My Baby Is Having A Seizure, What Do I Do?

Posted on April 27th, 2011 by Roy Shaw

Hello Everyone!

I received a question regarding infants having seizures and the proper treatment for them.  

The person asked if  it’s proper to handle the patient the same as an adult?  This is a great question and one I wanted to address a little more in depth than a simple reply by email.

First, it’s important to understand what a seizure is.  The following is a quote by  physician, Dr. Fawn Leigh from Duke Health who did a great job describing the two different categories of seizures and how they manifest themselves.

Click here to see the complete article located at:  http://www.dukehealth.org/health_library/advice_from_doctors/your_childs_health/childhoodseizures

“Seizures are divided into two major categories (based on 1981 international classification):

• Generalized seizures affect the whole brain or both hemispheres of the brain
• Partial seizures, also known as focal seizures, affect one part or one side of the brain

Generalized Seizures

Generalized seizures are divided into convulsive and nonconvulsive. Convulsive means that there is muscle movement such as stiffening (also known as tonic) or jerking (clonic) activity. When these movements are combined it may be called “grand mal.”

Other types of convulsive seizure activity include myoclonic and atonic seizure activity. Myoclonus is usually characterized by sudden, single jerks. Atonic seizure activity is typically characterized by dropping quickly to the floor as if suddenly asleep or paralyzed. The child then quickly recovers.

These two latter convulsive seizure types can both be difficult to diagnose and treat because often they are the manifestation of a mixed seizure disorder. In infants these seizures may be called infantile spasms.

Nonconvulsive means that there is alteration of consciousness without muscle movement. This form of seizure activity was formerly called “petit mal,” and is now commonly referred to as “absence.”

Absence seizures are unique in that typically they are characterized by an abrupt onset of staring and end just as abruptly with no confused state following the events. Parents usually report that the child looks like they are “spacing out.” (Teenagers who look like this often are not having seizures — they are simply bored.)

Partial Seizures

Partial seizures can be simple or complex. Simple partial seizures are focal seizures that involve movement or sensation on one side of the body without altered consciousness. Simple partial seizures are commonly localized to areas in the brain called the motor or sensory strip.

Partial seizures may be with or without aura, which involves associated states such as fear, or changes in heart rate, flushing, or abdominal discomfort.

Complex partial seizures commonly originate from the frontal and temporal lobes of the brain where there are many complex interconnections, resulting in alteration of conscious. Typical complex partial seizures manifest as sudden change in level of alertness with or without aura, blank stare, confusional state, or aimless movements such as wandering around or repetitive behavior.”

DukeHealth.org (http://www.dukehealth.org/health_library/advice_from_doctors/your_childs_health/childhoodseizures)

Second, it’s important to understand what the main cuases of seizures are:

• Fever
• Infection such as meningitis
• Trauma
• Hemorrhage
• Brain malformations
• Brain dysmaturity
• Genetic disorder

Thirdly, when it comes to treating an infant compared to an adult, it’s a bit easier, though not any less intense especially if it’s your child.  It’s physically easier because baby is smaller and easier to manage.

If this seizure is with a child who has never had a seizure before, 911 or Emergency Medical Services should be activated.  The rescuer is going to  follow National and International guidelines for treating a seizure patient.  Protect the baby from hurting itself while seizing.  If it’s in a bath tub, drain the bath tub of water so as to reduce the risk of drowning and then protect the child from hurting itself while seizing.  Nothing should be put into it’s mouth which is old school for seizure management in trying to prevent “swallowing the tongue” or biting the tongue off.  It is also important that we not try and prevent the baby’s body from convulsing by holding it still or wrapping them tightly.  Simply protect it’s head and other parts of it’s body from hitting anything during the convulsive stage of the seizure.  After the seizure is over, the baby will usually go into a post seizure phase called the “postictal” phase, and there may be some frothy sputum(spit) around the baby’s mouth or in its nose. A bulb syringe normally used for suctioning mucous or sinus congestion could be used to suction or clear the baby’s nasal passage but it is probably not as necessary as we’d like to think.  As a general rule, baby’s have a great gag reflex and if they have any mucous or sputum in their upper airway, it will probably be coughed clear.  If the baby begins to breath after the seizure, it could be irregular with some grunting for a short time and then increasingly get more normal.  Skin color if it has changed during the seizure to a dusky, purple or blue color should improve as the baby begins breathing more normal and it is perfectly acceptable to comfort the baby in a natural position while maintaining a neutral airway in order for it to recover from the seizure.

