Welcome to Medhealthfit Best CPR Program – PERIOD!
Our goal is the change the way employers and the general public view and practice CPR training. Over the past few years the industry has moved from on-site 3-4 hour classes, to online training, and a simple “hands-only” session to complete the certification process.
Medhealthfit thinks there is a better, more interesting way to approach CPR education. We think that there are a few issues that should define this medical procedure when people sign up for a voluntary (or required) class.
#1 – The effectiveness of CPR is dependent upon your overall skills, and your willingness to “take charge” of the situation when you arrive on the scene. This means staying calm, directing others, and remembering information relating to the incident.
#2 – We look at CPR as part of a physiologic model as opposed to a purely safety model. We define aspects of the heart, and things like the electrophysiology of AED use in a simple and compelling way. In addition to teaching intervention techniques, we discuss the aspects of prevention whenever possible to reduce illness and injuries BEFORE they happen. This includes topics like choking, heat illness, and diabetes blood sugar control.
#3 – Most CPR classes are boring. Most students just want to take (or re-take) the class because they need to. Our method brings together many types of teaching methods, information, and FUN aspects to both make our CPR classes enjoyable, but to give you the TOOLS to remember what you need to know in the event you will ever need to use CPR and first aid training techniques
Eric Durak is the most qualified CPR professional in the nation. He has a 30-year career in health, fitness, and safety, and teaches over 500 CPR students a year in his American Red Cross on-site programs. His credits include:
· Clinical Exercise Physiologist (specializing in diabetes, cancer, aging, athletic performance)
· Studied EKG and cardiac physiology (University of Michigan / Loma Linda University Public Health Dept.)
· Medical Researcher (published in medicine, sports medicine, ergonomics, and health promotion)
· Owns national certification company (produced seven certification courses)
· Presented at hundreds of conferences, workshops and grand rounds programs throughout his career
· Health and Safety Specialist – University of California
· Licensed and authorized provider – American Red Cross
Eric’s unique take on CPR is two-fold. He wants students to be serious in their approach to life saving (not just learning the technique), but he uses the right teaching techniques to have fun during the classroom process. You’ll agree that our CPR and First Aid course is “The Best CPR Course. Period.
Adult CPR and AED (Red Cross course HSSSFA-107)
Video course that details the steps necessary to assess the situation and perform CPR on adults and children. The portion on automated defibrillators (AEDs) teaches the steps for using an AED in a cardiac emergency whenever a unit is available.
Length: 1.5 hours
CEUs: Red Cross - EMT, RN, PA, allied healthcare (2.5 contact hours)
View Online Course: https://www.youtube.com/watch?v=qf8RXbYgtGc
Price: $75.00 - discount for groups ORDER >
Adult First Aid
Video course design to prevent and treat over 16 injuries including: MUSCULO-SKELETAL - soft tissue injuries, bleeding, neck and back injuries and cramps. ENVIRONMENTAL - bites and stings, burns, poisons, and heat illness. PHYSIOLOGICAL - hypoglycemia, seizures, stroke, and shock.
Length: 1.5 hours
CEUs: Red Cross - EMT, RN, PA, allied healthcare (1.5 contact hours)
View Online Course:
Price: $45.00 - discount for groups ORDER >
Exam: 20 exam questions online ONLINE EXAM >
CPR and AED for Healthcare Providers and Professional Rescuers (Red Cross course # HSSSPRO-101)
Video course designed to cover both CPR and AED in the clinical setting. Sections include adult and infant CPR and AED, use of AMBU bag, use of personal protective equipment, infectious diseases, choking, and crash cart.
Length: 2.0 hours
CEUs: Red Cross - EMT, RN, PA, allied healthcare (2.5 contact hours)
Price: $85.00 - discount for groups ORDER >
Exam: 25 exam questions online ONLINE HEALTHCARE EXAM >
Combination CPR / AED / First Aid Class (Red Cross course # HSSSFA-404)
Both video presentations – four (4) hours total instruction plus combined exam.
Combined Length: 4.0 hours
CEUs: Red Cross - EMT, RN, PA, allied healthcare (2.5 contact hours)
Price: $95.00 - discount for groups ORDER >
Exam: 25 exam questions online
SETTING QUALITY STANDARDS
Medical Health and Fitness is compliance with new American Red Cross Standards of instructing and performing CPR, AED, and First Aid for victims. We teach both rescue breaths and compressions in addition to detailing information on Continuous Cardiac Compressions. All major health institutions state that persons should begin CPR by using compressions (at least 100 per minute). Research shows that timely and high-quality CPR increases the chance of a successful resuscitation.
