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BASIC LIFE SUPPORT PROVIDER COURSE

CPR GUIDELINES FOR HEALTH-CARE PROVIDERS


1. Check the patient for responsiveness.
3. Call for help.
4. Check the breathing and pulse for no longer than 10 seconds.
5. Give 30 compressions.
6. Open the airway and give 2 breaths.
7. Resume compressions.

COMMON STEPS TO OPERATE ALL AEDS


1. Power ON the AED: this activates voice prompts for guidance in all steps
2. Attach electrode pads to victims bare chest
Choose correct pads (adult vs child)
Do Not use child pads for victims 8 years and older (Adults)
Plug in the electrode pad connector
3. Clear the victim and the AED will analyze the rhythm
Be sure no one is touching the victim
The AED then tells you if a shock is needed
4. If the AED advises a shock
Make sure no one is in contact with the victim
Press the shock button
5. As soon as the AED gives the shock, immediately resume CPR, starting with chest compressions

CHOCKING
Conscious Choking
Adult / Child: Perform Chest Thrusts / Abdominal Thrusts
Infant: Perform 5 Back Blows and 5 Chest Thrusts
-Repeat until object is expelled or victim goes unconscious
Unconscious Choking
1. Activate the EMS (call 911) and get the AED if available, and return to the victim
2. Open the airway and remove the object if you see it
-Do not do a blind finger sweep
3. Begin CPR
4. Every time you open the airway to give a breath, look for the object
- If you see the object, remove it
- If you do not see the object, attempt 2 breaths, and continue CPR

Summary of Key BLS Components for Adults, Children and Infants


Component

Adults

Children

Recognition

Infants

Unresponsive
Tap Shoulder

Tap Shoulder

Tap Sole

No breathing or only gasping


(Look for the rise and fall of the chest)
No pulse palpated within 10 seconds (HCP Only)
CPR Sequence

CAB

Compression Rate
Compression Depth

100-120/min
At least 2 2.4 inches
(5 6 cm)

Minimize Interruptions in Chest Compressions


Attempt to limit interruptions to less than 10 seconds
Head tilt-chin lift
(HCP - suspected trauma: jaw thrust)

Airway

Compression to Ventilation
Ratio (until advanced airway
placed)
Ventilations: When rescuer
Untrained or Trained and Not
Proficient
Ventilations with advanced
airway (HCP)

Defibrillation

Conscious Choking

Unconscious Choking

Oxygen

At least Depth
About 1 inches (4 cm)

Allow Complete Recoil Between Compressions


HCPs - Rotate Compressors Every 2 minutes

Chest Wall Recoil

Compression Interruptions

At least Depth
About 2 inches (5 cm)

30:2 (1 or 2 rescuers)

30:2 Single Rescuer


15:2 Two HCP Rescuers

30:2 Single Rescuer


15:2 Two HCP Rescuers

Compressions Only

1 breath every 6 seconds (10 breaths/min)


Asynchronous with chest compressions
About 1 second per breath with Visible Chest Rise
Attach and use AED as soon as available. Minimize interruptions in chest compressions before
and after shock, resume CPR beginning with compressions immediately after each shock
Abdominal Thrusts just above the Navel

5 Back Blows and


5 Chest Thrusts

CPR but check for object before breaths and


only attempt to remove if you see the obstruction
Masks should be fitted with an oxygen inlet and be available in one adult and several pediatric
sizes. The healthcare provider should use supplementary oxygen (O2 concentration >40%, at a
minimum flow rate of 10 to 12 L/min) when available. In an unresponsive victim with hypothermia,
ventilate with warm, humidified oxygen. Supplementary oxygen administration may be beneficial
as part of first aid for divers with a decompression injury.

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