If it does not begin breathing, begin basic cardiac life support according to the latest ECC/ILCOR and American Heart Association guidelines. Courtesy of ProFirstAid.com, a Free Online infant CPR training video is available by clicking here!

As many as 2-5% of all children will experience at least one seizure related to a fever over 102 degrees Fahrenheit.  The seizure itself is usually harmless and does not cause brain damage nor lead to epilepsy.

Seizures in any age patient can be very scary, and the causes of a seizure are many.  Therefore, if it’s the first seizure the person has ever had, we should plan for the worst and hope for the best.  This can be done by calling the emergency medical services or 911 depending on your area.  Support the patient with basic first aid procedures while waiting for rescuers to arrive and then follow up with your pediatrician after the baby is stable.

If your baby is having a high fever and your afraid that it may cause a febrile seizure, there are some basic steps to help lower your baby’s temperature.  Click here to read an article about how to lower a body temperature from a fever.

Well,  I hope this helps and I appreciate the great questions so many of you have been asking.  Keep them coming and while your waiting for a response, keep on saving lives!

Best Wishes,

Roy

RoyOnRescue.com

royonrescue@gmail.com

Tags: bulb syringe, CPR, education, EMS blog, febrile seizure, health training, how to treat a seizure, infant cpr, infant not breathing, infant seizure, procpr.org, ProFirstAid.com, roy, Roy Shaw, royonrescue, royonrescue.com, seizure, Video Blog, Vlog, what causes seizures

Get This Car Off My Chest!

Posted on April 14th, 2011 by Roy Shaw

In this episode of RoyOnRescue, Roy received a question from an EMT student who was trying to learn more about traumatic asphyxiation. The EMT student wanted more information about this traumatic injury. Many times these injuries happen as a result of a very heavy object dropping onto a persons chest and trapping the person under it’s weight. It’s important to recognize the emergency and take action right away. You won’t want to miss this episode of RoyOnRescue.

Tags: asphyxiation, car on chest, chest crush, CPR, crushing chest, crushing injuries, EMT, first aid, ProCPR, ProFirstAid, royonrescue, tractor on chest, trauma, Traumatic Asphyxiation

Professional Rescuers and Good Samaritan Act Part 2

Posted on April 5th, 2011 by Roy Shaw

Hello Everyone,

I had  a royonrescue.com reader who had a concern that the post about the Good Samaritan Act might scare rescuers into not providing care while off duty.   I think this may have been a misunderstanding and I must clarify that I’m speaking to medical professionals that have training and expertise in the area of rescue, not those volunteers, family members, bystanders without any training who may want to try and get involved.  Below is the comment from this individual and my response back to them with references.  I hope this helps anyone else who may have had the same concern or question.

Question/Comment:  4-3-11

Dear Mr. Shaw,

I found your video, Professional Rescuers and The Good Samaritan Law, discouraging.  I agree with just about everything you advised, but I have one major complaint.  You said, “You can do care up to a specific level.  In fact, that of which you are trained to do proficiently.”  I think what you have said is misleading.

If you apply those restrictions to Good Samaritan laws, you defeat the intent of those laws*.  Here’s a quick example:  I would guess that 90% of civilians who have taken CRP classes (as I have) are not proficient in CPR.  They have a good idea what CPR is, but in an emergency with the adrenalin flowing, I can see them making numerous missteps, which may or may not affect the outcome.  According to your advice even a Red Cross card carrying volunteer should not attempt CPR because he/she is not proficient.  And what about the AEDs appearing in malls and schools?  According to your advice, the average passer-by who’s had no training should only call 9-1-1 and leave this new fangled equipment for the experts!  I’m sure that is not what you would advise.

Then, there is the example of your buddy, the snowmobiler, with the crushed & torn larynx.  It sounds like you let him die?  You knew what needed to be done, a surgical tracheotomy.  Of course your snowy scene was “an uncontrolled environment”.  Isn’t that’s why it’s an “emergency”.  You had the equipment and you had the training, but you chose not to do that which you could do.  Personally, I think you should have at tried. (Jas 4:17)  Sure, like you said, the scene was far from perfect but you had what you needed to perform the procedure.  And yes, you may be right, there’s a good chance you would not have been successful.  But if your friend could have, don’t you think he or his wife would have wanted you to at least try?

