Below are some links to various CPR videos and also full transcriptsof each video. For these and other Medical Videos, please use the link at the right hand side of the Selfmed site.
Videos are from Expertvillage.com and users use any medical advice given herein solely at their own risk.

CPR Advice and Resources
Hi, my name is Av Rios and I'm a paramedic with Lancy Mercy Ambulances on behalf of ExpertVillage. In this clip we're going to review the step and techniques we've already gone over. It's important that when you first come up to your patient you check for responsiveness, first by verbal stimuli, then pain for. Once you determine your patient is unresponsive you'll want to call 911 immediately. If you have a child or infant you want to complete one cycle of CPR before you call 911. After that, you want to open up the patient's airway using either the head tilt chin lift or the modified jaw thrust using thumbs and a pinching motion, if you suspect any cervical spine injury. You then want to look, listen and feel for 5 to 10 seconds. Once you've determined that there is no breathing, you want to go ahead and give two ventilations. Make sure you have two adequate ventilations before you go on and check for a carotid pulse. Once you checked for a carotid pulse you want to do that for 5 to 10 seconds.
If you determine that there is no pulse, you want to move the patient to a hard surface, then begin CPR finding the lower third of the sternum, pushing in one third of the patients diameter of the chest and you'll want to go at a rate of about a hundred times a minute, doing that for 30 compressions for every two ventilations you give. You want to do that for
approximately two minutes, after that you want to go ahead an re-assess the airway, breathing and circulation before EMS arrives. By watching ExpertVillage, you're learning the techniques to give adequate CPR but you're not a licenses professional so if any time you're able to ask if there is someone that is licensed to give CPR, make sure they go ahead and give CPR. That way they're up to the newest standards possible.


How to Check an Infants Pulse for CPR
In this clip we're going to talk about checking for a pulse. It's important also that when checking for a pulse on adults and children that you check the carotid, whereas for an infant you're actually going to check for a brachial pulse. The brachial pulse is located right on the bicep. You're actually going to push underneath the muscle and you can feel the brachial pulse. It's important to check for a brechial pulse in infants because they are carotids are not quite as developed and not accurate. By checking for the brachial pulse, you're still going to feel for the 5 to 10 seconds as you would for an adult.


How to Check Responsiveness for CPR
In this clip we're going to talk about checking the responsiveness of the patient. The first thing you want to do when you come across a patient that is not responsive is you want to come up to them and say "Sir, sir, can you hear me?" If you get no response by verbal stimuli, you'll wan to check for painful stimuli and go ahead and use the knuckles of your hand and rub them strongly across the sternum. Feel free to put some pressure on there and it will give a nice response. If someone is unresponsive, they will have no emotion to this at all, otherwise seeing clenching or moving is natural. [Demonstrates] Still no response. Next step you want to do is open the airway. Since this patient is not in any traumatic situation, it's safe to do a head-tilt chin lift. What that is, is that with the palm of your hand put pressure on the forehead while using your fingertips to lift up on the chin. By doing that you're opening up the airway and preventing the tongue from putting pressure on the trachea. Next, you'll want to get down [kneels] and put your ear as close to the patient's mouth as you can. What you're doing is you're listening for any breaths. While doing this you're also looking across the patients chest. You're looking for any chest-rise. You'll be doing this for a minimum of 5 to 10 seconds. I've now noticed my patient is not breathing and that I need to continue giving rescue breaths now.


How to Check the Pulse for CPR
In this clip we're going to talk about checking for a pulse. In an unresponsive patient, the place where you want to check for a pulse is called their "carotid" which is located right here [indicates to side of neck] You can find that when you have the patient extended: you can kind of feel some of the muscles that extend out to the side of the neck. And you can feel your trachea [in front] in line. What you want to do is by finding the muscles and sliding your hand.... once you find the crevice in the middle... that's where you locate the carotid pulse. The importance of checking for a carotid pulsed rather than a radial pulse in your wrist or any other location is that it's more accurate. You're pulse just by feeling it is just a matter of what your blood pressure is systolically. What that means is that you can actually still be alive (your heart can still be pumping), but if the blood-pressure is not high enough you will not feel the pulse. You're radial pulse for example is too distal. Once you're body starts to shut down and your blood pressure drops, you're body then shunts blood away from your extremities and keep it at it's core, so therefore you could feel for a radial pulse and not feel one and it would be absent and you could think that the patient is in cardiac arrest, but in reality their body is just saying it's not giving blood to the extremeties and it would rather give it to the core. So you want to check the carotid pulse which is the most accurate and which can be as low as 50 or 60 for the systolic blood pressure. when it's below that, even when they still have a heartbeat, it's important that you give CPR. On this patient the time you want to give to check for carotid pulse is after you've opened the airway and you've checked for 5 to 10 seconds. You then want to find your location and then assess that - not pushing too hard - if you push to hard you can actually acclude the vessel and then you won't feel anything. So you want to give a gentle pressure - just enough to feel - and when you that you want to feel for 5 - 10 seconds. It's important to NEVER check with your thumb (you're thumb actually has it's own pulse!), so it's common if you push onto something to really just feel you're own pulse.

How to Clear Airway Obstructions for CPR
In this clip, we're talking about clearing the airway of any obstructions. Once you've gone to give ventilation and you cannot get it to go in, you want to make sure that you reposition the head. Give a second ventilation. If, again, you're not able to get a ventilation through and see adequate chest-rise, do some diagnostics. Make sure you have a good seal; make sure you giving a nice forceful breath. If you've gone throug those and you're still not able to give good venntilations to the patient, you'll want to check the airway. You can do this by just visually examining. Take a look that you're moving the tongue out of the way and that you're lifting the jaw. If you cannot see any food, you're actually going to start doing chest compressions just the way that you do by giving CPR. Find the lower third of the sternum and giving nice, deep compressions. You're goind to give 30 compressions at the rate of about a 100 compresssions a minute. (illustrates the speed of compression) After giving 30 compressions, you want to again try and give your two ventilations. If you're still not able to get your ventilations in, visually examine. Take a look at the airway. See if maybe by doing the chest compressions you have dislodged some food. If you're not able to see anything in the way, again continue with your chest compressions and do so until you're able to relieve the airway. If you keep the airway obstructed, then the brain is not going to get the oxygen it needs and your compressions won't really have any benefit. The point of CPR as we've talked about earlier: your ventilations give you oxygen, your compressions pump your heart for you, bringing the blood with the new oxygen to your brain. If you're not able to introduce new oxygen to the system, then your compressions are really of no benefit.