1. How to do CPR
(Cardiopulmonary Resuscitation)
.
2010 Guidelines
American Heart Association
m
First Response Training, LLC
2. Disclaimer
This presentation is not a substitute from
taking a class in person.
Please use this presentation as a refresher.
Please sign up for a class to get to practice
the “hands on skills”
Conor Devery, EMT-P………..
First Response Training, LLC
3. Adult CPR
Make sure scene is safe
Check for responsiveness
If no response, call 911 and get the AED
Check for breathing
Check for movement
Begin chest compressions
Continue 30 compressions and 2 breaths until the
AED arrives, EMS takes over, or the victim
moves
If uncomfortable doing mouth to mouth – just do
compressions
4. Hand Placement
Place heel of one hand in center of chest
Interlock fingers of the other hand
Lean forward so your shoulders are over
your hands
Press straight down with elbows straight
Push down at least 2 inches
Push at a rate (speed) of 100 compressions
per minute
5. Airway Management
Mouth – to - Mouth Mouth – to - Mask
If you are uncomfortable doing mouth-
to-mouth then skip it and
Just do Compressions
6. Adult CPR - Reminders
Take 5-10 seconds to check for breathing and
movement.
Ensure chest rises with each breath
Place hands in the center of the chest for
compressions
Allow chest to recoil completely or return to its
normal position
Compression rate: 100/minute
Compress at least 2 inches
7. Child CPR
Check for responsiveness
Yell for help but don't leave the victim
Check for breathing
Max. of 10 seconds
Check for movement
Begin chest compressions
After 30 compressions give 2 breaths
Continue 30 compressions and 2 breaths for 5 cycles
or 2 minutes
If still no response, activate 911 and get the AED
8. Hand Placement - Child
Rescuer can use one or two hands to do
compressions
Place heel of one hand in center of
chest
in line with nipple line.
Lean forward so your shoulders are over
your hands
Press straight down with elbows
Push down at least 1/3 to ½ depth of chest
straight
Push at a rate (speed) of 100 compressions
per minute
If one arm is not strong enough use both
hands.
9. Child CPR - Reminders
Take 5-10 seconds to check for breathing and
movement
Ensure chest rises with each breath
Place hands in the center of the chest for
compressions
Use 1 or 2 hands for compressions
Allow chest to recoil completely
Compression rate: 100/minute
Compress 1/3 to 1/2 the depth of the chest
Phone 911 after 5 cycles of CPR if you are alone
10. Infant CPR
Check for responsiveness
Yell for help but don't leave the victim
Check for breathing
Max. of 10 seconds
Check for movement
Begin chest compressions
After 30 compressions give 2 breaths
Continue 30 compressions and 2 breaths for 5 cycles or
2 minutes
If still no response, activate 911 and get the AED
13. Infant CPR - Reminders
Take 5-10 seconds to check for breathing and
movement
Ensure chest rises with each breath
Perform compressions using 2 fingers placed 1 finger
width below the nipple line
Allow chest to recoil completely
Compression rate: 100/minute
Compress 1/3 the depth of the chest
Phone 911 after 5 cycles of CPR if you are alone
AED can now be used for infants
15. When NOT to do Choking Relief
If a person appears to be choking
Ask the patient “Are you choking.”
If they can talk, or cough, they are not fully
choking
Encourage them to keep coughing
Call 911
Do NOT do abdominal thrusts if they can talk
or cough
16. Adult Choking - Responsive
• Stand behind the person and wrap your arms around the
person’s waist.
• Make a fist with one hand. Place the thumb side of your fist
just above the person’s navel, well below the breastbone.
..
• Grasp the fist with your hand.
• Make quick, upward and inward thrusts with your fists.
• Continue thrusts until the object is dislodged or the person
loses consciousness.
• If the person becomes unconscious, lower person to the floor,
call 911, and begin CPR. If you see the object blocking the airway,
try to remove it.
17. Adult Choking - Responsive
1/2 way
between navel
and xyphoid
18. Adult Choking - Unresponsive
Lower them to the ground
and begin the steps of CPR
Check mouth for object after
30 compressions
If you see the object, you can
remove it
Don't forget to call 911 and
get the AED
Do not perform a blind finger
sweep
20. Child Choking - Responsive
Performing first aid for a choking child is very similar to
an adult. If the child does not clearly grab their throat
other danger signs for a child and an adult include:
Inability to speak
Weak, ineffective coughing
Noisy breathing or high-pitched sounds while inhaling
Difficulty breathing
Bluish skin color
Loss of consciousness if blockage is not cleared
21. Child Choking - Unresponsive
Lower them to the ground and begin
the steps of CPR
Look in the mouth before each
breath
If you see the object, you can
remove it
Don't forget to call 911 and get the
AED
Do not perform a blind finger sweep
22. Infant Choking
The danger signs of true choking are: DO NOT
•Inability to cry or make much sound •DO NOT perform
•Weak, ineffective coughing these steps if the
•Soft or high-pitched sounds while infant is coughing
inhaling forcefully or has a
•Difficulty breathing - ribs and chest strong cry – either of
retract which can dislodge
•Bluish skin color the object on its own.
•Loss of consciousness if blockage is
not cleared
24. Infant Choking
Step 3: Object Removal
• Only remove object if
you can see it.
• No blind finger
sweeps
• If object not visible go
back to back blows
and chest thrusts
25. Choking Infant - Unresponsive
Unresponsive Infant
Place them on a hard, flat surface and begin the steps of CPR
Look in the mouth before each breath
If you see the object, you can remove it
Don't forget to call 911 after 2 minutes (5 cycles) of CPR
27. Automated External Defibrillator
(AED)
AEDs are computerized devices that
allow laypersons to attempt defibrillation
safely.
Here are a few facts about defibrillation:
It is the most effective treatment for Ventricular Fibrillation, the
most common initial rhythm present in a victim of sudden
cardiac arrest.
The probability of successful defibrillation decreases rapidly over
time
28. Use of an AED
Power on the AED
Apply pads to the victim's bare chest
Plug the pads into the AED
"Clear" the victim and allow it to analyze
If a shock is advised, "clear" the victim again and press the shock
button
Continue chest
compressions
Every 2 minutes the power button
AED will repeat the
steps
shock button
29. Adult Child Infant
(age 9 and older) (1 year to puberty) (less than 1 year)
Activate 911 as soon as victim if alone, after 5 cycles of CPR
is found
Compression Center of the chest between the Just below the
Location nipples nipple line
Compression Heal of 1 hand same as adult or 2 fingers
Method with the other on heal of 1 hand for (2 hands encircling-
top small children thumb for 2-rescuer)
Compression 100 per minute
Rate
Compression- 30:2 30:2
Ventilation Ratio (or “hands only”)
AED yes yes Yes
(adult pads only) (child pads preferable. (child pads preferable.
If none, use adult) If none, use adult)
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