D al CPR, AED, and Basic First Aid

1 INSTRUCTOR GUIDECPR, AED, and Basic First AidDigital instructor guiDe Online VersiOn2 CPR, AED, and Basic First Aid ASHICPR, AED, and Basic First AidInstructor Guide, Version of this GuideThis ASHI CPR, AED, and Basic First Aid Version Instructor Guide is solely intended to give information on the presentation and administration of ASHI CPR, AED, and Basic First Aid certified training classes. The information in this book is furnished for that purpose and is subject to change without of RightsNo part of this ASHI CPR, AED, and Basic First Aid Version Instructor Guide may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying and recording, or by any information storage and retrieval system, without written permission from American Safety & Health ASHI logo is a registered trademark of American Safety & Health Institute, Inc. (ASHI).

2 American Safety & Health Institute1450 Westec DriveEugene, OR 97402 USA800-447-3177E-mail: our website at 2018 by the American Safety & Health Institute. All rights reserved. Printed in the United States of Edition 2018 ISBN 978-1-936515-86-8 PRN2163 ASHI CPR, AED, and Basic First Aid iCPR, AED, and Basic First AidInstructor GuideNOTICE: ASHI training programs are evidence-based and peer-reviewed. The treatment recommendations and guidelines presented in this guide conform to the International Liaison Committee on Resuscitation (ILCOR) 2015 Consensus on Science with Treatment Recommendations and the 2015 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular INSTRUCTOR GUIDEii CPR, AED, and Basic First Aid ASHIASHIPLEASE READ THE FOLLOWING TERMS AND CONDITIONS BEFORE USING THESE ASHI MATERIALS. BY PURCHASING, DOWNLOADING OR OTHERWISE USING OR ACCESSING THESE MATERIALS, YOU ACKNOWL-EDGE AND HEREBY AGREE TO BE LEGALLY BOUND BY BOTH THESE TERMS AND CONDITIONS AND THE MOST RECENT HSI training CENTER ADMINISTRATIVE MANUAL (TCAM) AVAILABLE AT otherwise indicated in writing by ASHI, ASHI grants you ( recipient ) the limited right to download, print, photocopy and use the electronic materials, subject to the following restrictions: The recipient is prohibited from selling electronic or printed versions of the materials.

3 The recipient is prohibited from altering, adapting, revising, or modifying the materials. The recipient is prohibited from creating any derivative works incorporating, in part or in whole, the content of the materials. The recipient is prohibited from downloading the materials and re-posting them to any website without written permission from ASHI. Any rights not expressly granted herein are reserved by has used reasonable effort to provide up-to-date, accurate information that conforms to generally accepted treatment recommendations at the time of publication. These recommendations supersede recommendations made in previous ASHI programs . Science and technology are constantly creating new knowledge and practice. Like any printed material, this publication may become out of date over time. Guidelines for safety and treatment recommendations cannot be given that will apply in all cases/scenarios as the circumstances of each incident often vary widely.

4 Signs and symptoms may be incomplete and can vary from person to person. Do not use the information in this program as a substitute for professional evaluation, diagnosis, and treatment from an appropri-ately qualified physician or other licensed healthcare provider. Local or organizational physician-directed practice protocols may supersede treatment recommendations in this program. Alert emergency medical services (EMS), by calling 911, or activate your emergency action plan immediately if you are not sure an emergency exists or when any person is unresponsive, badly hurt, looks or acts very ill, or quickly gets worse. The ASHI logo is a registered trademark of the American Safety & Health Institute, Inc. (ASHI). ASHI is a member of the HSI family of Safety & Health Institute 1450 Westec Drive Eugene, OR 97402800-447-3177 541-344-7099E-mail: our website at 2018 American Safety & Health Institute ALL RIGHTS RESERVED.

5 Printed in the United States of Edition 2018 SUBJECT TO CHANGE WITHOUT NOTICE Digital instructor guiDeCPR, AED, AnD Basic First AiDASHI CPR, AED, and Basic First Aid iiiStaff/Technical Consultants/Expert ReviewersMedical DirectorGregory R. Ciottone, MD, FACEPP roduction TeamTeresa Bonk, Carolyn Claman, David Keefer, Donna Medina, Dana Midles, Carol Perez-Vitier, Scott Wallace, Jason WilliamsTechnical ConsultantsCorey Abraham, MEdSr. Account Representative Health & Safety InstituteCraig S. Aman, MBA, MICPL eadership Team, MD Solutions International Captain/Paramedic Seattle Fire Department Seattle, WASteve Barnett, MBAVP, Emergency Care Health & Safety InstituteBrandon Condon BA, RN, EMT-B (Ret.)Owner Safety training Professionals, LLC Milwaukee, WI Dave FinleyDirector of Instructional Systems TrainSmart, Inc. Chicago, ILChristopher J. Le Baudour, MS Ed, NREMT Adjunct Faculty EMS training Program Santa Rosa Junior College Santa Rosa, CAJeffrey Lindsey, PhD, PM, EFOC oordinator/Lecturer University of Florida St.

