How to Save a Life - CPR and Choking Training

28 المشاهدات· 24/06/21

Wessex Jamaat
مشتركين

في آخر

**'How to Save a Life' Workshop**
24th October 2020

Hosted by the Al Mahdi Health Committee

أظهر المزيد

Transcript

[0:14]thanks salaam alaikum and welcome to the first westex jamaat basic life

[0:29]support training session thank you all for attending today we hope that

[0:32]it will be an interesting and worthwhile session for you all we

[0:38]will start with a recitation from the holy quran [Music] oh [Music]

[1:31][Music] foreign [Music] foreign that is why we ordained for the children

[2:02]of israel that whoever takes a life unless as a punishment for

[2:07]murder or mischief in the land it will be as if they

[2:11]killed all of humanity and whoever saves a life it will be

[2:15]as if they saved all of humanity although our messengers already came

[2:20]to them with clear proofs many of them still transgressed afterwards through

[2:25]the land so the law of alarming um the verse that i

[2:30]just chose is the verse that tells us about the importance of

[2:35]saving the life in islam and it says if you save one

[2:40]life it is as if you have saved all of humanity and

[2:41]that is what we are here to do to learn how to

[2:46]save a life thank you thank you so much for that beautiful

[2:49]recitation very relevant as you say to the session today so just

[2:53]a couple of housekeeping points before we get started um because this

[2:57]is the first time we've run this session via zoom please bear

[3:00]with us if there are any it glitches and there'll also be

[3:04]time for questions at the end of the session so please post

[3:07]any queries or points that you want to make in a zoom

[3:09]chat function and we will try and answer them all either as

[3:13]we go along or at the end of the session so just

[3:16]an introduction to the session and why we decided to run this

[3:19]session today coronary heart disease is the single biggest cause of death

[3:24]in the uk and there are nearly half a million admissions related

[3:27]to coronary heart disease every year with over 10 of deaths occurring

[3:33]in the uk population due to this condition so a cardiac arrest

[3:38]occurs when the heart stops pumping blood around the body and causes

[3:41]a person to collapse and stop breathing normally this means that they

[3:46]do not get enough oxygen to their major organs particularly the brain

[3:51]the kidneys and the heart most cardiac arrests actually occur in the

[3:56]home and in the majority of adults the cause of cardiac arrest

[4:00]is due to heart disease the current survival rate for out-of-hospital cardiac

[4:05]arrests so those happening in the home on the streets and shopping

[4:10]centers etc is actually less than one in ten however knowing cpr

[4:14]or what we call cardiopulmonary resuscitation could mean the difference between life

[4:19]and death for your family and friends and this is why we

[4:24]are here today to teach you the basic necessary skills in order

[4:28]to bridge the gap between that moment of cardiac arrest and help

[4:31]arriving in the form of paramedics or other healthcare professionals although sudden

[4:37]heart attacks are one of the most common causes of death in

[4:40]the uk cpr does not always happen in these patients for a

[4:43]number of different reasons so this may be because the bystander so

[4:47]whoever else is around may not know what to do they may

[4:51]not have learned cpr they may be worried that they might make

[4:53]things worse than they already are or they don't feel comfortable giving

[4:57]mouth to mouth which is what we typically see kind of on

[5:01]tv programs and things when we think about cpr but as we

[5:05]will talk about today the most important part of cpr is actually

[5:09]the chest compression side of things and especially during the cove pandemic

[5:12]your safety will always come first which is what we'll stress throughout

[5:17]this session however knowing how to do these effective chest compressions could

