Philadelphians this is why It Is Important to Learn CPR

One video recently went viral that showed Poncho, a police dog, providing CPR. The devoted canine from Madrid Spain performs the procedure on his handler who has pretended to pass out. First, the frisky canine jumps on the handler’s chest, then listens carefully to his breath.

Even Dogs Know the Benefits of CPR

The valiant canine continues by repeating the CPR process. The video, which, indeed, received a great deal of feedback—1.7 million views in only three days—emphasizes the dynamics of CPR. Even dogs know that CPR is a life-saving procedure.

That is why everyone—young or old, regardless of his or her station in life—should learn all the basics of cardio pulmonary resuscitation. CPR is not designed only for medical professionals. Everyone should know what to do if another person is suffering a heart attack or a similar respiratory emergency.

According to statistics, about 80% of cases involving cardiac arrest occur at a public place or in the home. In many of these cases the bystander has no medical CPR experience. He or she may either be a relative, passer-by, or colleague. If any of these non-medical people could provide CPR to a victim, the chance of survival would substantially increase.

Why Learning CPR Can Make All the Difference

If a dog can learn the dynamics involved in the CPR process, a human can too. Once the heart stops beating or the circulation stops, a person loses consciousness in about 15 seconds. In the next 60 seconds, the brains cells begin to die and can be irreversibly damaged if a life-saving measure, such as CPR, is not applied.

Whether you know a cardiac patient who is a loved one or you are involved in a sport in Philadelphia, knowing CPR is a necessity. As noted, everyone should learn more about the life-saving procedure. To integrate yourself into a CPR educational program, you first need to define CPR. CPR or cardiopulmonary resuscitation is a process that is performed during an emergency situation. Because CPR is performed on a victim whose heart has stopped, the idea behind the procedure is to prolong lung functioning and circulation until emergency help arrives.

Ventricular Fibrillation

Just over 600,000 people in the U.S. die from heart disease annually. Half of the people die immediately, or away from a hospital because the heart stops beating and cannot be revived. As a result, the most frequent cause of death, when a heart attack occurs, is ventricular fibrillation. Ventricular fibrillation happens when the electrical rhythm of the heart falls out of sync.

Usually, this type of arrhythmia is treated by defibrillation. Defibrillation requires an electrical shock to the chest. If a defibrillator or an AED (automated external defibrillator) cannot be easily accessed, brain death can occur in under 10 minutes.

Needless to say, if a defibrillator or AED (automated external defibrillator) is not easily accessible, you need to buy some time. Because time is of the essence in this case, you can use CPR. CPR provides artificial breathing when you cannot treat a victim with an AED device. The earlier CPR is applied to anyone who is not breathing, the better the chance for resuscitation and survival.

Defibrillation – Part of the Survival Link

When defibrillation is performed, the victim receives an oxygenated flow of blood – part of a link in the chain of survival, used to treat victims of a sudden cardiac arrest or SCA. The first link in this “chain of survival” (coined by the American Heart Association) is recognizing an SCA and activating an emergency response by calling 911 or a community emergency response number.

The next link is to perform CPR or applying chest compressions and breaths or compressions only. After CPR is performed, the next link involves providing rapid defibrillation or using an AED. Professional emergency medical services (EMS) are the next link in the chain of survival and emphasize the use of advanced life support, including breathing and airway accommodation, medicines, and in some instances, hypothermia. Follow-up care s then provided for the survivor.

It typically takes first responders about eight to 12 minutes to respond to an emergency. For every minute that defibrillation is delayed, the chances for survival drop by about 10%. Because SCA is a leading cause of death in the U.S. as well as the world, it is important to learn both CPR and AED use.

Initiating Yourself to the Lifesaving Process

To initiate yourself to lifesaving though, you need to learn the basics of CPR first. By taking this step, you will find the transition to AED training progressive and logical. CPR is an extremely crucial component in the chain of survival, as it gets the whole emergency response process activated.

When a person is going through cardiac arrest, no blood flow or pulse are evident. In turn, the victim becomes unresponsive and stops regular breathing. If a person does not respond to touch or the voice of a responder, he or she is unresponsive. Call 911 before performing CPR or using an AED. If an AED is available, you should press the “on” button immediately. The AED will provide the directions for using the device.

If an AED is not readily available and you can perform CPR, you need to respond instantly. Today, the American Heart Association (AHA) has simplified the process by the teaching of hands-only CPR. This form of CPR does not require the use mouth-to-mouth resuscitation. Some people are averse to performing mouth-to-mouth resuscitation, as they are fearful about contracting a health ailment or infection.

How to Perform Hands-only CPR

The procedure for learning hands-only CPR is basic and simple. Therefore, people do not have any excuse not to learn it. You just need to follow the several key steps.

  1. If you are a bystander who knows hands-only CPR and see someone collapse, you first will check for responsiveness. Call 911 or have someone call 911 and begin chest compressions if the person is unresponsive and is not breathing normally.
  2. To perform CPR in this manner, place the heel of one hand of the center part of the victim’s chest and place the heel of the other hand over the first hand. Your shoulders should be positioned directly above the hands and the elbows should be locked in place.
  3. Press down on the center of the chest, using enough force to cause the breastbone to sink to a depth of about two inches.
  4. Compress the chest 30 times at a pace of around 100 to 120 times per minute, or just a bit more quickly than once each second. The chest should completely recoil between compressions.

Hands-only CPR or compression-only CPR can easily be performed by an untrained bystander at an emergency that is untrained. People who are trained to perform CPR, which includes breaths or mouth-to-mouth, should perform a cycle of 30 compression followed by two short and quick breaths.

While learning basic CPR covers lifesaving for adults, you can also receive training in providing CPR for infants. This approach is basically the same. You just need to remember the acronym CAB when performing any type of CPR. CAB is an acronym that stands for compressions, airways, and breathing – a helpful reminder when compressions and rescue breaths are used.

Learn CPR in Philadelphia

Philadelphians can make a large difference in their lives and the lives of others by committing themselves to learning CPR. You do not have to be a medical expert to take CPR training. All you need to do is devote a small portion of your time to learning the process. That small amount of time can mean life for someone else in an emergency.   There are many classes near you offered by the American Heart Association in partnership with In-Pulse CPR.  Take the initiative and sign up for a CPR class today.

Sources:

https://www.reference.com/health/perform-infant-child-cpr-b809d58ae705da13?aq=cpr+for+child&qo=cdpArticles

https://www.redcross.org/take-a-class/aed/using-an-aed/what-is-aed

http://www.sca-aware.org/community-cpr-aed-programs

Video –

https://philadelphia.cbslocal.com/2018/06/26/video-of-police-dog-performing-cpr-on-handler-goes-viral/

Ten Important Factors To Consider Before Buying An AED

A group of people evaluating an AED pack

A readily, easily accessible AED is an invaluable life saving device. While the technology and functionality of an AED makes it a complex piece of life saving gear under the hood, purchasing the proper equipment for your emergency use is not as tricky as one might think. As with any important purchase, knowledge is power. Knowing what to look for in an AED is half the battle in ensuring that when disaster strikes you will be as well prepared as possible. 

Here are ten important pointers, tips, and guidelines to consider before committing to purchasing an AED, in no particular order:

EMT carrying a large AED pack

1. Sturdiness

Is your AED going to be roughly used and transported? People like fire fighters, police officers, and first responders require equipment that is able to withstand the abuse of travel and still reliably function. However, an AED that remains indoors for infrequent emergency use doesn’t need excessive padding or strength. Think about the application of your AED.

2. Weight

Will your AED remain in storage? Hanging on a wall? Frequently moved or carried? Will the people most likely using the device be able to easily lift and move it?

3. Simplicity

Will your device be used by trained professionals or will it be designated for public use? Keep in mind the kind of person who may be using the AED and consider that they will be using it in a stressful situation that they may not be at all accustomed to.

CPR/AED training course

4. CPR/AED Training

Remember that a life saving device is only as powerful as one’s knowledge and ability to use it properly. Training and certification is paramount to effective use!

5: Fully-automatic or semi-automatic shock delivery

Some AED’s delivery a shock immediately upon charge and others require the pressing of a button to trigger them. It’s important to decide which method of shock delivery you are most comfortable with.