Instead of encouraging guys like me to do what they reasonable can, you’ve lead us to believe we need to be trained or we will be held liable for trying.  The best way to ensure that one follows your advice to “Do No Further Harm” is to look the other way.

FYI:  I carry Celox & QuikClot, which I know state protocols does not allow EMTs and medical professionals use.  I’ve never used it nor been trained, but if on the firing range someone gets shot and I have no other means to stop a bleed out, I intend to try it.  Hopefully, I will never be put to the test on the highway or the rifle range, but despite your warning about “level of training” and “proficiency” it is an option I may have to pick.

Despite my disapproval of this video, I have check out some of your other stuff and I think you do a pretty good job, esp. your written responses (unlike mine).

Thanks for sharing

My Response:

Hello  “Name Not Disclosed” ,

I appreciate you taking the time to respond to the royonrescue.com blog entry,  “Professional Rescuers and The Good Samaritan Law”.
I wanted to clarify  the “providing care up to ones  level of trained proficiency”.

The Good Samaritan Act in the State of Michigan states;
“691.1501 Physicians, physician’s assistant, or nurses rendering emergency care or determining fitness to engage in competitive sports; liability for acts or omissions; definitions.

(1)    A physician, physician’s assistant, registered professional nurse, or licensed practical nurse who in good faith renders emergency care without compensation at the scene of an emergency, if a physician-patient relationship, physician’s assistant-patient relationship, registered professional nurse-patient relationship, or licensed practical nurse-patient relationship did not exist before the emergency, is not liable for civil damages as a result of acts or omissions by the physician, physician’s assistant, registered professional nurse, or licensed practical nurse in rendering the emergency care, except acts or omissions amounting to gross negligence or willful and wanton misconduct.

(2)    A physician or physician’s assistant who in good faith performs a physical examination without compensation upon an individual to determine the individual’s fitness to engage in competitive sports and who has obtained a form described in this subsection signed by the individual or, if the individual is a minor, by the parent or guardian of the minor, is not liable for civil damages as a result of acts or omissions by the physician or physician’s assistant in performing the physical examination, except acts or omissions amounting to gross negligence or willful and wanton misconduct or which are outside the scope of the license held by the physician or physician’s assistant. The form required by this subsection shall contain a statement indicating that the person signing the form knows that the physician or physician’s assistant is not necessarily performing a complete physical examination and is not liable under this section for civil damages as a result of acts or omissions by the physician or physician’s assistant in performing the physical examination, except acts or omissions amounting to gross negligence or willful and wanton misconduct or which are outside the scope of the license held by the physician or physician’s assistant.

(3)    A physician, physician’s assistant, registered professional nurse, or licensed practical nurse who in good faith renders emergency care without compensation to an individual requiring emergency care as a result of having engaged in competitive sports is not liable for civil damages as a result of acts or omissions by the physician, physician’s assistant, registered professional nurse, or licensed practical nurse in rendering the emergency care, except acts or omissions amounting to gross negligence or willful and wanton misconduct and except acts or omissions that are outside the scope of the license held by the physician, physician’s assistant, registered professional nurse, or licensed practical nurse. This subsection applies to the rendering of emergency care to a minor even if the physician, physician’s assistant, registered professional nurse, or licensed practical nurse does not obtain the consent of the parent or guardian of the minor before the emergency care is rendered”. http://nspc203.com/leg/MichiganGoodSamaritanActForMedicalProfessionals.htm
And in  one other source  I found an explanation that goes on to describe the Good Samaritan Act this way;  “While Good Samaritan laws vary from state to state, these laws typically apply when you take purely voluntary, good-faith action to help another person at the scene of an emergency, and the person does not object to your help. If you provide help to another person under a Good Samaritan law, keep in mind that you must exercise the same standard of care and/or treatment that you normally help to in your profession. In other words, if you’re a trained medical professional, then you must act according to medical professional standards. However, if you are not trained in a medical professional, then your duty may be only to call for help or other forms of help, but not to render medical care or first aid. So long as you act reasonably in light of the circumstance, and in keeping with professional standards, you probably will not be liable in a jurisdiction that has enacted a Good Samaritan law”.
http://resources.lawinfo.com/en/Articles/personal-injury/Federal/what-are-good-samaritan-laws.html

So you see, this is why no matter how much I would like to re-assure professionals that they are completely safe when rendering aid and especially “creative solutions medicine” to a person without repayment as a Good Samaritan, the professional still needs to understand that because of their training, they do have a duty to perform to a “standard of care” appropriate for their profession even if it’s frustrating and they may think that they can do more.

