2016EFRCPR&AEDInstructorGuideErrata

Revisionto12/11EFRCPR&AEDEnglishInstructorGuide
(product#79215,English,Vision1.0)

Coverandinsidecover,bottomofpage,changeversionandcopyrightto2016,andadd(Rev
12/16)Version1.02

Pageiii
UnderAcknowledgements,changePatientCareStandardstoread:
EmergencyFirstResponseCPR&AEDcoursesfollowtheemergencyconsiderationsand
protocolsasdevelopedbythemembersoftheInternationalLiaisonCommitteeon
Resuscitation(ILCOR).MembersincludeAmericanHeartAssociation(AHA),European
ResuscitationCouncil(ERC),AustralianandNewZealandCommitteeonResuscitation
(ANZCORcurrentmembersincludeAustralianResuscitationCouncilandNewZealand
ResuscitationCouncil),HeartandStrokeFoundationofCanada(HSFC),Resuscitation
CouncilofSouthernAfrica(RCSA),InterAmericanHeartFoundation(IAHF),Resuscitation
CouncilofAsia(RCAcurrentmembersincludeJapan,Korea,Singapore,Taiwan,
Philippine,Thai).
SourceauthorityforthedevelopmentofcontentmaterialinEmergencyFirstResponse
programsisbasedonthefollowing:
Circulation,JournaloftheAmericanHeartAssociation.Volume122,Number18,
Supplement3.November2010,andVolume132,Number18,Supplement2.
November2015.http://circ.ahajournals.org/content/vol132/18_suppl_2/and
https://eccguidelines.heart.org/index.php/circulation/cpreccguidelines2/
Resuscitation,JournaloftheEuropeanResuscitationCouncil.Volume95,October
2015.http://www.resuscitationjournal.com/
AustralianResuscitationCouncilandARC,ANZCORandARCGuidelines,Version:
January2016.http://www.resus.org.au/guidelines/anzcorguidelines/
NewZealandResuscitationCouncilGuidelines,ANZCORandNZRCGuidelines,
Version:January2016.http://www.anzcor.org/guidelines/.
WhenregionalCPR&AEDcareguidelinesdiffersignificantly,theEmergencyFirstResponse
curriculumclearlyliststhosedifferences.Whenindoubtaboutaparticulartreatment
protocolorprocedure,alwaysrefertotheactualguidelinesproducedbythecouncilor
organizationhavingauthorityinyourregion.

Page3
UnderRegionalResuscitationCouncilsandOrganizations,thirdbulletpoint,replace
AustraliaandNewZealandResuscitationCouncils(ARC/NZRC)guidelineswithAustralia
andNewZealandCommitteeonResuscitation(ANZCOR)andARC/NZRCguidelines.

Page11
Replacethefourbulletpointsonthepagewith:
Circulation,JournaloftheAmericanHeartAssociation.Volume122,Number18,
Supplement3.November2010,andVolume132,Number18,Supplement2.November
2015.http://circ.ahajournals.org/content/vol132/18_suppl_2/and
https://eccguidelines.heart.org/index.php/circulation/cpreccguidelines2/
 Resuscitation,JournaloftheEuropeanResuscitationCouncil.Volume95,October2015.
http://www.resuscitationjournal.com/
AustralianResuscitationCouncil,ANZCORandARCGuidelines,Version:January2016.
http://www.resus.org.au/guidelines/anzcorguidelines/
NewZealandResuscitationCouncilGuidelines,ANZCORandNZRCGuidelines,Version:
January2016.http://www.anzcor.org/guidelines/.
Page13
UnderCorePerformanceRequirements,replacethe6+pointtoread:
+Performonerescue,adult,child,andinfantCPRchestcompressionsatarate
of100to120compressionsperminute,totheappropriatechestdepthforthesize
andageofthepatient.
Page15
UnderSupervisionandRatios,addthefollowingtwosentencesabovethethird
paragraph:TheseratiosapplyduringSkillsDevelopmentandScenarioPractice.During
KnowledgeDevelopmentsessionsthemaximumratioislimitedonlybyinstructorcontrol
andtheparticipantsabilitytohearandseeclearly,andinteractwiththeinstructor.

