2005 AHA BLS and ACLS SummeryHealthcare ProviderCPR/Rescue Brea thin g Adult and Olde r Chil d Chil d (1-1 4 yea rs) Infant (<1 yea r) Activating EMS – Lone Rescuer Check responsiveness Activate EMS First Hypoxic Arrest: Call after 2 min. of CPR Call after 2 min. of CPR Sudden, witnessed arrest: Activate First Call after 2 min. ofCPR Sudden, witnessed arrest: Activate First Open airway (Head tilt-chin lift or jaw thrust) Head tilt-chin lift (If trauma is present, use jaw thrust) Head tilt-chin lift (If trauma is present, use jaw thrust) Head tilt-chin lift (If trauma is present, use jaw thrust) 2 effective breaths at 1 sec/breath 2 effective breaths at 1 sec/breath 2 effective breaths at 1 sec/breath Check for breathing: (Look, listen, feel)) If victim is breathing: place in recovery position. If victim is not breathing: Give 2 effective breaths Initial Rescue Breathing Rate via Endotracheal tube (ET) SLOWER1 breath / 5-6 seconds If via ET: 1 breath / 6-8 seconds 1 breath / 3-5 seconds If via ET: 1 breath / 6-8 seconds 1 breath / 3-5 seconds If via ET: 1 breath / 6- 8 seconds Adequate Breathing If not adequate: Provide Rescue BreathingIf no breathing: Provide RescueBreathingIf no breathing: Provide RescueBreathingForeign-body airway obstruction (CHOKING) Abdominal thrusts Unresponsive: CPR & NO Blind finger sweeps Abdominal thrusts Unresponsive: CPR & NO Blind finger sweeps Back blows and chest thrusts Unresponsive: CPR & NO Blind fingersweeps Pulse Check: Check X 10 seconds or less Carotid Carotid or Femoral Brachial or Femoral When to Provide Compressions? Pulse Absent HR < 60 with signs ofpoor perfusion HR < 60 with signs ofpoor perfusion Compression landmarks Center of chest, between nipples Center of chest, between nipples Just below nipple line Compression method Push Hard & Fast, allow chestrecoil2 Hands: Heel of one hand, other hand on top. 1 Hand or 2 Hands: Use heel of hand(s) 1-rescuer: 2 fingers 2-rescuers: 2 thumbs- encircling hands Compression depth 1 ½ to 2 in (4 to 5 cm) 1/3 to ½ the depth of the chest 1/3 to ½ the depth ofthe chest Compression rate 100/min 100/min 100/min Compression-ventilation ratio 30:2 (1 or 2 rescuers) 1-rescuer: 30:2 2-rescuers: 15:2 1-rescuer: 30:2 2-rescuers: 15:2 AED Perform 2 min. or 5 cycles of CPR immediately aftershock(s) delivered. Use Adult pads only. In Hospital: Apply immediately. Out-of-Hospital: 2 min. CPR first. 1-8 years: use child pads. If Chi ld pads not available, use Adult pads Not recommended 1
