ProCPR.org

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Now, we're going to cover 2 rescuer CPR for the child patient for the healthcare provider.

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We're still gonna make sure our scene is safe, our gloves are on,

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and our CPR shield is available with the one way valve.

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We assess the patient for responsiveness, and look to see if they are breathing normally,

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or not breathing, or not breathing normally.

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Once we've indicated they are not breathing normally or not breathing at all,

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we call for 911 or activate the Emergency Medical Response system.

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We then are gonna do a head-tilt-chin-lift in order to reveal the carotid neck artery.

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I check for a pulse for no more than 10 seconds, I can not easily palpate a carotid pulse.

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The patient's not moving, not breathing, no pulse.

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Begin CPR.

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30 Compressions to 2 Respirations with my mask.

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I'm gonna do this until my second rescuer comes in, who's trained.

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At which point they're gonna take over chest compressions.

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I'm gonna move to the head, ideally they brought equipment.

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Now, the best case scenario is they brought an AED, and a bag-valve mask, or a crash cart.

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But in this case he brings back a BVM, that's better than nothing, in fact it's really cool because it's

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room air with no C02. So we are going to be benefitting this patient.

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The difference when we move to 2 rescuer CPR is that instead of giving 30 compressions to 2 breaths

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We're now going to move this up to 15 compressions and 2 breaths.

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Thereby, giving the patient more compressions, more respirations in 2 minutes.

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So this is a way for us to give the patient more compressions and more respirations in two minutes

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while not getting as tired because we have help.

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So, I squeeze in the two breaths, he continues with 15 more compressions.

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About 2-4 minutes later, he's probably going to get tired and say "I gotta switch."

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At which point, I'm gonna give 2 more breaths: BOOM BOOM, I get good chest rise and fall,

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He melts away to the back allowing me to move towards the side of the patient.

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He gets in position, I have give the bag, and I begin the 15 compressions.

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(1-2-3-4-5)

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One third the depth of the chest, for the right depth of CPR compressions.

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After 15 he delivers the 2

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and we keep volleying this back an forth until an AED arrives, crash cart arrives, EMS arrives,

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or more trained individuals come to help.

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Scene is safe, gloves are on, CPR shield's available.

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Child are you okay?

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Can you hear me? No response, they don't appear to be breathing normally.

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You in the plaid shirt! Please go call 911, activate EMS, or call a code and come back, I might need your help.

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Bring any equipment with you that you can as well please.

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Checking for a carotid pulse.

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No more than 10 seconds...I do not easily find a pulse.

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This patient is not breathing, I begin my 30 compressions.

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(1-2-3-4-5-6-7-8-9-10)

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(11-12-13-14-15-16-17-18-19-20)

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(21-22-23-24-25-26-27-28-29-30)

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Great, lets go ahead and switch here, you can take over compressions I'll give 2 breaths right now.

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(1-2)

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(1-2-3-4-5-6-7-8-9-10-11-12-13-14-15)

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(1-2)

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(1-2-3-4-5-6-7-8-9)

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SWITCH!

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(13-14-15)

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(1-2)

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Less than 10 seconds to make the switch. Begin compressions.

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(1-2-3-4-5-6)

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Up to 15...2 more respirations, followed by 15.

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We going to continue this until an AED arrives, crash cart arrives, or EMS takes over.