Hands-Only CPR Training Video
All Videos > Cardiac Arrest Training > Hands-Only CPR
Length: 7 min 7 sec
Related Videos
Show Transcript
1
00:00:02,003 --> 00:00:05,054
Now let's talk about something that's quite near-and-dear to my heart.
2
00:00:05,054 --> 00:00:08,042
It's really picking up a lot of traction
3
00:00:08,042 --> 00:00:11,079
in regards to the simplicity of what to do
4
00:00:11,079 --> 00:00:17,019
when coming across a cardiac arrest victim outside of a hospital setting,
5
00:00:17,019 --> 00:00:21,024
and it's a bystander who may not have any training at all.
6
00:00:21,024 --> 00:00:23,071
Now for years and years, I've always said,
7
00:00:23,071 --> 00:00:27,075
anything is better than nothing when you're responding to a medical emergency.
8
00:00:27,075 --> 00:00:31,062
In fact, one of the biggest problems we have in bystander-CPR
9
00:00:31,062 --> 00:00:33,060
is not that they're doing CPR wrongly,
10
00:00:33,060 --> 00:00:36,088
it's that they're not doing CPR at all.
11
00:00:36,088 --> 00:00:39,034
So, in hands-only CPR,
12
00:00:39,034 --> 00:00:41,078
which has been termed by the American Heart Association,
13
00:00:41,078 --> 00:00:46,013
it's also known as compression-only CPR.
14
00:00:46,013 --> 00:00:47,092
The one differentiation that I'd like to make there
15
00:00:47,092 --> 00:00:50,049
is that "compression-only CPR"
16
00:00:50,049 --> 00:00:53,057
is a little bit of a contradicting term,
17
00:00:53,057 --> 00:00:58,083
in so much as it's "compression-only" with no resuscitation respirations.
18
00:00:58,083 --> 00:01:02,065
So, we're looking at compression-only cardiopulmonary resuscitation.
19
00:01:02,065 --> 00:01:08,014
I think it might be better termed "compression-only resuscitation."
20
00:01:08,014 --> 00:01:12,063
In this effect, one of the concerns that I have about compression-only CPR
21
00:01:12,063 --> 00:01:15,073
is if you're able to do full CPR
22
00:01:15,073 --> 00:01:17,090
because you have personal protective equipment,
23
00:01:17,090 --> 00:01:19,094
do not fear contagious diseases,
24
00:01:19,094 --> 00:01:22,041
and you have the abilty to learn something
25
00:01:22,041 --> 00:01:28,011
as simple as 30 compressions followed by two breaths,
26
00:01:28,011 --> 00:01:33,090
that's the optimal way to deliver a life-saving skill like CPR.
27
00:01:33,090 --> 00:01:38,096
Compression-only resuscitation circulates only, really,
28
00:01:38,096 --> 00:01:43,010
at this point, the residual oxygen already within the body,
29
00:01:43,010 --> 00:01:46,044
with a lot of still hit-and-miss studies coming back
30
00:01:46,044 --> 00:01:49,023
about how much oxygen and carbon dioxide
31
00:01:49,023 --> 00:01:53,037
is being exchanged in order to oxygenate this body
32
00:01:53,037 --> 00:01:58,025
and keep the body in what we call a hemodynamically-stable position,
33
00:01:58,025 --> 00:02:03,044
so that they respond to defibrillation and life saving medications.
34
00:02:03,044 --> 00:02:07,076
So, if you're able to sign up with ProCPR or ProFirstAid
35
00:02:07,076 --> 00:02:10,004
and get on the weekly email list,
36
00:02:10,004 --> 00:02:14,092
we're going to send you free email reminder videos every week in your inbox
37
00:02:14,092 --> 00:02:17,036
to keep you fresh with any of the videos
38
00:02:17,036 --> 00:02:20,069
on how to do this life saving skill we call CPR.
39
00:02:20,069 --> 00:02:25,076
In my opinion, that's the best thing you can do for anyone in cardiac arrest.