[5:22]save a life so i'm now going to hand it over to

[5:25]mum of the bus and zainab who will go over cpr in

[5:33]more detail assalamualaikum uh i'm zainab and i am a foundation doctor

[6:09]at the queen alexandra hospital i'm hungrybus and i'm a gp working

[6:14]in heavens so now that we've all heard exactly how important cpr

[6:18]is and today myself and muhammad abbas will go through exactly how

[6:22]to do cpr so what i'd like to start off by doing

[6:27]is just to set the scene and i want you to imagine

[6:32]that situation that we hope none of us ever have to actually

[6:34]face but imagine that you enter a room and you see someone

[6:37]who is on the floor and appears to be unresponsive so in

[6:41]this situation what is the first thing that you need to do

[6:45]so obviously that person is on the floor and something has happened

[6:48]it could be that they've slipped they've tripped it could be that

[6:52]there's live electricity around or there's a wet floor what you don't

[6:55]want to do is necessarily rush in and injure yourself in the

[6:58]same process so take a moment have a quick look around and

[7:02]just make sure that it's safe to approach okay once you know

[7:06]it's safe to approach and you've gone closer to them you need

[7:09]to check are they responding um and how do you do this

[7:12]so it's quite simple firstly you can just call out to their

[7:14]name and just say hello can you hear me use their name

[7:19]um if they're not responding to voice you can even just shake

[7:22]them to see if you get a response from that too so

[7:26]if they are not responding you know that you're going to need

[7:30]some help and so the very next thing that you do is

[7:33]shout for help the idea is that if anyone is nearby you

[7:36]want them to be able to hear you and come to your

[7:38]assistance so don't be shy use your lungs a nice clear decisive

[7:42]shout for help for some support okay now once you have called

[7:47]for help and there is someone on their way coming you need

[7:50]to now try and help this person who is unconscious what is

[7:54]the first thing you have to do you have to check are

[7:57]they breathing normally um now the first thing you have to do

[8:01]is um open up their airway because especially if somebody is unconscious

[8:04]um for example their tongue could actually be obstructing their airway and

[8:07]this is quite dangerous so the way to open up their airway

[8:12]is as you can see in the photo on the left something

[8:14]called a head tilt chin lift the way to do this is

[8:19]place one hand on their forehead and your other hand under their

[8:23]chin and use this to lift their head up this will then

[8:26]open up their airway then you have to check if they are

[8:29]breathing normally and you do this by looking listening and feeling so

[8:37]look listen feel you have to place your cheek just above their

[8:40]mouth and look towards their chest so you're looking to see if

[8:44]you can see their chest rising up and down you're listening to

[8:47]hear if you can hear any breath sounds coming from them and

[8:50]finally you're feeling to feel if you can feel any breath from

[8:54]their mouth coming onto your cheek do this for a maximum of

[8:58]10 seconds and this will help you to establish if they're breathing

[9:01]normally and when we say normally we actually mean breathing normally if

[9:04]they're gasping for breath or if they're gurgling these are not signs

[9:10]of breathing normally so if they are breathing normally then you can

[9:15]breathe a sigh of relief and the important thing to do in

[9:20]this situation is to protect cell that airway as zainab said when

[9:22]they're unconscious there is a risk that they they may not be

[9:25]able to support their own airway and so the best position to

[9:29]keep their airway safe is known as the recovery position which we

[9:32]won't go into the details of today once you put them into

[9:35]the recovery position then that is when you call an ambulance and

[9:38]get further help now what happens if they are not breathing normally

[9:42]this is when you know it's an emergency situation and you have

[9:46]to do cpr that is cool push and rescue so the first

[9:54]thing is to call an ambulance and when you when you do

[9:58]that you need to let them know that you have someone there

[10:00]who's not breathing and they will get an ambulance to you as

[10:03]soon as possible these days we all have our mobile phones in

[10:06]our pockets so a good tip might be just to put your

[10:10]phone on speaker and then that way whilst you're speaking to the

[10:13]emergency services you can actually continue and just crack on with the

[10:19]next step so that you're not wasting any time so the next

[10:22]step is push so we need to deliver some chest compressions to

[10:26]this person because their heart is not working and so we need

[10:29]to be the ones to try and get that heart pumping again

[10:31]so the way to do this is by placing one hand um

[10:35]on their chest kind of in the center so just above their

[10:40]breastbone and the other hand over that first hand and interlocking your

[10:43]fingers through it and you then have to make sure that firstly

[10:46]your arms are straight and that your shoulders are just over your

[10:50]hands this will be the best position to be in to deliver

[10:53]the chest compressions at enough strength because you need to do it

[10:57]quite hard um you then push on the chest 30 times and

[11:00]the rate is quite fast so it's about two compressions per second

[11:04]and do that 30 times once you've done 30 compressions that's when

[11:11]we get onto rescue breaths so for this you open up the

[11:15]airway in the same way that we mentioned before using your head

[11:19]tilt chin lift um to make sure that airway is open then

[11:21]to deliver the breath you need to first pinch the nose to

[11:25]make sure that there's no air escaping from there form a good

[11:27]seal with your mouth around theirs making sure that making sure there's

[11:33]no leaking air and then deliver a breath and if you do

[11:36]that you should be able to see the chest actually rising let

[11:39]the chest fall again and then repeat with one further breath so

[11:42]that you're doing two rescue breaths but as alicia said if you're

[11:47]not comfortable doing these or you feel that doing so might be

[11:53]unsafe for example for covid then you can omit this and just

[11:56]continue with chest compressions so we have to repeat the cycle of

[12:02]the 30 chest compressions and two rescue breaths if you feel safe

[12:05]enough to do so until the person wakes up or until the

[12:08]ambulance arrives okay so that's pretty much the process of cpr let's

[12:13]quickly run through it again just to make sure that you've all

[12:15]got it so step one as soon as you see someone who

[12:19]appears to be unresponsive quick glance around to just make sure it's

[12:23]safe to approach if it's safe then you need to approach them

[12:26]and try and find out if they are responding by shouting out

[12:30]to them or asking them if they can hear you for example

[12:35]and perhaps a shake on the shoulders if they're not responding shout

[12:38]for help and then you have to check are they breathing normally

[12:41]by opening up the airway and look listen and feel for up

[12:46]to ten seconds okay so if they are breathing normally um then

[12:51]you place them into the recovery position and this will ensure that

[12:54]they're in the position they need to be to keep their airways

[12:59]open and you then call for an ambulance for help if they

[13:02]are not breathing normally then you know you have to do c

[13:06]p r that's the call push rescue so you have to call

[13:09]an ambulance on 999 push on the chest so that's giving them

[13:12]30 chest compressions and then giving them the two rescue breaths and

[13:16]then you have to continue um the 30 to two and so

[13:21]the 30 chest compressions and two rescue breaths until the ambulance arrives