6: ECG readout

There are AEDs available with advanced ECG displays and functionality. These are of most value to emergency responders and health professionals whereas a public use machine may not require these additional options.

AED Pack in a sturdy metal box outside

7. Weatherproofing

What will the environment where the AED remains be like? Dry and dusty? Humid and damp? Consider the conditions the unit will spend its time in and look into a model that is able to resist adverse climate conditions.

8. Price

Not all AEDs are created equal and, like with most products, a cheaper unit will most likely not carry the same reliable functionality of a more expensive one. However, the most expensive device may not be the one best suited to your specific needs. Keep all other factors in mind while shopping.

9: Reviews

Check user and industry reviews for any AEDs you are interested in. See how they stack up to each other and try to find reviews that target the intended application of your unit (ie: public use, outdoor storage, portability, etc).

Person pressing button on an AED pack

10. Visual and voice prompts

While all AEDs are equipped with audio prompts, some also feature visual displays. This may be crucial if your unit is going to be used in loud, busy environments or could possibly be used by someone with impaired hearing.

5 Behaviors That Increase Your Heart Disease Risk

According to the CDC, about 1 in every 4 deaths in the United States is the result of heart disease. This statistic is sobering, and it likely makes you wonder what you can do to reduce your risk. Although there are some heart disease factors that are out of your control, such as your age, family history, and genetics, that doesn’t mean that heart disease only strikes randomly. Instead, the following behaviors have proven to increase your risk of heart disease.

Using Tobacco

Most people understand the problems that smoking can cause in their respiratory systems, but tobacco use doesn’t just hurt your lungs. When nicotine enters the body, it raises your blood pressure. Over time, smoking also causes damage to your heart and your blood vessels, which leads to heart disease. Sadly, these damages are not limited to only smokers. Regular exposure to secondhand smoke also increases your risk of developing heart disease.

Excessive Alcohol Consumption

You don’t have to say goodbye to your favorite drinks completely, but you should be careful regarding your alcohol consumption to protect your heart. Excessive alcohol consumption puts you at risk for heart disease by increasing your triglyceride level, raising your blood pressure, and causing irregular heartbeats. The American Heart Association recommends no more than one alcoholic beverage per day for women and no more than two alcoholic beverages per day for men.

Sedentary Lifestyle

Your heart is one of the most important muscles in your body. Like any muscle, it needs to be worked out regularly to remain strong. You can lower your risk for heart disease by participating in moderate to vigorous exercise on a regular basis instead of maintaining a lifestyle that is mostly sedentary. The good news is that there is not just one type of exercise that provides this benefit. Whether you enjoy swimming, jogging, biking, or another form of physical activity, you are helping your heart while you are working out.

Poor Diet and Nutrition

You’ve probably heard the old saying that “You are what you eat.” When it comes to heart disease, your diet is one of the best tools that you have in your arsenal. Whole, nutrient-rich foods, such as vegetables, fruits, and whole grains, fuel your body without clogging your arteries. It’s fine to treat yourself to a juicy steak or a rich dessert every once in a while, but a balanced diet and limited calorie consumption helps your body and your heart function properly.

Not Maintaining a Healthy Weight

If you haven’t yet made healthy choices regarding your exercise and nutrition, you might find that the number on the scale isn’t one that you enjoy seeing. Obesity is a major risk factor for heart disease. Even if you have no other risk factors for this condition, your risk is greatly increased if you have a high level of fat in your body, and especially belly fat around your waist. Fortunately, this is something that can often be controlled through a balanced diet and increased physical activity. Even losing just 3 to 5 percent of your body weight can help reduce your risk of heart disease!

Here at In-Pulse CPR, we are confident that knowledge and training are two important tools we can all use to reduce the risk of heart disease. In addition, you can be ready to assist someone experiencing a cardiac episode by completing one of our high-quality training programs with American Heart Association certified instructors.

Do You Know the Difference Between a Heart Attack and Cardiac Arrest?

We all know that cardiac issues can be dangerous and even life-threatening. However, it can be difficult to understand all of the terminology surrounding cardiac episodes. To make matters more confusing, some terms, such as “heart attack” and “cardiac arrest,” are often used interchangeably, even though they actually refer to different issues. You don’t need to become a master of all cardiac terminology, but it is helpful to understand the difference between these two terms so that you can have and share accurate information.

What is a heart attack?

Even if you have friends or loved ones who have experienced a heart attack, many of us still aren’t sure what that term actually means. To put it simply, a person experiences a heart attack when adequate blood flow is not getting to the heart. A heart attack is a circulation problem caused by a blocked artery. When an artery is blocked, oxygen and blood can no longer reach the heart. If the problem is not corrected in a timely manner, the heart cannot return to proper functioning.

During a heart attack, the heart does not normally stop beating. However, damage is occurring, and the damage is proportionate to the amount of time that passes before the patient receives treatment.

Since each person is different, the symptoms of a heart attack can also vary greatly. In most cases, the patient starts experiencing symptoms days or even weeks before a heart attack occurs. However, symptoms can sometimes appear quickly with little warning.

Some common symptoms of a heart attack include:

  • Shortness of breath
  • Discomfort in the chest
  • Cold sweats
  • Nausea and/or vomiting
  • Back or jaw pain (especially in women)

What is cardiac arrest?

While a heart attack is the result of a heart circulation problem, cardiac arrest results from an electrical problem. Cardiac arrest is a life-threatening issue that is caused by an electrical malfunction in the heart muscle. Since the heart’s pumping action is disrupted by the irregular heartbeat, the heart stops pumping blood to the rest of the body, including the brain and lungs. Therefore, the person stops breathing and is unresponsive. Cardiac arrest can be caused by a heart attack. However, most heart attacks do not result in cardiac arrest.

Prompt treatment is vital to helping a patient survive cardiac arrest. The patient only has minutes for the cardiac arrest to be reversed through treatment. In most cases, cardiac arrest occurs suddenly with little to no warning. Usually, the first noticeable symptom is the fainting that results when the arrest occurs. However, some patients report experiencing these symptoms before cardiac arrest:

  • Dizziness
  • Heart palpitations
  • Chest pain
  • Shortness of breath
  • Weakness

What should I do if I suspect a heart attack or cardiac arrest?

Fortunately, you do not have to distinguish between cardiac arrest or a heart attack to provide assistance. Calling 911 should always be your first move when you notice these serious symptoms.

Starting intervention before professional help arrives can often be the difference between an emergency and a tragedy. At In-Pulse CPR, we are committed to giving you the training you need to feel confident in administering CPR or utilizing an AED should the need arise. View available classes at www.inpulsecpr.com.

Why Parents Should Learn Infant CPR

We often hear the word CPR used in casual conversation in child care centers or in hospitals. CPR is short for cardiopulmonary resuscitation. This lifesaving measure is performed when a child or adult has stopped breathing or the heart stops beating. This may happen after certain incidents, such as an injury, choking, suffocation, heart attack, or drowning.

Rescuing an Infant

This rescue effort, when performed on children who are infants, is critical when a baby is having trouble with respiration. In this case, CPR is normally directed to resolve a breathing problem rather than a heart condition. Usually, in these cases, CPR is administered if an infant is choking. CPR should begin immediately.

Following the Format

If someone else is available at the scene, he or she should be directed to call 911 and locate an AED, or automated external defibrillator. Five sets of CPR should be performed before getting additional help. One set consists of 30 compressions followed by two breaths.

If a second rescuer returns with the AED, he or she should follow the prompts on the defibrillator and apply the pads. If you find that the infant is not breathing, is unresponsive or gasping for air, CPR should always be performed.

What Infant CPR Covers

Infant CPR covers medical emergency aid for children 0 to 12 months old. This form of CPR is almost identical to the CPR given to older children.

Therefore, CPR is a combination of chest compressions and rescue breaths, known as mouth-to-mouth resuscitation. CPR is designed to restore oxygen-rich blood to the brain. When oxygen is not present, brain damage or death can occur in under eight minutes.

When Infant CPR is Typically Needed

Besides choking incidents, infant CPR is used for infants in near-drowning incidents or for victims who have succumbed to smoke inhalation or poisoning. Sudden infant death syndrome (SIDS) can also be prevented through the use of CPR.