40
00:02:25,076 --> 00:02:27,059
But in the worst-case scenerio,
41
00:02:27,059 --> 00:02:30,056
if a person was bleeding from the mouth,
42
00:02:30,056 --> 00:02:33,047
you did not have personal protective equipment,
43
00:02:33,047 --> 00:02:37,085
a person maybe did not know how to do CPR at all,
44
00:02:37,085 --> 00:02:44,053
the science is really promoting that if we do fast and hard chest compressions
45
00:02:44,053 --> 00:02:47,079
of a hundred compressions, or more, in a minute,
46
00:02:47,079 --> 00:02:52,013
with deep, two-inch-plus compressions, over and over,
47
00:02:52,013 --> 00:02:54,045
that the science that is there
48
00:02:54,045 --> 00:02:55,098
-- which is quite small at this time --
49
00:02:55,098 --> 00:02:59,021
but at least there is some positive science that says
50
00:02:59,021 --> 00:03:01,072
it does circulate some oxygen to the brain,
51
00:03:01,072 --> 00:03:04,032
the heart, and potentially some vascular organs
52
00:03:04,032 --> 00:03:08,004
for a few minutes in the first minutes of cardiac arrest.
53
00:03:08,004 --> 00:03:10,090
This is specifically designed for patients
54
00:03:10,090 --> 00:03:14,051
who were witnessed in going down in cardiac arrest.
55
00:03:14,051 --> 00:03:18,062
So, this is the way that this compression-only resuscitation works:
56
00:03:18,062 --> 00:03:21,093
It's outside the hospital, we see someone collapse,
57
00:03:21,093 --> 00:03:23,061
we repsond to them,
58
00:03:23,061 --> 00:03:25,019
and we ask if they're alright, are they okay.
59
00:03:25,019 --> 00:03:27,022
"Can you hear me?" There's no response,
60
00:03:27,022 --> 00:03:31,016
they do not appear to be moving breathing or making noises.
61
00:03:31,016 --> 00:03:37,024
Instantly we activate the Emergency Medical Response team, 911, or the ambulance,
62
00:03:37,024 --> 00:03:40,052
and we go right into compressions.
63
00:03:40,052 --> 00:03:43,058
No gloves are needed in hopes that there's no blood
64
00:03:43,058 --> 00:03:47,047
or body fluid in the thoracic cavity of the chest.
65
00:03:47,047 --> 00:03:50,074
Now were going to lock our fingers, lock our elbows,
66
00:03:50,074 --> 00:03:51,093
and with the palm of the hand,
67
00:03:51,093 --> 00:03:53,089
were going to go at least two inches,
68
00:03:53,089 --> 00:03:57,077
and we're going to go at least 100 compressions-per-minute.
69
00:03:57,077 --> 00:04:01,029
And, we're going to continue these fast and hard chest compressions
70
00:04:01,029 --> 00:04:04,031
over, and over, and over, and over, and over,
71
00:04:04,031 --> 00:04:06,014
until help arrives,
72
00:04:06,014 --> 00:04:09,015
or someone with equal, or better, training takes over.
73
00:04:09,015 --> 00:04:10,077
Please make a note, though:
74
00:04:10,077 --> 00:04:15,021
it is so easy to combine simple rescue-breaths
75
00:04:15,021 --> 00:04:16,095
with a head-tilt, chin-lift,
76
00:04:16,095 --> 00:04:18,094
pinch-the-nose, open-the-mouth,
77
00:04:18,094 --> 00:04:21,026
seal-the-mouth, give-two-breaths,
78
00:04:21,026 --> 00:04:22,096
and circulate that around,
79
00:04:22,096 --> 00:04:25,021
that until we have more science
80
00:04:25,021 --> 00:04:29,092
backing that the cardiac compression-only resuscitative efforts
81
00:04:29,092 --> 00:04:32,071
are equally as good for long-term CPR,
82
00:04:32,071 --> 00:04:35,001
or for CPR in general,
83
00:04:35,001 --> 00:04:36,048
get the training.