[13:24]or until the person wakes up so this is a useful slide

[13:28]if you did want to take a screenshot or something like that

[13:30]so that you've got it for reference then now is the time

[13:33]to do that um and what we'll do next is we're going

[13:37]to do a demonstration where you'll be actually able to see this

[13:41]whole process uh in practice um which i know is a lot

[13:46]easier sometimes than than going through the theory okay okay so now

[13:57]we're going to go through the demonstration i'm going to do this

[13:59]two times the first time i'm going to do it in real

[14:02]time just so that you can see what this process is supposed

[14:05]to look like in real life and then i'll do it a

[14:08]second time where i break it down and just explain things as

[14:11]i go along okay all right so the first demonstration is going

[14:26]to be done in real time hello can you hear me can

[14:32]you open your eyes help i need some help here so i've

[14:46]got someone here who's not breathing can you please call an ambulance

[14:48]and let them know i'm starting cpr and then come back here

[14:55]when you're done hmm hello i'm the paramedic from the ambulance thank

[15:46]you so much i'll take it over from now that's great and

[15:50]that's the end of our first demonstration so now i'm going to

[15:55]do the same thing again but this time we'll go a bit

[16:00]slower and i'll talk you through it right so i'm entering and

[16:08]i can see that there's someone here who's under who appears to

[16:11]be unresponsive so before rushing in i'm going to do a quick

[16:13]glance around just to make sure that it's safe to approach assuming

[16:17]it is i'm going to try and get a response hello can

[16:21]you hear me open your eyes a quick shake on the shoulders

[16:24]i can see that this person is not responding so the first

[16:27]thing i need to do help i need some help over here

[16:32]and then once i know help is on its way then i'm

[16:34]going to go to checking the breathing so to do this we're

[16:38]using our head tilt chin lips so one for one hand on

[16:43]the forehead one hand below the chin and just tilting the head

[16:45]backwards like that and that just opens the airway to make sure

[16:48]the tongue is not blocking now i'm going to look listen and

[16:53]feel so i'm looking at the chest i'm listening to see if

[16:58]they're breathing and i'm feeling with my cheek to check for breathing

[17:02]for normal breathing for up to 10 seconds okay now i know

[17:05]that this is someone who is not breathing i need to call

[17:09]an ambulance if you've got someone with you like i had in

[17:12]that situation there then you can ask them to go and call

[17:15]an ambulance whilst you continue and then ask them to come back

[17:17]but if you don't then you can get your mobile phone out

[17:20]and put it on speakerphone and call 999 and continue as you're

[17:24]calling the ambulance so with the compressions what you need to do

[17:30]is essentially with the heel of your hand place that on the

[17:34]center of the chest right in the middle of the breastbone on

[17:37]the bony bit there your other hand goes on top interlocking so

[17:41]it's like that and you want to make sure your elbows are

[17:45]nice and locked so that you don't want to be doing this

[17:48]that's not going to work and similarly even if you're here that's

[17:52]not going to work either what you need to do is keep

[17:56]your arms nice and straight and make sure that your shoulders are

[17:59]directly above your hands so that your weight is going through and

[18:02]that way you'll be able to deliver effective chest compressions so that

[18:12]will be done 30 times then you go on to your rescue

[18:17]breaths so once again head tilt chin lift to make sure the

[18:19]airway is open pinch the nose to make sure that there's no

[18:21]leakage there and then once you've taken a breath form a good

[18:26]seal around their mouth and deliver a breath if done correctly you

[18:39]should be able to see that chest rise and fall i'm not

[18:42]sure if you can see it but that's certainly what i saw

[18:44]there and that's and that's how you do it so whilst you're

[18:48]still waiting for help you're going to repeat that cycle 30 compressions

[18:51]two breaths if you're not comfortable with the breathing aspect of it

[18:57]then just continue with continuous chest compressions um until either help arrives

[19:02]or they wake up and if there's more than one of you

[19:05]around then you can swap so that one of you doesn't so

[19:10]you don't get too tired and that brings us to the end

[19:11]of the demonstration we're now going to go over to nahida to

[19:14]take us through a scenario assalamualaikum everybody um i'm naida i'm an

[19:44]f2 at queen alexandria hospital and i'm just going to run through

[19:49]with you a scenario that that possibly could happen to anybody and

[19:53]just going through again what modbus and zainab have gone through with

[19:59]us so let's start so a man is fan collapsed in a

[20:03]shop shopping mall so a good abbreviation um is dr abc so

[20:07]it's basically what mama bass and zainab have already said so d

[20:11]is for danger so just look around see it's safe to approach

[20:14]r is for response go near the person who's collapsed and see

[20:20]if they're responding to you call out loudly and then just the

[20:24]abc that they mentioned okay so this part is going to be

[20:32]um an interactive session whereby there'll be a few questions posed and

[20:35]you can unmute yourselves and help answer the questions as we go

[20:43]along so the first question is what do you do do you

[20:44]first check for danger or do you run towards the collapsed person

[20:52]yes exactly thank you you check for danger and then you approach

[20:56]it's always good to see on your both sides like before we

[21:00]cross the road just to see you're not missing out to anything

[21:02]see if there's nothing around the person that you need to be

[21:06]aware of what'd you do next do you keep him warm or

[21:11]do you try and get a response how do you get a

[21:24]response do you shake shoulders gently and ask loudly are you okay

[21:27]or do you tap the face gently asking are you okay first

[21:33]one yes very loudly very clearly are you okay the person is

[21:39]not responding uh what do you start with do you do cpr

[21:43]or do you open his airways so he can breathe open his

[21:47]airway yes first comes a b and then c so you make

[21:52]sure that his airway is open and how do you do that

[21:56]so it's very important to keep him in the correct position the

[21:59]person should be flat on their back with the head facing straight

[22:04]up and then like zainab mentioned head tilt and chin lift to

[22:07]make sure that the tongue is not obstructing or there's nothing in

[22:10]the mouth okay what next do you look for normal breathing or

[22:13]look fill and listen for normal breathing look feel listen for normal

[22:19]breathing yes exactly um so in a normal scenario that's what we

[22:23]do we look feel and listen but if you're uncomfortable because of

[22:28]covid um if you just see and just look if the chest

[22:31]is rising and falling that should give you an indication of the

[22:33]patient if the person is breathing normally or not for how long

[22:38]would you do that five seconds or ten um take the guess

[22:49]what seconds no maybe 10 seconds just enough to to make sure

[22:54]that he is not breathing properly okay what do you do now

[22:59]do you get him some water and keep him warm or do

[23:02]you call for an ambulance or tell somebody to get a defibrillator

[23:05]or an aed which is a different automatic ambulance right yes it's

[23:10]very important that you shout out for help like the bus mentioned

[23:14]um it would be nice that they come back and tell you

[23:18]that they have already done it so you know that bit is

[23:22]done and if you're in a public place there are always places

[23:24]where you can find a defibrillator so just trying to look for

[23:29]that can also help what's about if he has chewing gum or

[23:30]something like that in their mouth can we take it out yes

[23:35]yes yes anything that can cause an obstruction uh starting cpr so

[23:40]they went through with you how do we do this the cpr

[23:44]the chest compressions that is the main bit so where do we

[23:48]do it how do how do we do it and how fast

[23:52]we do it so that's just a quick picture whereby it's the

[23:56]center of the chest your fingers need to be interlocked and you

[24:01]need to press at least two inches which is about five to

[24:05]six centimeters uh depth wise and you need to make sure that

[24:09]you're doing it correctly and you're not afraid to break the person's

[24:13]ribs because it is very important that you press down and then

[24:16]you wait for the chest to recoil and then press again so

[24:23]how deep do you compress five to six centimeters yes five to

[24:37]six centimeters thank you so that sums up the cpr uh there

[24:43]are three times when you can stop doing cpr when there's a

[24:48]healthcare professional nearby who tells you to stop when you get tired

[24:53]and unlikely but if it happens when the person responds and wakes

[25:01]up so there's a video that i'd like to share with you

[25:03]which summarizes everything we've talked about this is what a normal heartbeat

