Category Archives: CPR for Instructors

This is the section where Roy has a subject or message that is specifically designed to be viewed or read by Basic and Advanced life support instructors. Roy encourages any constructive criticism and feedback.
Posted in Roy on Rescue • RoyOnRescue Updates • CPR for Instructors • CPR for Providers

Roy On Location at the 2010 Video Training Updates

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I wanted to update everyone on the progress of the ProTrainings update video shoot.

I had come in early one morning and thought I’d have a cup of good coffee and let you see the on-site video location where the production team and I were shooting the new updated video trainings for the ProTraining websites. It’s important for ProTrainings to be a leader in the area of this type of training and though the video trainings are not required to be updated for a long time, we thought we’d get them out to you as soon as possible. If there’s enough benefit to change the guidelines then there’s enough benefit to get them to the ProCPR.org and ProFirstAid.com students as fast as possible.
On a side note, the production team and I have been having a lot of fun while working really hard on the set. I hope you’ll like some changes we’ve made for the new guidelines and I know that the team and I are very excited to get these updates edited and uploaded to our website in the next month or so.

Feel free to email me any questions you may have about what goes into our video production of these trainings or what it’s like behind the scenes at ProCPR.org and ProFirstAid.com.

Until next time,

Be A Rescue Hero For Someone’s Loved One,

Best wishes,

Roy

Posted in Roy on Rescue • RoyOnRescue Updates • Training Questions • CPR for Instructors • CPR for Providers

2010 CPR Guidelines Update – Activation of EMS or Calling a Code

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In this episode of RoyOnRescue, Roy Shaw visits the new 2010 CPR guideline update regarding activation of Emergency Medical Services and calling a code. Be sure to watch this episode to get the latest guideline release covering this subject.

Posted in Roy on Rescue • RoyOnRescue Updates • Training Questions • CPR for Instructors • CPR for Providers

2010 CPR Updates -Compression Only CPR

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Hello Everyone,

I’ve been debating on trying to post this before the weekend and now I’m sure I should. It’s not going to be short but I will try and get too the point.
There is a lot of talk going on about Compression Only CPR and how it rivals traditional CPR. I’m going to shed some light on the technique and try to sneak in a bit of synthesized science to help understand what it is and what it’s not. Hold on to your seat…hear we go!

Posted in Roy on Rescue • RoyOnRescue Updates • Training Questions • CPR for Instructors • CPR for Providers

2010 CPR Update Series – 911 and Dispatcher Changes

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This 2010 CPR update training, I take a look at the 911 and Dispatch Changes.  The biggest takeaway from this change is a simplification for the rescuer who is calling 911.  The dispatcher is going to ask a series of questions to determine if the victim is breathing or “Not”.  Not, can mean not breathing at all, or could mean not breathing normally(Agonal or gasping).  Upon this finding as well as deciding if this victim is in cardiac arrest due to asphyxia or medical condition like cardiac disease will change the directives the dispatcher will give to the rescuer.

Watch this RoyOnRescue video to help understand the difference between 2005 and 2010 and why the change was made.

Posted in Roy on Rescue • RoyOnRescue Updates • Training Questions • CPR for Instructors • CPR for Providers

2010 Latest CPR Guidelines Released!

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Roy Shaw, EMT-Paramedic and Instructor Trainer for ProTrainings.com has embarked on a quest to cover all of the important updates and topics related to the new 2010 ECC/ILCOR and American Heart Association updates which are in the process of being released and communicated via email, news, TV, blogs, twitter, Facebook and any other means of communication you can think of. Only one problem, many CPR instructors haven’t been told how to handle them yet! So after many emails, phone calls and questions, Roy Shaw has decided to work through the updates topic by topic and give the old and new standards, his take on them and then open them up for converstaion. So if you’re looking for some insight on how to handle the 2010 CPR changes, look no further.

