How to perform CPR and use a defibrillator

Sunderland Echo

Life-saving information from the Red Sky Foundation and North East Ambulance Service

Transcript

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01:06 [INAUDIBLE]

01:16 >> My God, it's a child.

01:29 >> Never, never would happen to a child.

01:31 This is why you do the training.

01:33 [MUSIC]

01:43 >> Like 15, 20 minutes, and just collapse on the beach.

01:52 [MUSIC]

01:55 >> Analyzing.

01:59 No shock.

02:00 >> We've got him back.

02:01 We've got him back.

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02:12 [INAUDIBLE]

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02:32 [MUSIC]

02:42 >> Hello, I'm Sergio Petrucci of Red Sky Foundation.

02:58 We're here today to show you exactly what to do in a real life situation should a medical

03:03 emergency occur.

03:04 If someone is having a sudden cardiac arrest, we're here to show you exactly what to do

03:08 should that situation arise.

03:11 I'm here with Paul Brolley from our partners at the NHS and the Northeast Ambulance Service

03:16 who are going to deliver and demonstrate a full educational session so you understand

03:21 exactly what to do and you have the skills to deliver CPR and successful early defibrillation.

03:27 >> Thank you, Sergio.

03:30 I'm Paul Brolley from Northeast Ambulance Service.

03:32 I'm a training officer.

03:33 I'm here just to break the scenes right into a simple format for you to do on a real life

03:38 situation if this ever does happen.

03:41 And the main thing is you've seen on the photo page that people were calling 999.

03:44 That's what we want from an ambulance service at a medical incident, get that phone call

03:48 going as quickly as possible.

03:50 Then the intervention of people doing CPR, which will help this person regain life or

03:56 give at least the ambulance service something that they can work on and hopefully get that

03:59 person to hospital.

04:01 So there is four links to that, which is ringing the 999, doing effective CPR, which I'm going

04:06 to demonstrate, getting a defibrillator, again, get a defibrillator from anywhere and get

04:11 that onto that person as quickly as possible.

04:14 And then from there, the ambulance service will take the person off to hospital and hopefully

04:19 we get a good ending from that overall episode.

04:23 So CPR itself, if we find ourselves come up to the incident, just like you've seen on

04:28 the photo page, we need to do various checks.

04:31 The main thing is checking for danger, danger to ourselves, danger around the individual.

04:36 This might happen at home, this might happen on the streets and it might happen on the

04:39 photo page as you've just seen.

04:41 So danger itself, we're looking all around, making sure there's no danger to me.

04:45 If there is any danger to me, we don't proceed.

04:47 We step back and make that 999 call.

04:51 After that, once we're happy we're safe, we need to check on this individual to see if

04:55 they're okay.

04:56 So what we want to do is see if we get some form of reaction.

04:59 It could be someone sleeping.

05:00 So we just want to give them a little tap on the shoulders and see if we get them moving.

05:05 So we just get down beside our patient and just tap and chat to them.

05:09 "Hello, can you hear me?

05:10 Can you open your eyes?"

05:12 We give them some simple words of command.

05:15 Hopefully that individual will open their eyes.

05:17 Then we know it's not a real 999 situation, but it could be something wrong with them,

05:22 which means we need to follow up with maybe a 111 call or getting this individual off

05:27 to a medical centre of some sort.

05:30 If we don't get any reaction to that individual, that's when you would call in your bystanders,

05:35 just as you've seen on the photo page there.

05:37 People will get their mobile phones out and start ringing 999.

05:40 For me now, I need to go into my ABCs.

05:43 A is for airway.

05:44 So we check the response.

05:45 What we're going to do now is making sure that the airway is nice and open.

05:49 All we're doing is putting two fingers underneath the chin and putting a hand on the forehead.

05:53 And we just tilt that right back.

05:55 And what we're doing is opening up the airway and moving the big fat tongue away from the

06:00 back of the throat.

06:02 So two fingers, hand on the forehead, tilt the head back.

06:05 From there, then we're going to check for breathing.

06:08 Breathing we're going to use that for up to 10 seconds.

06:11 So we're just going to get our ear down, listen, look to see if it's a chest and rise and fall,

06:17 and hear if we hear any breathing at all.

06:20 We're going to go for a worst case scenario to say that this person is not breathing.

06:24 Before I start doing any compressions, CPR, I've got to make sure that the ambulance service

06:29 is en route.

06:30 We don't start doing CPR until that has been summoned.

06:33 If I've got my mobile phone, as I've already said, or bystanders are making that phone

06:37 call, I can proceed to do CPR.

06:40 The heel of the hand goes into the center of the chest.

06:44 The other hand goes on top.

06:45 And all we're going to do is keep the elbows nice and straight.

06:48 And when we press up and down, what we're trying to do is go down five to six centimeters

06:53 on an average adult.

06:54 If this was a younger child, we'd go to a third of the depth of the wall.

06:59 So basically we're looking at the heart as being a fist, and we're going to push it down

07:03 and we must get a good release.

