C AR D I O P U L M O N A R Y R E S U S C I TAT I O N (CPR )

OBJECTIVES ACTIONS
Adult (Over 8 y.o.) Child (1-8 y.o.) Infant (under 1 y.o.)
A. Airway 1. Assessment: Determine unresponsiveness Tap or gently shake shoulder. Say, “Are you okay?” , Call his/her name
2. Get help Call out “Help”
3. Position the victim. Turn on back as a unit, supporting head and neck if necessary.
4. Open the airway. Head tilt / chin lift
B. Breathing 5. Assessment: Determine breathlessness. Maintain open airway. Place ear over mouth, observing chest. Look, listen, feel for breathing.
6. Give 2 rescue breath Maintain open airway
Seal mouth to mouth
Give 2 rescue breaths, 1 to 1 ½ seconds each. Observe chest rise. Allow lung deflation between breaths.
7. Option for Obstructed airway. a. Reposition victim’s head. Try again rescue breaths.
b. Give 6-10 subdiaphragmatic thrusts (the Haimlich maneuver.) Give 4 back blows
Give 4 chest thrusts
c. tongue-jaw lift and finger sweep. Tongue-jaw lift but finger sweep only if you see a foreign objects
If unsuccessful, repeat a, b, and c until successful.
C. Circulation 8. Assessment: Determine pulselessness. Feel for the carotid pulse with one hand; maintain head-tilt with the other Feel for brachial pulse, keep head-tilt
Begin Chest Compression:
9. Landmark check Run middle finger along bottom edge of rib cage to notch at center (tip of sternum) Imagine a line drawn between the nipples
10. Hand position Place index finger next to finger on notch: Place 2-3 fingers on sternum
Two hands next to index finger. Heel of one hand next to index finger. 1 finger’s width below line.
Depress: ½ - 2 in. Depress: 1 – 1 ½ in. Depress ½ - 1 in.
11. Compression rate 80 – 100 per minute At least 100 per minute
CPR Cycles 12. Compression to breath 2 breath every 15 compressions 1 breath to every 5 compression
13. Number of cycles 4 10 10
14. Reassessment Feel for carotid pulse Feel for brachial pulse
If no pulse, resume CPR, starting with 2 If no pulse, resume CPR, starting with 1 breath
breaths.
Option for entrance of 2nd rescuer: 1st rescuer ends CPR End cycle with 2 rescue breath End cycle with 1 breath
“I know CPR”
2nd rescuer check pulse Feel for carotid pulse (5 sec.) Feel for brachial pulse
If no pulse, 2nd rescuer begins CPR Begin one-rescuer CPR, starting with 2 Begin one-rescuer, starting with 1 breath.
breaths.
1st rescuer monitor 2nd rescuer and pt. Watch for chest rise and fall during breathing; check pulse during chest compressions.
Option for pulse return If no breathing, give rescue breath 1 breath every 5 seconds 1 breath every 4 seconds 1 breath for every 3 seconds

CPR Facts
CPR Depress Hand Position Ratio Part of Rate Hand pulse Ventilations
Adult (1st rescuer) 1 – ½” – 2” Heel, use both hand Lower sternum Compression per breath 15:2 80-100/min Carotid (neck) Full breaths (0.8L)
Adult (2st rescuer) 1 – ½” – 2” Heel, use both hand Lower sternum 5:1 (1 breath every 5 seconds) 80-100/min Carotid (neck) Full breaths (0.8L)
Child 1 – ½” – 2” Heel of 1 hand Lower sternum 5:1 (1 breath every 4 seconds) 80-100/min Carotid (neck) Gentle breaths
Infant ½” – 1” 2 finger tips Lower sternum 5:1 (1 breath every 3 seconds) 100/120min Brachial (arm) Gentle “cuffs”