84
00:04:36,048 --> 00:04:38,075
It's going to be the best way to do CPR,
85
00:04:38,075 --> 00:04:41,060
to give your loved one, or someone else's loved one,
86
00:04:41,060 --> 00:04:42,095
the best chance of survival.
87
00:04:42,095 --> 00:04:44,071
But if you don't know anything at all,
88
00:04:44,071 --> 00:04:46,022
and you want to try to help,
89
00:04:46,022 --> 00:04:49,038
at least start compression-only resuscitation,
90
00:04:49,038 --> 00:04:52,048
and do 100 compressions per minute, or more,
91
00:04:52,048 --> 00:04:57,039
as deep as you can, as fast as you can, after calling 911.
92
00:04:57,039 --> 00:04:59,043
And, hopefully, help will be just around the corner
93
00:04:59,043 --> 00:05:00,074
and can take over from there.
94
00:05:03,050 --> 00:05:06,014
"Sir, sir, are you okay? Are you okay?"
95
00:05:16,060 --> 00:05:20,061
"Yes, hi, this is Roy Shaw, I am in Grand Rapids, Michigan."
96
00:05:20,061 --> 00:05:24,029
"I'm on the scene right now of a man who collapsed in front of me."
97
00:05:24,029 --> 00:05:26,088
"I came over to ask him if he's okay, and he doesn't respond."
98
00:05:28,025 --> 00:05:29,080
"No, no, he's not breathing."
99
00:05:30,077 --> 00:05:32,036
"No, he's not moving."
100
00:05:33,015 --> 00:05:35,006
"Yeah, I know how to do hands-only CPR."
101
00:05:36,013 --> 00:05:36,098
"Okay."
102
00:05:46,002 --> 00:05:49,026
And that's about it. That's about as difficult as it gets.
103
00:05:49,026 --> 00:05:54,092
This is a skill that's going to become extremely exhausting.
104
00:05:55,046 --> 00:05:56,087
Give me about two minutes
105
00:05:56,087 --> 00:06:00,019
of a hundred compressions or more per minute,
106
00:06:00,019 --> 00:06:02,007
and I dont care what kind of shape you're in,
107
00:06:02,007 --> 00:06:03,069
it gets exhausting.
108
00:06:03,069 --> 00:06:05,094
Ideally a Good Samaritan,
109
00:06:05,094 --> 00:06:07,080
though they be few,
110
00:06:07,080 --> 00:06:09,064
one out of ten maybe,
111
00:06:09,064 --> 00:06:11,089
someone should hopefully stop,
112
00:06:11,089 --> 00:06:13,021
and if they do,
113
00:06:13,021 --> 00:06:14,073
if they don't know what to do,
114
00:06:14,073 --> 00:06:17,071
it's easy for you to show them to do chest compressions,
115
00:06:17,071 --> 00:06:18,082
where to do the chest compressions,
116
00:06:18,082 --> 00:06:20,017
how deep to do the chest compressions,
117
00:06:20,017 --> 00:06:22,071
and how fast to do the chest compressions.
118
00:06:22,071 --> 00:06:24,044
Compared to no CPR at all,
119
00:06:24,044 --> 00:06:26,081
this is at least better than nothing.
120
00:06:27,087 --> 00:06:30,092
An ideal situation in a city setting,
121
00:06:30,092 --> 00:06:35,041
you have two, to three, to four minutes max, after a 911 call.
122
00:06:35,041 --> 00:06:37,092
You're going to get first responders on scene,
123
00:06:37,092 --> 00:06:41,077
professionally trained and able to help bring an AED and take over.
124
00:06:41,077 --> 00:06:43,042
But while you have a bystander
125
00:06:43,042 --> 00:06:44,058
if there is a delay in response,
126
00:06:44,058 --> 00:06:46,052
and you're becoming exhausted,
127
00:06:46,052 --> 00:06:49,023
ideally the other person will be able to take over for you
128
00:06:49,023 --> 00:06:52,099
so that you're not compromising the depth or the rate of the compression
129
00:06:52,099 --> 00:06:57,010
in order to keep those blood pressures up as much as possible,
130
00:06:57,010 --> 00:06:58,077
circulating as much as possible,
131
00:06:58,077 --> 00:07:01,039
buying time for this person to survive.
