Professional Documents
Culture Documents
Manual
BLS Certification
Manual
By: Taliah Alexander, Edward Reyna, Cory Meyer, and Lorena Martinez
Table of Contents
Table of Contents
Table of Contents ............................................................................................................................ v
Introduction ................................................................................................................................... vii
Becoming Certified ......................................................................................................................... 3
Introduction ................................................................................................................................. 3
Getting started ......................................................................................................................... 3
Online Portion ............................................................................................................................. 3
Instructions for Online Registration............................................................................................ 4
Steps ........................................................................................................................................ 4
Instructions for Classroom Portion ........................................................................................... 12
Instructions for Classroom Registration Portion....................................................................... 12
Course Outline .............................................................................................................................. 17
Intro ........................................................................................................................................... 17
Course Format ........................................................................................................................... 17
Course Content.......................................................................................................................... 17
Features ..................................................................................................................................... 17
Basic Life Support Study Guide ................................................................................................... 21
Introduction ............................................................................................................................... 21
Rescuer Adult CPR ............................................................................................................... 21
RESCUER CPR FOR CHILDREN .......................................................................................... 22
RESCUER CPR FOR ADULTS AND CHILDREN................................................................ 23
Rescuer 1 ............................................................................................................................... 23
Rescuer 2 ............................................................................................................................... 23
AED operation: ......................................................................................................................... 23
AED Use in Water Situations ............................................................................................... 23
Transdermal medications: ......................................................................................................... 24
Implanted pacemakers/Implanted cardiac defibrillators (ICD): ................................................ 24
RESCUER INFANT CPR ........................................................................................................ 25
CPR for Infants ......................................................................................................................... 25
Choking ..................................................................................................................................... 26
Mild Airway Obstruction: ..................................................................................................... 26
Severe Airway Obstruction: ...................................................................................................... 26
vi
Introduction
vii
Introduction
This manual was constructed with the goals of bringing awareness of Basic Life Support to University of
North Texas (UNT) Students. Basic Life Support (BLS) is the entry level of medical care used to treat
victims of life threat injuries and illnesses until they can receive full hospital care. BLS procedures will
allow you to potentially save lives and there are no prerequisites that students will have to for fill.
The American Heart Association (AHA) now offers both online and classroom options for training and
certification. The AHA's training consists of 8 total hours, 4 hours online and 4 hours of practical
instruction in a classroom setting in front of a certified instructor. A combination of both online and
classroom training will improve your learning experience which will allow you to make a difference
throughout your community. The addition of the AHA's online course also allows for greater flexibility
for the always busy UNT students; however; it still provides instruction that will improve your learning
experiences. This course will cover the same training and material that Health Care providers use on a
daily basis. When UNT students complete the AHA's BLS course you will be rewarded with a certification
that is valid for two years but more importantly the skills to save lives
Becoming Certified
Certification Portion
Becoming Certified
Introduction
The American Heart Association sets the standard for Cardio-Pulmonary resuscitation (CPR), Emergency
Cardiovascular Care (ECC) and First Aid. The AHA provides variety of options for you to find a course to
meet your schedule. The AHA BLS course consists of 2 sections, an online and classroom section that
must be completed to become certified. The online and classroom sections both last for an estimated 4
hours for a total of 8 hours for the entire course.
Getting started
Use the following steps to start your certification process for BLS. You will be able to complete these
steps in less than 10 minutes. These instructions are intended for students new to the BLS process. Your
list of required materials to start your certification process is listed below.
1. A computer with Internet access.
2. Debit or Credit Card to pay for the BLS Course.
Online Portion
The American Heart Association now offers the first section of the BLS training online to accommodate
all schedules and to make the certification process more efficient for you.You will be exposed to the
fundamentals of BLS during the online modules. Your online training course will take you through the
step by step process of how to successfully complete each BLS task through the use of online video and
instructions. The course is taught in the same manner at online courses are taught at University of North
Texas. The BLS online course will consist of a short lecture on each section to expose you to the
information for the first time.
