Cardio-Pulmonary Resuscitation, also known as CPR, is the artificial method of circulating blood and oxygen through a body in an attempt to keep the brain alive. The Phoenix Fire Department says CPR does work. When initiated within four minutes, the survival rate is 43 percent. When initiated within four to eight minutes, the survival rate is 10 percent.
Clinical death means a victim has stopped breathing and has no pulse. Biological death does not occur until the body's brain cells begin to die from lack of oxygen. It happens four to six minutes after clinical death. CPR can keep that vital oxygen flowing to the brain.
How do I do CPR?
While we will give you the steps of CPR and explain how it is done, this is only a basic guide, perhaps a reminder of what you might already know. This is not a substitute for certification.
o Determine unresponsiveness.
o Call 9-1-1. (For an adult victim, call 9-1-1 immediately. For a child, call for help, perform CPR for one minute, then call 9-1-1. If you are not a trained rescuer or are not certified in CPR, call 9-1-1 immediately; the dispatchers can walk you through it on the phone.)
o Position the victim on his or her back.
o Open the airway. Tilt the victim's head back and lift his or her chin.
o Look, listen and feel to determine if the victim is breathing.
o Perform ventilations. Place your mouth over the victim's mouth so a seal is formed. Pinch his or her nose xosed. Breathe twice into the victim's mouth. (Each breath should last one to one-and-a-half seconds for children younger than 8 and one-and-a-half to two seconds for victims older than 8.) Watch the victim's chest to make sure it rises when you breathe into his or her mouth.
o Perform compression-ventilation cycles.
For victims 1 to 8 years old: Place the heel of one hand on the lower part of the victim's sternum
(in the center of the chest). Press 1 to 1-1/2 inches. Do this at a rate of five compressions every three to four seconds. Perform one ventilation. Repeat cycle. The compression rate is 100 per minute. The compression-ventilation cycle is five compressions for every one ventilation.
For infants and children up to 1 year old: Place two fingers below the nipple line. Press 1/2 to 1 inch. Do this at a rate of five compressions every three to four seconds. Perform one ventilation. Repeat cycle.
The compression rate is 100 per minute. The compression-ventilation cycle is five compressions for every one ventilation.
For victims 8 years old and older: Place the heel of one hand on the lower part of the victim's sternum (in the center of the chest). With your other hand on top of the first one, press 1-1/2 to 2 inches. Do this at a rate of 15 compressions every eight to 11 seconds. Perform two ventilations. Repeat cycle.
The compression rate is 80 to 100 per minute. The compression-ventilation cycle is 15 compressions for every two ventilations.
o After one minute, check for signs of life.
o Resume compression-ventilation cycles if necessary.
o Continue to check for signs of life every few minutes.
What is rescue breathing?
If the victim is in respiratory arrest (That means there's a pulse, but the victim is not breathing.), perform rescue breathing. Rescue breaths are slow, lasting one to one-and-a-half seconds for children 1 to 8 and infants, and one-and-a-half to two seconds for adults. The rate for children and infants is one breath ever three seconds (20 times per minute); for adults, it is one breath every five to six seconds (10 to 12 times per minute).
CPR Classes
The United Phoenix Firefighters Association teaches classes in CPR, both for the general public and for health care providers. The basic class is $20 per person. The advanced class for health care providers is $25 per person.
Classes are available every Wednesday at the Washington Adult Center, 2240 W. Citrus Way (Glendale and 23rd avenues). Space is limited, so you must make a reservation. Call (602) 277-1500.
If you have a group of eight or more, the firefighters will come to you. The United Phoenix Firefighters Association serves Phoenix, Glendale, Peoria, Tempe, Chandler and Laveen.
Firefighters from the association will travel anywhere in Maricopa County to teach.
Discounts are available to Girl and Boy Scout troops.
The Central Arizona Chapter of the American Red Cross also teaches CPR classes. For more information, call (602) 336-6661.
Source: http://www.azfamily.com/misc/cpr/index.html
In the mid 1980's the drowning mortality rate of Arizona's preschoolers ranked FIRST in the nation.
Warm weather, long summers, and over 200,000 pools make Arizona prone to water-related incidents. Death was just one outcome of water related incidents.
In about 9% of the incidents, the child survived, but with some degree of brain damage.
source: http://www.sosnet.com/safety/facts.figures.html
Water Related Incidents and Fatalities Report
January 1, 2000 - December 31, 2000
64 deaths, including 28 children, have resulted from the
210 Water Related Incidents this year.
source: http://www.sosnet.com/safety/current.stories/00.ytd.totals.html
Water Related Incidents and Fatalities Report
January 1, 2001 - June 28, 2001
30 deaths, including 14 children, have resulted from the 94 Water Related Incidents this year.
Source: http://www.sosnet.com/safety/current.stories/01.ytd.totals.html
Additional Resources
For more information about pool safety, call (602) 262-6910.
Children’s Safety Zone - Pool Safety Tips
http://www.sosnet.com/safety/pool.safety.tips.index.html
Consumer Product Safety Commission
Safety Barrier Guidelines for Home Pools
CPSC Document #362
http://www.cpsc.gov/cpscpub/pubs/362.html
As a service and a distraction for the entertainment of our clients, the CPR simulator is published by Less Stress Instructional Services both for fun and as a way to exercise CPR skills.
CPR Simulator
http://www.lessstress.com/cprintro.htm
Drowning Prevention Coalition of Central Arizona - pool safety codes
http://www.sosnet.com/safety/local.codes/safety_codes.htm
Learn CPR: You Can Do IT!
http://depts.washington.edu/learncpr/
Ask the Doctor about CPR
http://depts.washington.edu/learncpr/askdoctor.html
National SAFE KIDS Campaign: Promoting Child Safety to Prevent Unintentional Injury
http://www.safekids.org/
Keep Kids Healthy.com - Backyard Pool Safety for Children
http://www.keepkidshealthy.com/welcome/safety/pool_safety.html
Sign-up to get a free, customized Your Child newsletter, with age-appropriate info on nutrition, growth, development, safety, vaccines and other issues.
Keep Kids Healthy - Newsletter
http://www.keepkidshealthy.com/newsletters.html
Medem - Medical Library - Water Safety
http://www.medem.com/search/article_display.cfm?path=n:&mstr=/ZZZ7IV4O97C.html&soc=AAP&srch_typ=NAV_SERCH
Healthy Living ~ Grief and Loss Support for Our Kids
Healthy Living ~ Living and Dying ~ Grief & Loss Support
Augusta Bulldogs: Disabilities & Advocacy Information Page
Healthy Living ~ Mental Health Matters!