Individuals who offer Good Samaritan aid and have never been trained in any medical area may not be held to the same standards if they are sued, but the original blog was directed toward those with training and professional expertise in the area of rescue which is a different scenario.

I hope this helps to clear up any misunderstanding or confusion and please don’t hesitate to contact me for more clarification or for any future subjects down the road.

Best Wishes,

Roy Shaw, RoyOnRescue.com
royonrescue@gmail.com

Tags: CPR, first aid, good samaritan law, liability, No Harm, professional rescuer and good samaritan act, professional rescuers sued

Follow Up Comment to Chest Injuries and CPR

Posted on March 8th, 2011 by Roy Shaw

I received a question from a person who after watching the “Chest Injuries and CPR” video blog asked:

Dear Roy,
Reading your letter, I would agree if the injury is just soft tissue injury. However if a # is suspected, It would be dangerous to do CPR as the # might or will puncture the lungs and cause immediate death, if immediate intervention is not available.
Kindly comment.

Bent Steering Wheel From Drivers Body

Here is my response:

Hello,

Regarding your question about Chest Injuries and CPR. It’s important to make a distinguishing point whenever we talk about CPR. When a person is in need of CPR, it means that the person is in cardiac arrest. This is to say that they are unconscious, not moving, not breathing normally. If this is the case, they are presumably in cardiac arrest or in a state that justifies Cardio Pulmonary Resuscitation.

If the person needs CPR, this means that they are clinically dead. If the victim does not receive CPR, they will simply graduate to permanent death otherwise known as biological death(permanent).

This is why, regardless of the chest injury, if the person is “dead” or in need of CPR, compressions are to be given per the American Heart Association guidelines even if the complications could include those of punctured lungs, lacerated organs, or bruised/punctured heart muscle. This would be based on the theory that a person in need of CPR is already dead and will not be harmed more even if there are negative side effects from providing chest compressions. If a person remains dead, surgery is not an option but if the person is resuscitated with CPR, and alive at the hospital, we have an opportunity to fix the injuries that may have been aggravated by doing CPR.
If however, the person is awake, is breathing normally and therefore does not appear to need CPR, it would be correct that chest compressions and CPR may complicate the already damaged chest and complicate the victims injuries. As soon as the victim becomes unconscious, is not breathing normally and now appears to need CPR, Emergency Services would be contacted and CPR would be initiated regardless of the injuries of the patient.

I appreciate the question and hope that this clarifies any confusion caused by the article. Please don’t hesitate to email me again if you would like to continue dialogue on this subject.

Best Wishes,

Roy Shaw, RoyOnRescue.com
royonrescue@gmail.com

Tags: Cardio Pulmonary Resuscitation, chest injuries, CPR, follow up, royonrescue, should I do CPR if there's a chest injury

Chest Truama and CPR. To Do, Or Not To Do?

Posted on February 25th, 2011 by Roy Shaw

This week Roy answers a question that came all the way from France where a student asked a great question about how to perform CPR if a person has had major trauma to their chest after a motor vehicle accident. You know, starting CPR on a victim can be a difficult decision to make in any normal situation, then add the complication of internal or external truama and without guidance,  it may be a temptation to avoid providing CPR all together. On this episode of RoyOnRescue, Roy Shaw, EMT-Paramedic and Trainer sheds some light on why it’s okay to perform CPR on a person with a chest injury  or on someone who has recently had thoracic surgery and what to consider while providing this life saving skill.

Be sure to keep the questions coming and send them to:

royonrescue@gmail.com

Tags: broken ribs, car accident and CPR, chest injury and car accident, Chest trauma, CPR, cpr after open heart surgery, cpr with chest trauma, doing cpr on a chest injury, flail chest, no seat belt, pericardial tamponade, procpr.org, ProFirstAid.com, roy, Roy Shaw, royonrescue, steering wheel and chest trauma, steering wheel and CPR, tension pneumothorax, will cpr hurt a person with chest truama

How Do I Know If It’s A Fracture or A Sprain?

Posted on February 11th, 2011 by Roy Shaw

Hello Again,

A great question came in about how to tell if an injury is a fracture or a sprain or strain. This is a great question. In some cases it’s very easy to tell that a fracture is present. Like… bone sticking out of the skin! But if it’s not and there isn’t any deformity, it can be tricky. Check out this video blog for a more in-depth look on how to tell if the injury is something that needs medical attention or if it’s minor and can be managed right at home.