Certification Portion
3. Next, click on CPR & ECC at the top of the screen in the AHAs Menu bar
4. Next, Click on Find a Course In the red box in the middle of the screen
6
5. Next, click on the red Box that says Online in the middle of the screen
Certification Portion
7. Choose your Country and fill in your credentials and also read over the terms of agreement
8. Now Click where it says register in red on the bottom right corner
8
9. Your screen should now look like this
Certification Portion
11. Under BLS basic life support section look for BLS online section 1 and add it to your cart
12. Your cart should look like and the amount should be $22.00 USD
10
15. Inter in your credit card/debt card info and save and continue Now that you have completed your
Certification Portion
11
12
Certification Portion
3. Next, click on CPR & ECC at the top of the screen in the AHAs Menu bar
4. Next, Click on Find a Course In the red box in the middle of the screen
13
14
5. Next, click on the red Box that says Classroom & Skill Sessions in the middle of the screen
6. You will now need to enter your zip code to find a local BLS Training Center
Certification Portion
15
7. Under the selection course, open up the drop down box and select Family & Friends CPR and click
submit.
8. A list of all possible training centers in Denton will appear. Determine which is the best for you and
call the center to schedule your classroom training time.
9. After you complete your classroom section of training you will be rewarded with your BLS
certification card.
16
Certification Portion
17
Course Outline
Intro
This section is dedicated to the course format, content, and the features that are presented throughout online
and classroom portions.
Course Format
The course is formatted where UNT Students must complete the BLS for PHP Online Portion first which presents
all the cognitive information then attend the in-classroom portion at their preferred facility. The in-classroom
portion is led by an American Heart Association BLS instructor and features instructor-led discussions, debriefing,
coaching and support for real-life hands-on skills.
Course Content
The course contents that are covered throughout the online and classroom portions consist of the most updated
science from the 2010 AHA Guidelines for CPR and ECC and The American Heart Association Chain of Survival. UNT
student are introduced to critical concepts of high-quality CPR and provided with different rescue and bag-mask
techniques between adults, children, and infants.
Features
The course is designed for providers working within the field. All scenarios demonstrated throughout the inclassroom portion are modeled after real-life experiences in order to prepare UNT student for these situations
that they may encounter. The course provides demonstrations of the following:
1-Rescuer CPR and AED for adult, child and infant
2-Rescuer CPR and AED for adult, child and infant
Rescue breathing for adult, child and infant
Relief of choking for adult, child and infant
Study Guide
21
2. If alone, activate EMS and get AED (if available). If someone responds, send person to activate EMS and
get AED (if available).
3.
Open airway and check breathing (take at least 5 seconds and no more than 10 seconds)
Use head tilt-chin lift
1. Look for chest to rise & fall; listen for air during exhalation; feel for flow of air on your
cheek
7.
4.
If not adequate breathing, give 2 breaths. Pinch nose and seal your mouth over victims or
use barrier device (e.g., face mask or bag/mask)1 second per breath; watch for chest rise
5.
6.
If you do not definitely feel a pulse, perform 5 cycles of compressions and ventilations
(30:2 ratio)
1. remove clothing from victims chest
2. put heel of 1 hand on center of victims chest between the nipples
3. put heel of other hand on top of first hand
4. push hard & fast (100/minute); press straight down 1 - 2 inches with each
compression
5. after each compression, allow chest to recoil and re-expand completely
6. deliver compressions at rate of 100/minute
7. do NOT interrupt chest compression often or for long
8. - continue 30:2 until AED arrives, ALS providers take over, or victim starts to move
22
2.
If someone responds, send person to activate EMS and get AED (if available).
1. If alone, give 5 cycles of CPR before activating EMS and get AED (if available).
2. If alone and there has been a sudden collapse, activate EMS and get AED (if available).Open
airway and check breathing (take at least 5 seconds and no more than 10 seconds).
3. Use head tilt-chin lift Look for chest to rise & fall; listen for air during exhalation; feel for flow of
air on your cheek
3.
4.
5.