00:00:02,003 --> 00:00:05,054
Now let's talk about something that's quite near-and-dear to my heart.
2
00:00:05,054 --> 00:00:08,042
It's really picking up a lot of traction
3
00:00:08,042 --> 00:00:11,079
in regards to the simplicity of what to do
4
00:00:11,079 --> 00:00:17,019
when coming across a cardiac arrest victim outside of a hospital setting,
5
00:00:17,019 --> 00:00:21,024
and it's a bystander who may not have any training at all.
6
00:00:21,024 --> 00:00:23,071
Now for years and years, I've always said,
7
00:00:23,071 --> 00:00:27,075
anything is better than nothing when you're responding to a medical emergency.
8
00:00:27,075 --> 00:00:31,062
In fact, one of the biggest problems we have in bystander-CPR
9
00:00:31,062 --> 00:00:33,060
is not that they're doing CPR wrongly,
10
00:00:33,060 --> 00:00:36,088
it's that they're not doing CPR at all.
11
00:00:36,088 --> 00:00:39,034
So, in hands-only CPR,
12
00:00:39,034 --> 00:00:41,078
which has been termed by the American Heart Association,
13
00:00:41,078 --> 00:00:46,013
it's also known as compression-only CPR.
14
00:00:46,013 --> 00:00:47,092
The one differentiation that I'd like to make there
15
00:00:47,092 --> 00:00:50,049
is that "compression-only CPR"
16
00:00:50,049 --> 00:00:53,057
is a little bit of a contradicting term,
17
00:00:53,057 --> 00:00:58,083
in so much as it's "compression-only" with no resuscitation respirations.
18
00:00:58,083 --> 00:01:02,065
So, we're looking at compression-only cardiopulmonary resuscitation.
19
00:01:02,065 --> 00:01:08,014
I think it might be better termed "compression-only resuscitation."
20
00:01:08,014 --> 00:01:12,063
In this effect, one of the concerns that I have about compression-only CPR
21
00:01:12,063 --> 00:01:15,073
is if you're able to do full CPR
22
00:01:15,073 --> 00:01:17,090
because you have personal protective equipment,
23
00:01:17,090 --> 00:01:19,094
do not fear contagious diseases,
24
00:01:19,094 --> 00:01:22,041
and you have the abilty to learn something
25
00:01:22,041 --> 00:01:28,011
as simple as 30 compressions followed by two breaths,
26
00:01:28,011 --> 00:01:33,090
that's the optimal way to deliver a life-saving skill like CPR.
27
00:01:33,090 --> 00:01:38,096
Compression-only resuscitation circulates only, really,
28
00:01:38,096 --> 00:01:43,010
at this point, the residual oxygen already within the body,
29
00:01:43,010 --> 00:01:46,044
with a lot of still hit-and-miss studies coming back
30
00:01:46,044 --> 00:01:49,023
about how much oxygen and carbon dioxide
31
00:01:49,023 --> 00:01:53,037
is being exchanged in order to oxygenate this body
32
00:01:53,037 --> 00:01:58,025
and keep the body in what we call a hemodynamically-stable position,
33
00:01:58,025 --> 00:02:03,044
so that they respond to defibrillation and life saving medications.
34
00:02:03,044 --> 00:02:07,076
So, if you're able to sign up with ProCPR or ProFirstAid
35
00:02:07,076 --> 00:02:10,004
and get on the weekly email list,
36
00:02:10,004 --> 00:02:14,092
we're going to send you free email reminder videos every week in your inbox
37
00:02:14,092 --> 00:02:17,036
to keep you fresh with any of the videos
38
00:02:17,036 --> 00:02:20,069
on how to do this life saving skill we call CPR.
39
00:02:20,069 --> 00:02:25,076
In my opinion, that's the best thing you can do for anyone in cardiac arrest.
