Troop 1699 Lesson Plan

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1 First Class Rank Requirement: 8d. Tell the five most common signs of a heart attack. Explain the steps (procedures) in cardiopulmonary resuscitation (CPR). Prerequisites: Read The Boy Scout Handbook Eleventh Edition, Pages 294, 295, 298 Why are the scouts learning this? The air we breathe in our nose and mouth goes through our airway to our lungs. That air is picked up by our blood and pumped by the heart to our tissues and organs to keep us alive. In normal conditions the brain can survive for approximately 4-6 minutes without oxygen. Irreversible injury to the heart muscle usually occurs if medical help is not received promptly. So in most situations, CPR can delay brain death long enough for help to arrive. Educational Objectives: HEART ATTACK A heart attack is a blockage in the heart's arteries that may reduce or completely cut off the blood supply to a portion of the heart. This can cause a blood clot to form and totally stop blood flow in a coronary artery resulting in a heart attack HEART FAILURE When the heart is unable to perform its proper function, and causes blood and fluid to congest around the lungs and in the body, the condition is called HEART FAILURE. It is typified by the person finding it difficult to breathe and swelling of the ankles and legs as fluid pools in the extremities. CARDIAC ARREST When the heart ceases to function, the person is said to be in CARDIAC ARREST. Whether the heart is at a complete standstill, or whether it is vibrating in some fatal rhythm, it is no longer doing its task. The condition may be due to heart attack, heart failure, electrocution, drowning, trauma or other medical condition - first aid treatment is the same, cardiopulmonary resuscitation (CPR). What is to be taught: SYMPTOMS OF HEART ATTACK 1. Dull or crushing pain in the center of the chest People experiencing a heart attack often describe feeling like they are being squeezed by a vice or like a heavy weight has been placed on their chest. Others report a stabbing, knifelike or burning sensation. The pain is prolonged, usually lasts for 30 minutes, and can last a number of hours. The pain does not lessen or increase with changes in the position of the body, nor is it relieved with rest. Some people describe pain radiating down the arms (usually the left arm) with a tingling sensation in the wrists, hands, and fingers. Others report pain in the shoulders, neck, and jaw. The pain can also radiate to the teeth and back. Originator: Raquepau Page 1 of 5 Date Issued: 1/4/2000

2 Additional symptoms include indigestion, nausea, vomiting, palpitations, cold perspiration, weakness, dizziness, cough, fainting, dry mouth, anxiety and a sense of impending doom. CARE AND TREATMENT OF HEART ATTACK urgent ambulance transport position of comfort, usually sitting complete rest reassurance discourage visit to the toilet If the person collapses and appears to become unconscious be prepared to provide resuscitation as this is a sign of impending cardiac arrest. SIGNS AND SYMPTOMS OF CARDIAC ARREST pale, cool skin no pulse usually no respiration, though there may be irregular, 'gasping' breaths pupils fixed and dilated may be loss of bladder/bowel control evidence of vomits Originator: Raquepau Page 2 of 5 Date Issued: 1/4/2000

3 CARE AND TREATMENT OF CARDIAC ARREST immediate CPR The tongue is the most common airway obstruction in an unconscious person. If the person is going to breathe on his own, it should happen as soon as you clear the airway. If you do not hear, see or feel any breathing, you must give two breaths. Step 1 Tilt head, lift chin: Step 2 Check breathing. Position the person flat on their back. Kneel by their side and place one hand on the forehead and the other under the chin. Tilt the head back and lift the chin until teeth almost touch. Look and listen for breathing. Step 3 Give two breaths. Everyone gets two breaths initially. We assess the response by looking to see if the chest rises and falls, putting our face close to the victim s so that we can hear and feel him breathing. If not breathing normally, pinch the nose and cover the mouth with yours. Give two full breaths. The person's chest will rise if you are giving enough air. Originator: Raquepau Page 3 of 5 Date Issued: 1/4/2000

4 Step 4 Check pulse. Put the fingertips of your hand on the Adam's apple, slide them into the groove next to the windpipe. Feel for a pulse. If you can not feel a pulse or are unsure, move on to the next step. Step 5 Position hands. Position your hands in the center of the chest between the nipples. Place one hand on top of the other. Step 6: Push down firmly two inches. Push on chest 15 times. Continue with two breaths and 15 pumps until help arrives Originator: Raquepau Page 4 of 5 Date Issued: 1/4/2000

5 Once you feel a pulse and the person is breathing on his own, put him in the recovery position rotating the victim up onto his side until help arrives. This helps keep the airway clear of any further obstructions. Exercise / Verification: None Materials / Aids/ Resources: None DISCLAIMER: This tutorial, under no circumstance should be used as a condition for advancement. The information presented here is not an official document of the Boy Scouts of America. The information and data in this document has been compiled from a number of sources on the WWW. The information was developed by volunteer scout leaders of Troop 1699, North Trails District, Detroit Area Council for use by all volunteer leaders Under no conditions responsibility is being accepted by the authors, regarding the consequences of use of the information distributed in this documentation in any First Aid application. Free duplication within the world brotherhood of Scouting is permitted. Originator: Raquepau Page 5 of 5 Date Issued: 1/4/2000

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