[25:16]looks like moments before a sudden cardiac arrest it can happen anywhere

[25:20]but you're most likely to be at home the heart will suddenly

[25:25]stop beating and breathing may be abnormal or stop blood won't be

[25:28]being pumped to the brain and other vital organs it's time to

[25:32]act every minute without cpr will significantly reduce their chance of survival

[25:37]shout for nearby hell and always check for danger before approaching the

[25:44]person shout at them and gently shake or firmly tap their shoulders

[25:46]to check for a response check their breathing current guidance recommends looking

[25:53]for the rise and fall of their chest do not place your

[26:00]ear or cheek closed i can see that it's frozen so i'm

[26:08]just gonna um stop your screen sharing if you maybe start screen

[26:09]sharing again that might that might help yeah i'll try that okay

[26:23]go for it again it doesn't seem to be working so um

[27:08]maybe we can just uh see the video at the end if

[27:12]it plays to just summarize everything is that okay thank you okay

[28:01]so now we're going to go on to our next presentation which

[28:04]is all about choking okay so this presentation is all about how

[28:32]to manage a scenario where someone is choking so i'm gonna once

[28:37]again set the scene uh just so just to to paint a

[28:40]bit of a picture of what's going on i want you to

[28:43]imagine that you're out having lunch with a friend having a casual

[28:46]conversation and then all of a sudden it seems as though something

[28:48]has gone down the wrong way for your friend they stop talking

[28:52]all of a sudden they're holding their neck they're looking very distressed

[28:55]and that thought crosses your mind i think they're choking so what

[28:59]i'd like you to do is i want you to just on

[29:02]the chat write a couple of suggestions as to how you can

[29:07]establish whether or not this person is choking so we'll give you

[29:11]a few moments just to go on the chat and write a

[29:14]couple of thoughts as to how you figure out whether this person

[29:25]is in fact choking okay fantastic if they're going blue yeah that

[29:42]yeah so yeah absolutely so all of the comments that we're getting

[29:46]are uh are signs for choking um you might see signs for

[29:51]example that they they are gasping or they're making funny noises with

[29:55]their breathing or they're holding their neck or they're turning color or

[29:58]they're looking distressed those kinds of things are definitely signs the single

[30:01]thing that you can do to just be sure before you proceed

[30:06]any further is very simple and that's essentially just to ask them

[30:10]are you choking now if they can say yes that's a good

[30:13]sign because it means that there's air that's coming through their airway

[30:17]even if they can't say yes because there's a complete obstruction there

[30:21]they'll still be able to nod their head so you'll be able

[30:25]to uh to establish for a fact that they are indeed choking

[30:29]okay so now that you have established that this person is choking

[30:33]what do you do so there are three simple steps um that

[30:37]we have to follow that will try and help us in this

[30:42]situation so the first thing is cough it out second is slap

[30:46]it out and thirdly squeeze it out okay so with cough it

[30:49]out the first thing to do is actually to encourage them and

[30:52]ask them if they can cough so ask them to cough if

[30:56]they're able to cough again that's a good sign it means that

[31:00]there's some air going in and out of their airways and if

[31:01]that is the case then it means that this is something that

[31:04]they can probably sort out on their own and your job here

[31:08]is just to encourage them as much as you can to just

[31:11]keep coughing until that obstruction comes out if unfortunately they're not able

[31:17]to cough for any reason then that is when we move on

[31:20]to the next step so the next step is to try and

[31:23]slap it out so the person is not able to cough the

[31:27]obstructed objects out themselves so we need to try and help them

[31:30]do this so the way to do this is to firstly lean

[31:32]the person forward and support them so that they are able to

[31:36]do this and then we have to deliver five back slaps the

[31:40]way to do this is using the heel of your hand we

[31:43]have to deliver five sharp blows on their back between their shoulder

[31:49]blades and when i say sharp i mean sharp we're trying to

[31:52]get this obstructed object out so we have to use a lot

[31:56]of force so it's something like this and we try and do

[32:00]that five times if of course on the first or second time

[32:02]that the obstructed object has to come out you don't you don't

[32:06]need to carry on um but if it hasn't come out continue

[32:08]with the total of five okay if you've got to five backslaps

[32:12]and they still are choking then we go on to squeeze it

[32:16]out now with this what you have to do this is what

[32:20]we call abdominal thrusts so you stand behind the person place a

[32:23]fist just above their belly button and another hand just on top

[32:28]like that and you need to be squeezing inwards and upwards quite

[32:32]sharply and the idea is to generate enough pressure to expel that

[32:38]object out and you can do that up to five times once

[32:42]again if it comes out the first time then no need to

[32:46]continue but otherwise up to five abdominal thrusts if this still has

[32:52]not resulted and the person is still choking and this is an

[32:57]emergency because they could stop breathing so we have to call 999

[32:59]try and get an ambulance as soon as possible and after when

[33:04]you have called them in the meantime repeat the cycle of the

[33:06]five back slaps to five abdominal thrusts so the five back steps

[33:13]five abdominal press now if at any point they become unresponsive then

[33:17]you need to stop what you're doing and instead go back to

[33:21]our previous session and start cpr so that means lie them on

[33:26]their back open their airway check if they're breathing and if they're

[33:29]not then you need to again call an ambulance to let them

[33:32]know that the situation has deteriorated and continue with cpr your chest

[33:37]compressions and rescue breaths and continuing that cycle until help arrives or

