How to perform CPR – Clinical skills for student nurses



right so in this session we're going to teach you about performing CPR correctly on a patient in cardiac arrest and how to maintain their airway and ventilate them we've set up this mannequin so they are in full cardiac arrest the defibrillation pads have been attached so we're just going to carry on from there anything okay so when I will go through this CPR with you the chest compressions and we will do the airway in the ventilation okay okay okay so the key thing for us yeah we're going to be concentrating on doing the chest compressions okay so hand position is really important and how much depth we're going to give to each compression what speed we're going to do the compressions after as well so all of those aspects are really important because the purpose of what we're trying to do is maintain circulation around the body here until help arrives and then until we can treat whatever the cause of this car degress is okay so got the defib set up as Angie said so what we're going to do now is just look at the chest okay so we're going to split the chest in half and then we're going for the bottom half right okay just one hand on top of the other interlock them like that whatever is comfy Lili but that tends to be better because we get hot and sweaty so meant to control and that weight is going to come through the heel of the hands okay okay so when we're in position lock the elbows and then try and be over the patient so the weight is coming through your shoulders and your back is straight because what a lot of people do if you're doing that the whole time your back is curved you're going to get tired very quickly and potentially if there were only two of us we're going to be doing compressions but a long time until the team arrived okay so we need to maintain good quality compressions the entire time okay so I split the chest am I going here and then we're going to press down about five to six centimeters I'm going to do 30 compressions to 2 breaths after reiative about 100 per minute okay okay so that's that is quite quick so it's 1 2 3 4 5 6 7 8 9 and it's useful to count up loud while you're doing it ok so when it comes to 27 28 29 30 those doing the breaths are in position ready to go because what we want is minimal delay between the compressions and the the airway yeah under breaths okay so yeah okay okay right for the airway again important that we keep the patient oxygenated and so these are the use equipment use mask that fits the patient quite easy to fit it should fit over the face shouldn't overhang the chin there should be no significant leaks around by the eyes either okay okay so you need to fit it and put it on the right way as well a lot of people do put them on the wrong way quite easy that's a pointy bit the nose is the same so that goes over the nose okay the soften plating bag a bag you can use these very useful pieces of equipment you can use them without an oxygen supply or with an oxygen supply in a cardiac arrest situation where there is an oxygen supply you always connect it up I'm going to have 15 liters a minute even if the patient has got a respiratory condition maintaining an airway is one of most important things is positioning the patient correctly it may make it difficult for yourself I can make it easy the easiest way is to keep one pillow into the patient often found that people would rip the pillows out making it very difficult so keep one pillow under the patient and roll it under the neck so that the Hank paid extends with gravity because what position is best to maintain an airway and with a chin all right yep that's it so that gravity does that little avoiding I had to help it along a little bit but top the mask over the patient's face two fingers the angle of the jaw right here just by the ears because you want to lift that mandible up both sides so your hands are more or less vertical and the heel of your hands going the hard bit of the mask okay don't touch this gasket right here make sure these fingers aren't touching any soft tissues okay all of that will hinder your ability to maintain this airway okay let me show you so the movement you're doing is you're pulling the head back you're lifting the mandible up on you're squeezing the mast down so doing that kind of movements okay it is quite quite a physical movement so don't worry about hurting the patient it's very important in a way is maintained okay so I'm happy give that students it's just enough for a chess race what do you know so you don't need to use the whole bag okay okay we go that again that's it okay stop right there you ever go with that the mask tell me when you're happy yeah yeah that's when you know you you've got a decent air where you can see the chest rise quite easily it's not a great deal of effort in squeezing the bag yeah there's no noises coming from the airway either okay what kind of noises do you think you'd get from an airway as you ventilated the patients they lost consciousness before they went into a cardiac arrest what could they look at about them in terms of the technical term could have gone back yeah okay yeah which would have stopped them and breathing obstruction yeah good so by lifting them undeveloped you pulling that to the white what else you thinking gather in the airway and secretion secretions okay so well you know this here he always varies should always be at hand available and working okay in clinical areas so when you do have a cardiac arrest use this piece of equipment Yanko second resection now what you need to do is check the airway and clear any secretions that you see okay and just clear where you can see don't push this too far back okay cause trauma to the airway and then a nightmare okay thank you put all together everyone go okay yeah yeah okay see that just with two of you can run the categorize this is straight on okay okay so you do not get into position with your hands please open it now sits on top of a reverb yeah sweet coming through here elbows locked weight through your shoulders and then how far down do remember what we said how far down about five to six centimeters if yeah here we are so you wanna have a couple of goals because it'll take you a couple of tries to get a feeling for how much crashing need to apply yeah that's it right so a little bit further down that's it and that's about the speed so that's it just keep guys locked yeah and then we're gonna do 30 of those okay so do it one thirty with two breaths and then we can put the defib and things on there yeah okay shock advised charging stay clear of patient deliver shock now racing only one on you okay shock delivered Paul just please start CPR that's it so interlock one hand on top of the other that's fine okay yeah and your hand is located go to the third on the chest that's fine so you want to make sure that so what speed are you going now say rest in seven twenty eight twenty nine thirty so if you want to just place the mask on the patient's face so you can see that you can do me okay so put your heels of the hands listen your fingers in it I'm glad you're happy yep two breaths no chest okay back on chest so what speed you dream is no and drop it's permanent okay and how many compressions to how many breaths than therapy okay that's it so keep your elbows locked and then the weight is all coming through usual mirrors feeling okay 29:30 yeah I'm back in the chest okay so back on that's it because all you're doing is holding this airway open the flow of oxygen will provide the fish and some oxygen okay that's it so your hands comfortable like that yeah I said to keep it out straight that's it alright yeah that's fine and then your back is straight so you can if you're going longer then should the bar be on the side of the semester doesn't matter where is it's fine as long as sudden somebody can reach it make sure this is a two that's fine whatever is comfortable for you oh really okay that's fine so back on so how far down on the Chester you go in you said to me that's it yeah I'll say to keep your elbows straight that's it stop CPR such analyzing heart rhythm okay let's see what it says normal stay clear of patient C oxygens away my analyzing heart rhythm no shock advised

15 comments

  1. I know this is for demonstration and teaching purposes but the victim should be flat (Not on that pillow) and they need to mention that a CPR board should be under the victim if on a mattress (or to take them off of the mattress). Many headboards in hospitals detach for this reason. The student performing compressions also really needs to work on her positioning, her arms were way to loose. Other than that I think these instructors did alright teaching.

  2. Makes a big difference mentally when its on a real person, no amount of training or qualifications prepares you for that

  3. that girls needs to LOCK HER
    ELBOWS, jeez how many times do u have to remind her?! anyways, fantastic video! thank you so much!

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