CPR STUDY GUIDE
CHECK- the scene for safety, number of victims, by standers who can help
CHECK- the victim for life threatening conditions (get consent from parent)
Unconsciousness- Tap shoulder and shout. (infant- add foot flick)
If you didn’t witness the collapse :
Airway- open the airway tilt head, lift chin and check for signs of life
If you did witness the collapse then skip airway and …
Look, listen and feel for movements and breathing, for no more than 10 sec.
Breathing- if not breathing adult: begin CPR. If a Child or infant is not
breathing or an adult was a drowning victim: give 2 rescue breaths (to make
sure airway is not blocked)- if breaths don’t go in retilt head and try againsee obstructed airway if second set of breaths don’t go in). If you witness the
collapse of a child or infant and they aren’t breathing begin CPR without the 2
initial breaths.
Circulation- scan for severe bleedingCALL 911 as soon as a life threatening condition is found- unless alone with an
infant or child; Give care for 2 min. then call.
CARE- provide care for the conditions you find
CONSCIOUS CHOKING- can’t cough, speak or breathe (adult/child)
After check –call: obtain consent before care.
5 back blows with heel of hand between shoulder blades (have them lean
forward and support them with your other arm)
5 abdominal thrusts: quick upward thrusts just above navel with thumb side
of fist against abdomen.
Continue alternating until the object comes out, or they can cough and
breathe again, or they become unconscious.
Infant: 5 back blows while holding infant along your forearm and supported
along your thigh. Head lower than feet. 5 chest thrusts (sandwich the baby
and turn over) use 2-3 fingers on the center of the breast bone between the
nipples.
UNCONSCIOUS CHOKING/OBSTRUCTED AIRWAY
If you witness them choking before becoming unconscious- quickly check
mouth for an object and sweep it out if you see something.
Give 2 breaths and do the steps 1-4 below.
If unwitnessed: After check A,B:- retilt and try 2 rescue breaths again- if chest
doesn’t clearly rise
1. Give 30 chest compressions (remove breathing barrier)
2. Look for an object- sweep mouth only if you see something.
3. Try 2 rescue breathsre-check for breathing only if an object is removed and /or the 2 breaths
make the chest clearly rise.
continue steps 1-3 until breaths go in or victim begins to breath on own. If
breaths go in check for signs of life
CPR (no pulse, no breathing)
ADULT
CHILD
INFANT
2 hands on center of
chest (lower half of
sternum)
2 hands in the center of
the chest
2-3 fingers just below
nipple line
Compress at least 2
inches
About 2 inches
1.5 inches
ALL: give 30 chest compressions followed by 2 rescue breaths at a rate of 100
compressions/per min. You should complete 5 cycles in 2 min.
Continue giving CPR until help arrives, you’re too tired to continue, the scene
becomes unsafe, you find signs of life or an AED becomes available to use
AED- no signs of life
Turn on AED
Wipe chest dry (remove any medication patches with gloved hand)
Apply pads to bare chest: Victim’s upper right chest and lower Left side
Plug in connector (if necessary)
Keep everyone clear from touching patient while analyzing
Push shock button only if prompted- no one touching patient
Begin CPR- do 5 cycles in 2 minutes before AED re analyzes.
If 2 trained responders are present; one performs CPR while the second
prepares and operates the AED.
Do not use an AED if victim is on water or wet surface or in a moving vehicle.
CARDIAC CHAIN OF SURVIVAL- each link increases chance of survival
Early recognition (of an emergency) early access (calling 911)
Early CPR
Early AED for each minute that an aed is delayed survival chance is reduced
10%
Early advanced life support
Watch for signs of shock (body systems shutting down): restlessness, change in
consciousness, feeling cold in extremities
Care for shock: maintain victim’s body temperature, and don’t give fluids
Revised 6/2011