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Adult chain of survival
early recognition → Early CPR → early defibrillation → advanced care →post-arrest care
chain of survival infants
Prevention arrest → early CPR → EMS → advanced care → post-arrest care
less than 10 seconds
check for responsiveness, breathing and carotid pulse in adults in
compression rate
100-120/min
Depth of compressions in adults
2 in (5 cm)
ratio of compressions in adults
30:2 (1 or 2 rescuers)
hand placement in adult cpr
2 hands, center of chest, lower half of sternum
pulse check in child (1 year to puberty)
carotid or femoral
compression depth in child
2 in (5cm) or 1/3 chest depth
hand placement in child cpr
1 or 2 hands depending on childs size
ratio of child cpr
30:2 (1 rescuer) 15:2 (2 rescuers)
you can use adult pads on children if pediatric pads in aed are not available
pulse check in infants
brachial artery
compression depth in infants
1.5 in (4 cm) or 1/3 chest depth
hand placement in infant cpr
2 fingers or 2 thumbs (2 rescuers)
adult ventilation
1 breath every 6 sec (10 breaths/min)
child/infant ventilation
1 breath every 2-3 seconds (20-30 breaths/min)
rescuer fatigue
switch compressors every 2 min if possible
opioid overdose
give naloxone if available start cpr if unresponsive and not breathing
pregnancy cpr
hand placement slightly higher on sternum prepare for left uterine displacment
wet patient
dry quickly before placing aed pads