Table of comparison for performing CPR for adult, child, infant, and pregnant women

Objectives Adult (over 8 yrs.) A. Airway 1. Assessment: Determine unresponsiven ess 2. Get help 3. Position the victim 4. Open the airway 5. Assessment: Determine breathlessness 6. Give 2 rescue breaths

Actions Child (1 to Infant (under 1 yr.) 8 yrs.) Tap or gently shake shoulder. Observe

Pregnant

Say, Are you okay?

Say, Are you okay?

Call out Help! Turn on back as a unit, supporting head and neck if necessary (4-10 seconds) Head-tilt/chin-lift Maintain open airway. Place ear over mouth, observing chest. Look, listen, feel for breathing. (3-5 seconds) Maintain open airway. Seal mouth to mouth Mouth to Seal mouth to mouth nose/mouth Give 2 rescue breaths, 1 to 1 seconds each. Observe chest rise. Allow lung deflation between breaths. Reposition victims head. Try again to give rescue breaths Activate the EMS system. a. Give 6-10 Give 4 back blows. Consider chest thrusts subdiaphragmatic if the victim is in the Give 4 chest thrusts. abdominal thrusts (the late stages of Heimlich maneuver). pregnancy.

B. Breathin g

7. Option for obstructed airway

C. Circulatio n

8. Assessment: Determine pulselessness. 9. Activate EMS system. Begin chest compressions: 10. Landmark check

b. Tongue-jaw Tongue-jaw lift and lift and Tongue-jaw lift, but finger sweep finger sweep finger only if you see a foreign object. sweep If unsuccessful, repeat a, c and d until successful. Feel for carotid pulse with one Feel for the brachial Feel for carotid pulse hand; maintain head-tilt with the pulse; keep head- with one hand; maintain other. (5-10 seconds) tilt. head-tilt with the other. (5-10 seconds) Is someone responded to the call for help, send them to activate the EMS system. Run middle finger along bottom edge of rib cage to notch at center (tip of sternum). Place index finger next to finger on notch: Two hands next to Heel of one index finger. hand next Depress 1 - 2 in. to index finger. Depress 11 in. 80-100 per minute 2 breaths to every 15 compressions. Imagine a line drawn between the nipples. Place 2 3 fingers on sternum, 1 fingers width below line. Depress - 1 in. Run middle finger along bottom edge of rib cage to notch at center (tip of sternum). Heel of one hand on sternum in center of chest, between nipples. Second hand on top of first with hands overlapped and parallel

11. Hand position

CPR Cycles

12. Compression rate 13. Compressions to breaths.

At least 100 per minute 1 breath to every 5 compressions

80-100 per minute 2 breaths to every 15 compressions.

14. Number of cycles 15. Reassessment.

Option for entrance of 2nd rescuer: I know CPR. Can I help ?

1st rescuer ends CPR. 2nd rescuer checks pulse (5 seconds). If no pulse, 2nd rescuer begins CPR. 1st rescuer monitors 2nd rescuer. If no breathing, give rescue breaths.

Option for pulse return

10 (60-87 10 (45 seconds or 4 (52-73 seconds) seconds) less) Feel for the carotid pulse (5 Feel for the brachial Feel for the carotid seconds) pulse pulse (5 seconds) If no pulse, If no pulse, resume CPR, starting If no pulse, resume resume 1 breath CPR,starting with 2 CPR,starting with breaths 2 breaths End cycle with 2 End cycle with 1 rescue breath End cycle with 2 rescue rescue breaths breaths Feel for the carotid pulse Feel for brachial Feel for the carotid pulse pulse Begin one-rescuer Begin one-rescuer CPR, starting Begin one-rescuer CPR, starting with with 1 breath CPR, starting with 2 2 breaths breaths Watch for chest rise and fall during rescue breathing, check pulse during chest compressions. 1 breath every 5 1 breath 1 breaths every 3 1 breath every 5 seconds every 4 seconds seconds seconds

4 (52-73 seconds)