In addition to performing CPR, first responders are encouraged to use an AED machine whenever it is available. An AED may be the best method of putting the heart muscle back into normal sinus rhythm. We do not recommend any one unit, but encourage our clients to “do their homework” on such sites as www.redcross.org, or www.AEDsuperstore.com. Both have information on units, supplies, and pricing.
We discuss elements regarding the cardiac chain of survival, steps in victim assessment, delivering high quality CPR (both and two person), using the AED, and working with dozens of elements of first aid. In addition to basic CPR issues we discuss elements of primary prevention, cardiac physiology, personal protective equipment, bag mask resuscitation, child and infant CPR and choking, adult choking, and leadership qualities and attributes that make for a successful resuscitation in a stressful situation. We cover these for both lay person rescue and healthcare classes.
Medical Health and Fitness offers comprehensive exams for each program. Although not required in some instances, we stress the importance of “real life” testing, but also a grasp of our classroom format for all aspects of our CPR training.
CPR INFORMATION TIDBITS
#1 HOW TO SURVIVE A HEART ATTACK WHEN ALONE? Since many people are alone when they suffer a heart attack without help, the person whose heart is beating improperly and who begins to feel faint, has only about 10 seconds left before losing consciousness.
However, these victims can help themselves by coughing repeatedly and very vigorously. A deep breath should be taken before each cough, and the cough must be deep and prolonged, as when producing sputum from deep inside the chest. A breath and a cough must be repeated about every two seconds without let-up until help arrives, or until the heart is felt to be beating normally again.
Deep breaths get oxygen into the lungs and coughing movements squeeze the heart and keep the blood circulating. The squeezing pressure on the heart also helps it regain normal rhythm. In this way, heart attack victims can get to a hospital.
#2 THOUGHTS ON RESCUE BREATHING. I get a lot of questions in classes about the value of breathing for someone - because they may vomit, or have blood, or our exhaled breath doesn't have any Oxygen in it. Here are some respiratory physiology facts: Ambient Oxygen is about 20% of total air you breathing (although it may be lower due to Global Warming!). When you exhale your breath into the victim - that air has about 14% Oxygen. Not as much as your inspiration - but enough to circulate in THEIR system until an O2 machine can be hooked up to them by EMTs. So - YES, using a rescue breath is important. You'll learn it in my class, and if you are comfortable using it (the scene is safe), you should do it.
#3 - THERE ARE A LOT OF INEXPENSIVE CPR CLASSES ONLINE - WHY THIS ONE? I regularly look online for classes - and actually signed up for a totally online class prior to my re-certification. However - these classes (although technically correct) are by the book, and don't go into any detail about why something is important. EXAMPLE - 20 years ago hand placement was 2" up from the Xyphoid Process (whatever that is). Now it's "mid chest line / mid nipple line". This is more proximal to the head than the old method, but may have less chance of lung puncture. This, and dozens more examples are why this course is so important.
#4 - DOES CPR ALWAYS BREAK RIBS? Not really. It depends on the following: The age of the victim. Babies are almost all cartilage in the rib area - not much chance. Persons who are physically fit probably no. The elderly with frail bone structure? Maybe. Our goal is to have such a perfect compression form that breaking ribs is less likely (and not a deterrent to you performing them).
#5 - GOOD SAMARITAN INFORMATION FOR USING THE AED. In order to ensure public safety, any person or entity that acquires an AED is not be liable for any civil damages resulting from any acts or omissions in the rendering of the emergency care under subdivision (b) of Section 1714.21 of the Civil Code, if that person or entity does all of the following:
(1) Complies with all regulations governing the placement of an AED.
(2) Ensures all of the following:
(3) That the AED is maintained and regularly tested according to the operation and maintenance guidelines set forth by the manufacturer, the American Heart Association, and the American Red Cross, and that the AED is checked for readiness after each use and at least once every 30 days if the AED has not been used in the preceding 30 days.
(4) That there is a written plan that describes the procedures to be followed in the event of an emergency that may involve the use of an AED, to ensure compliance with the requirements of this section. The written plan shall include, but not be limited to, immediate notification of 911 and trained office personnel at the start of AED procedures.
(5) Provide to the acquirer of the AED all information governing the use, installation, operation, training, and maintenance of the AED.
(6) A violation of this provision is not subject to penalties pursuant to Section 1798.206.
(7) Nothing in this section or Section 1714.21 shall be construed to require a building owner or a building manager to acquire and have installed an AED in any building.
