CPR
[Cardio (heart) Pulmonary (lung) Resuscitation (revive, revitalize) ]
1.Check the scene for safety .
3.Kneel on the right side of the person. Determine unresponsiveness .
Tap the shoulder and shout “Are you okay?”
4.Check for breathing. About 5 seconds (tiltLook down towards the person’s chest to see if it is moving. Listen with your ear , for any airflow through the mouth or nose. Feel with your cheek if there is any air coming out of the mouth..)
5.Activate the EMSS .
6.Position the person supine .Logroll the person so there’s no twisting of the spine . Must be on a hard , flat surface .Place the person’s arms alongside the body .
7. Loosening tight collar and belt.
8.Check for carotid pulse . Less than 10 seconds . 2 fingers / cm lateral the throat. Also check for visible signs of circulation(breathing, coughing, moving).
9.Circulation . If person has no pulse , begin with the chest Compressions . Locate breastbone & Interlock two hands .
Place heel of one hand on center of chest between the nipples ( breastbone: junction of the middle 1/3 and lower 1/3)
Be sure to keep your fingers up off the chest wall .
Keep your arms straight and shoulders over your hands. Vertical force produced by the upper part of the body.
Push hard, push fast. Depth : more than 5 cm /2 inches. Frequency: over 100 times/min.
Make a rhythm and count out loud .(Try : 1 and, 2 and, 3 and, 4 and, 5 and, 6 and, ```30 and )
After 30 compressions (better in 18 seconds) , follow with 2 rescue breaths .
10.Clear and open the Airway.
Use your two fingers to clear anything that blocking the person’s airway .
Head-tilt & Chin-lift .
OR Jaw-thrust . (Use for person who may got neck injury.) Grasp the lower jaw on both sides of the head, lift it upward and outward.
11.Breathing.
Pinch the person’s nose with your fingertips & start mouth to mouth breathing.
Place your mouth over the person’s mouth and exhale.
Give two full breaths ( 1 second for each) . Between each breath allow lungs to relax as the person exhales .
Keep an eye on his chest. Try not to over-inflate the person’s lungs.
Breath frequency: 8~10 times/2mins . 400~600 ml/time (for adult )
12. One CPR cycle :30 compressions + 2 breaths , should be performed 5 times .
Time shif for Breathing to Compression should be limited in 5 seconds .
13.After 5 cycles (about 2 minutes )of CPR, recheck circulation .
If no circulation , continue CPR and recheck circulation every 2 minutes.
14.Still pulses are absent , Continue CPR cycle Until help arrives. The whole process at least 30 minutes.
15.Do the following if the person has signs of circulation:
a. Check for breathing
b. Position the person in recovery position if the person’s breathing .
c. Monitor breathing and circulation .
d. Record the process.
16.Do the following if the person has signs of circulation but breathing is absent:
a. Give 1 rescue breath every 5 seconds .
b. Monitor circulation .
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