2014 CPR - Lesson 5: Infant CPR and Foreign Body Airway Obstruction

Course

/ Unit / Objective of lesson: / Estimated Time Frame
Outdoor Adventures / CPR / First Aid / The student is expected to perform infant foreign body airway obstruction. The student will be able to perform infant CPR effectively for one minute. / 45 minutes
TEKS/Student Expectations / Materials Needed: / Resources/Web links:
TEKS 116.53 The student is expected to:
1 (B)demonstrate understanding of the rules, skills, and strategies of an activity
2(C)identify correctly the critical elements for successful performance within the context of the activity
4(D)explain and follow safety procedures during adventure/outdoor education activities
4(E)list and describe safety equipment used in outdoor activities
4(F)design safe and appropriate practices/procedures to improve skill in an activity / Adult Manikins, 1:3 student to manikin ratio
Child Manikins, 1:3 student to manikin ratio
Infant Manikins, 1:3 student to manikin ratio
Face shields
Lungs for manikins
Any current Health textbook
American Heart Association CPR Video if available / * The American Heart Association and American Red Cross have numerous curricula to choose from; however, most will require the purchase of their own resource materials and a trained and certified instructor. Suggestions for instructors are to contact your school nurse, certified athletic trainer, local fire department or the local American Heart Association or American Red Cross representatives to assist you with all of your instruction and equipment needs for this unit. If you want to teach the basic CPR course without a course completion card or credentials then follow the Outdoor Adventure lesson plans for a very brief overview. If the classroom teacher is a certified CPR Instructor, then the lesson plans work great with the proper course materials. The proper CPR and Foreign Body Airway Obstruction and AED techniques can only be taught by certified CPR Instructors.
Learning Experiences:
Day 5
Warm-up:
An infant is much smaller than a child; therefore, what technique changes should be observed to perform CPR effectively?
Cardiovascular/Physical Education component: Have each student complete a 10- 15 cardio exercise such as jogging, stair-climbing, walking, aerobics, etc. Record heart rates and attempt to increase heart rates during the CPR unit. Explain the benefits of a good cardiovascular exercise and heart healthy living.
Activities:
1.  If you are using one of the video based, practice-as-you-go CPR programs, make sure the room is set up so you will have 1:3 ratios of manikin to student ratios. Make sure everyone can see the video monitor. Each student will need a barrier device or face shield. Follow the video according to the instructor’s directions.
2.  Move to the infant CPR training: Continue the CPR training the same way you performed the adult and child section. Use the video based programs or provide instructor-led demonstrations.
3.  Need for CPR and Chain of Survival for an infant are the same as a child. There are four life threatening cardiovascular emergencies for children and infants: Cardiac Arrest, Choking, Stroke, and Accidents. Child CPR – the Chain of Survival for a child with a life threatening cardiovascular emergency: 1) Prevention, 2) CPR for 1 minute, 3) Call 911, 4) Advanced Care.
4.  Watch the video or provide a complete CPR scenario. There are some very significant technique differences between child and infant CPR. Be sure the students are performing the correct technique on the infant manikins. Start with the proper assessment, “Are you ok? Call 911 and get an AED”. The new 2010 CPR guidelines recommends for the lay rescuer to skip the air-way step and immediately go to chest compressions. Provide chest compressions at a rate of at least 100 per minute and a compression depth of at least one third of the chest in infants and children until help arrives. Allow for complete chest recoil between compressions. If the trained lay rescuer is able to perform rescue breaths, compressions and breaths should be provided in a ratio of 30 compressions to 2 breaths.
5.  Provide 30 chest compressions at a rate of 100 per minute. If you are alone, perform CPR for one minute then, leave the victim and go call 911, and then return to CPR.
6.  The video will provide practice-as-you-go CPR programs for your students. If you do not have the video programs, then demonstrate the proper CPR technique and allow your students to practice-as-you-go. Continue until everyone has had a chance to practice infant “lay rescuer” CPR.
7.  The emphasis in CPR training is practicing the proper techniques until the student is comfortable and able to perform them effectively. Therefore, each student should practice child CPR for about one minute, three or four times. Continue to watch the video or provide a complete CPR scenario.
8.  Play the video portion for Infant Foreign Body Airway Obstruction (FBAO). If you do not have the video, demonstrate the proper techniques outlined in a current Health textbook. There are significant differences between child and infant FBAO; make sure you demonstrate the proper technique.
9.  If the infant is choking, support the head and place them head down while providing five back blows between the shoulder blades. This technique is demonstrated on the video. If you are uncertain on this technique, please check with a health care professional for assistance. Allow the students to practice-as-you-go with the manikins. Provide several rounds of practice until each student performs the technique effectively.
Vocabulary / American Heart Association, American Red Cross, Cardiopulmonary Resuscitation, CPR, AED, lay rescuer, cardiovascular, heart attack, cardiac arrest, stroke, choking, chain of survival, manikin, accidents
Formative Assessments: / Summative Assessments / Suggested Modifications / Enrichment
Practice infant CPR\FBAO on manikins for effective performance / Effectively perform adult, child, infant CPR with an AED. / Shortened assignment
Extended time / http://www.americanheart.org/presenter.jhtml?identifier=3040458
Discuss the emotional toll that doing CPR on a small child will have on the rescuer. How would you feel if you did CPR on a child and they died? If they lived?

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