[This post is originally written on 28th November, 1.20AM =)]

D: Danger
R: Response
S: Shout!
C: Circulation
A: Airway
B: Breathe

Today we had our awesome-moresome CPR training, conducted by Dr Rishyaman from UMMC A&E. He’s a real fun doctor, so we had our session carried out very very lively =) He first introduced us to the AHA, America Heart Association, which introduced a guide line to conduct CardioPulmonary Resuscitation (CPR). (The guideline used DRS ABC before 2010 and DRS CAB after that) According to him, they change the guideline once every 5 lines to sell out more books to earn money =D LOL!

Dr Rishyaman was indeed a good speaker as he kept picking up students to answer his question in front, with him (no joke, it was hot actually as we are having it in centrepoint, so definitely not all are listening btw), as he said that when we are sitting, we felt like we are in a big group and felt safe. The feeling demolished when we are pulled out (true indeed huh). Besides, he also said that not much people are willing to conduct it as they thought mouth-to-mouth-contact with the patient might as well transmit some diseases (Actually minor indeed! In some cases you can just conduct chest compression without blowing if you do not want to). Well a big thank you to him, we are now HEALTH CARE PROVIDER who knows how to conduct CPR!  =p

Step 1 : Clear DANGER. Is there any live wire transmitting electricity to the patient that made him collapse? Is the patient collapsing in the middle of the road? (You do not want to conduct CPR in the middle of the road don’t you?)

Step 2 : Check RESPONSE of the patient. Dr basically trained us with the dialogue “Hello hello! Are you okey?”, conversed while tapping the patient’s shoulder. This aimed to avoid jokes where ambulance is called to rescue a drunken man or drug addict or a do-not-have-place-to-sleep-so-sleep-on-the-street guy. We are laughing tears out when Dr told us to avoid tapping near the mammary glands to avoid social issues XD

Step 3 : Shout! Not for “Help! Help!”, as it was not specific at all. We are trained to point at one passenger A and shout “You! Call 999 and get me an AED (Automated Electrical Defibrillator)!”

Step 4 : Check CIRCULATION. Check the carotid pulse on the patient’s neck. If there is no pulse, conduct 30 chest compression, with your hands placing palmar to dorsal, palmar to the patient’s chest (place ranging between two nipples). According to Xin Ying we should put the hand with greater strength below. Compress with rate at least 100 times per minute. Blow 2 times after compressing. That’s one cycle, do 5 cycles. After each cycle check the patient’s AIRWAY (If there’s anything, clear it) and BREATH. If the condition persist, do the cycle again.

NOTES:
1. Do not bend elbow when you are doing a chest compression. Use all your strength from your upper limb =)
2. Do not think that you could not help when a patient collapsed. In normal condition, CPR is conducted until the ambulance arrive, which can be up to 45 minutes! The health care provider can be tired, and it’s the time for your turn! So wear a glove and stand by at the side.
3. When the AED arrived, stop chest compression and use it! It is very easy to connect, and let the machine analyse. If shock is advised, carry on then =1
4. Based on the condition, sometimes taking off a female patient’s bra is necessary =X And according to the doctor around during the session, sometimes if the male patient’s chest is too hairy, the AED can even come with a shaver or ZAP to take off some hair, as AED requires contact with BARE CHEST. SO..

Well do not be confused by my notes, the session is actually a lively one, instead conducted seriously =D We even had a 10 minutes session with our manikins and took photographs! =D Seriously Love it! Learn a lot =)