Why You Should Enroll in a Course

While you can read about this rescue measure as a parent, you should learn the details of performing CPR by enrolling in a course. While CPR should begin immediately, you still need to determine if it should be performed. This is done by checking the person’s breathing or degree of response.

You owe it to your child to learn CPR, as it only takes eight minutes for anyone with breathing difficulties to lose consciousness or die. What you do to protect your child is just as important as what you don’t do. Therefore, taking a CPR course is a wise course of action.

Why Not Host a CPR Party?

In fact, if you know other parents in your neighborhood with infants, why not ask them to attend a CPR party. Schedule an instructor to show you how to give infant CPR. You can even ask your babysitter to participate. This is a great way to emphasize the importance of life support and infant care. Keep in mind, many instructors (for safety reasons) won’t come to your house, so plan on finding a community space to use like your church or a meeting room at your local library. Often you can use this space without cost.

Reviewing the Steps

When giving CPR to an infant, the following should be practiced.

1. Clear the area to ensure the infant’s safety.

2. Shout and tap to make sure the infant is not responding.

3. Yell for help. If another person is present, have him or her call 911 and locate an AED.

4. Check the infant’s breathing.

5. Five sets of 30 compressions followed by two breaths should be given to unresponsive infants who have stopped breathing, and are gasping for air.

6. Call 911 if it has not already been done.

7. Resume manual CPR.

Applying Chest Compressions

When compressions are given, you need to push in the same manner as you would do when giving CPR to a child or adult. Position the infant on a hard and firm surface. This makes the process simpler. When giving compressions, do the following:

1.  After positioning the infant on a firm, level, and hard surface, move any clothes away from the chest.

2. Place two fingers of one hand on the breastbone, just under the line of the nipple.

3. Push down about 1.5 inches or 4 centimeters, at about 100 beats per minute.

4. Permit the chest to recoil before resuming the compressions.

Because performing compressions can be tiring, it is helpful to switch with another person every couple minutes to ensure continued care.

Opening Up the Airway and Giving Breaths

Because most CPR cases involve respiratory problems, it helps to provide breaths. Giving breaths and administering compressions to the chest are both important. A good breath will raise the chest.

Opening Up the Airway

To open up an infant’s airways, you need to do the following:

1. Place one hand on the victim’s forehead,

2. Place a finger on the chin’s bony section.

3. Gently tilt back the head and lift the chin.

Important Note: Never tilt the head too far back as doing so will block the airway. Also, press the bony part of the infant’s chin instead of the soft part, as doing so can also block airflow.

Giving Breaths

Once the airway is opened, you can give breaths.

1. Take a deep breath and seal your mouth over the baby’s nose and mouth.

2. Blow for a quick second, watching the chest rise. Only a very small volume of air will inflate a baby’s lungs. Don’t blow too hard, as this can damage the lungs. Only a small exhalation of air is required of an infant.

3. Repeat, giving a second breath.

If the chest does not rise after giving the first breath, you will need to re-open the airway, tilting the head while lifting the chin. Try to get a breath while looking for the chest to rise. Do not postpone compressions more than ten seconds when you are giving breaths.

Using a Mask

While giving breaths is usually safe, a mask, if available, should be used. A mask is designed to fit over the victims’ nose and mouth. Just make sure the mask fits properly. Otherwise, a reliable seal cannot be obtained and any effort at giving breaths will prove to be ineffective.

How to Use the Mask

When using a mask to give breaths, follow the steps below:

1. Place the mask over the baby’s nose and mouth,

2. Open the airway, gently tilting back the head and lifting the chin.

3. Make sure the seal is secure between the face and mask.

4. Give a breath quickly and watch for the chest rise.

When Choking Occurs

Choking happens when a foreign object or piece of food lodges in the throat, blocking the airway. Quickly perform back slapping and chest thrusts. Choking may be mild or severe.

A Mild Obstruction

If the obstruction is mild, the infant may be breathing but could be wheezing. He or she may also cough or produce a similar noise. In this instance, stay with the baby and attempt to calm him or her.

A Severe Obstruction

If the obstruction is severe, the infant will appear weak and will not cough. He or she normally will not be able to talk and may, instead, produce a high-pitched sound. The baby may also appear cyanotic, or show a blue color around the fingertips or around the lips. In this instance, time is of the essence. Act fast and follow the CPR steps.

Relieving Choking

To relive choking, do the following:

1. Hold the baby on your lap, face down, with the head lower than the victim’s chest. The baby should be resting against your forearm, which is placed upon your thigh.

2. Support the baby’s neck and head with your hand, making sure to not place throat pressure.

3. Provide five back slaps between the baby’s shoulder blades, using the heel of your hand.

4. Use both arms and hands and turn the infant toward you so he or she rests on your other arm, which is now placed on your thigh.

5. Use two fingers in the same way you do for administer CPR and provide quick-timed chest thrusts.

6. If the obstruction is still there, turn the baby face down on your forearm, repeating the steps.

7. Continue with this measure until the baby starts to breathe or lacks a response.

Remove the Object If you Can Do So

If you see a piece of food or foreign object in the child’s mouth, remove it if it can be done. Don’t sweep the victim’s mouth with your finger, as you may push the object toward the air passage. After removing the object, wait and check for breathing.

If an infant does not respond, position him or her on a flat and firm surface, yelling for assistance. At this point, check for breaths before beginning CPR. After 30 compressions, open up the air passage, seeking the foreign object. If you see the object, remove it and try to respirate with two breaths.

Infants do not respond when they stop squirming in your arms and take on a limp appearance. Chest compressions and giving breaths must the practiced if the infant stops moving in the interim.

In Conclusion –

As you can see, the above steps can become involved and therefore are important to know. Don’t overlook the importance of learning a life-saving procedure. Doing so will make it possible for you to mange any emergency with more confidence. Learning CPR takes a minimal amount of time, especially when you consider that it can save a life.

Sources:

https://kidshealth.org/en/parents/cpr.html

https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=bo1352

WHY IT’S IMPORTANT FOR PARENTS TO KNOW INFANT CPR

Students Rally for CPR Requirements

We all know that children are the future of our country and our world. Too often, we hear about the negative things that young people are doing, but a group of students in NJ are leading the way when it comes to prioritizing CPR training.

 

Christian Ventura founded the High School Association of Medical Engineers and Scientists, or HAMES, a student-based non-profit organization that supports youth in their pursuit of careers in health, medicine, and other science fields. Recently, the group unveiled the Student Samaritan Initiative, which is designed to bridge the disconnect between New Jersey state requirements and the implementation of those requirements.

 

The current New Jersey educational requirements already include a provision that high school students must be instructed in how to properly utilize cardiopulmonary resuscitation and an automatic external defibrillator for live-saving purposes. Unfortunately, whether or not this training is actually taking place is not being tracked.

 

However, HAMES has come up with a solution. The students are petitioning Legislative District 11 to develop legislation that requires students to present proof of CPR, AED, and First Aid training when they apply for a motor vehicle license. This written proof must be presented to the Motor Vehicle Commission before the road test takes place.

 

Although HAMES is a part of the public school system, the proposed changes would affect all high school students, whether they attend public, private or home schools. In order to take the road test, students would provide a signed approval document from either their school or an authorized CPR training provider that states the student has successfully completed the course.

 

In order to help students comply with this potential new requirement, HAMES plans to donate CPR classes to schools throughout every county in New Jersey. In addition to contacting the legislature, the group has also started an online petition to gain support for their plan.

 

In the United States, more than 70 percent of all cardiac emergencies occur in a person’s home. When more people are trained on how to effectively administer CPR, they can use these skills to assist their parents, grandparents, friends, and even strangers. High school students who are trained in CPR have the benefit of being ready to use these skills throughout their lives.

 

Here at In-Pulse CPR, we are passionate about the benefits that high quality CPR training can offer our schools, organizations and communities. Please contact us to learn more about how you can bring effective training to your group.

