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AHA High-QualityCPR
Summary Components for BLS Providers
Question | Answer |
---|---|
Verify Scene Safety | Make sure the environment is safe for rescuers and victim. |
Recognizing Cardiac Arrest | Check for responsiveness; No normal breathing (no breathing or only gasping); No definite pulse felt within 10 seconds. |
Chest Recoil | Allow complete recoil of chest after each compression; Do not lean on the chest after each compression. |
Minimizing Interruptions | Limit interruptions in chest compressions to less than 10 seconds with a CCF goal of 80%. |
Hand Placement (for Adults & Adolescents) | 2 hands on the lower half of the breastbone (sternum). |
Hand Placement (for Children) | 2 hands or 1 hand (optimal for very small child) on the lower half of the breastbone (sternum). |
Hand Placement (for Infants w/ 1 Rescuer) | 2 fingers or 2 thumbs in the center of the chest, just below the nipple line. |
Hand Placement (for Infants w/ 2 Rescuers) | 2 thumb encircling hands in the center of the chest just below the nipple line; If the rescuer is unable to achieve the recommended depth it may be reasonable to use the heel of one hand. |
Children | Aged 1 year to puberty. |
Infants | Aged less than 1 year, excluding newborns. |
Compression Depth (for Adults & Adolescents) | At least 2 inches (5 cm); Compression depth should be no more than 2.4 inches (6 cm). |
Compression Depth (for Children) | At least one third anteroposterior diameter of chest; Approximately 2 inches (5 cm). |
Compression Depth (for Infants) | At least one third anteroposterior diameter of chest; Approximately 1.5 inches (4 cm). |
Compression Rate | 100-120/min |
Compression-Ventilation Ratio w/ Advanced Airway (for Adults & Adolescents) | Continuous compressions at a rate of 100-120/min; Give 1 breath every 6 seconds (10 breaths/min). |
Compression-Ventilation Ratio w/ Advanced Airway (for Children & Infants) | Continuous compressions at a rate of 100-120/min; Give 1 breath every 2-3 seconds (20-30 breaths/min). |
Compression-Ventilation Ratio w/o Advanced Airway (for Adults & Adolescents w/ 1 or 2 Rescuers) | 30:2 |
Compression-Ventilation Ratio w/o Advanced Airway (for Children & Infants w/ 1 Rescuer) | 30:2 |
Compression-Ventilation Ratio w/o Advanced Airway (for Children & Infants w/ 2 Rescuers) | 15:2 |
Activating Emergency Response System (for Adults & Adolescents) | Call 911 if a phone is available; If you are alone w/ no phone leave the victim to activate the emergency response system and get the AED before beginning CPR; Otherwise send someone and begin CPR immediately using the AED ASAP. |
Activating Emergency Response System (for Children & Infants during a Witnessed Collapse) | Call 911 if a phone is available; If you are alone w/ no phone leave the victim to activate the emergency response system and get the AED before beginning CPR; Otherwise send someone and begin CPR immediately using the AED ASAP. |
Activating Emergency Response System (for Children & Infants during a Unwitnessed Collapse) | Call 911 if a phone is available; Give 2 minutes of CPR; Leave the victim to activate the emergency response system and get the AED; Return to the child or infant and resume CPR; Use the AED ASAP. |
AED | Automated External Defibrillator |