07:05 And what that is doing is effective CPR, getting the blood from the heart up into the brain.

07:11 So demonstration of that, heel of the hand, other hand on top, stay nice and tall, and

07:15 we're going to go for 30 compressions.

07:25 Once you've done 30 compressions, then if you're trained, willing and able to do the

07:30 rescue breaths.

07:31 How you would do that, you pinch the nose, tilt the head back and give two effective

07:35 rescue breaths.

07:37 A lot of people do not do rescue breaths nowadays, but the gold standard is still 30 to two.

07:43 If it's someone you know, love and are willing to do the rescue breaths, then you would do

07:47 the rescue breaths.

07:48 If you're not doing the rescue breaths, you would carry on doing uninterrupted chest compressions

07:53 at a rate of two a second, which is about 100 to 120 in a minute.

07:58 You would keep doing that until you get too exhausted, someone else comes along and helps

08:03 you out.

08:04 A defibrillator arrives and you work in conjunction with a defibrillator to put CPR and the defibrillator

08:10 off at the same time.

08:12 Or if a medical professional tells you to stop, such as the paramedics have turned up

08:16 and they have taken over.

08:17 Hopefully that has helped you with the CPR.

08:19 The next little demonstration we'll do is put the defibrillator on the mannequin and

08:24 talk about that.

08:26 Thank you Paul.

08:27 What you've just witnessed there is how to deliver successful CPR.

08:31 What we're going to show you now is how to use a defibrillator.

08:33 A defibrillator that could be on the scene and that can actually save somebody's life

08:37 and it is literally the difference between life and death.

08:41 What we have here is a defibrillator which is live.

08:43 It has a green button and a red button to deliver the shock.

08:47 What Paul's going to now do is show you exactly how to use a defibrillator using a training

08:50 device whether it's on a paediatric patient or an adult.

08:54 Hello, thank you Sergio.

08:56 We've demonstrated how to do CPR, now we're going to talk about defibrillators.

09:01 Defibrillators come from different places.

09:03 Remember what I said at the start, remember in this situation we had a call 999.

09:07 A call handler will then direct you or the person closest to you to go and get a defibrillator.

09:13 These are called community public access defibrillators.

09:16 Some football grounds have got their own in their first aid kits, some people have got

09:20 them on the side of buildings, some people are inside buildings.

09:24 When you ring 999, if it's within 500 metres of that incident, then the call handler will

09:29 give you a code, the access code to the defibrillator box for someone to go and get, bring back.

09:36 In the same time as that's happening, someone is carrying on doing CPR.

09:40 We never leave the patient alone.

09:42 When the defibrillator arrives, you just press the on button and follow the prompts.

09:47 There's no reading of any instructions, literally you just listen to what it says and put on

09:52 the pads where it will show you to do.

09:56 A little demonstration of that is the pads, all manufacturers will have pictures of the

10:02 pads and showing exactly where to put them.

10:06 All pads will go on the top left as you can see and down on the bottom right.

10:12 With the pads on, the machine then will go into analyser mode and what that means is

10:17 between 6 and 12 seconds is normally the time and what it's basically doing is it analyses

10:22 the heart to see what the heart is doing, if the heart is in a shockable rhythm or not.

10:26 If it's in a shockable rhythm, it will tell you to press the button.

10:29 If it's a non-shockable rhythm, it will say carry on doing CPR.

10:34 For us lay people, we want to carry on doing CPR until the ambulance arrives.

10:39 So if the shock is advised, you press the button.

10:42 If there's no shock advised, please start CPR again.

10:46 This will happen every 2 minutes with the defibrillator, it will re-analyse every 2

10:51 minutes.

10:52 Analyzing heart rhythm.

10:57 Shock advised.

10:58 Stand clear.

10:59 Press the flashing orange button now.

11:05 Shock delivered.

11:06 Begin CPR now.

11:07 Press the flashing blue orange button.

11:08 If your defibrillator has got an eye button, that's going to assist you doing CPR.

11:22 First.

11:26 Breathe.

11:30 Breathe.

11:34 Fifth.

11:38 Breathe.

11:42 Breathe.

11:46 Breathe.

11:50 Breathe.

11:54 Breathe.

11:58 Breathe.

12:02 Breathe.

12:08 Breathe.

12:12 Breathe.

12:16 Breathe.

12:20 Breathe.

12:24 Breathe.

12:28 Breathe.

12:32 Breathe.

12:36 Breathe.

12:40 Breathe.

12:44 Breathe.

12:48 Breathe.

12:52 Breathe.

12:56 Breathe.

13:00 Breathe.

13:04 Breathe.

13:08 Breathe.

13:12 Breathe.

13:16 Breathe.

13:20 Breathe.

13:26 Breathe.

13:30 Breathe.

13:34 Breathe.

13:38 Breathe.

13:42 Breathe.

13:46 Breathe.

13:50 Breathe.

13:54 Breathe.

13:58 Breathe.

14:02 Breathe.

14:06 Breathe.

14:10 Breathe.

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