| |
Objectives |
Actions |
| Adult
(>8) |
Child
(1-8) |
Infant
(<1) |
| A. Airway |
1. Assessment: Determine unresponsiveness. |
Tap or gently shake shoulder. |
| Say, "Are you okay?" |
Observe |
| 2.
Get help. |
Call out "Help!" |
| 3.
Position the victim. |
Turn on back as a unit, supporting head and neck
if necessary. (4-10 seconds) |
| 4.
Open the airway. |
Head-tilt/chin-lift |
| B.
Breathing |
5.
Assessment: Determine breathlessness. |
Maintain open airway. Place ear over mouth,
observing chest. Look, listen, feel for breathing. (3-5
seconds) |
| 6. Give 2 rescue breaths. |
Maintain open airway. |
| Seal mouth to mouth. |
Mouth
to nose/mouth |
| Give 2 rescue breaths, 1 to 1.5 seconds per
inflation. Observe chest rise. Allow lung deflation
between breaths. |
| 7. Option for obstructed airway. |
a. Reposition victim's head. Try again to give
rescue breaths. |
| b. Activate the EMS system. |
| c. Give 6-10 subdiaphragmatic
abdominal thrusts (the Heimlich maneuver). |
Give
4 back blows. |
| Give
4 chest thrusts. |
| d. Tongue-jaw lift and finger sweep |
Tongue-jaw lift, but finger sweep only if you
see a foreign object. |
| e. If unsuccessful, repeat a, c, and d until
successful. |
| C.
Circulation |
8.
Assessment: Determine pulselessness. |
Feel for carotid pulse with one hand; maintain
head-tilt with the other (5-10 seconds) |
Feel
for brachial pulse; keep head-tilt. |
| 9.
Activate EMS system. |
If someone responded to call for help, send them
to activate the EMS system. |
Begin chest compressions:
- Landmark check
- Hand position
-
- Compression rate
|
Run middle finger along bottom edge of rib cage
to notch at center (tip of sternum). |
Imagine
a line drawn between the nipples. |
| Place index finger next to finger on notch: |
Place 2-3 fingers on a sternum, 1 finger's width
below line. Depress .5-1 inch. |
| Two hands next to index finger. Depress 1.5-2
inches. |
Heel
of one hand next to index finger. Depress 1-1.5 inches. |
| 80-100 per minute. |
At
least 100 per minute. |
| CPR
Cycles |
13.
Compressions to breaths. |
2
breaths to every 15 compressions |
1 breath to every 5 compressions |
| 14.
Number of cycles. |
4
(52-73 seconds) |
10 (60-87 seconds) |
10
(45 seconds or less) |
| 15. Reassessment. |
Feel for carotid pulse. (5 seconds) |
Feel
for brachial uplse. |
| If
no pulse, resume CPR, starting with 2 breaths. |
If no pulse, resume CPR, starting with 1 breath. |
| Option
for entrance of 2nd rescuer |
1st
rescuer ends CPR. |
End
cycle with 2 rescue breaths. |
End cycle with 1 rescue breath. |
| 2nd
rescuer checks pulse (5 seconds). |
Feel for carotid pulse. |
Feel
for brachial pulse. |
| If
no pulse, 2nd rescuer begins CPR. |
Begin
one-rescuer CPR, starting with 2 breaths. |
Begin one-rescuer CPR, starting with 1 breath. |
| 1st
rescuer monitors 2nd rescuer. |
Watch for chest rise and fall during rescue
breathing; check pulse during chest compressions. |
| Option
for pulse return |
If
no breathing, give rescue breaths. |
1
breath every 5 seconds |
1 breath every 4 seconds |
1
breath every 3 seconds |