Posted in Roy on Rescue • CPR for Instructors • CPR for Providers • Special CPR Conditions

But The Family Said…DO NOT RESUSCITATE!

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A student emailed in a great question and one in which can be a very tough one to answer!      It’s challenging enough to get bystanders to begin CPR.  But when we complicate the scenario with a person yelling; “They have a DNR, don’t do CPR or you’ll get sued!”   This can really complicate matters.  What do you do?   Stop CPR and hope that the withholding of potentially life saving CPR is legitimate?  Don’t stop CPR and continue to upset the people that are yelling stop in the first place?   Whoa! Tough spot to be in.

In this episode I’m going to do my best to explain the very complicated issue surrounding Do Not Resuscitate orders(DNR) when CPR is already in progress or about to begin.

Sample of Proposed DNR Guidelines From BENO-Ethics

Posted in Roy on Rescue • CPR for Instructors • CPR for Providers • Special CPR Conditions

How to Give CPR to A Ventilator Patient

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This week a student asked:

“I take care of a child who has a trach and is on a ventilator when he sleeps.  Do you have a course for cpr involving a patient with a trach if we were out and did not have access to a vent?”

Though we don’t offer any specific ventilator training, I thought this would be a good time to do a royonrescue episode covering this topic.

I didn’t want to delay this reply any longer than necessary so as Jody Marvin and I were on the road discussing training issues for ProCPR.org, I thought we would take advantage of the drive time and answer this very good question.

It’s hard enough initiating CPR or rescue breathing for a person who doesn’t have any special needs, but then when it’s complicated with something like a tracheostomy, it can really become confusing.  I hope this video blog helps clear things up.  Keep the training questions coming I think it really helps everyone who’s concerned about rescue and saving lives.

Best Wishes,

Roy

Posted in Roy on Rescue • Sports Related • Broken Bones • Broken Ribs • Concussions • Head Injuries • CPR for Instructors • CPR for Providers • Patient Assessment

“Head and Shoulders, Knees and Toes…”

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A student emailed a question regarding the Head to Toe exam.  Though this is normally performed as a secondary survey in a more advanced setting, I do think there are times where knowing how to check a person for other injuries is a good idea.  Take a look at the video blog and I hope this helps.
Best Wishes,
Roy

Posted in Roy on Rescue • CPR for Instructors • Patient Assessment • Shock

Shock and the Capillary Refill Test

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In this RoyOnRescue Video Blog, a student had emailed Roy a question about explaining the Capillary Refill Test and how it may relate to determining if someone is suffering from shock.
Be sure to watch this episode of RoyOnRescue and learn a new trick that could either tell you if someone is going into shock, or that their hands are simply cold.
There are three main reasons why a person may have more than a 2 second capillary refill time:
1. Shock
2. Peripheral Vascular Disease
3. Hypothermia or cold hands
This slow capillary refill time of more than 2 seconds should only be an indication that we should check for other problems. Please don’t assume simply because someone has a slow cap. refill that they are going into shock. It is simply a quick and easy test to help point a first aider in the right direction and to tell us we should check for other issues.

Posted in Roy on Rescue • CPR for Instructors • CPR for Providers • Special CPR Conditions

Giving CPR to People With Bleeding Chest Injuries

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I received an email that I think we can all benefit from.

It read…

“Since most of the first aid measures for a no pulse, no breathing situation is immediate CPR, is it alright to do CPR if the victim has a wound on the chest that is bleeding profusely? This is not that I have seen this situation, but I like to think that if it happens I would know what to do!”
C. H.

That’s a great question C.   Sometimes it’s easy to get distracted by a serious traumatic injury and forget the basics and what needs to be done first in order to try and save the person’s life.  Or, we can look at a complicating injury such as a chest wound and think,  How am I going to do CPR on this person, there chest has a serious bleeding wound right where I’m going to give my compressions?

In this episode of RoyOnRescue we are going to look a proper treatment plan if we ever came across a person who had a serious chest injury and needed CPR.