 

SOURCES:

 

https://www.ems1.com/ems-products/cpr-resuscitation/articles/389171048-NJ-students-stress-need-for-stricter-CPR-requirements/

 

 

http://nj1015.com/nj-students-pushing-for-stricter-cpr-requirements/

 

 

 

Nursing News: Passive Leg Raising and Elevating the Head during CPR Prove to Be Beneficial

Around 275,000 people, per year, experience OHCA (out-of-hospital cardiac arrest) incidents. This finding was reported by the National Center for Biotechnology Information (NCBI) in the U.S. National Institutes of Health’s National Library of Medicine archives. This number pertains to people living in Europe.

U.S. Statistics for OHCAs

It has also been found that a large number of people experience sudden cardiac arrest (SCA) in the U.S. or OHCAs. The number in the U.S. is even greater – about 365,000 per year. Of this number, around 90% end in death. This finding was recently published in the 2018 report, Heart Disease and Stroke Statistics, published by the American Heart Association (AHA).

Passive Leg Raising

The Use of Passive Leg Raising (PLR). According to the NCBI report, the use of a passive leg raising (PLR) during cardiopulmonary resuscitation may assist in increasing the survival rates of OHCA victims. PLR during CPR has been shown to enhance cardiac preload and circulation when chest compressions are performed.

An Easy and Fast Technique

Like performing chest compressions, PLR is an easy and fast technique. Scientists have noted that the greatest benefit was experienced when PLR was performed during the early part of CPR, or prior to the first defibrillation.

Why PLR Works

A study designed to tests the use of PLR hypothetically concluded that elevation of the lower extremities during an OHCA CPR increases patient survival to one month by increasing cardiac preload and circulation to the bran and heart when chest compressions are performed.

Higher Neurological Scores

PLR may be of significant use when hands-only CPR is performed, or CPR that does not include the breaths associated with traditional CPR. One study also confirmed that using PLR during resuscitaiton resulted in higher neurological scores.

Increasing Survival CPR Rates

Cardiac arrest, itself, is a leading cause of death in both the U.S. and Europe. Therefore, any introduction of new techniques to increase survival rates is significant. Just as the name implies, a passive leg raise is a mechanical type maneuver the entails elevating the lower limbs from a horizontal position during resuscitation.

What Happens during PLR or Passive Leg Raising

During PLR, gravity causes the rechanneling of venous blood from the body’s lower extremities, which, in turn, triggers an increase in the left ventricular end-diastolic volume, carotid blood flow, right ventricular preload, and system venous return.

 

An Increase in Carbon Dioxide (CO2) Elimination

Based on these findings, researchers concluded that using PLR during CPR can improve survival rates. This information is important to nurses who are keeping up on the latest methods when applying CPR. Passive leg raising is useful when someone has fainted and has been shown to enhance carbon dioxide elimination when introduced in CPR.

Reviewing Past Reports

In fact, the first formal guidelines for CPR, introduced in 1974, included a statement that emphasized that at the “elevation of the lower extremities may . . . augment artificial circulation during . . . cardiac compression.” This statement was deleted from American Heart Association (AHA) guidelines in 1992. It is not included in the most recent guides either.

Measuring Chest Compressions

Clinical and preclinical studies support the American Heart Association’s recommendation that chest compressions should be at least 5 centimeters or 2 inches deep. When the chest is compressed too deep or at too fast of rate, the results can be adversely impacted.

The Importance of Maintaining Chest Compressions

Also, it is important to take note – interruptions during CPR, or chest compressions, can be harmful. Without compressing the chest, the blood flow can be negatively affected. In some instances, emergency or rescue personnel may stop chest compressions (in some cases, over a minute) to feel for a pulse, auscultate the chest, intubate or assess the underlying rhythm. Rescuers may forget, when hurried, to continue performing CPR.

Recent Statistics

One recent evaluation of CPR showed that these kinds of mistakes were indeed frequent and harmful. Nearly 50% of the time, compressions were inadequate, or performed at incorrect depths – all which did not fall in line with American Heart Association (AHA) guidelines.

Poorer Results

For instance, about 1/3 of the subjects received compressions at rate that surpassed 120 compressions per minute. When the compression rates were higher—or over the recommended 100 compressions per minutes—the results were poorer.

Maintaining the Proper Compression Rate – Why It Is Important

If the compression rate is too fast, the diastolic filling times may be insufficient and full recoil and compression depth may not be realized. A slight vacuum is created within the thorax during a passive chest recoil, which draws some of the blood back inside the heart and air into the lungs. Blood is then drawn from the extrathoracic to intrathoracic areas, where the heart is partially refilled until the completion of next compression.

Moreover, if a rescuer leans on the chest and prevents it from recoiling fully after a compression, the intrathoracic pressure will surpass the atmospheric pressure. When this happens, it reduces the refilling process in the heart and lowers the ICP (intracranial pressure). A full chest recoil maintains the ICP. To support this information, research with animals has demonstrated that leaning on the chest during resuscitation reduces the perfusion pressures to the myocardium and brain.

Errors Affect Survival Rates

In addition, compressing and decompressing at too fast of rate (over 120 compressions per minute) decreases the venous return time to less than what is needed for refilling the heart. Therefore, these kinds of errors can negatively affect survival rates. As a result, not only is imperative that nurses take CPR classes to learn the correct ways to perform hands-only and traditional CPR, it is essential that other advances be noted in resuscitation methods as well.

Elevating the Head during CPR

For instance, not only is passive leg raising an important consideration, so is learning about the position of the head during the lifesaving measure. For example, by convention, cardiopulmonary resuscitation has been performed for at least 50 years with the patient lying in a supine position. The entire body is positioned on the same plane, or horizontal on the floor.

Enhancing the Blood Flow

Recent research suggests that elevating the head during CPR has a marked beneficial effect on ICP (intracranial pressure) and brain circulation when compared to horizontal placement. When the body is supine and lies horizontal, each compression is related with the generation of waves resulting from arterial and venous pressure.

Increased Perfusion

If the patient’s head is elevated, the gravity drains the venous blood from the brain and sends it back to the heart. This results in increased refilling of the heart after compressions and a reduced compression phase ICP. As a result, studies show that elevating the head during CPR may offer more protection to the brain and increased perfusion or blood flow.

Supplementing Your Lifesaving Skills

Nurses can also get involved in learning methods to enhance post-resuscitation care. However, unless high-quality CPR is performed, these measures cannot be implemented with optimum effect. That is important to remember if you, as a nurse or other healthcare worker, want to supplement your lifesaving skills.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

References:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4096750/

 

http://www.sca-aware.org/sca-news/aha-releases-latest-statistics-on-sudden-cardiac-arrest

 

https://journals.lww.com/anesthesia-analgesia/pages/articleviewer.aspx?year=2016&issue=03000&article=00025&type=fulltext#O4-25

 

 

New FL CPR Bus Driver Law – We can help train

Case Study:

Hillsborough County Transportation

Hillsborough Country Transportation has 1500 drivers who are now required by this new law to be CPR/FA trained. They decided to certify 7 internal staff to become instructors through In-Pulse CPR. They are now teaching 2 classes every week with 37 students each class. At this pace, they are on track to train the whole district in less than 5 months.

In-Pulse CPR is a multi-state American Heart Training Center (TC) based out of Tampa Florida. Currently we have over 200 direct and indirect CPR instructors ready to assist school districts and their transportation services with training on the new CPR law.

The Florida State Board of Education passed a measure requiring all bus drivers be certified in CPR and first aid. According to the new rule: “The operator and attendant shall be provided certified cardiopulmonary resuscitation (CPR) and first aid training along with other required pre service training prior to transporting students, and shall receive CPR and first aid refresher in-service training at least biennially.”

In-Pulse CPR directly offers training to over 1200 students every month. Indirectly, through our training network, we train several thousand more.

School districts have three options on training their bus drivers. First, they can send their staff to a public community CPR/FA certification class. [View dates and times] Secondly, for larger groups, they can have a certified instructor come out to their facility to train and certify. Lastly, if they have the staff to warrant it, they can have internal personnel become instructors. Those internal instructors would provide the classes to their network. Smaller transportation providers may prefer one of the first two options, as becoming an instructor has many additional added expenses including equipment and training.

In-Pulse CPR can help you decide on what the best training option would be in your situation.

