CPR 2010 Guidelines (Healthcare Provider Level)
Compressions – Airway – Breathing
Chain of Survival Adult
Immediate recognition & access – Early CPR – Rapid defibrillation – Effective advanced care – Integrated post-arrest care
Chain of Survival – Pediatric
Safety & prevention – Early CPR – Call 911 (if alone) - Effective advanced care – Integrated post-arrest care
Item / Age
Establish responsiveness
Infant (0-1 year)
Shout & tap bottom of foot
Look for obvious signs of
breathing
Call 911
Send for AED
Position
No breathing or only gasping
(agonal respirations)
Call after 2 minutes if you are
alone
Check pulse
Hand Position
Compressions Depth
Compressions Rate (Speed)
Chest wall recoil
Compression interruptions
Compressions / Ventilation
Ratio
No trauma
AED usage
AED type
Conscious patient
Unconscious patient
Adult (above puberty)
Tap and shout
No breathing or only gasping
No breathing or only gasping
(agonal respirations)
(agonal respirations)
Call after 2 minutes if you are
Call immediately
alone
On their back on a hard flat surface
C-Circulation
Brachial
Carotid
Carotid
Lower ½ of sternum, just below
Lower ½ of sternum
Lower ½ of sternum
nipple line
Use 2 finger tips (one rescuer)
Heel of one hand
Heel of two hands
Thumb encircling (two rescuers)
At least 1/3 chest height
At least 1/3 chest height
At least 2 inches
(about 1.5 inches)
(about 2 inches)
At least 100 per minute
At least 100 per minute
At least 100 per minute
Allow complete chest recoil between compressions
Rotate compressors every two minutes if possible
Minimize interruptions in chest compression
Attempt to limit interruptions to less than 10 seconds
30:2 (One rescuer)
30:2 (One rescuer)
30:2 (One or two rescuers)
15:2 (Two rescuers)
15:2 (Two rescuers)
5 cycles / 2 minutes
5 cycles / 2 minutes
5 cycles / 2 minutes
Head tilt / chin lift
(sniffing position)
Trauma (spinal precautions)
With barrier device or BVM*
No barrier or BVM
Child (1- Puberty)
Tap and shout
A-Airway
Head tilt / chin lift
Head tilt / chin lift
Jaw Thrust (no head tilt)
2 slow puffs
B- Breathing
2 slow breaths
Do compressions only
2 slow breaths
Automatic External Defibrillator
Attach and use AED as soon as possible.
Repeat every 2 minutes if no conversion.
Minimize interruptions in chest compression before and after shock.
Resume CPR beginning with compressions immediately after shock.
Use adult unit if no pediatric
Use adult unit if no pediatric
Use adult unit
capable unit available
capable unit available
Foreign Body Airway Obstruction (Choking)
5 back blows
Abdominal thrusts
5 chest thrusts
NO blind finger sweep
NO blind finger sweep
Do CPR
Abdominal thrusts
NO blind finger sweep
* Barrier is some type of pocket mask or other shield – BVM is a bag-valve-mask ventilator (only used with two or more rescuers)
Created 03-11 (JEM) TVCC