PROPER PROCEDURE ON HOW TO CONDUCT CPR TO ADULTS
A) SCENE SIZE-UP: Look around, check for safety, know what happened, role of bystanders, number of
casualties, asking permission or consent.
1) INTRODUCE YOURSELF to bystanders/client:





Identify yourself
State your level of training
Ask the victim whether you may help
Explain what you observe
Explain what you plan to do
Example: I am _____name____, a trained health care provider, I can see a patient/s on the ground, I can
“HELP.”
B) PRIMARY ASSESSMENT:
2) CHECK FOR RESPONSIVENESS: Tap shoulders and ask “sir/ma’am can you hear me?”
Assess for:




A - Alert
V - Responsive to voice
P – Responsive to pain
U – Unresponsive/consciousness
Assessment: NO response
3) ACTIVATE MEDICAL ASSISTANCE (Shout, point/identify the person who will call for assistance, give the
number to call).
If you are the one to activate:





Case
Help
Address
Name
Telephone number
4) Check for ABC: HEAD-TILT-CHIN-LIFT MANEUVER and Look Listen and Feel (LLF) TECHNIQUE
Check for:



AIRWAY: open mouth to check for obstruction
 (+) OBSTRUCTION: FINGER SWEEP, Perform FBAO Management
 (-) OBSTRUCTION: Continue assessment
BREATHING: LLF technique
CIRCULATION: carotid pulse, bleeding, shock, skin-color, temperature and moisture.
Assessment: (Negative pulse, Negative breathing)
C) FIRST AID PROCEDURE
5) START CPR: Expose chest of patient, locate the nipple and place the heel of the palm at the center, Do the:

5 cycle
 30 compressions: Remember the Don’ts in CPR
 Do not be a jerker
 Do not be a rocker
 Do not be a massager
 Do not be a bouncer
 Do not be a blender
 Do not be a double crosser
 2 ventilations: place face shield, pinch the nose, seal patient’s mouth with your mouth.
6) HEAD-TILT-CHIN-LIFT MANUEVER and LLF TECHNIQUE: Check for AIRWAY, BREATHING AND
CIRCULATION
Assessment: (positive pulse; negative breathing)
7) START RESCUE BREATHING

24 cycles
 Ventilation, 1, 1002, 1003, 1001
 Ventilation, 1, 1002, 1003, 1002
 Ventilation, 1, 1002, 1003, 1003
to
 Ventilation, 1, 1002, 1003, 10024
8) HEAD-TILT-CHIN-LIFT MANEUVER and LLF TECHNIQUE: check for AIRWAY, BREATHING AND
CIRCULATION
Assessment: (positive pulse, positive breathing)
D) SECONDARY ASSESSMENT
9) A. HEAD-TO-TOE ASSESSMENT
EYES: PERRLA (Pupil EQUALLY ROUND AND REACTIVE TO LIGHT AND ACCOMODATION)
HEAD: NO BDOTS (bleeding/burn, deformity, open wound, tenderness, swelling)
SHOULDER/HIPS; NO BDOTS, NO CREPITUS
FEET: PLANTAR/DORSIFLEXION
B) CHECH VITAL SIGNS
C) INTERVIEW PATIENT if CONSCIUOS
10) Place patient to a RECOVERY POSITION
11) Assess the back: NO BDOTS
12) Follow up medical team
PROPER PROCEDURE ON HOW TO CONDUCT CPR TO CHILDREN
EMERGENCY ACTION PRINCIPLE
E) SCENE SIZE-UP: Look around, check for safety, know what happened, role of bystanders, number of
casualties, asking permission or consent.
13) INTRODUCE SELF to MOTHER:





Identify yourself
State your level of training
Ask the victim whether you may help
Explain what you observe
Explain what you plan to do
Example: I am ___name___, a trained health care provider, I can see you’re having trouble with your baby, I
can HELP”
F) PRINARY ASSESSMENT:
14) Check for Responsiveness:
a) Tickle sole of baby and shout “Baby, Baby are you ok?”




A - Alert
V – Responsive to voice
P – Responsive to pain
U – Unresponsive/Consciousness
b) Check for presence of reflexes
Assessment: NO RESPONSE
15) ACTIVATE MEDICAL ASSISSTANCE: (shout, point/identify the person who will call for assistance, give
the number to call):





Case
Help
Address
Name
Telephone number
16) Check for ABC: NEUTRAL POSITION and Look Listen and Feel (LLF) TECHNIQUE:
Check for:



AIRWAY: open mouth to check for obstruction
 (+) OBSTRUCTION: FIRNGER SWEEP
BREATHING: LLF technique
CIRCULATION: brachial pulse, bleeding, shock, skin color, temperature and moisture
Assessment: (Negative pulse, Negative breathing)
G) FIRST AID PROCEDURE
17) START CPR: Expose chest of patient, locate the nipple and place the fingers at the center, Do the:

5 cycle
 30 compressions: Remember the Don’ts in CPR
 Do not be a jerker
 Do not be a rocker
 Do not be a massager
 Do not be a bouncer
 Do not be a blender
 Do not be a double crosser
 2 ventilations: place face shield seal patient’s mouth and nose with your mouth
18) Check for ABC: NEUTRAL POSITION and Look Listen and Feel (LLF) TECHNIQUE:
Check for:



AIRWAY: open mouth to check for obstruction
 (+) OBSTRUCTION: VIRNGER SWEEP
BREATHING: LLF technique
CIRCULATION: brachial pulse, bleeding, shock, skin color, temperature and moisture
Assessment: (POSITIVE PULSE, NEGATIVE BREATHING)
19) START RESUSCITATION

40 cycles
 Ventilation, 1, 1001
 Ventilation, 1, 1002
 Ventilation, 1,1003
 Ventilation, 1, 1004
 Ventilation, 1, 1005
to
 Ventilation, 1, 1040
20) Check for ABC: NUETRAL POSITION and Look Listen and Feel (LLF) technique
Check for:



AIRWAY: open mouth to check for obstruction
 (+) OBSTRUCTION: FIRNGER SWEEP
BREATHING: LLF technique
CIRCULATION: brachial pulse, bleeding, shock, skin color, temperature and moisture
Assessment: (Positive pulse, Positive breathing)
H) SECONDARY ASSESSMENT
21) Head-to-toe- assessment:
YES: PERRLA (PUPIL EQUALLY ROUND AND REACTIVE TO LIGHT AND ACCOMODATION)
HEAD: NO BDOTS (bleeding/burn, deformity, open wound, tenderness, swelling)
SHOULDER/HIPS: NO BDOTS, NO CREPITUS
FEET: PLANTAR/DORSIFLEXION
22) Vital signs (check for PR, RR)
23) Interview Mother
S-A-M-P-L-E
24) Place patient to a RECOVERY POSITION
25) Assess the back: NO BDOTS
26) Follow up medical team