[33:44]until the person wakes up okay so that's it for choking so

[33:49]just to summarize so we've got it all clear and if you

[33:52]think somebody is choking the first thing we have to do is

[33:55]check if they are choking and how do we establish this something

[33:58]as simple as just asking them are they choking or you can

[34:02]see some of the signs that they're choking as we mentioned previously

[34:05]then you have to try and encourage them to cough it out

[34:08]themselves if they are not able to do this then we have

[34:12]to try and help by giving them five back slaps that's using

[34:14]the heel of our hand doing it quite sharply in between their

[34:18]shoulder blades after those five if that still has not worked go

[34:22]into the abdominal thrusts that's the five abdominal pushes where we go

[34:27]inwards and upwards trying to bring that object out um if this

[34:31]has not worked we need to call 999 to get an ambulance

[34:34]and repeat the cycle of the five backslaps five abdominal thrusts and

[34:39]keep going thank you and so that brings us to the end

[34:45]of our presentation um that brings us to the end of our

[34:47]presentation we're now going to pass over to uh mastermind inshallah to

[34:51]talk to us a bit further about choking practitioner and i'm gonna

[35:28]be basically going through a scenario for choking um this again is

[35:33]an interactive part so i'm going to go through some i'm going

[35:37]to go through a scenario and there'll be some questions so i'd

[35:39]like you to just answer whichever question you think is the right

[35:42]option okay so the scenario is rebecca is with her friends and

[35:49]whilst eating on a sandwich she chokes and has a serious blockage

[35:52]in her windpipe no air can get in or out of her

[35:54]lungs so she can't breathe unless someone does the right thing she

[35:57]could be dead in three minutes you have just walked into the

[36:02]room okay so the first part do you try and help yes

[36:11]always trying to help yep great okay the next part what now

[36:20]check for danger then go to her or run to her wrong

[36:25]check for danger then go to her yeah so similar to the

[36:29]situation with cpr you just want to make sure that um you're

[36:33]safe first and make sure that there's no dangers around and then

[36:39]go to the person to help them what now do you ask

[36:43]are you choking or do you go straight and give abdominal thrusts

[36:47]you ask if they're choking correct okay what now you give her

[36:56]some water or you tell her to talk how hard you cough

[37:02]yeah so like with us name said um you need to try

[37:05]and encourage them and to cough because most of the time sometimes

[37:08]when you're eating food it just goes down the wrong way and

[37:11]most of the time it's just coughing it out is enough so

[37:15]at that point you just encourage them okay so um yes you

[37:21]ask the victim if they're choking and ask them to cough if

[37:24]they can say yes or can cuff it out then things aren't

[37:28]too bad as some air must be getting through their windpipe if

[37:31]they can't talk or cough then you know that you have a

[37:35]very serious situation which is what we have here so what's next

[37:37]do you give them backloads or do you give abdominal thrusts first

[37:50]get back close yeah so yeah you start with the back bows

[37:57]first okay and how would you go about doing that do you

[38:02]stand directly behind her or do you stand to her side and

[38:07]slightly behind her slightly behind her you actually stand to her side

[38:17]and slightly behind her yeah okay the next one do you so

[38:21]you lean her forward how far do you lean just do you

[38:24]lean her just a little bit forward so she can breathe or

[38:29]well forward so the food can fall out so it's actually well

[38:36]forward so you need to make sure that the food can fall

[38:37]out okay because that's what's causing the blockage so really important that