6 Petersburg, FLHoward Main, NREMTP, CCEMTPO wner Health Education Services Salinas, CAW. Daniel Rosenthal, RN, BS, CCHCP resident Workplace Nurses, LLC Gretna, LAWilliam Rowe, FF/EMT-P (Ret.)VP Business Development, 24/7 Health & Safety InstituteRalph Shenefelt, FF/EMT-P (Ret.)SVP, Regulatory & Quality Assurance Health & Safety InstituteZigmund Sawzak, ParamedicDirector of EMS Instruction CPR LifeLine Portland, ORDigital instructor guiDeCPR, AED, AnD Basic First AiDiv CPR, AED, and Basic First Aid ASHIP rogram Advisory GroupJim Clover, MED, AT, PTA, CESC oordinator of Sport Medicine Riverside Medical Clinic Owner Clover Enterprises Inc. Riverside, CAKim Dennison, RN, BSN, COHC, COHN-S, ACLSO wner Absolute Learning Success, LLC Perry, MIBradford A. (Brad) Dykens, EMT-PPublic Affairs Officer/ Public Information Officer City of Seminole Fire Rescue President Rescuer Education Services St. Petersburg, FLJeanne Hanson, EMT-B (Ret.)

7 osha outreach Trainer Director of training Mountain Medic CPR Everett, WAWade Himmerlick, EMT IAOwner First Aid For Life Barstow, CAPam Isom, BS Biological Sciences-CardiovascularPresident/CEOICE Safety Solutions Fremont, CABenjamin B. Karp, MAPresident/Owner Georgia CPR, LLC Avondale Estates, GATanya LeDonneEMT, Firefighter (Ret.) Owner Lifeline training Center Chico, CA John Mateus, EMT-I, MSN, RN, NREMT-POwner Less Stress Instructional Services Roselle, NJKira Miller, BA, EMT-B (Ret.)Owner CPR training Solutions Santa Clara, CAJason RoyseEMT-Paramedic (Ret.)/Military Medic President Northwest Health and Safety, Inc. Vancouver, WANeal ShabashovEMT/ First Responder (Ret.) Owner Life Support Services Fremont, CAMarcy Thobaben, NREMT-B, LPNO wner Blue Grass Health and Safety Wilmore, KYJill WhiteFounder Starfish Aquatics Institute (SAI) Savannah, GADigital instructor guiDeASHI CPR, AED, and Basic First Aid vTAble of ConTenTSContentsPart 1: Program Design and Instructional Tools.

8 1 Program Design .. 2 Program Overview .. 2 Combining ASHI programs .. 2 Program Structure .. 2 Core training ContentSupplemental ContentThird-Party training ContentClass Types .. 2 Initial ClassRenewal ClassChallengeClass Methods .. 2 Classroom TrainingBlended LearningTraining Content .. 3 Initial Classroom Class .. 3 Four-Step Instructional Approach .. 3 Step 1: Present the Knowledge ContentStep 2: Demonstrate SkillsStep 3: Allow Adequate Time for Students to Practice SkillsOptional Video Guided PracticeOptional LOOP Learning System IntegrationStep 4: Wrap It UpCertification RequirementsInitial Blended Class .. 4 About Blended Learning .. 4 Online Portion .. 4 Face-To-Face Portion .. 4 Instructor DemonstrationStudent PracticeCertification RequirementsRenewal Class .. 5 Challenge .. 5 Instructional Tools .. 5 Instructor GuideInstructor/ training Center Portal in OtisStudent BookProgram VideoProgram Slide PresentationSkill GuidesScenario SheetsPerformance Evaluation SheetWritten ExamLOOP Learning SystemPart 2: Class Requirements and Administration.

9 7 Class Requirements .. 8 Before ClassLearning EnvironmentInstructor RatiosClassroom SpaceClassroom SafetyStudent Illness and Other EmergenciesEquipment and Materials List .. 9 Core ContentRecommendedSupplemental ContentConducting a Class .. 9 During Class .. 10 After Class .. 10 January 2017 Digital instructor guiDevi CPR, AED, and Basic First Aid ASHIA dministration .. 10 Skill Evaluation .. 10 Skill Remediation .. 10 Written Exam .. 10 Criteria for Certification .. 11 Class Documentation .. 11 Class Roster .. 11 Performance Evaluation Sheet .. 11 Rate Your Program Course Evaluation .. 11 Endnotes .. 12 Part 3: Initial training , Classroom .. 13 Initial Class Outline and Time Frame .. 14 Introduction .. 18 PreParing to HelPFirst Aid Provider .. 20 First AidRecognizing an EmergencyPersonal SafetyDeciding to HelpProtecting Yourself .. 25 Infectious Bloodborne DiseasesStandard PrecautionsPersonal Protective EquipmentLegal Considerations.

10 30 ConsentImplied ConsentAbandonmentGood Samaritan LawsCalling for Help .. 33 Emergency Medical ServicesEmergency Action PlansPoison Help LineEmergency Moves .. 36 CPr and aedCardiac Arrest .. 38 Oxygen and the Human BodySudden Cardiac ArrestCardiopulmonary Resuscitation (CPR)Early DefibrillationChain of SurvivalSecondary Cardiac ArrestOpioid Overdose Children and Infants Supplemental TopicCPR Feedback Devices .. 43 Chest Compressions .. 44 Children and Infants Student Practice Chest CompressionsOptional - Integrating LOOPO ptional - Video-Guided PracticeTAble of ConTenTSDigital instructor guiDeCPR, AED, AnD Basic First AiDASHI CPR, AED, and Basic First Aid viiCPr and aed (continued)Rescue Breaths .. 49 Establishing an AirwayUsing Barrier Devices Delivering BreathsChildren and InfantsStudent Practice Rescue Breaths CPR Mask or Rescue Breaths CPR ShieldOptional Video-Guided PracticeAutomated External Defibrillation.