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CPR/AED/FirstAidTrainingbyRobSundquist,MSATCLATDirectorofSportsMedicine/HeadAthleticTrainerCreekviewHighSchoolChainofSurvivalThechainofsurvivalarefourstepstohelpincreasethechancesofaninjuredpersonofsurvivingacardiacarrest.ChainofSurvival–steponeAfterdeterminingthatthereisaninjuryneedingadvancedcare;ifunconscioustapandshout.Call911–Questionsyouwillneedtoanswer:–Natureoftheemergency?–Whereareyou?–Howmanyarehurt?–Agesofwhois/arehurt–Whoareyou?–Hastreatmentstarted?–Onlyhangupwheninstructedtodosobyoperator.ChainofSurvival–steptwoBeginCPR–Mostadultcardiacarrests(CA)victimsheartisinventricularfibrillation(VF)-Abnormalchaoticheartrhythmthatpreventstheheartfrompumpingblood.–CPRwillnotusuallystopVFbutplaysanimportantpartinpushingoxygenatedbloodtothebrainandheartandprolongingVFsothatanAEDwillbeuseful.–CPRcandoubleortriplethevictimssurvivalrate–ForeverypassingminutewithoutCPR;rateofsurvivingdrops7-10%.–WithCPRthereisonlya3-4%dropeachminuteChainofSurvival–stepthreeUseanAED–TheuseoftheAEDwillstunthefibrillatingheart,iftheheartisstillviablethenormalpacemakersintheheartwillbeginfiringandstartanormalrhythm.–Ifusedwithin5min;chancesofsurvivalis49-75%.–UsinganAEDissimple.ChainofSurvival–stepfourAdvancedCare–EMS–Responsetimeis7-8minutes–CPRisextremelyimportant.HowtorecognizemajoremergenciesHeartAttackMyocardialinfarctionCoronaryheartdiseaseistheleadingcauseofdeathinournation.DuringMI-partofheartmuscleisstartingtodie.Causedbyablockageofanartery(coronary)duetobuildupofcholesteroldepositsorabloodclot.VictimsareusuallyawakeandcantalkbutfeelsseverepainMostcriticaltimeiswithinthefirst30minutesafterSxbegin.HeartAttackMostcommonsymptoms–Painorpressureinthecenterofthechest–whichlastmorethan3-5minutes.–Painmightfeelpressure,fullness,squeezing,orheaviness–Painmightspreadtoshoulder,neck,lowerjawanddownarm(usuallytheright).–Painlasts3-5minutes.Sometimeswillstutter,stopmomentarilybutthenbeginagain.OtherSx–lightheadedness,fainting,sweatingwithoutfever,nausea,shortnessofbreath–Mostvictimswilldownplaysymptoms,youmusttakeaction!!!–Call911,getthenearestAED,andhavethepersonrestinapositionthatiscomfortablewheretheycanbreatheeasily.Puttheminanareathatyoucangetthemtotheflooreasilyandparamedicscangetin.CardiacArrestWhentheheartstopsbeating.UsuallycausedbyVF,whichbeginswheretheheartmuscleisinjured.Withoutbloodflowandnopulsethepersonbecomesunconsciousandstopsbreathingandcollapses.VFandcardiacarrestmaybetheonlysymptomofaheartattack.AEDisonlythingthatwillstopaVFStrokeItsisarapidonsetofneurologicalproblemslikeweakness,paralysisinoneormorelimbs,difficultyspeaking,visualproblems,intensedizziness,facialweakness,alteredconsciousness,andsevereheadache.Twocauses–bloodvesseltobrainisblockedbyabloodclot–bloodvesseltobrainbreaks#3causeofdeathand#1causeofseriousdisabilityamongAmericansStrokeMostsignsoverlooked;threemajorsignstoobserve–facialdroop–armweakness–mostobviouswhenvictimattemptstoextendarmswitheyesclosed–oneorbothmaynotmoveverywell–speechdifficulties–slurringofwordsandsentences–Call911immediatelyifseesignsofstrokeProvideCPRifneededForeignbodyobstructionUsuallycausedbyfood,butcanbecausedbymanyobjectsMajorsigns–Universalchokingsignal–poorineffectivecoughs–inabilitytospeak–highpitchedsoundswhileinhaling–increaseddifficultybreath...

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