Request more information

More about our group classes can be found here

Office Hours:
Monday – Friday 9am to 5pm (EST)
Tampa Bay: (813) 343-4024
Orlando: (407) 279-3256
Outstate:  (877) 226-7311


Multiple CPR Classes in Delaware Valley Greater Philadelphia

American Heart Association CPR certification training

The AHA is a Red Cross alternative for a 2 year CPR certification class.  Did you know that Healthcare workers are required to retake the American Heart BLS certification class every two years.  Not in Healthcare?  We have about 30 percent of our students who are not in the medical field.  You are welcome to take any of our classes.  We have many laypersons who attend including teachers, new parents, scout leaders, childcare, baby sitters, and others.

These classes include:

BLS Provider or also known as BLS for Healthcare Professionals:  Basic Life Support requirement: Nurses, dentists, hygienists, nursing students, dental students, pharmacists, emergency medical technicians, physicians, professional rescuer, respiratory therapists or anyone in the health-care industry required to have CPR training.

BLS Provider / Heartsaver CPR with AED
(Often if on a Saturday we may also offer)
Heartsaver CPR with First Aid (often needed for Daycare Providers)

All non-medical individuals can also take the BLS Provider course, including daycare providers, warehouse staff, massage therapists, lifeguards, teachers, office staff, church staff, daycare providers, safety committee staff, yoga or fitness instructors, parents or grandparents, scout leaders, teens, etc.
Healthcare Provider: Has been renamed BLS Provider.

Our CPR classes in Philadelphia are held at the following venues:

Philadelphia Airport
Center City
Franklyn Mills area
Darby / Media
North / South Philly
West Chester
Plymouth Meeting and more.

https://inpulsecpr.com/pennsylvania/philadelphia

AED Misconceptions

AEDs are complicated, highly specialized medical devices. As a result, they can be very intimidating and even frightening for people to imagine having to use in an emergency situation. We have all seen the movies where, during a scene of high drama, the device is charged and used to violently revive someone from a near death situation. While AEDs are in fact used to do just that, it would surprise many to learn that using the technology is not as complicated or scary as pop culture might have you believe. In fact, the devices are designed to be quite the opposite as many are built for public use with the consideration that they will most likely not be in the hands of the most highly trained medical professionals. 

Here is some insightful knowledge that will hopefully serve to educate and calm those who are feeling anxious about AEDs and their usage:

– You can kill or hurt someone with an AED: AEDs are highly regulated and tested Class III medical devices. What this means is that the FDA needs to approve all aspects of the device to deem it safe. Again, Hollywood may be to blame for this fear as many movies depict characters using AEDs as weapons or to shock and immobilize other people. Thankfully, AEDs are able to analyze the heart rhythm of whoever they are pressed against and simply will not deliver a shock to a person who is not in need of one. The idea of blowing someone across the room with a blast to the chest is pure Hollywood nonsense.

– Only trained professionals can use AEDs: While proper CPR and AED training is an invaluable asset for anyone, you do not need to be a medical professional to properly administer a shock from an AED. In fact, AEDs are equipped with audio and voice prompts made to walk the user through the process. These devices are created to save lives. As a result, they have been designed for ease of use.

– AEDs aren’t necessary in places where most of the people present are young and healthy: While heart attacks are the blocking of an artery that usually occurs in people who are overweight or have pre-existing health conditions, sudden cardiac arrest (SCA) is a misfiring of electrical impulses in the heart and can happen to anyone of any age in any condition from young children to athletes in their physical peak. A heart attack victim cannot be assisted by an AED, as a physical blockage requires manual treatment. However, AEDs are designed for treating victims of cardiac arrest and are therefore invaluable tools in any environment. 

– Using an AED on a person will cause them to violently convulse: Another Hollywood myth. While the person’s shoulders will most likely rise upon shock delivery, their arms and legs will remain stationary and they will not flail about.

– AEDs can shock those who are using them: This is a common misconception. As stated previously, an AED will only discharge if it has determined that the person it is being used by requires it to do so. The user is in no risk of being shocked.

– AEDs are one time use devices: Depending on a variety of factors, AEDs can deliver tens or even hundreds of discharges with proper maintenance.

– First responders are close by so an AED is not necessary: In emergency situations, time rarely feels as though its on your side. Response time can vary and mere seconds can be the difference between life and death for a victim of cardiac arrest. Proper CPR training and an accessible, properly maintained AED are your absolute best resources to prevent loss of life in the event of a cardiac arrest.

Keep the Steps for Hands-on CPR in Mind – Be Prepared

Statistics show that SCA or sudden cardiac arrest can happen to anyone at any age. However, the risk for SCA is greater for the following individuals:

  • People who are diabetic
  • People who have had a heart attack
  • People suffering from hypertension
  • People with high levels of cholesterol
  • Obese individuals
  • People who smoke
  • People with heart disease

An Invaluable Skill

Moreover, SCA usually occurs at home. Therefore, if you have a loved one who is at a high risk for SCA, you need to learn CPR to ensure your family member’s survival. Even if you do not have a high-risk member in your household, CPR can be an invaluable skill.

Coronary Artery Disease

A previous heart attack can lead to an SCA, especially if a large part of the heart was damaged. Also, an SCA is more likely to occur within the first six months following a heart attack. About 80% of cases that lead to death are linked with coronary artery disease.

How Sudden Cardiac Death Occurs

Coronary artery disease is also referred to as heart disease or coronary heart disease. It develops when plaque builds up in the arteries. When the arteries, which, at first, are elastic and smooth, build up with plaque, they become narrow and rigid. As a result, the circulation to the heart muscle is restricted, all which can lead to a noted lack of oxygen. When the plaque ruptures, a heart attack can develop or sudden cardiac death (SCD).

How Coronary Artery Disease (Heart Disease) Develops

Coronary artery disease can develop from a young age. As plaque in the blood vessel walls accumulates, the walls become inflamed, all which elevates the risk of heart attacks and blood clots. In addition, the plaque build-up causes the inner walls of the blood vessels to become sticky. Other substances travel in the blood stream and mix with the plaque. These substances may include calcium, lipoproteins, or inflammatory cells. When this happens, the vessels become narrower over time.

How a Heart Attack Happens

Eventually, a narrowed artery may compensate for the restricted blood flow by developing new blood vessels that travel around the blockage. This is the body’s way of ensuring that blood is delivered to the heart. However, if a person is stressed, the new arteries may not be sufficient enough to deliver oxygen-rich blood. Moreover, if the plaque ruptures, a blood clot may block the supply of blood to the heart. When this occurs, it is called a heart attack.

 

Blockages that Lead to Strokes

If a blood vessel to the brain becomes clogged, normally from a clot, an ischemic stroke may occur. If a brain’s blood vessel bursts, usually because of high blood pressure, a hemorrhagic stroke usually results.

Angina or Chest Pain

Angina or chest pain can also warn of heart or rhythm problems. Usually, angina is revealed by heaviness and pressure in the chest or a burning or aching sensation in the chest area. Sometimes patients feel a fullness or squeezing along with the pain. This condition is often mistaken for heartburn or an upset stomach.

Learning Hands-on CPR

Today, you can learn hands-on CPR, which does not require mouth-to-mouth resuscitation. Therefore, this form of resuscitation makes CPR simpler to learn. Hands-on CPR for adults is given when a person collapses and becomes non-responsive. If this occurs, you first need to call 911. Afterwards, check for responsiveness. Tap the individual’s shoulder and ask if he or she is okay. Also, check for normal breathing.

When Hands-on CPR Cannot Be Used and Conventional CPR Is Employed

Again, if the person does not respond or is not breathing normally, you need to begin hands-on CPR. However, that being said, hands-on CPR should not be used in situations where an SCA is the result of a drug overdose or a near-drowning. In these cases, you need to perform chest compressions combined with rescue breathing.

Performing Chest Compressions

When performing chest compressions, you need to take the following steps:

  • Place the heel of the hand on the victim’s chest in the center.
  • Position the heel of the other hand on top of the first hand and lace the fingers together.
  • Keep your arms straight and make sure the shoulders are positioned directly over the hands.
  • Push hard on the chest and compress the chest to a depth of at least two inches.
  • Make sure the chest elevates completely before performing another compression.
  • Compressions should be performed at 100 per minute.

