Basic Life Support (BLS) Healthcare Provider for the Adult Victim | CPR Certification Institute

CPR Certification Institute
12 Apr 201605:06
EducationalLearning
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TLDRThis video script from the CPR Certification Institute outlines the essential steps for healthcare provider Basic Life Support (BLS) for adult victims. It emphasizes the importance of quickly establishing unresponsiveness, checking for breathing, and initiating chest compressions at a rate of 100 per minute with a 30:2 compression to ventilation ratio. The script also highlights the critical role of using an AED as soon as possible in cases of cardiac arrest, stressing the need for rapid defibrillation to increase the chances of survival.

Takeaways
  • 🚨 Start by establishing unresponsiveness and checking for breathing in an adult victim.
  • 🔍 Look for a pulse in the carotid artery for no more than 10 seconds if the patient is not breathing.
  • 🚑 Call for help immediately if the patient is unresponsive and not breathing.
  • 💓 Begin chest compressions at a rate of at least 100 compressions per minute.
  • 🌬️ Use a compression to ventilation ratio of 30:2 during CPR for an adult.
  • 🆘 Quickly get an AED or defibrillator to the patient to administer shocks if necessary.
  • 🌟 Over 90% of adult cardiac arrests are due to V-fib or pulseless V-tach, requiring rapid defibrillation.
  • 🛠️ Adult cardiac arrest is a buy-time maneuver, keeping the patient in V-fib for a potential shock.
  • 🏥 Aim to shock the patient as quickly as possible to increase the chances of survival.
  • 📍 Place defibrillator pads high right and low left on the adult chest to create a 'heart sandwich'.
  • 🔧 The pads should be positioned to avoid implanted devices like pacemakers, typically placed under the left clavicle.
Q & A

  • What is the first step in the CPR process for an adult victim?

    -The first step is to establish unresponsiveness by calling out to the victim, such as saying 'Doctor, doctor, are you okay?'

  • How long should you observe the patient's chest for breathing?

    -You should observe the patient's chest for about five seconds to determine if they are breathing.

  • What should you do if the adult victim is not breathing?

    -If the adult victim is not breathing, you should call for help by shouting 'Code!' and request assistance to get an AED or defibrillator.

  • How much time should you spend checking for a carotid pulse?

    -You should spend no more than 10 seconds checking for a carotid pulse.

  • What is the recommended rate for chest compressions in adult CPR?

    -The recommended rate for chest compressions is at least 100 compressions per minute.

  • What is the compression to ventilation ratio for adult CPR?

    -The compression to ventilation ratio for adult CPR is 30 to 2.

  • What is the significance of rapid chest compressions in adult cardiac arrest cases?

    -Rapid chest compressions are crucial in adult cardiac arrest cases as over 90% are in ventricular fibrillation (V-fib) or pulseless ventricular tachycardia (V-tach), and rapid compressions help buy time to defibrillate the heart effectively.

  • How should you position the defibrillator pads on the adult chest?

    -The defibrillator pads should be placed high right and low left on the adult chest, creating a 'heart sandwich' to ensure the heart is between the pads for effective defibrillation.

  • What is the term used to describe the technique of placing the defibrillator pads high right and low left?

    -This technique is referred to as creating a 'heart sandwich' to ensure optimal energy transfer during defibrillation.

  • What should you do after applying the defibrillator pads?

    -After applying the pads, you should ensure the patient is clear of any contact, analyze the rhythm, and follow the defibrillator's prompts to stand clear and deliver the shock.

  • How often should you give rescue breaths during adult CPR if you are trained?

    -If you are trained in CPR, you should give two rescue breaths after every 30 chest compressions.

Outlines
00:00
🚑 CPR Certification Overview

This paragraph introduces the video's focus on health care provider Basic Life Support (BLS) for adult victims. Mark from the CPR Certification Institute reviews the essential steps for responding to an adult cardiac arrest, emphasizing the importance of establishing unresponsiveness, checking for breathing, and initiating CPR with a compression to ventilation ratio of 30:2. The video also stresses the need for rapid defibrillation, highlighting that over 90% of adult cardiac arrests are in ventricular fibrillation (V-fib) or pulseless ventricular tachycardia (V-tach), which can only be addressed by prompt CPR and defibrillation.

