Christian Genao
The Importance of Cardiopulmonary Resuscitation
  1. I. Introduction

Attention Getter – How many of you have a family member, loved one or friend who has some sort of medical condition? (i.e. Asthma, Diabetes, Cardiac related issues, seizures, etc.) All of these conditions, in extreme cases, can cause cardiac or respiratory arrest. Other reasons include: Drug overdose, Excessive bleeding, Infection in the bloodstream (sepsis) or Injuries and accidents
  1. A. Thesis Statement/Main Overall Point – Basic knowledge of the heart and lungs and knowing the importance of initiating the CPR process could save a life.
  2. B. Credibility Statement – over five years with the NYC 911 division, AHA CPR certification with multiple FDNY citations for successful performing CPR and regaining a patients pulse on elderly and infant patients.
  3. C. Relevance Statement – Before getting into how to preform it, we will go over a brief description of WHAT it actually does.
  4. D. Review Main Points (optional)

  1. II. Body
  2. A. Main Point 1 – What are you heart and lungs actually doing?
    1. 1. Lungs – The respiratory system (or the pulmonary system) has two functions: bringing oxygen from the air to the lungs where it can be moved to into the blood and eliminating carbon dioxide that moves from the blood into the lungs (3)
    2. 2. Heart – The cardiovascular system also has two functions: receiving that freshly oxygenated blood from the lungs and circulating it to the brain and the rest of the body. It also returns the deoxygenated blood back to the lungs to begin the cycle all over again. (3)

While preforming CPR, you are doing this for the body that can no longer function on it’s own.

  1. B. Main Point 2 – Preforming CPR

  1. 1. Check for responsiveness. Shake or tap the person gently. See if the person moves or makes a noise. Shout, "Are you OK?"
  2. 2. Call 911 if there is no response. Shout for help and send someone to call 911. If you are alone, call 911 and retrieve an AED (if available), even if you have to leave the person. Carefully place the person on their back. If there is a chance the person has a spinal injury, two people should move the person to prevent the head and neck from twisting.
  3. 3. Perform chest compressions:
Place the heel of one hand on the breastbone -- right between the nipples.
Place the heel of your other hand on top of the first hand.
Position your body directly over your hands.
Give 30 chest compressions. These compressions should be fast and hard. Press down about 2 inches into the chest. Each time, let the chest rise completely. Count the 30 compressions quickly
  1. 4. Open the airway. Lift up the chin with two fingers. At the same time, tilt the head by pushing down on the forehead with the other hand.
  2. 5. Look, listen, and feel for breathing. Place your ear close to the person's mouth and nose. Watch for chest movement. Feel for breath on your cheek.
  3. 6. If the person is not breathing or has trouble breathing:
Cover their mouth tightly with your mouth.
Pinch the nose closed.
Keep the chin lifted and head tilted.
Give 2 rescue breaths. Each breath should take about a second and make the chest rise.
Continue CPR (30 chest compressions followed by 2 breaths, then repeat) until the person recovers or help arrives. If an AED for adults is available, use it as soon as possible. (1)

  1. III. Conclusion
  2. A. Review Main Points (optional)
  3. B. Clincher – Time is of the essence! Permanent brain damage occurs after just FOUR minutes after a person stops breathing (1). The average response time for the FDNY for a patient in cardiac arrest or a patient that is choking is 4:07 (2).

References


(1) http://www.nlm.nih.gov/medlineplus/ency/article/000013.htm


(2) http://www.nyc.gov/html/fdny/pdf/vital_stats_2012_cy.pdf


(3) http://www.kcfirstaid.com/images/aha_Anatomy_Physiology.pdf