[38:44]you do make sure that they lean forward how do you stop

[38:47]her from falling do you hold her short shoulders or do you

[38:49]support her with one hand support her with one hand yeah so

[38:58]um hello all right sorry um so yeah like this like um

[39:07]it was said um you support her you support her quite well

[39:12]because the back blows you're not giving them quite you're not giving

[39:15]them gently you have to give them quite a bit of force

[39:16]so you need to support her very well okay where do you

[39:24]aim for the lower back or between the shoulder blades and how

[39:30]do you hold your hand is it enough fist or is it

[39:33]flat yeah so like they mentioned it you use the heel of

[39:39]the hand to um do the backflows and how many blows do

[39:42]you give is it up to three or up to five up

[39:45]to five yeah so up to five and uh like i said

[39:50]if obviously the food comes out after let's say three back blows

[39:54]you don't need to give the other two you just stop then

[39:55]after the three if you're sure that the blockage has come out

[40:00]what now so she's still there's still a blockage there so um

[40:07]well sorry so yeah what now do you after you've given the

[40:10]back blows do you give another bachelor or do you check if

[40:15]the foods come out give us another back bill what about if

[40:17]you've already given the five back blows i can then check if

[40:23]the foods come out yeah great okay okay so now you've done

[40:30]the fire back blows so what now give um abdominal thrust yeah

[40:38]so you've done the five back blows so then you move on

[40:42]to the next part which is abdominal thrust so how do you

[40:48]do the abdominal thrust do you stand behind her stand next to

[40:53]her stand behind her yep yeah well done and then where do

[40:59]you put your well what do you do next then do you

[41:00]put your arms around the upper part of her abdomen or tilt

[41:05]her head upwards put your arms around the upper part of her

[41:07]abdomen yeah well done um and then then what do you do

[41:13]do you make her lean forward or make her stand straight make

[41:17]her lean forwards yes um so again that helps just to make

[41:23]sure that the food comes out the blockage comes out yeah what

[41:28]do you do with your hand do you make it into a

[41:30]fist or do you keep it flat make it into a fist

[41:36]yes and where do you put your fist do you put it

[41:39]below her belly button or between the belly button and the bottom

[41:42]of the breastbone her belly button so you put it just between

[41:52]the belly button and the bottom of the breastbone because that's that

[41:56]will help um remove the blockage okay and what does your other

[42:02]hand do so if you've got one hand that's a fist what

[42:09]do you do with the other hand grasp your fist tightly yep

[42:18]well done and what now so do you pull that fist sharply

[42:26]inwards and upwards or do you pull backwards pull shut sharply inwards

[42:40]and upwards yes and how many times do you do that five

[42:49]times eight yes five times okay what now do you give um

[42:56]another thrust or do you check if the food comes out check

[42:59]if the food comes out yes yes so once you've given the

[43:04]five give that clothes pull up and check again i think we've

[43:47]lost your sound actually okay it it looks like we've lost your

[44:03]sound my smile but um if you're happy to keep going with

[44:08]the slides then perhaps um i'll read out the questions and see

[44:10]if we can get answers uh from everyone so oh it looks

[44:14]like you're back now oh can you hear me now yes yeah

[44:18]we can oh perfect sorry um okay so rebecca still has food

[44:23]stuck in her windpipe what now do you tell a friend to

[44:27]phone for an ambulance or do you tell a friend to get

[44:30]some water tell her friend to friend for an ambulance yep well

[44:39]done um and then she's unconscious and not breathing properly so what

[44:48]now give five no start cpr yeah yeah so once there so

[44:52]once she gets to that point um that where she's unconscious now

[44:57]you don't you stop the back blows and i've done abdominal thrusts

[45:00]and that's when you start cpr which is what we went through

[45:02]in the first half of this presentation yeah okay that's the end

[45:08]of that um now i'm gonna try and show you a video

[45:11]about this choking scenario i'm gonna see if it works and so

[45:15]just let me know if you can't see the video i wanna

[45:42]show like can can can you guys see the video we can

[46:10]see the webpage here does it say sorry or is there video

[46:14]clips on there uh we can see the the four options for

[46:17]the four videos perfect okay so i'm just gonna click on the

[46:22]choking one then let me know if there's any um technical issues

[46:29][Music] [Music] she's really nice and there's going to be lots of

[46:50]other people there oh maybe i just don't really like my emotions

[46:54]you know you're come on come rebecca here has a serious blockage

[47:22]in her windpipe no air can get in or out of her

[47:26]lungs so she can't breathe unless someone does the right thing she

[47:28]could be dead in three minutes now your first choices are the

[47:33]same as in the last crisis so you know what to do

[47:39]right [Music] [Music] what do i do that's right ask the victim

[48:15]if they're choking and get them to cough if they can say

[48:17]yes or if they can cough at all then things aren't too

[48:21]bad because some air must be getting through their windpipe if they

[48:25]can't speak or cough then you know you've got a very serious

[48:28]situation which is what we have here so what's next [Music] you

[48:49]can't cough you can stop breathing he's not saying anything i've got

[49:16]you don't worry to give a sharp blow just press letter z

[49:34]and m on your keyboard at the same time [Music] just [Music]

[50:01]oh come on [Music] come on let's try this way this will

[50:36]work right you've seen this on tv the americans sometimes call it

[50:40]the heimlich maneuver but in the uk the correct term is abdominal

[50:44]thrusts stand behind the person put your arms around them and pull

[51:03][Music] [Music] [Music] do [Music] okay to pull up sharply inwards and

[51:48]upwards just press the letters a and l on your keyboard at

[51:55]the same time [Music] oh [Music] [Music] oh no sorry you've done

[52:35]five abdominal thrusts and rebecca's still choking now you switch back to

[52:41]doing up to five live back blows so try that again [Music]

[52:50]you've got it if the abdominal thrusts don't work you give up

[52:55]to five more back blows they were running out of time come

[53:01]on breathe then what do you think [Music] oh it's all coming

[53:44]out come on [Music] come on breathe breathe come on look at

[53:48]me oh great it's okay right now you're okay oh you scared

[53:56]us [Music] you're gonna stop eating those sausages now [Music] okay so

[54:28]i hope that video helped um it was just basically to show

[54:32]you how it works and you can see how much force that

[54:35]you have to put on when someone is choking thank you so

[54:47]i think that at least definitely makes it a little bit more

[54:51]real because you can see how it happens in just a normal

[54:54]scenario where you'll kind of sit around the dinner table eating and

[54:56]suddenly someone starts choking so and obviously you can see how frightening

[54:59]it was so and and very very intense and very fast paced

[55:03]so knowing what to do in that scenario is crucial to saving

[55:05]a life so we really hope the advice we've given you today

[55:07]has helped you feel a bit more reassured that if you were

[55:11]in that scenario that you would be able to kind of manage

[55:14]and get help and know what to do um so we're just

[55:17]going to spend a little bit of time now just going over

[55:19]a couple of the questions that have been mentioned in the chat

[55:21]and and if you've got any more questions please do post them

[55:25]in the chat and we'll try to answer them um now as

[55:26]well um so the first question and what is the implication of

[55:32]doing cpr on someone who is later found to have a dna

[55:37]cpr in place so a dna cpr is essentially a legally binding

[55:40]document and which states that cpr so the chest compressions and all

[55:46]the interventions associated with it should not be performed on a person

[55:49]either because they've decided in advance for whatever reason that they do

[55:52]not want it or because healthcare professionals have decided that it would

[55:58]be futile and this is a decision that's not taken lightly and

[56:01]it has to be kind of signed and co-signed by senior doctors

[56:05]and so it's a very important decision to be made if it

[56:10]is made but if you do not know for certain that a

[56:13]dna cpr is in place then always perform cpr there will be

[56:16]no negative implications for yourself um in terms of either kind of

[56:24]legally or ethically because the right thing to do is always to

[56:27]perform cpr and save the life if you don't know because if

[56:29]they don't have a dna cpr if you're unsure or if they

[56:33]for example have had one in the past but don't have a

[56:36]current valid one then you may not save a life where you

[56:39]could but if you do know for absolute certainty that they do

[56:44]have a dna cpr and this is often mostly the case in

[56:47]hospitals for example then you should never do cpr as it does

[56:50]count as kind of assault or even battery um but kind of

[56:54]in the general public unless you know for certain that they have

[56:57]one even if you've got family members saying you know don't do

[57:01]it if you're if you're uncertain at all i would always say

[57:04]do cpr the next question um do you check for a pulse

[57:10]before starting cpr so in medical environments so hospitals gp surgeries etc