If do not definitely feel a pulse OR pulse is <60 with signs of poor perfusion such as poor color,
perform5 cycles of compressions and ventilations (30:2 ratio)
1. Remove clothing from victims chest.
2. Put heel of 1 hand on center of victims chest between the nipples.
3. May use heel of other hand on top of first hand for larger children.
4. Push hard & fast (100/minute); press straight down 1/3 to depth of the chest with
each compression.
5. After each compression, allow chest to recoil and re-expand completely.
6. Deliver compressions at rate of 100/minute.
7. Do NOT interrupt chest compression often or for long.
8. Continue 30:2 until AED arrives, ALS providers take over, or victim starts to move.
6.
Study Guide
23
AED operation:
1. Use AEDs only when victim has all 3 findings: no response, no breathing, no pulse
2. Power on AED (activates voice prompts).
3. Attach electrode pads to victims bare chest:
a. Choose correct pads (adult vs child): use child pads for children < 8 years of age if available.
4. Do not use child pads for victims 8 years and older.
a. Peel backing and place 1 electrode on upper-right side of bare chest, to right of breastbone and
below collar bone.
b. Place other pad to left of nipple, a few inches below left arm pit.
c. attach AED connecting cables to AED
5. Clear victim and analyze rhythm:
a. Be sure no one is touching victim during analysis
b. AED will tell if shock is needed
6. If AED advises shock, it will tell you to clear the victim
a. clear victim before shock: be sure no one is touching victim in order to avoid injury to rescuers
b. loudly state Im clear, youre clear, everybodys clear
c. press shock button
d. will produce a sudden contraction of victims muscles
AED Use in Water Situations
1. Conducts electricity well
2. Water on the chest can provide direct path of energy from one electrode pad to the other (arcing)
and can decrease the effectiveness of the shock delivered to heart.
24
Transdermal medications:
1. AED electrodes should not be placed directly on top of a transdermal medication patch
(nitroglycerin, nicotine, analgesics, and hormone replacements, antihypertensive).
2. Patch may block delivery of energy from electrode pad to heart and may cause burns to skin.
3. Remove the patch and wipe the area clean before placing AED electrode pad.
Study Guide
25
26
Choking
1. Early recognition of foreign-body airway obstruction (FBAO), or choking, is key to survival.
2. Distinguish choking from fainting, stroke, heart attack, seizure, drug overdose, or other
causes of respiratory failure.
3. Foreign bodies may cause either mild or severe airway obstruction.
Study Guide
27
the infants throat. Rest your forearm on your lap or thigh to support infant.
4. Deliver up to 5 back slaps forcefully between infants shoulder blades, using heel of hand.
5. After 5 back slaps, place free hand on infants back, supporting back of infants head with palm
(cradling infant between your hands). Turn infant as a unit while carefully supporting head and
neck. Hold infant on back with your forearm resting on your thigh. Keep infants head lower than
trunk.
6. Provide up to 5 chest thrusts in same location as chest compressions (just below nipple line).
Deliver thrusts at rate of 1 per second.
7. Repeat sequence of 5 back slaps & 5 chest thrusts until object removed or infant becomes
unresponsive.
Infant Choking Victim Responsive At First, But Becomes Unresponsive:
1. If infant becomes unresponsive, stop back slaps and begin CPR.
2. Pressure of chest compressions from CPR may be able to relieve the obstruction.
3. Do not perform blind finger sweeps in infants in order to avoid pushing the object further into the
airway.
Unresponsive Infant Victim:
1. Place infant on firm, flat surface.
2. Open airway, remove object if you see it.
3. Begin CPR with 1 extra step: each time you open the airway, look for the object. Remove it if you see
it.