40
00:02:25,076 --> 00:02:27,059
But in the worst-case scenerio,
41
00:02:27,059 --> 00:02:30,056
if a person was bleeding from the mouth,
42
00:02:30,056 --> 00:02:33,047
you did not have personal protective equipment,
43
00:02:33,047 --> 00:02:37,085
a person maybe did not know how to do CPR at all,
44
00:02:37,085 --> 00:02:44,053
the science is really promoting that if we do fast and hard chest compressions
45
00:02:44,053 --> 00:02:47,079
of a hundred compressions, or more, in a minute,
46
00:02:47,079 --> 00:02:52,013
with deep, two-inch-plus compressions, over and over,
47
00:02:52,013 --> 00:02:54,045
that the science that is there
48
00:02:54,045 --> 00:02:55,098
-- which is quite small at this time --
49
00:02:55,098 --> 00:02:59,021
but at least there is some positive science that says
50
00:02:59,021 --> 00:03:01,072
it does circulate some oxygen to the brain,
51
00:03:01,072 --> 00:03:04,032
the heart, and potentially some vascular organs
52
00:03:04,032 --> 00:03:08,004
for a few minutes in the first minutes of cardiac arrest.
53
00:03:08,004 --> 00:03:10,090
This is specifically designed for patients
54
00:03:10,090 --> 00:03:14,051
who were witnessed in going down in cardiac arrest.
55
00:03:14,051 --> 00:03:18,062
So, this is the way that this compression-only resuscitation works:
56
00:03:18,062 --> 00:03:21,093
It's outside the hospital, we see someone collapse,
57
00:03:21,093 --> 00:03:23,061
we repsond to them,
58
00:03:23,061 --> 00:03:25,019
and we ask if they're alright, are they okay.
59
00:03:25,019 --> 00:03:27,022
"Can you hear me?" There's no response,
60
00:03:27,022 --> 00:03:31,016
they do not appear to be moving breathing or making noises.
61
00:03:31,016 --> 00:03:37,024
Instantly we activate the Emergency Medical Response team, 911, or the ambulance,
62
00:03:37,024 --> 00:03:40,052
and we go right into compressions.
63
00:03:40,052 --> 00:03:43,058
No gloves are needed in hopes that there's no blood
64
00:03:43,058 --> 00:03:47,047
or body fluid in the thoracic cavity of the chest.
65
00:03:47,047 --> 00:03:50,074
Now were going to lock our fingers, lock our elbows,
66
00:03:50,074 --> 00:03:51,093
and with the palm of the hand,
67
00:03:51,093 --> 00:03:53,089
were going to go at least two inches,
68
00:03:53,089 --> 00:03:57,077
and we're going to go at least 100 compressions-per-minute.
69
00:03:57,077 --> 00:04:01,029
And, we're going to continue these fast and hard chest compressions
70
00:04:01,029 --> 00:04:04,031
over, and over, and over, and over, and over,
71
00:04:04,031 --> 00:04:06,014
until help arrives,
72
00:04:06,014 --> 00:04:09,015
or someone with equal, or better, training takes over.
73
00:04:09,015 --> 00:04:10,077
Please make a note, though:
74
00:04:10,077 --> 00:04:15,021
it is so easy to combine simple rescue-breaths
75
00:04:15,021 --> 00:04:16,095
with a head-tilt, chin-lift,
76
00:04:16,095 --> 00:04:18,094
pinch-the-nose, open-the-mouth,
77
00:04:18,094 --> 00:04:21,026
seal-the-mouth, give-two-breaths,
78
00:04:21,026 --> 00:04:22,096
and circulate that around,
79
00:04:22,096 --> 00:04:25,021
that until we have more science
80
00:04:25,021 --> 00:04:29,092
backing that the cardiac compression-only resuscitative efforts
81
00:04:29,092 --> 00:04:32,071
are equally as good for long-term CPR,
82
00:04:32,071 --> 00:04:35,001
or for CPR in general,
83
00:04:35,001 --> 00:04:36,048
get the training.
