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disaster 5th 1108_5th ed 2011 - Homeland Security and Emergency ...

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CARDIAC ARREST (GIVING CPR)<br />

Main thing is do compressions to keep blood moving until help arrives!<br />

Things to watch for…<br />

Not responding or pass<strong>ed</strong> out<br />

Not breathing <strong>and</strong> no pulse<br />

Broken bones or chest, head, neck or spine injuries<br />

What to do…<br />

• Yell for help. Send someone to call 9-1-1 <strong>and</strong> get an AED<br />

• Take about 5-10 seconds to check for pulse <strong>and</strong> breathing.<br />

If no pulse or normal breathing is detect<strong>ed</strong>, begin CPR:<br />

Note: CPR steps are now C-A-B = Compressions-Airway-Breathing<br />

Circulation; Perform Chest Compressions<br />

• Find h<strong>and</strong> position in center of chest over breastbone<br />

– see illustrations on next 3 pages...<br />

FOR ADULTS – [see illustration 3-1 on page 190]<br />

FOR CHILDREN – [see illustration 3-2 on page 191]<br />

FOR INFANTS – [see illustration 3-3 on page 192]<br />

• Begin chest compressions (at least 100 compressions per<br />

minute) using the following guidelines:<br />

ADULTS – Using both h<strong>and</strong>s, compress chest 30 times.<br />

CHILDREN – Using one h<strong>and</strong>, compress chest 30 times.<br />

INFANTS – Using 2 fingers, compress chest 30 times.<br />

• Allow chest to recoil completely after each compression.<br />

Airway; Open Airway<br />

• Tilt head all the way back <strong>and</strong> lift chin. (Be careful with<br />

child’s or infant’s head… just tilt a little bit!)<br />

• Maintain airway<br />

Breathing; Breaths<br />

• Give victim 2 breaths (1 second each). If not comfortable<br />

giving rescue breaths or have trouble making chest rise<br />

within 10 seconds, keep doing compressions. Push hard &<br />

push fast to keep blood moving through victim!<br />

• Repeat 30 chest compressions (<strong>and</strong> 2 breaths, if doing)<br />

until an AED or m<strong>ed</strong>ical help arrives or victim recovers.<br />

• If victim recovers (starts breathing or pukes <strong>and</strong> pulse<br />

resumes), turn victim onto their side to keep airway open.<br />

www.itsa<strong>disaster</strong>.net or call 1-888-999-4325<br />

189

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