CARDIOPULMONARY RESISCITATION

It is combination of chest compression's and rescue breathing.

Area of Compression:

• Adult/child - center of the chest. Between the imaginary nipple line.
• Infant - 1 finger below the imaginary nipple line at the center of chest.

Depth:

• Adult/child - approx 2"
• Infants - approx 1 1/2"

Compression to ventilation ratio:

• Adult - 30:2 (1-2 rescuer)
• Child/infant - 30:2 (1 rescuer) (15:2 for 2 rescuers)

How to compress:

• Adult - 2 heels of the hand
• Child - 1 heel of the hand
• Infant - 2 fingers

Rate:

• Adult/child - approx 100/min
• Infant - at least 100/min

No. of Cycles/2 mins.

• Adult - 5 cycles (1 or 2 rescuers)
• Child/infant - 5 cycles (1 rescuer) (2 rescuers at 10 cycles)

Sequence of CPR

1. Survey scene/introduce self/get consent.
2. Chest of consciousness/call local emergency number (ambulance)/get an AED.
3. Open the airway/quickly scan for normal breathing and a pulse; and quickly scan for severe bleeding.
4. If no breathing and pulse - start full CPR/30 CC and 2 ventilation, if no breathing and pulse - give rescue breathing.
5. Reasons signs of circulation of 2 mins.
6. Upon recovery do a secondary survey
7. While waiting for the ambulance; place victim at recovery position and monitor vital signs.

When to stop CPR

• Spontaneous signs of circulation are restored.
• Turned over to medical service.
• Operator is already exhausted.
• Physician assumes responsibility
• Scene becomes unsafe.
• AED is available and ready to use.