Mark: Hi, I'm Mark for CPR Certification Institute and today we're gonna review healthcare provider respiratory arrest for the adult victim. Let's take a look at that.
Speaker 2: Doctor, somebody just dropped this person off outside the ER.
Doctor: Really? Hey there, Hollywood. He's unresponsive.
Mark: Now remember, our approach to the adult patient is always the same. First, establish unresponsiveness. Check for breathing for five seconds. If the patient isn't breathing, call a code. Get some help coming. Next, check for a pulse. And this is where this scenario changes a little bit because we find, when we check for a pulse in this adult patient, they have a pulse. They're just not breathing.
Doctor: Check for a pulse here. Got a good, strong carotid pulse but he is not breathing. Why don't you go ahead and bag this gentleman, start breathing for him. What's the rule on that? How often?
Speaker 2: One breath every five to six seconds.
Doctor: One breath every five to six seconds. We'll reassess for a pulse here in a couple of minutes. We should probably have PPE on, this guy looks like the walking poster child for Hepatitis.
Speaker 2: Yeah, no kidding.
Doctor: Nurse, I'd like to place an order for some Narcan for our contestant at table one here. In a couple minutes, we'll recheck his pulse.
Mark: Now here's a helpful tip when you're performing bag valve mask ventilations on a patient who may still be breathing but is not breathing either often enough or deep enough and we're still going to have to provide them supplemental breaths. Now if you look in the video, I have some slight pressure on the Ambu bag with my thumb. And by keeping this slight pressure, I can feel when the patient is about to take a breath and then I can support that breath. So after each breath, I'm keeping slight pressure on the Ambu bag with my thumb. Now I'm not trying to provide PEEP, I'm not to provide positive end-expiratory pressure, I'm just keeping a little pressure on there so I can feel when the patient takes a breath and then I can support that spontaneous breath by the patient.
By doing this, I can maintain synchrony with their breathing. This way, I'm not trying to give them a breath when they're exhaling and I'm not fighting the patient. If they don't take a breath in five to six seconds, I can provide them a breath. If the patient takes a spontaneous breath, I'll feel that and I can support that breath. But remember, keep a little pressure on the Ambu bad with your thumb. Now remember, if you don't have an Ambu bag, a bag valve mask device to provide ventilations, you can still do this with a barrier device. You can still provide mouth ventilations. A mask with a filter and a one way valve would be preferred.Thank you for watching this skills care review for health care provider adult respiratory arrest. I'm Mark for CPR Certification Institute. Remember, like us on Facebook and please become a subscriber to our YouTube channel. Thanks for watching. I'll see you in the next video.
Doctor: You know what, just give me a thank you.
Speaker 2: Okay.
Doctor: Just kind of like why you're looking at me like that.
Speaker 2: When do I-
Doctor: Hi, welcome back.
Speaker 2: Oh thank you. Okay, gotcha. Okay.
Doctor: Okay?
Speaker 4: Yeah.
Speaker 2: Thank you.
Doctor: Well I gotta say the line, I gotta say the line first.
Speaker 2: I thought that's where you were cutting it from.