Keep Performing CPR Until Normal Breathing Is Resumed or Emergency Help Arrives

Keep performing hands-on CPR, stopping only if the person begins normal breathing or an emergency responder arrives and takes over resuscitation. You should also turn over the task to another person versed in CPR, if possible, if you become too tired. If an automated external defibrillator (AED) becomes available, you will also want to stop so the device can be used.

How to Use an Automated External Defibrillator (AED)

When an AED does come available, you want to turn on the device so the machine can provide step-by-step directions. Wipe the patient’s chest dry and affix the pads of the AED. Plug the connector, if required.

Defibrillation with an AED

When using the AED, make sure that no other person is touching the victim. Announce the word “clear” so everyone knows to stand back and away from the victim. If needed, press the “analyze” button. If a shock is recommended, press the “shock” button. Resume resuscitation, performing compressions, and follow the AED device’s prompts.

Why Knowing How to Administer CPR is Essential

Again, knowing this information is important for everyone, as SCD or sudden cardiac death is the main cause of natural death in the U.S. About 325,000 adults succumb to SCD each year – the reason for half the deaths from heart disease annually.

The Results of a Heart Attack

Sudden cardiac arrest (SCA) is not a myocardial infarction, or heart attack. However, it can happen when a heart attack takes place. A heart attack happens when a blockage develops in one or more arteries of the heart. In turn, the heart is unable to receive sufficient oxygen-rich blood. If oxygen cannot enter the heart, the heart muscle becomes damaged.

A Flaw in the Heart’s Electrical System

Unlike a heart attack, an SCA happens when the heart’s electrical system or rhythm is disturbed. When this occurs, the heart will beat faster than normal or the ventricles may quiver (known as ventricular fibrillation). The blood, in turn, cannot circulate in the body. During the first few minutes of an SCA, the victim loses consciousness. Death usually follows unless resuscitation measures are begun.

Applying an Electric Shock

When an SCA occurs, emergency treatment includes the use of CPR (cardiopulmonary resuscitation) and defibrillation. While CPR is a manual resuscitation technique – used to keep oxygen and blood circulating to the brain, defibrillation involves applying an electric shock to the chest.

When AEDs are Normally Used

While emergency teams use portable defibrillators, defibrillators, called automated external defibrillators or AEDs can be found in public areas. AEDs are designed to be used by people witnessing an SCA.

SCA Symptoms

When a person experiences an SCA, certain symptoms are noted. These symptoms may include a racing heart or a feeling of dizziness. However, an SCA can be insidious, as many people who suffer from an SCA do not experience any symptoms.

Ventricular Fibrillation

Most of the SCAs that occur result from an arrhythmia, or an abnormal heart rhythm. The most common of these life-threatening arrhythmias is defined as ventricular fibrillation. Ventricular fibrillation involves a random firing of impulses from the lower chambers of the heart known as the ventricles. When this happens, the heart cannot pump blood, which leads to death, if the condition is not addressed.

Learn CPR Today

Everyone needs to learn how to use an AED and administer CPR. If you have not done so already, now is the time to take CPR and CPR-related training. Give back to your community and make sure you have the skills needed to save a life.

 

 

References:

https://www.webmd.com/heart-disease/guide/heart-disease-coronary-artery-disease#3-9

https://www.webmd.com/heart-disease/guide/sudden-cardiac-death#2

 

CPR Saves a Life

The city of Philadelphia is campaigning to encourage its residents the benefits of learning CPR training.  Statistically, the average person in Philadelphia is half as likely to assist a person suffering from cardiac arrest in comparison to other cities nationally.

 

Because of this campaign, CPR was recently used to save the life of one-year old Jayson Smith, thanks to the efforts of the three Philadelphia police officers and their quick first aid response by applying the necessary CPR needed to save his life.

 

When the officers arrived at the boy’s home, his eyes were rolled in the back of his head and he was unresponsive.  The officers immediately started performing CPR on the child, with one of the officers performing rescue breathing as another officer monitored his pulse.  The officer continued the CPR techniques on little Jayson for the next ten minutes until the paramedics arrived and were able to take over the rescue effort and rush him to the nearby St. Christopher’s hospital where doctors on staff could take over.

 

When we think of using CPR lifesaving techniques, we do not always think that it is going to be a child that needs CPR.  However, there are times when a child is in need of this life-saving technique; therefore, the city of Philadelphia would like to urge all its citizens to go online to  www.inpulsecpr.com  to register for a lifesaving CPR training class right away.  It could be one of your loved ones lives that you save by doing so.

 

The CPR training classes offered by In-Pulse CPR are meant to be fun as well as informative.  All participants of the training classes receive a full two-year certification from the American Heart Association.   A person can register for a four or six-hour class and there is also First Aid training that is available.

 

Participants can receive training in CPR certification, AED training, as well as First Aid training throughout the state of Pennsylvania.

 

 

 

 

Sources:

https://pixabay.com/en/ph

 

http://6abc.com/news/philadelphia-police-officers-save-unconscious-child/1765913/

 

 

Bystander CPR: Important Facts You Should Know If You Are from Philadelphia

Research shows that Philadelphians need to learn CPR. In fact, studies indicate Philadelphia falls behind other cities when it comes to administering this life-saving procedure.  That is why it is imperative that Philadelphians begin looking at the importance of CPR training.

Why Everyone Needs to Learn CPR

Most people are under the impression that CPR is a practice that is confined to health care workers or people who work at athletic or sports facilities. However, CPR is a basic resuscitation method that everyone should know.

Hands-on CPR Training

CPR is easy to learn and can save countless lives. Plus, you can use hands-on CPR that does not include breaths. Some people are shy or wary about using mouth-to-mouth resuscitation. However, hands-on CPR makes it possible for you to save someone’s life and keep them breathing until help arrives.

Learn How to Save a Life

The more people who know CPR, the safer everyone will be. Both laypeople in Philadelphia and healthcare providers can benefit from CPR training. Training takes a minimal amount of time and enables a student to learn all there is to know about CPR – compressions, rescue breathing (if the class covers mouth-to-mouth resuscitation), and defibrillation.

A Telling Statistic

According to the Philadelphia Inquirer, about 1,100 Philadelphians lost their lives to cardiac arrest in 2015. Many of the deaths, which occurred in public places or at home, could have been avoided if hands-only cardiopulmonary resuscitation (CPR) has been used.

An Instrumental Measure

Indeed, CPR is instrumental in saving lives, as it can be used in a variety of emergencies. CPR can be administered any time a person’s heart stops beating or if he or she suffers from a near-drowning. Again, hands-only CPR does not require that the lifesaver give mouth-to-mouth resuscitation or breaths and has been shown to be as effective as the traditional CPR for saving an individual from cardiac arrest in the workplace, in public, or at home.

Timing Is Crucial

If the heart stops beating, any lack of oxygenated blood can lead to brain damage. This can happen in only several minutes. Moreover, an individual suffering from SCA can die in as little as 10 minutes. However, if CPR is administered, blood can still flow to the organs and brain until responders can provide the equipment needed to restore rhythm to the heart.

A Basic and Easy-to-remember Technique

Any bystander who knows hands-only CPR can be invaluable to a community. This process takes place in two steps. First, the bystander calls 911. He then pushes on the center of the victim’s chest—firmly, using quick compressions—until help arrives. The compression rate should be around 100 compressions per minute. Press over the chest at a depth of about two inches.

Invaluable Training

Indeed, by-stander CPR is invaluable as well as training in the use of an automated external defibrillator (AED). An AED device is used to restore a heart that is beating abnormally. Cardiac arrest has become a community issue, as cardiac survival rates are unacceptable currently. When a wide range of people know how to administer CPR and use an AED, they can make a vital, if not far-reaching, difference.

How an SCA and Heart Attack Differ

While the terms are often used interchangeably, a sudden cardiac arrest (SCA) and a heart attack are not the same thing. A heart attack happens when the circulation to an area of the heart is blocked by either an obstructed or narrow coronary artery. In turn, this blockage results in damage.

