ProTrainings - CPR

CPR

Key questions to ask:

  • is it safe for me to help?
  • what happened?
  • how many patients are there?
  • am I going to need assistance from EMS?
  • do I have my personal protective equipment ready to use?
  1. Check the scene
  2. Check the patient
  3. Activate EMS - call 911

If alone and no one is available:

  • PHONE FIRST for adults and get the AED. Return to start CPR and use the AED for all ages.
  • CARE FIRST for children and infants by providing about 5 cycles or 2 minutes of CPR before activating the emergency response number.
  • CARE FIRST for all age patients of hypoxic (asphyxial) arrest (ei., drowning, injury, drug overdose).
  1. Check pulse

Check the circulation for no more than 10 seconds.

Adult and child - check the carotid artery in the neck

Infant - check the brachial artery on the inside of the upper arm

While checking for pulse, look for normal breathing by looking at the person’s chest and face. Is the patient breathing normally? Agonal respirations are not normal breathing. They would be characterized as occasional gasps. The chest does not rise.

  1. Compressions

If the victim is unconscious with no normal breathing and no pulse, begin chest compressions. Give 30 chest compressions at a rate of 100-120 compressions per minute for all ages.

Hand placement for compressions:

Adult - place heel of the dominant hand on the center of the chest between the nipples. The second hand should be placed on top. Compress 2-2.4 inches deep.

Child - Hand placement is the same as adult. You may use one hand in the center of the chest between the nipples or a very small child. Compress at least 1/3 the depth of the chest.

Infant - Place two fingers on the center of the chest between the nipples. Compress at least 1/3 the depth of the chest.

Airway

Open airway using head tilt chin lift. Look in the mouth to make sure the airway is clear. If you see any foreign object, sweep it out right away.

Breathing

Give two breaths lasting 1 second each. Watch for chest rise and fall.

Continue cycles of 30 compressions to 2 breaths until an AED arrives, advanced medical personnel take over, the patient shows signs of life, the scene becomes unsafe, or you are too exhausted to continue.

CPR SUMMARY

  • Check the scene for safety
  • Check the person for responsiveness
  • Call 911
  • Check pulse and normal breathing
  • Give 30 chest compressions
  • Open the airway
  • Give 2 breaths
  • Continue cycles of 30 compressions to 2 breaths