaths, each lasting about one second, while observing for chest rise. If the breaths go in successfully, note it down. The desired result is effective delivery of rescue breaths. How can you ensure a proper seal and adequate breath delivery? What challenges might arise during this step?
1
Yes
2
No
1
Yes
2
No
Continue CPR until medical services arrive or patient regains consciousness
Continuous CPR is vital until professional medical help arrives or the patient regains consciousness. Consistently perform chest compressions and rescue breaths following the proper ratio of compressions to breaths. The desired outcome is sustained circulation and oxygenation until further assistance is available. How will you ensure the continuous and correct administration of CPR? What actions should be taken if the patient regains consciousness during CPR?
1
Perform chest compressions
2
Deliver rescue breaths
Get AED if available and use it as soon as it arrives
Automatic External Defibrillator (AED) is a crucial tool for resuscitation efforts. If an AED is accessible, retrieve it immediately and bring it to the patient's side. Ensure the safety of the patient and responders before operating the AED. Follow the provided instructions and attach the AED pads to the patient's bare chest as demonstrated. The goal is to have the AED ready for potential defibrillation. How can you check the readiness and functionality of the AED? Are there any key steps to follow during its use?
1
Yes
2
No
1
Yes
2
No
Approval: Use of AED
Will be submitted for approval:
Get AED if available and use it as soon as it arrives
Will be submitted
If AED advises shock, make sure no one is touching or moving patient
If the AED analyzes the patient's rhythm and advises a shock, it is essential to ensure that no one is touching the patient to avoid injury. Confirm that the area is clear, and there are no metallic objects or liquids in contact with the patient. The desired outcome is a safe environment for delivering the defibrillation shock. How will you communicate with other responders to coordinate the safety precautions? Are there any potential hazards to look out for?
1
Yes
2
No
Administer shock
Follow the AED's instructions precisely when delivering the shock. Confirm that everyone is clear, ensuring no one is touching the patient. Press the shock button as directed, delivering the electric charge. Note down the exact time when the shock is administered. The goal is to effectively deliver the defibrillation shock according to the AED's instructions. How will you maintain clear communication and coordination during the shock administration? How can you ensure the effective operation of the AED?
1
Yes
2
No
Resume CPR after delivering the shock
Following the shock administration, resume CPR immediately. Continue with cycles of chest compressions and rescue breaths. Ensure the proper ratio is maintained, giving compressions at the correct rate and depth. The desired outcome is the resumption of effective CPR after the defibrillation shock. What are the key considerations during the transition from defibrillation to CPR? How can you ensure a smooth continuation of the resuscitation efforts?
1
Yes
2
No
Monitor patient vitals
Regularly assess and monitor the patient's vital signs during the resuscitation process. Check for any changes in breathing pattern, pulse, or level of consciousness. Document any significant observations or alterations in the patient's condition. The goal is to stay vigilant and responsive to any changes that may occur. How will you ensure accurate monitoring of vital signs? What actions will be taken in response to specific changes?
1
Breathing
2
Pulse
3
Consciousness
Document the incident and treatments provided
Accurate documentation of the incident and the treatments administered is essential for later evaluation and reporting. Record details such as the time interventions started, vital signs, medications administered, and any changes observed. This documentation helps in maintaining a comprehensive record of the event and supports continuity of care. The desired outcome is a well-documented and organized record of the resuscitation efforts. What is the appropriate format for recording the information? Are there any specific details that need to be included?