4. After about 5 cycles (about 2 minutes) of CPR, activate EMS.
Special Considerations
1. Ensure that rescuer and victim are in a safe location (e.g., out of a burning building)
2. In case of trauma, do not move victim unless necessary to ensure victim or rescuer safety
Infectious Disease
1. risk of getting an infectious disease during CPR is very low
2. OSHA requires healthcare workers to use standard precautions in the workplace if possibility
of exposure to blood/body fluids (e.g., barrier device, bag/mask, gloves, goggles)Jaw Thrust
3. If suspect cervical spine injury, open airway using jaw thrust without head extension
4. Move victim only if necessary to ensure safety or provide CPR (movement may cause paralysis)
5. If necessary to move victim, turn head, neck, and torso as a unit (logroll) to avoid flexing
or twisting neck/back.
Agonal Gasps
1. May happen in first few minutes after cardiac arrest
2. Gasps are not adequate give the victim breaths
28
Recovery Position
1. Use recovery position to manage unresponsive victims who have adequate breathing
2. Roll victim onto his/her side and position to maintain open airway
3. Recovery position allows fluid (e.g., mucus, vomitus) to drain without blocking airway
4. Check breathing often. If stops, get AED and start CPR.
5. Not recommended for infants and small children; may block airway if head not adequately supported
What Is A Heart Attack? (Myocardial Infarction/Mi)
1. Area of heart deprived of blood flow/oxygen for longer than 20-30 minutes
2. Heart muscle dies
3. Can result from several causes: 1) severe narrowing of coronary artery by cholesterol plaque, 2)
cracking of plaque with formation of blood clot over it, leading to blockage, 3) arterial spasm that
blocks blood flow.
4. Cardiac arrest most often happens within 4 hours after onset of symptoms of heart attack.
Signs and Symptoms of Heart Attack
1. Uncomfortable pressure, squeezing, indigestion, fullness, tightness, aching, crushing,
constricting, oppression, or heaviness are all ways to describe the chest discomfort or pain.
2. Pain is usually located in the center of the chest behind the breast bone and may spread to the
shoulder, arm, neck, jaw, or back.
3. Other signs may be nausea, vomiting, shortness of breath, and weakness.
4. Pain may be mild, severe, or may occur without warning, and may be ignored.
5. Discomfort lasts more than 15-20 minutes.
6. Discomfort not relieved (or only partially relieved) by rest or nitroglycerin.
7. ATYPICAL heart attack:
a. May occur more often in the elderly, people with diabetes, women
Cardiac Arrest
1. Circulation ceases and vital organs do not get enough oxygen.
2. Appearance of cardiac arrest victim: 1) unresponsive, 2) not breathing, 3) no pulse
3. May have agonal gasps early in cardiac arrest but they are not adequate breathing.
4. It is imperative to start CPR IMMEDIATELY on a victim of cardiac arrest, as brain death will begin
within 4 to 6 minutes.
Common Warning Signs of a Stroke
1. Sudden weakness or numbness of the face, arm or leg, especially on one side of the body.
2. Sudden confusion, trouble speaking or understanding.
3. Sudden trouble seeing in 1 or both eyes.
4. Sudden trouble walking, dizziness, loss of balance or coordination.
5. Sudden severe headache with no known cause.
Study Guide
29
Summary/Comparison of Procedures
CPR
Establish unresponsiveness
- Activate EMS
Open airway
- Use head tilt/chin lift
Check breathing
- If not breathing: give 2
breaths that make chest rise
First 2 breaths
Check pulse
At least 5 seconds and no
more than 10 seconds
Start CPR
Compression location
Compression method
Compression depth
Compression rate
Compression:ventilation
ratio
Adult and
Older Child
(puberty + older)
EMS as soon as victim
found
Child
(1 yr puberty)
Infant
(< 1 yr old)
Carotid pulse
(if no pulse, start CPR)
Give 2 breaths
(1 second each)
Carotid pulse
(if no pulse or pulse
<60 with poor
perfusion, start CPR)
FAQs
31
32
Index
33
Index
Abdomen, 23, 25
Adequate, 20, 21, 24, 27, 29
Instructors, 11
awareness, vii
Medications, 23
Obstruction, 25, 26
Renewal, 34
Certification, 3
Completion, 34
Compressions, 25
Transdermal, 23
Exposed, 3
First Aid, 3