Heart Attack Symptoms

Heart attack symptoms usually include dizziness, confusion, shortness of breath, or pain. An SCA happens when the electrical activity of a heart is disrupted, which causes the heart to stop beating. This disruption can result from a heart attack, an inherited condition, or an electrolyte imbalance.

Treatment Objectives

When an SCA occurs, the patient almost instantly loses consciousness. The treatment objective, for an SCA is to maintain blood flow and restore the heart’s rhythm. On the other hand, treatment for a heart attack entails reopening the arteries to clear blockages and o restore the blood’s flow.

SCAs Happen Frequently in the Home

Therefore, when CPR is performed, the goal is to maintain the heart beat until emergency help can arrive. Again, knowing CPR is vital for both bystanders and medical workers, given the latest statistics – statistics that show that most SCAs happen in home settings with a witness present.

Increasing SCA Success Rates – What Typically Works

The effective treatment of SCA requires an automatic response from lifesavers. Usually, this response is more likely to be successful if 911 is called, CPR is begun, and an AED is used. The time between the first chest compression and the SCA incident is critical. Survival rates decrease 10% for every minute CPR is delayed. Therefore, ever second is crucial – from the time of a collapse to the return of spontaneous blood flow.

Can You Perform CPR?

While evidence supports that bystander CPR knowledge along with the use of an AED can substantially increase SCA survival rates, only 3% of the entire US population currently is CPR trained. As a result, many laypeople or bystanders are not prepared to act.

Giving Back the Community

If you live in Philadelphia and want to give back to the community, learning CPR is valuable way to do so. When you are trained in CPR, you will be able to recognize an SCA and know how to respond accordingly.

 

A Short Learning Curve

It does not take a long time to learn CPR. Therefore, you do not have any reason not to make time to do so. A knowledge of CPR can also be used in emergency situations in the areas of disaster safety, weather safety, water safety, and children’s safety.

Hand-on CPR for Bystanders

While courses for CPR are given in schools and to healthcare providers and employees, they are open, as well, for people who wish to learn how to provide life support using this method. CPR training applies to the resuscitation of pets, babies, children, and adults. Learning hands-on CPR is ideal for bystanders as it easy to retain and remember.

What You Need to Do if Someone Suffers an SCA

Before giving hands-on CPR, responders or bystanders should first look around them, checking the environment and the person. Make sure it is safe for you to continue. Tap the individual on his or her shoulder and ask if he or she is okay. Check to see if they are breathing normally.

Performing Hands-on CPR

Next, call 911 if the victim is not responding. Either that, or ask a bystander to call 911 while you begin chest compressions. Performing hands-on CPR includes the following steps:

  • Kneel beside the victim
  • Place the heel of our hand on the chest of the victim
  • Place the heel of your other hand on top of the hand on the victim’s chest
  • Lace the fingers together
  • Position yourself so that your shoulders are situated right above your hands
  • Keep the arms straight
  • Push down on the chest, using quick movements, using your body weight
  • Make sure the compression are at least two inches deep
  • Deliver about 100 compressions each minute
  • The chest should rise completely in between each compression
  • Continue the process until you notice the patient is again breathing or an EMS professional arrives at the scene

Why It Is Important that Everyone Has CPR Training

In some situations, a bystander may become too exhausted to continue. However, if another bystander is present who know CPR, the activity can continue until an AED can be used or an emergency responder arrives.

CPR Training in Philadelphia

Can you see why it is important for everyone to learn CPR? Even in a situation where there is no medical personnel, a life can be saved if people are CPR trained. Statistics reveal that Philadelphia falls behind other cities when it comes to CPR education. According to an article in The Inquirer in Philadelphia, the city’s need for CPR training is acute.

 

Tripling the Survival Rate

The article added that CPR, when performed within minutes of an SCA, can double or triple an individual’s chance of survival. Indeed, every minute counts when a person falls victim to an SCA. That is why everybody needs to know CPR. An SCA does not just happen in sports facilities, on athletic fields, where people swim, or in the hospital. It often happens at home or can occur in the workplace.

The City of Brotherly Love

If you do not know hands-on CPR or have not been trained in this lifesaving procedure, now is you time to schedule a CPR class. Philadelphia’s motto, called the Philadelphia Maneto, supports the community’s caring nature. The motto, “Caritas fraternitatis maneat in vobis,” when translated, means “Let brotherly love abide with you.” That coincides with the city’s reputation as being the “City of Brotherly Love.”

Sign Up for CPR Training

Sign up now!

The American Heart Association has a CPR class this week near you!

Isn’t learning CPR the ideal way to show the type of care that Philadelphians are known to possess? In a short matter of time, you can be certified in CPR. You only need to sign up for a class and start learning. The sooner you do so, the sooner you will realize how CPR can indeed make a difference in your life and to someone who may need your help one day.

 

References:

http://www.philly.com/philly/opinion/commentary/20160606_Commentary__Save_lives_by_training_more_people_in_hands-on_CPR.html

http://www8.nationalacademies.org/onpinews/newsitem.aspx?RecordID=21723

http://www.philly.com/philly/health/20160608_Save_a_life_in_2_easy_steps.html

 

 

 

A Doctor uses CPR on his own Wife

CPR Save Pennsylvania

This is the story of how a Pennsylvania Orthopedic Surgeon saved the life of his wife by performing the life-saving technique of CPR on her when she was in cardiac arrest until emergency technicians arrived and could resume support en route to the hospital.

After spending one Saturday afternoon watching a Phillies baseball game, Matt and Stephanie Austin were heading to their new beach house for some much-needed rest and relaxation and a chance to sleep in on Sunday morning.  Their plans for sleeping in were spoiled by a 6:00 A.M. call from another doctor requesting Matt’s advice.  As he was talking with his colleague on the telephone, he noticed Stephanie was making weird sounds, he called her name out but she did not respond.  He turned her over in the bed and noticed her pupils were fixed and dilated and her face was blue—she was in full cardiac arrest.

Thinking quickly, Matt called 911 and started performing CPR on his wife. Both Matt and Stephanie had first learned how to do CPR while they were both still in high school during which time when Matt was a lifeguard.  Matt was a doctor, however, he was an orthopedic surgeon so he did not use CPR as much as the other nurses and E.R. doctors did.  When the ambulance arrived, he had to temporarily stop CPR so he could go down the two flights of stairs to allow the emergency technicians into the house.

Even though Stephanie led and active lifestyle and appeared healthy; her heart was not healthy.  Thanks to the quick reactions of her husband, and the CPR process he was able to save her life and she is still alive today.

If you are not currently certified in CPR training, go online at www.inpulsecpr.com and register for a CPR class today.   The next big CPR save could be one you helped to make a reality.

https://news.heart.org/pennsylvania-doctor-makes-lifesaving-house-call-in-his-own-home/

CPR certification at over 13 classrooms across Pennsylvania

In-Pulse CPR Inc, An American Heart Training Center (TC)

Offering CPR training in Greater Lehigh Valley, Harrisburg, Allentown, Philadelphia, more…

At In-Pulse CPR we take pride in our quality of teaching. We use the latest technology and state-of-the-art equipment to provide for an interactive, experiential learning environment. We make sure that each student leaves the classroom feeling confident in the skills they gained.  Our classes are fun too!