Page210
UnderInstructorNotereplacealltextwiththefollowing:InAustraliaandNewZealand,
usethefollowingANZCORBasicLifeSupportFlowchart(Guideline8):
DRSABCD
D=Dangers? Checkfordanger(hazards/risks/safety)
R=Responsive? Checkforresponse(ifunresponsive)
S=Send Sendforhelp
A=Airway Opentheairway
B=Breathing? Checkbreathing(ifnotbreathing/abnormalbreathing)
C=CPR StartCPR
D=Defibrillator AttachanAutomatedExternalDefibrillator(AED)assoonasavailable
andfollowtheprompts
Page219
UnderInstructorNote,lastsentence,replaceARC/NZRCwithANZCOR

Page310
ReplacetheInstructorNotewiththefollowingbox:
Onehandisplacedontheforeheadorthetopofthehead.Theotherhandisusedto
provideChinLift.Thehead(NOTtheneck)istiltedbackwards.Itisimportantto
avoidexcessiveforce,especiallywhereneckinjuryissuspected.Thechincanbeheld
upbytherescuersthumbandfingersinordertoopenthemouthandpullthe
tongueandsofttissuesawayfromthebackofthethroat.

Page310
UnderPerformanceRequirements,changethefirst+pointtoread:
+PerformadultCPRchestcompressionsatarateof100to120chest
compressionsperminuteanddepressingthechestonethirdthedepthofchest
approximately56cm/22.4inches.

Page312
Under6.Deliverchestcompressions5th+,changethethirdsentencetoread:
 Yourrateshouldbe100120compressionsperminute.

Page315Under6.Deliverchestcompressionsfifth+point,changethethirdsentenceto
read:Yourrateshouldbe100to120compressionsperminute.

Page322
UnderKeyPoints,point2c),changeARC/NZRCtoANZCOR
Page324
Under6.Deliverchestcompressions,changethird+pointtoread:
+Toprovideeffectivechestcompressionsyoushouldpushhardandpushfast,
depressingthebreastboneonethirdthedepthofthechildschestapproximately
5cm/2inches.
Andunderfifth+point,changesecondsentencetoread:
Yourrateshouldbe100to120compressionperminute.

Page3.26UnderKeyPoints,2c.changeARC/NZRCtoANZCOR
Page327
UnderCriticalSteps,7.changefourth+point,thirdsentencetoread:Yourrateshould
be100to120compressionperminute.

Page329
DeleteInstructorNoteontopofpage
AboveheaderConsciousChokingAdultorChildinsertnewInstructorNotetoread:
INSTRUCTORNOTEMakesureparticipantsrecognizethatproceduresfor
handlingaconsciouschokingpatientvaryinternationally.Tellparticipantsthat
youwillteachthemtheprotocolsappropriateforthelocalregion.
InheaderConsciousChokingAdultorChild,HowItsDone,add:AHAGuidelines(North,
SouthandCentralAmerica,Asia,regionsinAfrica,andthePacificIslandcountries)
Page330
AboveUnconsciousChokingAdultinsertregionaldifferences,toreadasfollows:
HowItsDoneEuropeanResuscitationCouncilGuidelines
1. StartbyaskingaresponsivepatientAreyouchoking?
2. Ifthepatientcannotspeakorisnotbreathingnormally,givetheResponder
StatementHello?Mynameis______.ImanEmergencyResponder.MayIhelp
you?
3. Whenpermissionisgranted(aheadnodissufficient),alertEMSandproceedwith
attemptstodislodgetheobject.
4. Beginwithbackblowsthenmovetoabdominalthrusts.Alternatebackblowswith
abdominalthrustsuntiltheobstructionisclearedorthepatientbecomes
unconscious.
ConsciousChokingBackBlows
1. Todeliverbackblows,takeapositiontothesideandslightlybehindthepatient.
2. Supportthechestwithonehand,andleanthepatientforward.
3. Firmlystrikethepersonbetweentheshoulderbladeswiththeheeloftheother
handfivetimes.
4. Iffivebackblowsdonotcleartheobstruction,switchtoabdominalthrusts.
5. Stopiftheobstructionclears,encouragethepatienttobreatheandmonitorthe
patient.
ConsciousChokingAbdominalThrusts
 1. Standbehindthepatientandplacebotharmsroundtheupperpartofthe
abdomen.
2. Leanthepatientforward.
3. Clenchyourfistandplaceitbetweenthenavel(bellybutton)andtheribcage.
4. Graspthishandwithyourotherhandandpullsharplyinwardsandupwards.
5. Repeatfivetimes.
6. Iffiveabdominalthrustsdonotcleartheobstruction,switchtobackblows.
7. Stopiftheobstructionclears,encouragethepatienttobreatheandmonitorthe
patient.

