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Alright, now let's cover rescue breathing -- adult rescue breathing.
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This is going to be a situation where the scene is safe, your gloves are on, your CPR shield is available.
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You arrive to find a victim unconscious, at least appearing unconscious. You call out to them.
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They do not respond to your verbal stimulus. You walk up, the scene is safe again.
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Tap and shout on the collar bone. They do not respond. You check for a palpable pulse
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and it's easily palpable, but they do not appear to be breathing.
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We activate the emergency medical services or call a code, and if we have a bystander, we tell that bystander
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"Hey you, go call 911 and come back. I might need your help."
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They respond. Now, we know that because this patient has a palpable pulse but is not breathing,
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they're going to need rescue breathing. So, we're going to tilt the head back, lift the chin, seal with
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the mask. And we're going to deliver one rescue breath over a second, every 5-6 seconds, for 2 minutes.
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After 2 minutes, we're going to assess for a pulse, no more than 10 seconds.
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If it's still easily palpable, meaning we can feel it easily, but there's no breathing on his own,
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or no appreciable breathing, we're going to continue rescue breaths, one breath every 5-6 seconds
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for 2 minutes and keep re-assessing. If, at some point, they lose their pulse, you can't feel it any more,
16
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and they're still not breathing, that's when we go into CPR.
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00:01:35,089
But, as long as they keep a pulse and are not breathing, we're going to continue rescue breathing
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00:01:41,019
and wait for EMS to arrive or the next advanced life support team to arrive and take over.
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The scene is safe, my gloves are on.
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My CPR shield is available. "Sir, can you hear me? Sir? Sir, can you hear me?"
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There's no response. "Hey, you in the plaid shirt, would you go call 911? I've got a man who's unresponsive.
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I might need your help. Please come back."
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Checking for a pulse....
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Oh, he has a nice strong pulse but he does not seem to be breathing. I'm going to begin rescue breathing.
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00:02:16,036
One one thousand, two one thousand, three one thousand, four one thousand.
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One one thousand, two one thousand, three one thousand, four one thousand.
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One one thousand, two one thousand, three one thousand, four one thousand.
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And I'm going to continue this for about 2 minutes. Check for a carotid pulse.
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If no pulse, if no breathing, start CPR.
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If there's still a pulse but no breathing, continue rescue breathing for another 2 minutes and then re-assess.