Click here to View our Class Calendar

We offer the following certifications:

Heartsaver CPR

Heartsaver AED

BLS Healthcare CPR / Heath care Professional

Heartsaver First Aid

and More…

Rowan College at Burlington County AHA
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Penn
n/a Repeat client (I think 4 times now)
PCOM Web
La Salle University AHA website
Genesis Jewel Warrington
Saint Mary’s life
Fire Dept Online research
Gwynedd mercy university
Temple University I found you on the AHA website.
VAMC Google
Holy Redeemer hospital Google
Rowan College of Burlington Country Nursing Program
The College of New Jersey
Alegis Care Friend
Magee Hospital google
PA Massage Therapy License AHA
Messiah College (Occupational Thearpy) Other students
Genesis Rehab online
N/A Internet
Immaculata University Internet
Bloomsburg University of Pennsylvania
Gwyneed Mercy University school directed to aha
Preferred home care Online
Behavior Interventions, Inc
PA License Renewel Previous class
Pennsylvania Health System internet
Eastern University
La Salle Univeristy recommended by friend
Malvern Institute Internet
PADI Google
St Davids Episcopal day School Online
west chester university aha
Gwynedd Mercy University
United States Air Force Online search
La Salle university Counselor
La Salle University School
SECOND ALARMER’S RESCUE SQUAD WEBSITE
Gwynedd Mercy University
University of Alabama at Birmingham, School of Nursing AHA
Wes mental health Google
CCP Internet
Ms. Online
Gwynedd Mercy University
NASM – for personal training certification website search
National Academy of Sports Medicine NASM
A job Internet
CNA Google.
State Board of Nursing Googled
Penn Presbyterian Medical Center Google
Penn Presbyterian Medical center Online
Goodshepard Penn Partner
Eastern center for Arts and Technology Internet
Masonic Village Internet
Daycare Business Online
Fox Rehabilitation AHA website
FlexCare Online search
Neumann University heart.org
ACE
Maxim healthcare Website
TJUH on line search
Hillcrest Center co-worker
Employment Google
CCP Internet
Jefferson University Internet
Baptist Memorial Hosptial American Heart Association website
Immaculata University, Nursing department from friends
Community College of Philadelphia online
Einstein hospital, Montgomery aha site
US medical staffing Online
Thomas Jefferson University School
Eastern University
LGH
Maple Grove Preschool
Maple Grove Preschool Friend
Maple Grove Preschool friend
Cciu
360care online
Alvernia University
Delaware county community college
Johns Hopkins Bayview
Lancaster General Hospital
personal google
Bloomsburg University
Brandywine Hall, Genesis Health Online
Dental Hygiene Internet
Thomas Jefferson University looking online
West Chester Univ. American Heart Assoc. website
acme online
AMC Online
Paoli Hospital
PSC at Philadelphia
Excelsior College and PSA Healthcare Website
Holisticare
West Chester University online search
Pennsylvania College of Health Sciences Internet search
Eastern University American Heart Association Website
Eastern University American Heart Association Website
EMT Renewal Cert AHA website
Harcum College Online
University of Pennsylvania Health System
APTA, ATC On line
Wilmington University Online
Drexel University
Main Line Health
Care link Community Support System Online
Harrisburg Area Community College Friend
PA College of Health Sciences AHA website
Chester county hospital Web search
The Success Academy
Christiana Hospital Online
EMT PA Licence renewal Online
La Salle University
PTA license internet
Thomas Jefferson University
AHA AHA
Delaware State for PTs Google Search
Franklin and Marshall College / Good Fellowship Ambulance AHA
Holy Family University Nursing Professors
Immaculata University
Massage Therpary Renewal License on line
West Chester University
West Chester University
Villanova University
Inner Beauty Massage Therapy
Shenandoah University Shenandoah University
ACE PT Certifications Google
American College of Sports Medicine A.H.A
La Salle University Search
Montgomery county community college Website
Temple University
Im a certified nurse aide. Online
Montgomery County Community College
Montgomery County Community College
Montgomery County Community College AHA website
Temple University
Therapy Source Renewal
Montgomery County Community College AHA
NASM
University of Penn Online search
University of Penn Online
ACE Online
ACE, NCCA NCCA, Word to mouth
Gwynedd Mercy University
ACE Online
Emergency Training Academy
Davita
University of Scranton Online
La Salle University La Salle
Montgomery County Community College Nursing Program AHA website
Research College of Nursing American Heart Association
Research College of Nursing Online
St. Christopher’s Hospital for Children
Thomas Jefferson University Hospital internet
Alegis care Web Search
Drexel University – ACE Program
Excel Physical Therapy Online
LaSalle University Online
Nemours AHA website
None Website
Montgomery County Community College I found you on the internet
Premier Orthopaedics and Sports medicine
The University of Scranton The American Heart Association Website
Montgomery County Community College online
ACE Web
Good Shepard Penn Partners
Hampton Inn & Suites mgr
Montgomery county community college nursing program
pre employment web search
pre employment web search
Gwynedd Mercy University
Immaculata Took your class at another location.
Kencrest Internet
Montgomery County Community College Google Search for BLS CPR courses in the area
NASM American heart assoc
Penn medicine
Personal training internet
Phoenixville Online
Pottstown Hospital
Pottstown Hospital Website
West Chester University
Armstaffing
Einstein medical center Einstein medical center
Immaculata University
Salus University – Clinical Rotation at Schofield Army Hospital, Hawaii
Bayada Online
Gwynedd Mercy University
Montgomery County Community College
Montgomery county community college School
Phoenix Rehabilitation and Health Services, Sebastian Riding Associates, Dynamic Home Therapy online search
Villanova University: School of Nursing
PA state board Online
Montgomery county community college AHA
Pa EMT Cert Renewal with you
Montgomery County Community College AHA
Bayada health care Internet
Montgomery County Community College AHA
Montgomery County Community College Friend
Pennsylvania State University Nursing Program previously took this class
St Lukes Bethlehem on line
Pottstown Hospital
Delaware County Community College
none internet
required for employment with any facility AHA
Cedar Crest College American Heart Association Website
Pennsylvania Massage Therapy Board Google
Gwynedd Mercy University
Group Ex Instructor Online—took course 2 years ago
Ms. AHA
Ms.
Ms.
Ms.
PennState Health St Joseph. Reading, PA
YTI Career Institute online
Millersville University Friend
Lebanon county career and technology center Practical nurse American heart association
Alvernia University My friend from online
Widener University Online
Alvernia University Friend
Florida Autism Center Employer
binghamton university
Childhood Oasis Daycare Center LLC online
for pharmacy licensure
Massage Therapy online search
Alvernia University American Heart Association
Kent State Online
Kindred Hospice Kindred hospice
Boy Scouts of America Internet
Delaware Skills Center Google Search
I need my cpr certification for my CNA license. Online
Thomas Jefferson University Nursing
Adventist Health Care AHA
FAIRHAVEN
FAIRHAVEN
Medstar Union Memorial Hospital AHA Website
Penn State Hershey Rehabilitation Hospital
Elizabethtown College Fellow classmate
HACC
National Fitness Partners
PAC Ortho Internet exchange of quality information.
Physician Assistant
Marian Medical Center Online google search
Messiah College A friend
Pennsylvania Board of Pharmacy We have our previous certifications through In-Pulse
Massage Therapy
Mr.
Zion Lutheran Church previous attendee
mobile massage therapy INTERNET SEARCH
Gulf Coast VA
Trust ambulance
Kinkora Pythian Home Website
Lebanon County Career & Technology Center
Lebanon County Career & Technology Center Online
Home to stay Internet
Pensacola Christian College
Brown’s Day Care Certified by In Pulse
Jewish Home of Greater Harrisburg At work
York College of Pennsylvania
RDH license Taken before
Fitness Internet
Dallastown Area School District website
Live Fresh LLC
for homeschool health & for babysitting google
Self Repeat customer
Massage Therapist License renewal Previous classes
Lancaster Country Day took classes prior
Commonwealth of PA, Dept. of State, State Board of Dentistry Past Attendee
Staffmore Internet
SweatFitness
Sacred Heart University Sacred Heart University
PA state board pharmacy Previous
Arbill Safety
Montgomery county community college AHA website
Bethany christian services Online
Bethany Christian Services for foster care to adopt. online
Brown’s Day Care Certified by In Pulse
Dental Hygiene license online
DR KOSTOW WELLNESS & WEIGHT LOSS LLC American Heart Association
Elizabethtown College Classmate
Franklin votec Friends
Functional Pathways
genesis online-jewel
Harrisburg Area Community College
none online
PA SWAN
Planet Fitness
Planet Fitness
Self employed Online
Villanova University Internet

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Use of any advise on this site is purely at your own risk.  The information supplied is designed to accompany CPR and first aid training not to replace.  In-Pulse CPR, Inc disclaims any liability for losses you incur as a result of inaccuracy of the information provided on this website.  Information on this site is for education, supplemental to examination by and advice of medical professionals.   Any information regarding first aid treatments is not meant to replace the advice of medical professionals including physicians, paramedics, emergency room attendants, nurses or other licensed medical personnel.