[57:16]so the protocol that professionals are taught are to check for a

[57:20]pulse as well as checking for breathing however for the general public

[57:25]so for non-medically trained individuals um the general advice is to focus

[57:29]solely on breathing because it's a lot it's a lot more difficult

[57:32]to check for a pulse accurately than it is to check to

[57:36]see whether someone is breathing or not and in the majority of

[57:39]cases a patient who isn't breathing is very unlikely to have a

[57:43]pulse except on a very rare occasion um if in you know

[57:45]on a rare occasion that you assess a patient um and you

[57:50]think they aren't breathing adequately um they'll all they'll always kind of

[57:54]stop and you know a patient who is alive and breathing and

[57:58]has a past will not let you do cpr essentially because it's

[58:02]it's very painful for them if they can feel it so you

[58:06]check the breathing and then start cpr if there's no response so

[58:12]the next question um do you need to call an ambulance or

[58:17]go to hospital as a norm after abdominal thrusts to ensure that

[58:20]no damage has been caused so this is a really good question

[58:23]um firstly choking in itself if it goes on for longer than

[58:30]a couple of back blows or a couple of coughs so if

[58:32]it continues as it did in the video and even progresses on

[58:36]to kind of the cpr stage of things where they stop responding

[58:38]and choking in itself and can limit the amount of oxygen going

[58:43]to the organs in the body so that's one reason to get

[58:45]checked out by a medical professional and so for example calling an

[58:50]ambulance going into hospital depending on how worried you are um and

[58:53]secondly the actions that you do so the abdominal thrusts even the

[58:58]back blows so particularly in younger patients or the elderly patients where

[59:02]a single back blow um can cause things like rib fractures and

[59:06]also abdominal thrusts so the amount of pressure you're putting on the

[59:10]abdominal organs can also cause abdominal damage so we would always recommend

[59:15]getting some advice from a healthcare professional be it calling 999 and

[59:18]getting an ambulance or going into hospital depending on how stable the

[59:24]patient is so the answer to that is yes so are there

[59:29]any more questions you're very welcome to either post in the chat

[59:32]or to unmute yourself and ask the questions we'd be very happy

[59:36]to answer them yes um on the choking one um i noticed

[60:09]that the ambulance was called quite late in the stage where you

[60:12]have tried all the other um stages unsuccessfully should you not have

[60:19]the the know-how in how to do that should you call the

[60:23]ambulance first so you still continue doing the processes of elimination so

[60:29]in that scenario so with choking in particular it's a very fast

[60:33]moving scenario and in that case i think the gentleman who came

[60:38]to help um didn't know how to do the abdominal thrust etc

[60:40]i think as i think as you pointed out it would be

[60:43]he could have told one of the friends to have called the

[60:47]paramedics or an ambulance sooner um because even if you know she

[60:52]had recovered sooner there's no harm in calling them because she'd she

[60:55]might need a check over anyway um but particularly if you're unsure

[60:58]about what to do in that scenario then i would say always

[61:01]call for help call call an ambulance and particularly if you're by

[61:05]yourself with a patient as well does that answer your question yes

[61:09]thank you sorry cut off a little bit but thank you no

[61:12]worries okay so there's a couple of questions about the current issue

[61:27]with coronavirus and the current covered climate so whether you'd give mouth

[61:31]to mouth in patients considering the current issue um and how would

[61:34]go about such situations in in the current covered climate generally um

[61:39]which is a very good question and as you know healthcare professionals

[61:44]in hospital as well all the guidance has changed for us because

[61:46]as you might recall from the earlier sessions that we talked about

[61:50]and we always talk about kind of checking for danger and taking

[61:53]for a response and it's always about putting your own health and

[61:58]safety first i think if you were in your own home and

[62:00]a friend or a family member collapsed and it was kind of

[62:03]about doing mouth to mouth to them firstly and you'd probably know

[62:07]about their covered status and secondly if it was someone you knew

[62:10]that closely i don't think you'd hesitate in giving mouth to mouth

[62:12]if it could save their life um but particularly when you're out

[62:16]and about if it's someone you don't know at all there's a

[62:20]risk not only of you know with coronavirus and contracting covert 19

[62:23]um but also contracting other conditions that they may have that you

[62:28]won't know about as i mentioned earlier the most important thing is

[62:31]doing the chest compressions and getting help um and getting the paramedics

[62:36]there soon so the other thing we haven't really talked about today

[62:39]um are kind of the electric shocks so defibrillation which can also

[62:43]really help if it's done early on so it's all about getting

[62:46]the paramedics there early and doing the chest compressions to get blood

[62:50]pumping around the body um some places and some people do offer

[62:53]kind of special mask filters and that you can use if you

[62:57]want to do mouth to mouth but i would say always put

[63:00]your own safety first and do what you can to help but

[63:04]don't ever put yourself in danger be it in terms of contracting

[63:07]something like curvid or if you're in a scenario or a situation

[63:10]where you don't feel safe so for example if someone has been

[63:13]electrocuted and you can see live wires i don't don't approach and

[63:17]don't put yourself in harm's way just call for help if that

[63:25]answers that question so and another question and if the airway is

[63:40]obstructed while choking and the patient becomes unconscious would there be an

[63:44]occasion where cpr is dangerous and rescue breaths are not able to

[63:52]work and so in that situation um so essentially the airway is

[63:55]completely obstructed and oxygen isn't getting around the body and blood flow

[63:59]isn't getting around the body either and so cpr wouldn't be dangerous

[64:07]because it's the only at that stage the patient is has essentially

[64:11]stop circulating blood around the body and the heart has stopped pumping

[64:14]because of the lack of oxygen so cpr is the only thing

[64:17]that you can do to save their life at that stage um

[64:19]some people you know there is some evidence that said that cpr

[64:23]can actually dislodge whatever's being kind of choked onto the food that's