To read a bit more about the specifics, feel free to browse this link.
Fractures Vs. Sprains and Strains

Best Wishes,

Roy, RoyOnRescue.com

royonrescue@gmail.com

Tags: CPR, first aid, firstaid, fractures, how to recognize fractures, ProCPR, procpr.org, ProFirstAid.com, royonrescue, royonrescue fractures, sprains, strains, treating fractures

Isn’t “Not Breathing Normally” Still Breathing? Maybe Not.

Posted on January 28th, 2011 by Roy Shaw

Hello Everyone,

I had a great comment come through the student comment section this week and thought it might help others if I shared my response.

So, the student asked,
” Some questions on your test seemed to give incomplete or misleading information, in my opinion. Such as the one referring to a man who is unresponsive and not breathing normally. The answer to pass was to give them 30 chest compressions yet if someone is not breathing NORMALLY it leads me to believe that they are breathing and the first thing I would want to do is try and figure out why the breathing is not normal. Not give them chest compressions. Have I checked for a heartbeat? I wouldn’t give chest compressions unless I couldn’t detect a pulse.”
-ProFirstAid.com Student

Here was my response. I hope it helps.

Dear “Student”,

There were a couple of changes in this 2010 ECC/ILCOR and American Heart Association release from the guidelines of 2005. One was that if the person is unresponsive and not breathing “normally” we begin chest compressions. Pretty aggressive I know but this is what the guidelines suggest as best practice. Secondly, basic first aid providers no longer check for pulses in the unresponsive victim. Now, when a lay-rescuer comes upon a person who is unconscious, not breathing or not breathing “normally”, they are to activate EMS(call 911) and begin chest compressions at a rate of at least 100 per minute and at least 2 inches deep. This is to continue for 30 compressions only interrupted long enough to give two full breaths after the head tilt chin lift and then back to the chest compressions. The rescuer is not to stop this process unless the patient begins to respond and become conscious, begins breathing normally again, an AED is available, or if EMS arrives and takes over. CPR is to be provided fast and hard with as few interruptions as possible. So there you have it as stated by the new and latest ECC/ILCOR guidelines.

Now, for my subjective slant on the whole deal. I say, don’t feel bad if you’re a little frustrated. As a licensed paramedic, instructor trainer for CPR, First Aid, ACLS and PALS, it still a bit hard for me to watch the latest recommendations and guidelines put forth by the International Liaison Committee On Resuscitation”. It was hard to watch them throw the proverbial “baby out with the bath water” if you will. I for one believe that people can learn how to perform effective and more advanced assessment if given the correct learning mechanisms by which to learn and retain the information in order to use it well during a real rescue situation. I believe that people are more than capable of providing optimal CPR and First Aid which would include pulse checks. I think that there can be times, though maybe rare, where checking for pulses would be helpful in determining the correct next steps especially when dealing with patients suffering from low blood sugar, or a hard hit to the head which temporarily knocks them unconscious and they stop breathing for some time. I also wonder about the person who has been in cardiac arrest for some time. The person is certainly permanently dead and any resuscitation efforts will not change the patients status because they’ve been dead for more than half an hour or longer. Does the rescuer still perform CPR and Rescue Breathing because the person is not moving, not breathing or not breathing normally? Very difficult for me to believe that a rescuer would have to perform CPR on a person with rigor mortis while waiting for the EMS providers to arrive and confirm time of death.

But, the ECC/ILCOR recommendations were based on some evidence, though from my findings I admit not much, that more people would benefit from these simplified procedures than would suffer any ill consequence. So they made the change.

What helps me to deal with the changes when I don’t agree with them, is that the changes were made by the ILCOR group to “simplify” the procedures of CPR and to hopefully encourage more people trained or not, to get involved and hopefully make a difference in saving more lives. If this is indeed the case and we’ll know in a few years, than I guess it’s worth the bit of frustration that some of us must suffer.

I hope this helped. Please let me know if you have any further questions.

Best Wishes,

Roy
royonrescue@gmail.com

Tags: bad cpr test questions, CPR, new 2010 guidelines, not breathing, not breathing normally, ProCPR, profirstaid test question, royonrescue, why cpr

Professional Rescuers and The Good Samaritan Law

Posted on December 30th, 2010 by Roy Shaw

In this episode of RoyOnRescue, a newly licensed Medical First Responder asked if they might be at a higher risk when they try to help a citizen now that they are licensed.  Though this can be a scary and ever present problem in the world of professional medicine, it’s very rare for anyone to get sued or especially lose a lawsuit when it comes to helping people who have medical needs.  In this episode, Roy sheds some light on how most Good Samaritan Laws work and how any rescuer regardless of their level of training and license can help others while staying well within the guidelines of the Good Samaritan Law.