84
00:04:36,048 --> 00:04:38,075
It's going to be the best way to do CPR,
85
00:04:38,075 --> 00:04:41,060
to give your loved one, or someone else's loved one,
86
00:04:41,060 --> 00:04:42,095
the best chance of survival.
87
00:04:42,095 --> 00:04:44,071
But if you don't know anything at all,
88
00:04:44,071 --> 00:04:46,022
and you want to try to help,
89
00:04:46,022 --> 00:04:49,038
at least start compression-only resuscitation,
90
00:04:49,038 --> 00:04:52,048
and do 100 compressions per minute, or more,
91
00:04:52,048 --> 00:04:57,039
as deep as you can, as fast as you can, after calling 911.
92
00:04:57,039 --> 00:04:59,043
And, hopefully, help will be just around the corner
93
00:04:59,043 --> 00:05:00,074
and can take over from there.
94
00:05:03,050 --> 00:05:06,014
"Sir, sir, are you okay? Are you okay?"
95
00:05:16,060 --> 00:05:20,061
"Yes, hi, this is Roy Shaw, I am in Grand Rapids, Michigan."
96
00:05:20,061 --> 00:05:24,029
"I'm on the scene right now of a man who collapsed in front of me."
97
00:05:24,029 --> 00:05:26,088
"I came over to ask him if he's okay, and he doesn't respond."
98
00:05:28,025 --> 00:05:29,080
"No, no, he's not breathing."
99
00:05:30,077 --> 00:05:32,036
"No, he's not moving."
100
00:05:33,015 --> 00:05:35,006
"Yeah, I know how to do hands-only CPR."
101
00:05:36,013 --> 00:05:36,098
"Okay."
102
00:05:46,002 --> 00:05:49,026
And that's about it. That's about as difficult as it gets.
103
00:05:49,026 --> 00:05:54,092
This is a skill that's going to become extremely exhausting.
104
00:05:55,046 --> 00:05:56,087
Give me about two minutes
105
00:05:56,087 --> 00:06:00,019
of a hundred compressions or more per minute,
106
00:06:00,019 --> 00:06:02,007
and I dont care what kind of shape you're in,
107
00:06:02,007 --> 00:06:03,069
it gets exhausting.
108
00:06:03,069 --> 00:06:05,094
Ideally a Good Samaritan,
109
00:06:05,094 --> 00:06:07,080
though they be few,
110
00:06:07,080 --> 00:06:09,064
one out of ten maybe,
111
00:06:09,064 --> 00:06:11,089
someone should hopefully stop,
112
00:06:11,089 --> 00:06:13,021
and if they do,
113
00:06:13,021 --> 00:06:14,073
if they don't know what to do,
114
00:06:14,073 --> 00:06:17,071
it's easy for you to show them to do chest compressions,
115
00:06:17,071 --> 00:06:18,082
where to do the chest compressions,
116
00:06:18,082 --> 00:06:20,017
how deep to do the chest compressions,
117
00:06:20,017 --> 00:06:22,071
and how fast to do the chest compressions.
118
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Compared to no CPR at all,
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this is at least better than nothing.
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An ideal situation in a city setting,
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you have two, to three, to four minutes max, after a 911 call.
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You're going to get first responders on scene,
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professionally trained and able to help bring an AED and take over.
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But while you have a bystander
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if there is a delay in response,
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and you're becoming exhausted,
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ideally the other person will be able to take over for you
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so that you're not compromising the depth or the rate of the compression
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in order to keep those blood pressures up as much as possible,
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circulating as much as possible,
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buying time for this person to survive.
Hands-Only CPR Training Summary:
Hands-only CPR helps encourage lay rescuers to get involved who may not otherwise help. Rescuers deliver at least 2 inch deep compressions at a rate of at least 100 compressions per minute without the need to deliver rescue breaths in between. Hands-only CPR eliminates the fear of transmitting disease by removing the mouth-to-mouth component of CPR.
