Summary
Highlights
A lifeguard intervenes in a pool incident where a teen hits his head and sinks. After being pulled out, the teen is unresponsive and not breathing. The lifeguard checks for a carotid pulse; finding none, immediately begins chest compressions.
The video outlines the correct techniques for chest compressions: 100-120 compressions per minute, to a depth of 2 to 2.4 inches. After 30 compressions, the airway is opened using the jaw thrust maneuver (due to suspected spinal injury) and two breaths are given.
An AED is brought to the scene. The lifeguard turns on the AED, quickly dries the patient's chest, and attaches the AED pads. The patient is cleared to allow the AED to analyze the heart rhythm.
The AED advises a shock. The lifeguard verbally clears the patient and delivers the shock. Immediately after the shock, CPR is resumed, starting with compressions, at a ratio of 30 to 2.
After several cycles of CPR and AED analysis, the AED states 'no shock advised,' indicating a non-shockable rhythm. Despite this, CPR continues until ambulance arrival. The ambulance crew takes over, administering epinephrine.
A weak pulse of 45 bpm is detected. Compressions are stopped, and ventilations are provided at a rate of one breath every six seconds. The patient remains unresponsive and bradycardic, leading to the administration of atropine to increase heart rate.
After atropine, the patient's heart rate increases, and pulse strengthens. The patient begins weak respiratory efforts. The crew continues to assist breathing, applies warm blankets, and transports the patient to the hospital.