Welcome to heartpumpingcpr where all your CPR and First Aid needs will be met.

You can find a CPR schedule and Pricing on this web-site along with other information.

You can contact me via email, phone, or texting.
Texting will probably get you the fastest response. 

You can call or text this number 717-448-1855.

Thanks for your business.
H. Nick Steigerwalt
 BLS Instructor
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REVIEW


Healthcare Provider CPR


1)  Check for response
2)  Activate emergency response and call for AED
3)  Open airway using head tilt-chin lift
4)  Check for breathing for (5 to 10 seconds)
5)  Give 2 breaths (look to see if check is rising)
6)  Check pulse for (5 to 10 seconds)
7)  Begin chest compressions

30 compressions and two breaths for 5 cycles.  This averages about 2 minute's time.  After you 5 cycles are complete, you are to reassess the victim and determine if more CPR is needed.





AED

AED stands for Automatic External Deliberator.

1)  Turn on the AED.

2)  Find the AED pads.

3)  Place the pads on the victim in the correct locations.  (these pads have pictures on them detailing where they should be placed)

4)  Plug the connector into the AED.

5)  Tell everyone to stand clear.

6)  Right before you shock the victim make sure everyone is clear again.  (do this by saying stand clear and visually checking that everyone is clear)

7)  Press the shock button.

8)  If needed begin CPR.  (if needed means you don't see any signs of life)  (this is just a quick visual, don't check the pulse and don't check for breathing, just look at the victim and with a few seconds if you don't see any movement, begin CPR with chest compressions).

Things to remember when using the AED.

•  It really hurts if you get shocked while shocking your victim.  So stay clear.  Remember you can possibly die if you get shocked as well.  Your heart rhythm can be shocked into an irregular rhythm.

•  Dry any wet areas on the chest.

•  If a pace maker or internal ulator is present, place the pads about an inch away.

•  Remove all clothing from the chest area.

•  You are allowed to shock children down to 1 year of age.  (make sure to attempt cpr for 5 cycles first before applying the AED, this is due to the fact that most child unresponsiveness is due to respiratory issues).

•  Remove medication patches from chest area.  And wipe away medicine if any remains on chest.  (use a towel or cloth or something to remove the medication).

•  If victim is very hairy, remove the hair.  (you can go about this in 2 different ways, you can apply the pads and if they are not sticking properly, rip the pads off creating bald spots on the chest, then apply another set of pads in the bald spots, if additional pads are not available you will have to shave the area.

 

Child CPR

CPR is the same for children.  But their are some minor differences to be aware of.

•  Smaller lung capacity.  (give less of a breath for smaller people, only enough breath to make the chest rise)  

•  If pulse is less then 60bpm.  (if a child has a pulse of 60bpm or less, ignore the pulse and begin CPR)  With adults any pulse is acceptable.

•  When calling for help.  Children in most cases are unresponsive due to a respiratory issue.  So if you alone with that child start your steps of CPR and continue with 5 cycles.  After your 5 cycles are complete call for help.  (remember 5 cycles is averaged out to about 2 minutes, so help the child for about 2 minutes then call for help)

•  Compression depth is different.  Compress at 1/2 the depth of the chest.  (this is not 1/2 an inch, this is 1/2 the depth of the child's chest, we are actually going deeper with compressions on children then adults)  (children are still developing and are less  likely to have there bones broken)

•  1 hand CPR is optional for children.  Use 2 hands if you're tired or losing effectiveness.

The new motto for the American Heart Association is FASTER AND DEEPER.

This is what the American Heart Association describes children as.

•  Girls with breast development.

•  Boys with underarm hair.

Here's what my suggestion is.

Look at the size of the child.  If that child is less than 100lbs treat them like a child.  If the child is more then 100lbs treat them more like an adult.  A good example would be a 6 year old that weights 120lbs.  This child has an adult size body and will most likely have adult type issues.

1)  Check for response

2)  Activate emergency response and call for AED (remember if your alone call after 5 cycles)

3)  Open airway using head tilt-chin lift

4)  Check for breathing for (5 to 10 seconds)

5)  Give 2 breaths (look to see if check is rising)

6)  Check pulse for (5 to 10 seconds)

7)  Begin chest compressions

30 compressions and two breaths for 5 cycles.  This averages about 2 minute's time.  After you 5 cycles are complete, you are to reassess the victim and determine if more CPR is needed.

