Agenda

Nurses Educational Opportunities provides BLS classes Monday through Saturday each week. An appointment is required and can be obtained by calling the office in San Diego or Orange County. At the designated appointment time you will be asked to watch a video, take the written test, and demonstrate skills. This First Responder prestudy guide in conjunction with the American Heart Association (AHA) Basic Life Support Text will nicely prepare you for your upcoming class. You must have the new 2010 AHA BLS textbook at the time of the class. This text book is available for an additional charge in both offices. The text book can be shipped to you. An American Heart Association provider card will be presented to you at the completion of the class. Recertification courses require presentation of your recent BLS provider card. A copy of that will also be accepted if you do not have the original. Lay rescuers may provide Hands-Only CPR (chest compressions only) once the recognition of unresponsiveness is acknowledged and after 911 is notified. Lay rescuers are not required to check the victims pulse, open the airway or give rescue breaths. (2010 Update) Healthcare Professionals should be trained BLS with the 2010 AHA updates which are described in NEOs First Responder study guide. Recognition of signs and symptoms for the following life threatening situations is imperative to know: Acute Coronary Syndrome (Heart attack) Acute Cerebral Vascular Accident (Stroke) Foreign Body Airway Obstruction Cardiac Arrest

2012 American Heart Association Guidelines Basic Life Support

Push Hard Push Fast Save Lives

Objectives
At the end of the course the participant will be able to demonstrate the BLS 2010 updated skills using the adult, child, and infant manikins. They are as follows: Describe the links in the AHA Chain of Survival, including Early recognition of the need for BLS Activating emergency response Performing BLS starting with Chest Compressions Early defibrillation with the AED or manual defibrillator Describe the steps of CPR Recognition In less than 10 seconds, check the pulse Immediate High Quality Chest Compressions Push Hard Push Fast Allow the chest to recoil Minimize interruptions Open the airway and provide ventilations Describe the signs and symptoms of 4 major emergencies in adults Heart attack (ACS) Stroke (ACVA) Cardiac arrest Foreign-Body Airway Obstruction In addition, the participant will be able to demonstrate the following skills using an adult, infant, or child manikin Rescue breathing Mouth-to-mouth Mouth-to-mask Bag-mask: adult, child, infant Use of an AED for adults as well as children Relief of FBAO in the responsive and unresponsive victim of any age. 3

Life Threatening Emergencies

The major components of the circulatory system are the heart, arteries and veins. The heart pumps blood to the arteries. The arteries take the oxygenated blood to the muscles. The veins take blood back to the heart, thus releasing carbon dioxide in the lungs. When a person goes into cardiac arrest their circulatory system is no longer moving oxygen via the blood through the body. When you give a person rescue breaths you are pushing oxygen into the lungs. When you give a person chest compressions you cause the heart to pump so that it can move the blood in its normal path and keep the person oxygenated. Immediate Chest Compressions are imperative to provide a flow of oxygen-rich blood to the heart and brain and buys time until defibrillation. The rescuer should not take the time to open the airway, look, listen and feel for the rise and fall the chest, and should not provide rescue breaths. That takes too long!!! Immediate chest compressions are needed to keep the oxygen rich blood pumping to the heart. Instead of AIRWAY BREATHING CHEST COMPRESSIONS (ABCS) we should now focus on CHEST COMPESSIONS AIRWAY BREATHING (CAB).(2010 Update) The Four Life Threatening Adult Emergencies are as follows: Cardiac Arrest In cardiac arrest circulation ceases and vital organs do not get enough oxygen. Therefore, the victim will not be breathing and will not have a pulse. Victims of early cardiac arrest will often have agonal breathing.