HowItsDoneAustraliaandNewZealand(ANZCOR)Guidelines
1. StartbyaskingaresponsivepatientAreyouchoking?Assessforeffective
cough.Ifeffective,reassureandencouragepatienttokeepcoughing.
2. Ifthepatientcannotspeakorisnotbreathingnormally,givetheResponder
StatementHello?Mynameis______.ImanEmergencyResponder.MayIhelp
you?
3. Whenpermissionisgranted(aheadnodissufficient),alertEMSandproceed
withattemptstodislodgetheobject.
4. Beginwithbackblowsthenmovetochestthrusts.Alternatebackblowswith
chestthrustsuntiltheobstructionisclearedorthepatientbecomes
unconscious.
ConsciousChokingBackBlows
1. Todeliverbackblows,takeapositiontothesideandslightlybehindthepatient.
2. Supportthechestwithonehand,andleanthepatientforward.
3. Performuptofivesharpbackblowswiththeheelofonehandinthemiddleof
thebackbetweentheshoulderblades.
4. Checktoseeifeachbackblowhasrelievedtheairwayobstruction.Theaimisto
relievetheobstructionwitheachblowratherthantogiveallfiveblows.
5. Ifbackblowsdonotcleartheobstruction,switchtochestthrusts.
ConsciousChokingChestThrusts
1. Stand,sitorkneelbehindthepatientandplaceyourarmsaroundthebody,
underthearmpits.
2. IdentifythesamecompressionpointasforCPRandgiveuptofivechestthrusts.
Thesearesimilartochestcompressionsbutsharperanddeliveredataslower
rate.
3. Witheachchestthrust,checktoseewhethertheairwayobstructionhasbeen
relieved.Theaimistorelievetheobstructionratherthandeliverallfivechest
thrusts.
4. Iftheobstructionisstillnotrelievedandthepatientremainsresponsive,
continuealternatingfivebackblowswithfivechestthrusts.
5. Iftheobstructionclears,encouragethepatienttobreatheandmonitorthe
patient.
6. Ifthepatientbecomesunconscious,beginCPR.
UnderUnconsciousChokingAdult,changepoint4toread:
4.Followingeachsetofchestcompressions,quicklylookintheadultsmouthfor
objectsorobstructions;removeitbutdonotperformblindfingersweepsbecause
theymaypushobstructingobjectsinfurther,makingexpulsionmoredifficult.
Page331
UnderUnconsciousChokingChild,changepoint4toread:
 4.Followingeachsetofchestcompressions,quicklylookinthechildsmouthfor
objectsorobstructions;removeitbutdonotperformblindfingersweepsbecause
theymaypushobstructingobjectsinfurther,makingexpulsionmoredifficult.
Page332
UnderKeyPoints,changethefifth+pointtoread:
+Followingeachsetofchestcompressions,quicklylookintheinfantsmouthforobjects
orobstructions;removeitbutdonotperformblindfingersweepsbecausetheymaypush
obstructingobjectsinfurther,makingexpulsionmoredifficult.

PageA8FinalExam,changequestion21toread:
21. During CPR the rate of chest compressions per minute should be:
A 200 to 220
B 50 to 80
C 100 to 120
D 150 to 170