Bonner County EMS System Procedures Cardiac: Cardiopulmonary Resuscitation-9031

CARDIOPULMONARY RESUSCITATION (CPR)

Clinical Indications Basic life support for the patient in cardiac arrest.

PROCEDURE GUIDELINESR- EMR E – EMT A-AEMT P-PARAMEDIC **M-Medical Control **

***Higher level providers are responsible for lower level treatments*** Assess the patient’s level of responsiveness (shake and shout). If no response call for assistance and get an AED. Check for pulse (carotid for adults and older children, brachial for infants) for

at least 5 seconds. If no pulse, begin 30 chest compressions based on chart below:

Age Location Depth Rate Infant Over sternum,

between nipples, 2-3 fingers

1.5 inches (1/3 of the anterior-posterior chest dimension)

At least 100/minute

Child Over sternum, just cephalad from the xyphoid process, heel of one hand

1.5-2 inches (1/3 of the anterior-posterior chest dimension)

100/minute (30 compressions every 18 seconds)

Adult Over sternum, just cephalad from xyphoid process, hands with interlocking fingers

At least 2 inches (1/3 of the anterior-posterior chest dimension

100/minute (30 compressions every 18 seconds)

Open the patient’s airway with the head-tilt, chin-lift and give two breaths. If the patient may have sustained C-Spine trauma, use the modified jaw thrust while maintaining immobilization of the C-Spine. For infants, positioning the head in the sniffing position is the most effective method of opening the airway. If air movement fails, proceed to the Foreign Body Obstruction Procedure (9010).

Begin ventilations in the adult. Provide no more than 12 breaths per minute with the bag valve mask (BVM).

Chest compressions should be provided in an uninterrupted manner. Brief interruptions are allowed for rhythm analysis, defibrillation and performance of procedures.

For two- person child CPR, administer 2 breaths for every 15 compressions.

R

Assist ALS with standard four-lead Cardiac Monitor E_______________________________________________________________________________________________________________________________________BCEMS Medical DirectorEffective: 04/01/14 final 5/23/2023 page 1 of 2

Bonner County EMS System Procedures Cardiac: Cardiopulmonary Resuscitation-9031

Depending on rhythm and return of circulation, proceed to appropriate protocols. A

Continuous quantitative waveform capnography2,3 is mandatory for intubated patients. P

2,3EMT and AEMT providers may perform these procedures if credentialed with the appropriate OM.

_______________________________________________________________________________________________________________________________________BCEMS Medical DirectorEffective: 04/01/14 final 5/23/2023 page 2 of 2