How to do CPR with a simulation Manikin

When rescuers learn how to do CPR, many First Aid Certifications allow the student to simulate cardiopulmonary resuscitation (the combination of rescue breathing and chest compressions) using cpr equipment that usually includes a simulation mannequin. CPR training should not be practiced on a person who does not need it, so a CPR Manikin is used because the depth and rate of compressions can be evaluated by the instructor. Many of the best manikins also have a battery operated software facility that prompts the rescuer to push harder and/or faster if needed.

Although there are some cheap discount manikins for sale, the recommended and preferred device is one which allows the rescuer to simulate an airway obstruction and to see the chest rise & fall during the correct ventilation exercises. CPR manikin lungs are designed to be inflated and deflated when rescue breathing is provided, so if you are considering buying a new or used mannequin (cpr dummy) it is worth investing in one which has this function.

Rescue mannequins or 'cpr dummies' are becoming very affordable and although the Laerdal Medical Corporation have dominated cpr manikin supplies for many years, there are many new alternatives, such as the Actar and Prestan CPR Manikin which offers superb facilities for training with respect to monitoring the compression depth, rate and ratios. Manikin manufacturers have now produced realistic dummies of pregnant and obese adults known as 'Fat Freddy' and there is also a dog manikin used by veterinarians.

How to perform CPR (2011 Guidelines according to AHA)
Our current cpr guidelines are based on the American heart Association's recent recommendations (April 2011) and we would like to point out that these advisory notes are produced in accordance with the AHA, ERC and ARC as part of ongoing research by ILCOR (The International Liaison Committee on Resuscitation).

CPR techniques vary slightly when applied to adult, child and infant mannequins, but the rate and ratio remains constant for all three versions. Please note: CPR should not be performed on a person who does not need it! (One Rescuer Adult CPR Guidelines)

1) Activate the Emergency Medical Services using the appropriate phone number
2) Having determined that the patient is not breathing and assuming that he/she is positioned on his/her back laying on a firm surface, begin CPR using the correct hand placement
3) Find the compression sight or landmark by sliding two fingers along the bottom of the rib cage until they meet the bottom of the breast bone. Place two fingers on the lower end of the sternum and then place the heel of the other hand next to it in the middle of the chest. If you have difficulty finding the correct hand placement, use an imaginary line drawn between the nipples
4) Interlock your two hands and keep the arms straight with your shoulders directly above the center of the compression sight
5) Provide 30 chest compressions, then open the airway and give two breaths. If you suspect possible drowning, begin with two rescue breaths before the chest compressions
6) Compress the adults chest to a depth of at least five centimeters (two inches) and giving compressions at a rate of at least 100 per minute
7) To minimize interruptions in the chest compressions, if there is more than one rescuer present, continue CPR while the Automated External Defibrillator is switched on and the pads are being placed on the patient
8) If you are unable or unwilling to give a non-breathing patient rescue breaths, chest compressions alone are very beneficial to a patient without a heartbeat. If you provide continuous chest compressions you may still help to circulate some oxygenated blood
9) First Aid Tip: Adequate care provided is better than perfect care withheld
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How to Clean & Care for your CPR Mannequin
Most medical & rescue manikins require similar procedures for the proper cleaning and storage care. The rubber cpr face masks, inflatable lung reservoirs and plastic integral parts of the majority of modern simulaids have their own manufacturers recommendations but here are some general guidelines;

1. Cleaning solutions for mannequin cleaning include disinfectants that may be used on
mannequins – commercial wipes, sprays, 1:10 bleach solution (one part household bleach mixed with ten parts water)
2. Disassemble and inspect mannequins - don gloves and follow manufacturer directions to
disassemble mannequins for cleaning, looking for cracks or tears that require special attention during cleaning
3. Wash mannequin parts - wash and rinse appropriate parts most often this includes scrubbing with soap and water
4. Disinfect mannequin parts - use disinfecting solution to wipe down mannequin parts and leave solution on for 10 minutes or as appropriate according to directions. Rinse the manikin parts again if needed or appropriate
5. Dry, reassemble and store mannequin in a dry area

CPR Manikins for sale are available from our First Aid Supplies department. For more information and prices please e-mail: firstaidthailand[at]gmail.com