[64:30]been kind of choked on so it can actually help in that

[64:33]scenario um in terms of rescue breaths if the airway so that

[64:36]the tube going from your mouth all the way into your lungs

[64:39]is completely blocked or obstructed and you're very unlikely to be able

[64:43]to get rescue breaths in it's always worth trying but at that

[64:45]stage um it's about calling for help and getting an ambulance there

[64:52]as soon as possible and then continuing cpr just having a look

[65:01]at the next couple of questions there's a question about um whether

[65:19]these procedures are the i'll just turn on the video there's a

[65:24]question about whether these procedures are the same on young children and

[65:27]babies um or whether there are different steps uh whether there are

[65:33]different steps for uh you know children and babies so for choking

[65:37]any for anyone over the age of one uh the process is

[65:42]the same do take care with the amount of force that you're

[65:45]using for example if you're if you're um helping young children for

[65:48]example um four babies under the age of one the process is

[65:53]a little bit different um rather than go through the whole process

[65:59]today um i think the the basics are what we've shown you

[66:02]through you know back slaps and abdominal thrusts for choking and that

[66:06]can be adapted for children for babies under the age of one

[66:09]uh the back slaps are the same um essentially what you do

[66:13]for for babies and i can show you using a little dummy

[66:19]here is you um if you're sitting down you kind of lean

[66:22]them forward so that they're actually uh face down over your lap

[66:25]and then you can do the backstab um in that way and

[66:29]then rather than doing abdominal thrusts it is chest thrusts which is

[66:33]done with two fingers so they will be face up again on

[66:38]your lap using two fingers you can press in the middle of

[66:42]the chest firmly and that will be the chest thrusts that you

[66:46]do instead of the abdominal thrusts again with with babies you're not

[66:51]going to be able to ask them to cough so instead of

[66:52]pop it out slap it out squeeze it out it's going to

[66:56]be just a case of five back slaps and then five chest

[67:01]thrusts but we will be um circulating uh in uh by email

[67:06]uh after this a video which uh goes through that whole process

[67:11]and you can actually see it happening on the video as well

[67:13]for cpr again um the process is very similar what i'd what

[67:18]i'd suggest is that actually if you use the fundamentals of adult

[67:23]cpr and just ensure that you're using the appropriate amount of force

[67:26]for children then that is absolutely fine there is a slight modification

[67:29]for children as well where you start with five rescue breaths before

[67:33]actually doing the uh before going into chest compressions but once again

[67:37]we will circulate a video which has a bit more information because

[67:40]i don't want to necessarily confuse everybody by going through the whole

[67:45]process now thank you for that we've got another question what if

[67:51]the person that is choking is much bigger than you and there

[67:53]is no one else around it may be difficult to administer back

[67:56]blows supporting them letter learning abdominal thrusts so what would you do

[67:59]in this situation and this is actually a really good question so

[68:03]in terms of physical ability because it's extremely true and so it's

[68:08]even talking about cpr cpr is one of the most tiring things

[68:11]you can do so after doing kind of just two minutes of

[68:14]chest compressions you may feel exhausted um and one of the criteria

[68:19]for stopping cpr with the patient is actually that you reach the

[68:22]point of exhaustion and that can happen very quickly if there's no

[68:25]one else around and it's exactly the same for choking so you

[68:28]can only do your best so um in terms of administering back

[68:32]back blows so trying to get them to kneel on the ground

[68:35]for example if they're much taller and bigger than you or even

[68:38]kind of sit on a stool or a chair or anything that

[68:41]comes to mind when you're in that scenario so anything that might

[68:45]be able to help you um administer the back blows and the

[68:48]abdominal thrusts abdominal thrust in a you know you need to be

[68:52]able to fit your arms around the patient and if they're much

[68:55]bigger than you you might not be able to do that in

[68:55]which case just continue with the back blows and if they reach

[68:59]the point of collapse then start cpr um but in that scenario

[69:03]in particular i would say it's definitely a time to call for

[69:05]help early so um as we mentioned earlier um call the paramedics

[69:08]keep your phone on loudspeaker and get them there as soon as

[69:13]possible um because doing things this by yourself will be extremely difficult

[69:22]just to add very briefly i i know that some people when

[69:26]they think about managing choking they think about the kind of mrs

[69:30]doubtfire situation or what they've seen in the movies and you know

[69:32]that where the abdominal are like literally carrying the person like that

[69:36]um that's you know that's not how abdominal thrusts are done you

[69:39]don't need to be carrying their whole weight it's a case of

[69:42]just that sharp inwards and upwards um you know movement to try

[69:47]and expel the air out so to some extent you will be

[69:50]able to do this for people who are much bigger or for

[69:53]example yeah much bigger than you um but yeah don't feel that

[69:58]you need to actually be able to support their weight and we

[70:01]had another question that's just come in as well and the question

[70:04]was it's a very good question as a muslim are we allowed

[70:08]to give mouth-to-mouth to and up to the opposite gender um so

[70:11]with this if it's if it's in a case where it will

[70:14]save a life it is a life-saving procedure it's okay to do

[70:18]so if we think that you know this is something that will

[70:20]save a life even you know with the chest compressions and things

[70:24]there will probably be some contact but um it's okay to do

[70:28]so if it will mean we'll be saving your life okay i

[70:35]can't see any more questions if there's anyone else who's got any

[70:37]questions um feel free to meet yourselves now or we'd be very

[70:42]happy to answer any questions that you do have um if you

[70:45]want to email us um that's absolutely fine as well and we'd

[70:49]be very happy to answer any questions that you might have um

[70:53]so we'll now bring our session to a close we just wanted

[70:56]to say thank you so much for joining us this afternoon and

[70:58]for bearing with us when we had glitches within zoom but we

[71:01]hope we can learn from it today um we hope it's been

[71:05]useful we'd appreciate any feedback that you might have any comments any

[71:08]questions as well as i mentioned and so inshallah we'll be emailing

[71:12]out a feedback form and a summary of what we've covered in

[71:15]the next couple of days and so if there are no more

[71:19]questions um we'll bring the session to the close and assalamu alaykum

[71:24]thank you sister thank you guys

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How to Save a Life - CPR and Choking Training

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How to Save a Life - CPR and Choking Training

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