Archived Publications High-Quality CPR: Breathing New Life into Your Tra | Page 20

Asthma or COPD:
1. In addition to the tips given earlier for staff with Asthma or COPD completing HeartCode BLS or ACLS
skills on the Voice-Assisted Manikins; consider providing bag-valve masks at the training station.
GENERAL TIPS TO PREVENT INJURY TO THE LEARNER:
Adult Compressions:
Use an aerobic wide-base stepper to elevate body over the VAM allowing the shoulders to be directly over the
heel of the hands during compressions.
1.
Get close to the Adult VAM and take a wide stance
as if you were going to lift something heavy. The
wide-base provides additional support.
2. Extend arms straight out in front of body and
lock elbows.
3. Place dominate hand on bottom, either interlace
fingers or angle dominant hand on bottom and angle
inward so it feels more natural. Take non-dominant
hand and encircle thumb and index finger around
dominate wrist. The palm of top hand should be
centered over the back of bottom hand. They should
cover the exact same space (looks like one hand
with fingers extended over either top side—your
hands should resemble wings).
4. Keeping elbows locked, bring arms straight down
to manikin and place heel/palm of hand on lower
half of the breastbone.
5. Do NOT use arms/neck/back/shoulders to
perform compressions. Instead, keep arms/
neck/back/shoulders stiff and bend at the hips to
perform compressions. With each compression,
stick your bottom out behind you and imagine
you are trying to hit someone behind you.
6. Be sure to bend at waist with each compression
and straightening back up between compressions
to allow full chest recoil.
For Adult Cycle CPR:
1. Following 30 compressions, step off the stepper
with one foot to easily give two breaths.
2. Following two breaths, step back up on stepper.
You can hold onto manikin to stable self if needed.
3. Take the time to get close, take a wide stance,
arms out in front of you, lock elbows, and
bring them down to proper positioning then
begin compressions.
Infant Compressions:
Get close to the Infant VAM and take a wide stance as if you were going to lift something heavy. The wide base
provides additional support.
1. Angle your body slightly closer to head of infant
to allow for more natural/comfortable stance.
2. Place two fingers of one hand just below nipple
line and using second hand, hold onto hand/wrist
of first hand to allow for strength of both arms
to perform compressions.
For the Infant Cycle CPR:
Following two breaths, take the time to get close, widen your stance, and grab dominant hand/wrist to have
strength of two arms, then begin compressions. This should only take 1-2 seconds.
REFERENCES:
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Ashcroft T.J., Lutfiyya Z.M. (2013). Nursing educators’ perspectives
of students with disabilities: A grounded theory study. Nurse
Education Today, 33 (11), pp. 1316-1321. Trenkamp, R., Perez, F. (2015). Heel compressions quadruple the
number of bystanders who can perform CPR for 10 minutes. The
American Journal of Emergency Medicine, 33 (10): 1449-1453.
Neal-Boylan, L., Marks, B., & McCulloh, K. (2015). Supporting Nurses
and Nursing Students with Disabilities. American Journal of
Nursing, 115, 10, p. 11. Wik L., Thowsen J., Steen PA. An automated voice advisory manikin
system for training in basic life support without an instructor. A
novel approach to CPR training. Resuscitation 2001; 50: 167-72.
HealthStream E-Book: High-Quality CPR: Breathing New Life into Your Training Program
S-20055-1216