#6 - WHAT IF A CLIENT HAS A HEART ATTACK DURING YOUR FITNESS SESSION. Although it's not too common, people do have heart attacks in health clubs. If you were working with a client - and they dropped from a cardiac arrest (heart is stopped), how would you handle the situation? 1. You are trained in CPR - so you should know the assessment steps (scene is safe, victim is not conscious, call 9-1-1, look and listen for breathing and heart rate). 2. Your client went unconscious in front of you - so you have the element of time. If you can start CPR within a minute of collapse, your odds of saving your client are greatly improved. 3. You are in control of your space. You know where the AED is, your fellow staff members also know CPR, and you can get help faster with other trained personnel. 4. You are also in control over YOUR actions. Confidence is key here so you can do a procedure in a stressful situation that you have practiced, but have never had to do. Lots of things going through your head - but if you stay focused, you will help your client until advanced rescue workers arrive on the scene. You've practiced in your CPR class, and gone over it in your head. Now, if you have to do it for real, you'll be ready.
#7 - CPR FOR INFANTS - I get a lot of parents asking me about performing specialty CPR on infants. They wonder if there is any particular courses that just cater to infants. This blog will give basic information on how to perform CPR on an infant that is not breathing, unconscious, and has blue lips or appendages.
Elements of Care
If you come across anyone (in this case a baby) who is unconscious, you still need to follow the basic assessment elements of care. They are listed below:
1. Is the scene safe (why is the baby not responsive)?
2. Call out to the infant - “Baby – are you OK? “ Try to get a reaction
3. Call 9 – 1 – 1. State that you have a baby in distress
4. Look / listen for up to 10 seconds
5. If no response - begin high quality CPR with breaths FIRST
One person CPR = 30 compressions / 2 breaths (puffs)
If you find yourself alone and need to perform CPR on an infant – the first thing you MUST do is remain calm. Then kick into action the CPR training you received. Assume that the child may have an airway obstruction. Give 2 breaths (even if they don’t expand the chest – continue with CPR). Perform 30 chest compressions with 2 fingers or 2 knuckles about one inch down at 100 pushes per minute. Then give two more breaths. Continue the cycles five times – reassess for breathing and heart rate (check the brachial artery on the side of the arm), and then continue CPR – until EMTs arrive.
Two Person CPR = 15 compressions / 2 breaths (puffs)
If you have another person who knows CPR, press for 15 compressions using the 2 thumbs circling the rib cage technique, and then give 2 breaths. Continue for five cycles, reassess, then continue the next round of 2 person CPR until EMTs arrive.
I mentioned above that the infant could have an airway obstruction. If you have an infant that swallows something – and you come to help, remember that they won’t put their hands on their throat, but you need to act QUICKLY. Check the mouth for an object, then put your hand over the baby’s jaw, turn him (or her) over – face down against your extended leg, and deliver 5 back blows moderately against the mid back. If no breathing, grab the back of the head, turn the infant over (still tilted downward), and deliver 5 chest trusts (similar to CPR compressions). Repeat this process until the object comes out, the infant starts to breath (cry) or goes unconscious. We want for you NOT to perform CPR during a choking episode. Perform your back blows and chest thrusts well enough to get the object out within 1-2 cycles.
#8 - REDUCING THE RISK OF A HEART ATTACK - Are there any techniques that may reduce the likelihood of having a heart attack? With all of the complicated medical terminology and techniques, it may seem like there is really nothing that can be done. However, if we look back into some writings from years back (Prevention in the 1960s and 70s), and current information - we can come up with the following information for clients who may have one or more heart risk factors:
1. Reduce body weight - this includes body fat, not just overall weight. For every 5 lb. of weight loss, you reduce your risk
2. Reduce vascular inflammation - the new "cholesterol" is inflammatory foods - which causes problems in vessels. Dramatically changing the diet to a low inflammatory regime can really reduce heart risks. This includes reducing alcohol, diary products, and sugar foods. All produce high levels of inflammation in almost everyone.
3. Drink water before bed. Sounds simple, but because the heart beats slower during sleep, being less viscous (thick) can make pumping easier. One of those simple suggestions that may play a powerful role.
4. Take your vitamins. No matter what some people think, the heart needs nourishment. It beats thousands of times a day. Taking supplements of Vitamin C, B complex, and Co-Enzyme Q-10 are very beneficial for heart function.
5. Get regular exercise. And not walking. Taking a page from personal training and practicing interval training, strength training, and cross training will have a much more beneficial impact on heart function.
6. Lastly - Regulate your heart rate. I know what you're thinking - it can't be done. It is being done by people who meditate and practice biofeedback every day. It just takes time. You can do it in the morning, during yoga class, at work, or when you go to bed. Just breathe deep and tell your heart to relax and slow down. Over time your sympathetic nervous system will become stronger, and your 78 bpm heart rate at rest could reduce to 58.