 

INFANT CPR

1)  Check for response

2)  Activate emergency response and call for AED (remember if your alone call after 5 cycles)

3)  Open airway using head tilt-chin lift (tilt the head just enough to open airway, it is not necessary to tilt the help completely back)

4)  Check for breathing for (5 to 10 seconds)

5)  Give 2 breaths (look to see if check is rising, also remembering babies have really small lungs, usually just a small puff of air is all that is needed)

6)  Check pulse for (5 to 10 seconds)  babies necks are chubby and in some cases non-existent, so check the brachial artery)

7)  Begin chest compressions  (chest compressions for babies is best done with two fingers)

CPR For Everyone Else


 Warning Signs

Heart Attack Warning Signs
Some heart attacks are sudden and intense — the "movie heart attack," where no one doubts what's happening. But most heart attacks start slowly, with mild pain or discomfort. Often people affected aren't sure what's wrong and wait too long before getting help. Here are signs that can mean a heart attack is happening:

  • Chest discomfort. Most heart attacks involve discomfort in the center of the chest that lasts more than a few minutes, or that goes away and comes back. It can feel like uncomfortable pressure, squeezing, fullness or pain.   

  • Discomfort in other areas of the upper body. Symptoms can include pain or discomfort in one or both arms, the back, neck, jaw or stomach.   

  • Shortness of breath with or without chest discomfort.  

  • Other signs may include breaking out in a cold sweat, nausea or lightheadedness       

As with men, women's most common heart attack symptom is chest pain or discomfort. But women are somewhat more likely than men to experience some of the other common symptoms, particularly shortness of breath, nausea/vomiting, and back or jaw pain.

Learn the signs, but remember this: Even if you're not sure it's a heart attack, have it checked out (tell a doctor about your symptoms). Minutes matter! Fast action can save lives — maybe your own. Don’t wait more than five minutes to call 9-1-1.

Calling 9-1-1 is almost always the fastest way to get lifesaving treatment. Emergency medical services (EMS) staff can begin treatment when they arrive — up to an hour sooner than if someone gets to the hospital by car. EMS staff are also trained to revive someone whose heart has stopped. Patients with chest pain who arrive by ambulance usually receive faster treatment at the hospital, too. It is best to call EMS for rapid transport to the emergency room.

If you can't access the emergency medical services (EMS), have someone drive you to the hospital right away. If you're the one having symptoms, don't drive yourself, unless you have absolutely no other option. 

Stroke Warning Signs
The American Stroke Association says these are the warning signs of stroke:

  • Sudden numbness or weakness of the face, arm or leg, especially on one side of the body   

  • Sudden confusion, trouble speaking or understanding   

  • Sudden trouble seeing in one or both eyes   

  • Sudden trouble walking, dizziness, loss of balance or coordination   

  • Sudden, severe headache with no known cause

If you or someone with you has one or more of these signs, don't delay! Immediately call 9-1-1 or the emergency medical services (EMS) number so an ambulance (ideally with advanced life support) can be sent for you. Also, check the time so you'll know when the first symptoms appeared. It's very important to take immediate action. If given within three hours of the start of symptoms, a clot-busting drug called tissue plasminogen activator (tPA) can reduce long-term disability for the most common type of stroke. tPA is the only FDA-approved medication for the treatment of stroke within three hours of stroke symptom onset.

Cardiac arrest strikes immediately and without warning. Here are the signs:

  • Sudden loss of responsiveness (no response to tapping on shoulders).

  • No normal breathing (the victim does not take a normal breath when you tilt the head up and check for at least five seconds). 

If these signs of cardiac arrest are present, tell someone to call 9-1-1 and get an AED (if one is available) and you begin CPR immediately.  

If you are alone with an adult who has these signs of cardiac arrest, call 9-1-1 and get an AED (if one is available) before you begin CPR. 

Use an AED as soon as it arrives.

 

 

H. Nick Steigerwalt

BLS Instructor

ineedcprnow@hotmail.com

(717) 448-1855

 

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