Save A Heart

Save A Heart

Information for NASD staff on CPR and use of

the Automatic External Defibrillator (AED)

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The purpose of this information is to keep the NA community informed and updated on Cardiopulmonary Resuscitation and using an AED. While it is our greatest hope that we will never have to use these procedures and equipment, we must also live by the credo "always prepared". For if you can save a persons life, than the time and resources spent on this project are worth it. Specific information on the techniques of CPR and AED use are taken from the American Heart Association's Heartsaver AED for the Lay Rescuer and First Responder. A copy of this manual is found in each school's health office.

click here for a quick refresher on adult CPR AED use

The American Heart Association Chain of Survival

EARLY Access

EARLY CPR

EARLY Defibrillation

EARLY Advanced Care

Remember it takes only one person to start the chain and increase the person's chance of survival. You can be that person to make a difference.

AED Building Locations

Every building in the district has at least one AED including the Baierl Center for Excellence and the Transportation Department. Posters are located throughout each building to identify specific locations. Be sure to make notice of these posters and locations so that you are

"Always Prepared"!

The Question Is......

This section will provide a question/s on proper procedures for CPR and AED use.

Scroll down to check your answer.

1. You should give abdominal thrusts to an adult who is coughing loudly.

True or False

2. When giving CPR to an infant, how long should each breath take?

a. one second

b. three seconds

c. four seconds

3. Which of the following best describes "clearing the victim"?

a. Taking the pads off the victim's chest

b. Making sure no one is touching the victim

c. Moving the victim to a clear room

The Health Services Department now has for sale CPR face shields. If interested, send a check (made out to North Allegheny School District) for the amount below to the Health office at McKnight. Please include a note as to which school we should send the mask to. Thank you in advance for your support.

Microshield - $8.00 each

This lightweight face mask features a one-way valve and packaged in a orange vinyl packet.

CPR Pocket Mask - $15.00 each

Face mask and gloves in a hard plastic case.

Does your classroom/office phone have an emergency sticker?

If not, please contact your school nurse.

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And the answer to the above questions are.......

1. False. If a victim is coughing loudly, you should stand by and let the victim cough. If you are worried about the victim's breathing, phone your emergency number.

2. A. Each breath should last for 1 second each. Watch for the chest rise as you give each breath. Breaths are very important for infant who are not breathing or do not respond. you r breaths give an infant oxygen when the infant cannot breathe on his own. You will not have to give as large a breath to an infant as you give to a child or an adult.

3. B. You must "clear" the victim before the AED analyzes the victim's heart rhythm or gives a shock dose to the victim. Do a visual inspection at the same time you are verbally stating the words "I'm CLEAR, everybody CLEAR" before you press the shock button.

CPR Summary Steps


CPR	Adult and Older Child	Child (1-8 years old)	Infant (less than 1 year old)

Victim is unresponsive	Phone 911	Give two minutes of CPR, then phone 911	same as child

Open the airway using the head tilt chin lift	same	same	same

Check for breathing look, listen, and feel for 5-10 seconds	same	same	same

Initial 2 breaths watch for chest rise	2 breaths 1 second each	2 breaths 1 second each	same as child



If no circulation, provide chest compressions	Find the center of the chest (using the nipple line) with the heel of one hand on the sternum with the other hand on top, provide 30 compressions at least 1 - 1/2 to 2 inches deep	Find the center of the chest (using the nipple line), use 1 or 2 hands providing 30 compressions 1/3 to 1/2 inch deep	Place index finger on sternum at nipple line, using next two fingers, provide 30 compressions 1/3 to 1/2 inch deep

Compression Rate (timed for one minute if only doing compressions)	100	100	100

Compression to ventilation rate	30:2	30:2	30:2

To Relieve Choking	Abdominal Thrusts (Heimlich Maneuver)	same	Back slaps and chest thrusts

AED Use	Adult	child	Infant

Turn the power on (or open the case)	Use AED as soon as it arrives	Use AED after 5 sets of 30 compressions and 2 breaths	not recommended for use in infants under 1.

Attach pad to the victim's bare chest	Use Adult Pads	Use Child Pads

Allow the AED to check the heart rhythm	Clear and Analyze	Clear and Analyze

Push the shock button if prompted by the AED	Clear and Shock	Clear and Shock

Time from arrival of AED to first shock	less than 90 seconds

Performing Adult CPR with an Automatic External Defibrillator

Follow the steps below for an instant refresher

Determine unresponsiveness. If unresponsive.....

and you are alone, Phone 911, get the AED and return to the victim.
If you are not alone, call for help, direct someone to call 911 and direct another to get the AED.

A - Open the Airway with the head tilt - chin lift

B - Check for Breathing/ Movement........ place your face, cheek side down next to the victims face. Your eyes should be looking towards the victim's chest.

	look to see if the chest rises
	listen for air movement
	feel for breaths on your cheek

If the victim is not breathing, provide quick breaths (about 1 second each)

be sure the chest rises with each breath
if the chest does not rise, reopen the airway and try again

C - Circulation - Remove clothing from the front of the chest and perform chest compressions

compress lower half of the sternum at the nipple line 1 1/2 to 2 inches
compress at a rate of about 100 times per minute
give 30 compressions to two rescue breaths
after 5 cycles or about two minutes, check for signs of circulation

D. Defibrillate

When the AED is brought to the site........ Power on the AED

Attach the AED pads to the victim's bare chest.

Follow electrode diagram for placement location.

Follow AED instructions........."clear" victim while the AED checks rhythm

If a shockable rhythm......"clear" victim and push the shock button if the AED tells you to. Be certain to do a visual inspection around the victim to make certain all bystanders are clear before pressing the shock button.

If no shock advised by the AED, continue CPR until rescue personnel arrive.

If victim has a pulse and is breathing, place in the recovery position and leave electrodes in place.