write in your CPR textbookAdd these notes in the NOTES section on page 42:
Hepatitis B virus can live on a surface, exposed to the air and dried, for two weeks
Kevlar gloves are puncture resistant. Nitrile gloves are resistant to most moderate chemicals. If you use latex, touch victim as little as possible until you know if they are allergic to latex.
Recommended adult vaccinations Tetanus, MMR (measles, mumps, rubella), Varicella, sometimes Influenza, Pneumococcal, Hepatitis A Hepatitus B and Meningoccal
To clean a surface with potential pathogens, after the area has been cleaned up, flood the area with a freshly made disinfectant solution (1 1/2 cups of liquid bleach to 1 gallon of water / one part bleach to nine parts water) and let it stand for at least ten minutes. Never pour undiluted bleach straight from the bottle onto spills of blood, urine, sputum or vomit. Dangerous levels of toxic chlorine nitrous oxide gases could result.
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On page 9 draw a line under the section on mouth to stoma ventilations and below it write:
Dentures: If the victim is wearing dentures, leave them in place unless they become loose and block the airway, dentures help support the mouth and cheeks, making it easier to seal the mask.
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On page 11 write: atmospheric air= 21% oxygen, rescue breathing = 16% oxygen, Bag-valve mask = 21% oxygen.
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On page 14 at the end of the page, write: "Do not offer Tylenol, Ibuprofen or coated aspirin products."
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On page 18 write: It is possible to receive a mild shock if an implantable ICD delivers a shock to the person during CPR. The risk to responders is minimal because the amount of electrical energy involved is low.
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On page 22, step 2, write: Tell the person calling to come back and tell you what 911 says.
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On page 23 after the words "If no breathing but there is a pulse, give 1 ventilation about every 5 seconds" write this: if the breaths do not make the chest fully rise, go to page 34
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This material is from the lifeguard text and better explains part of the primary assessment. Add it to page 23.
After checking for a pulse,
Give 2 ventilations if appropriate
For victims of cardiac arrest (witnessed sudden collapse), it is necessary to immediately begin CPR chest compressions. However, in certain situations, such as drowning or another respiratory event, giving ventilations before beginning CPR is important because children and infants, as well as adult victims of hypoxia, are more likely to experience respiratory emergencies.
For adults:
If you find an adult who is unconscious and not breathing as a result of drowning, hypoxia, or another respiratory problem, you should give the victim 2 ventilations before starting compressions.
However, if an adult is not breathing and does not have a pulse, you should assume that the problem is a cardiac emergency. In this case, skip the 2 ventilations, and begin CPR chest compressions.
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On page 26, to make the skill a bit more easy to do, add the words "put your elbow on the floor" in this part in section 2": "Using your hand closest to the head, cup the base of the skull in your palm, put your elbow on the floor and carefully slide your forearm under the shoulder closest to you."
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On page 27 at the top write: if no pocket mask, put your mouth on their mouth and pinch their nose shut, for an infant put your mouth over their mouth and nose.
At the bottom of page 27, after the words "If the chest does not fully rise, provide care for an unconscious choking victim" write this: see page 34
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On page 30 add: "If the conscious choking victim is much taller than you and you can't get into a proper position to give back blows and/or abdominal thrusts, you can ask them to kneel."
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(On page 31 it says "if the victim becomes unconscious: carefully lower the victim to the ground and provide care for an unconscious choking victim."
But on page 13 your text says: "Conscious Choking Victim Who Becomes Unconscious. If the victim becomes unconscious, carefully lower the victim to the ground, open the mouth and look for an object . Continue to provide care for an unconscious choking victim.")
add the words "open the mouth and look for an object" in the sentence on page 31.
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In the note on page 31, add "or in a wheelchair" after the words "or known to be pregnant."
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At the top of page 34 write: "push, peek, puff".
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On page 36 at step 1 write: 30 compressions should take about 18 seconds
On page 38 at step 2 write: 30 compressions should take about 18 seconds; 15 compressions should take about 9 seconds
On page 39 at step 4 write: 2 minutes of compression/ventilations for an adult would be five sets, for an infant it would be nine sets.
On page 40 at step 2 write: Also wipe a small child's or infant's back dry.
Write on page 41: real AED pads are stickier than the practice ones, be careful of gloves getting stuck to the AED pads.
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