Mindmap
Keywords
💡CPR
CPR, or Cardiopulmonary Resuscitation, is an emergency medical procedure performed to save lives in situations where the heart has stopped. In the video, it's the primary technique discussed for the adult victim, emphasizing the importance of chest compressions and ventilations to maintain blood flow and oxygenation until further medical help arrives.
💡Unresponsiveness
Unresponsiveness refers to a state where a person does not respond to external stimuli, such as sound or touch. In the context of the video, establishing unresponsiveness is the first step in determining if CPR is needed, indicating that the patient is in a critical condition and requires immediate attention.
💡Breathing
Breathing is the process of inhaling and exhaling air, essential for life as it allows oxygen to enter the body and carbon dioxide to be expelled. In the video, checking for breathing is a crucial step to assess if the patient is receiving oxygen, which is vital before initiating CPR.
💡Carotid Pulse
The carotid pulse is the rhythmic beating felt in the carotid arteries of the neck, which can be used to determine if the heart is beating effectively. In the video, checking for a carotid pulse is part of the initial assessment to confirm if the patient requires CPR, with a strict time limit of not more than 10 seconds to avoid delaying life-saving measures.
💡AED
An AED, or Automated External Defibrillator, is a portable device that analyzes heart rhythms and delivers electrical shocks to the heart in cases of cardiac arrest. In the video, the AED is critical for delivering potentially life-saving shocks to a patient in cardiac arrest, emphasizing the need to apply it as quickly as possible.
💡Compression to Ventilation Ratio
The compression to ventilation ratio refers to the number of chest compressions given compared to the number of breaths provided during CPR. In the video, the recommended ratio for adults is 30 compressions to 2 breaths, which is designed to maximize blood flow and minimize interruptions in chest compressions.
💡Defibrillator
A defibrillator is a medical device used to restore a normal heart rhythm by delivering an electric shock to the heart. In the video, the defibrillator is essential for treating certain life-threatening heart conditions, and its application is a critical step in the CPR process for adult victims.
💡V-Fib and Pulseless V-Tach
V-Fib (ventricular fibrillation) and pulseless v-tachycardia (pulseless v-tach) are two types of life-threatening cardiac arrhythmias where the heart's normal rhythm is severely disrupted. In the video, these conditions are highlighted as the most common causes of adult cardiac arrest, and rapid defibrillation with an AED or manual defibrillator is the only effective treatment.
💡Cardiac Arrest
Cardiac arrest is a sudden loss of heart function, characterized by the heart's inability to pump blood effectively, leading to the rapid onset of clinical death. In the video, cardiac arrest is the critical medical emergency that the CPR techniques are aimed at addressing, with the goal of maintaining life until further medical intervention can occur.
💡Defibrillation
Defibrillation is the process of applying an electric shock to the heart to restore a normal heart rhythm in cases of cardiac arrest or certain arrhythmias. In the video, defibrillation is portrayed as a critical intervention that can save lives by correcting abnormal heart rhythms, with the use of an AED or manual defibrillator.
💡Healthcare Provider BLS
Healthcare Provider Basic Life Support (BLS) refers to a set of skills and knowledge required for healthcare professionals to provide basic life support to patients in cardiac or respiratory emergencies. In the video, the focus is on the BLS skills specific to adult victims, outlining the steps and techniques for effective CPR and defibrillation.
Highlights

Reviewing health care provider BLS for adult victims.

Establishing unresponsiveness and checking for breathing.

Calling a code and getting help for non-breathing patients.

Checking for carotid pulse within a 10-second timeframe.

Initiating chest compressions at a rate of at least 100 per minute.

Maintaining a compression to ventilation ratio of 30 to 2.

Deploying an AED or defibrillator as quickly as possible.

A scenario demonstration with a man brought to the ER.

The importance of not exceeding 10 seconds when checking for pulse.

Starting CPR when there's no pulse detected.

The ratio of 30 compressions to 2 breaths in CPR.

The correct depth for chest compressions.

The rate of compressions should be at least 100 per minute.

The majority of adult cardiac arrests are in v-fib or pulseless v-tach.

CPR is a buy-time maneuver to keep the patient in v-fib for defibrillation.

The placement of defibrillator pads high right and low left.

Creating a 'heart sandwich' with the pads for effective defibrillation.

Analyzing rhythm and delivering a shock with the AED.

The CPR Certification Institute's video concludes with a reminder to follow on social media.

Transcripts

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CPR TechniquesHealthcare ProvidersLife-Saving SkillsAdult Cardiac ArrestAED ApplicationEmergency ResponseMedical TrainingChest CompressionsVentilation RatioDefibrillator Pads