A PUBLIC CPR INITIATIVE

AMAN CPR TRAINING PROGRAM

HANDS-ONLY CPR
In collaboration with
LEARNING OBJECTIVES
a. What is Cardiac Arrest?

b. How to recognize Cardiac Arrest?

c. What is CPR and why its important?

d. What is an AED and how its used with CPR?

e. How to place a person in recovery position?
BACKGROUND

It is an important life saving first aid skill, practiced
throughout the world.

It is the only known effective method of keeping a victim of
cardiac arrest alive long enough for definitive treatment to
be delivered.

In Pakistan, more than 40% of death in the Adult population
are due to CARDIAC ARREST.

Survival to hospital discharge presently approximately 5-10%.

Fast, efficient CPR resuscitation and prompt defibrillation
(within 1-2 minutes) can result in >60% survival.
Is an emergency procedure, performed in an effort to
manually preserve intact brain function until further
measures are taken to restore spontaneous blood circulation
& breathing in a person in cardiac arrest.

Current recommendation place emphasis on high-quality
chest compressions over artificial respiration ; a simplified
CPR method involving chest compression only is
recommended for common person.

C.P.R
CARDIO PULMONARY RESUSCITATION
Hands-Only CPR is an easy-to-remember and effective
option for people who have been trained in CPR before but
are afraid to help because they are not confident that they
can remember and perform the steps of conventional CPR.

Hands-Only CPR is CPR without mouth-to-mouth breaths. It
is recommended for use by people who see a teen or adult
suddenly collapse in an out-of-hospital setting (such as at
home, at work or in a park).

The chest to expand back to its normal position after each
compression may also bring some oxygen into the lungs.
WHAT IS HANDS-ONLY CPR?
Full CPR combines rescue breaths with chest compressions
and is the best option in some emergencies, including:

All infants (up to age 1)
Children (up to puberty)
Anyone found already unconscious and not breathing
normally
Any victims of drowning, drug overdose, collapse due to
breathing problems, or prolonged cardiac arrest

HOW IS CPR DIFFERENT FROM HANDS-ONLY
CPR?
CARDIAC ARREST
CARDIAC ARREST
Cardiac arrest refers to a sudden condition in which the Heart
stops beating.

It takes only 5 minutes for the Brain to die when a person
goes into CARDIAC ARREST.

Cardiac arrest victim is not responsive.

Breathing is absent or is not normal.

Agonal gasps are common early after sudden cardiac arrest
and can be confused with normal breathing.

Pulse detection alone is often unreliable

RECOGNIZE CARDIAC ARREST
THE CHAIN OF SURVIVAL
Immediate recognition of cardiac arrest and activation of
the emergency response system
Early CPR with an emphasis on chest compressions
Rapid defibrillation
Early transport
Integrated post-cardiac arrest care
THE CHAIN OF SURVIVAL
STEPS OF INITIATING CPR
Approach Safely
Check Response
Check Breathing
Call for Help & AED
Start Chest Compressions
APPROACH SAFELY
Approach Safely
Check Response
Check Breathing
Call for Help & AED
Start Chest Compressions

Scene

Rescuer

Victim

Bystanders
CHECK RESPONSE
Approach Safely
Start Chest Compressions
Check Response
Check Breathing
Call for Help & AED
CHECK RESPONSE
Shake shoulders gently
Ask Are you all right?
If he responds
Leave as you find him.
Find out what is wrong.
Reassess regularly.
CHECK BREATHING
Approach safely
Start Chest Compression
Check response
Check Breathing
Call for Help & AED
CALL FOR HELP AND A.E.D.
Call 1021 for Aman
Ambulance and Ask for
A.E.D.
START CHEST COMPRESSIONS
CHEST COMPRESSIONS
Place a victim on an flat firm surface
Place the heel of one hand in the
centre of the chest
Place other hand on top
Interlock fingers
Compress the chest
Rate 100 min
-1

Depth 5 cm
Equal compression : relaxation
When possible change CPR operator
every 2 min
Minimize interruptions
HANDS-ONLY C.P.R.
Continue chest compressions at the rate of 100 per minute.

The patient regains a pulse or consciousness.
The professional help arrives.
The rescuer is too physically tired to continue CPR.
The patient is pronounced dead by a medical doctor.
This protocol continues until:
DEFIBRILLATION
DEFIBRILLATION
Approach safely
Check response
Check Breathing
Call for Help & AED
Attach AED
Follow voice prompts
SWITCH ON A.E.D.
Some AEDs will
automatically switch
themselves on when the
lid is opened
ATTACH PADS TO CASUALTYS BARE CHEST
ANALYSING RHYTHM DO NOT TOUCH THE
VICTIM
SHOCK INDICATED
Stay Clear.
Watch for yourself,
your partner &
bystanders.
Deliver Shock
SHOCK DELIVERED,
FOLLOW AED INSTRUCTIONS
START CHEST COMPRESSIONS
NO SHOCK ADVISED,
FOLLOW AED INSTRUCTIONS
START CHEST COMPRESSIONS
RECOVERY POSITION
IF VICTIM STARTS TO BREATHE NORMALLY PLACE IN
RECOVERY POSITION
STEPS OF RECOVERY POSITION
STEP 01
STEP 02
STEP 03 STEP04
QUESTIONS
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