Best Wishes and a Blessed New Year From Roy and The Whole RoyOnRescue Team!

Minnesota Good Samaritan Law

Tags: CPR, good, good samaritan law, Good samaritan protection against lawsuit, Good Samaritan Rescue, medical rescuers getting sued, ProCPR, ProFirstAid, rescuers, royonrescue

RoyOnRescue Answers Question About Assessing Breathing

Posted on December 27th, 2010 by Roy Shaw

In this post, I answer a question from a professional who has been training lay rescuers and wants to update their students to the new 2010 suggested guidelines.

The following excerpt is taken from the original email.
Greetings from India,

“We teach first aid and CPR (to the layperson/non medical person)in New Delhi, India and are reading the new guidelines so that they can be incorporated in the new year.  I know the handbooks will be out in the first quarter but would like to start adding the 2010 guidelines sooner.
A couple of questions- your input would be appreciated.
1. Do we carry on with AVPU
2. As checking for breathing is being de-emphasized – how are first aiders to tell if breathing is present or not. From what i can figure out- look, listen feel is not to be used now.”

Merry Christmas and Happy New year.

Kind Regards,

New Delhi

The following is my response:

Hello Student,

Thank you for reaching out as I hope to be of assistance.  Regarding the new updates for 2010 and how it relates to training the lay public.

1.  Q:  “Do we carry on with AVPU?”
A:  Yes and No.  Yes in so much as we are always kind of asking ourselves, “Is this person awake? Are they Verbal? Do they respond to pain(not that we should be causing any pain)? Are they unresponsive?  But I have to say no, because we are checking to see if the person appears to be breathing or breathing normally?  This does not fit in the AVPU scale for a level of consciousness.  We must also remember that AVPU is an advanced medical training and the ECC/ILCOR recommendations do not teach lay rescuers to use AVPU anywhere in the curriculum.

2.  Q: With assessment for breathing being de-emphasized and the elimination of the “Look, Listen, and Feel” part of assessment, what is the best way to train lay rescuers to assess for breathing?
A:  This is a great question.  Under the new guidelines, assessment for breathing is performed by looking for the following:  Is the persons chest moving like in breathing?  Does the person appear to be breathing normally?   If the person is not breathing normally, and the chest is not rising and falling, the rescuer will initial emergency medical services and begin CPR starting with 30 chest compressions at least 2 inches deep and at a rate of at least 100 per minute.

The simplification of assessment for breathing was brought by confusion of agonal respirations vs. regular gas exchanging breathing.  The hope is that if a rescuer notices that the person is not breathing normally, help will be called and initiation of CPR will not be delayed.

For those of us who worry that too many victims will receive CPR when it is not necessary and thereby suffer unnecessary injuries, one must be aware of the scientific studies that show that “only two percent of people receiving CPR suffered any injury at all from CPR when it was not needed.  But the advantages of early initiation of CPR without delay, has been shown to improve survival with minimal risk of injury but with great increase of benefit.( http://circ.ahajournals.org/cgi/content/short/121/1/91)

Please note that all update training is available for free at:  http://www.profirstaid.com

Thank you for your email and please let me know if you need any further assistance.

Best Wishes and Merry Christmas!

Roy Shaw, EMT-Paramedic
roy.shaw@procpr.org
royonrescue@gmail.com

Tags: 2010 guidelines, assess for breathing, CPR, de-emphasize look, feel, first aid in new delhi, first aid standards, latest 2010 guidelines, listen, online CPR training, online first aid, ProCPR, procpr.org, ProFirstAid, ProFirstAid.com, royonrescue

How Can A Child Do CPR?

Posted on December 10th, 2010 by Roy Shaw

In this episode of RoyOnRescue, Roy get’s asked the best way to have a child do CPR on a person who is larger then them.  Other than a bit of bad videography while Roy’s on the fly…I think it will help answer a question many people have about the best way that a small person can help someone in cardiac arrest.
Best Wishes,
The RoyOnRescue Team

Tags: 911, Child CPR, CPR, CPR by Children, ProCPR, ProFirstAid