Center for Professional Practice of Nursing CPR Guidelines for ...

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Center for Professional Practice of NursingCPR Guidelines for Health-Care ProvidersCPR GUIDELINES FOR ADULTSASSESSUnresponsive: No breathing or no normal breathing (only gasping)Activate the EMS (call 911). Get the AED if available and return tothe victimIf second rescuer is available send them to get help and the AEDCheck Pulse: Check the victim's pulse at the carotid artery for nomore than 10 secondsDELIVER HIGH QUALITY CPRStart compressions within 10 seconds of identifying cardiacarrestCompress chest at least 2 inches, 30 times on the lower half ofthe breastboneoCompress 2-handed, with one hand on top of the otherCompress at a rate of at least 100 compressions per minuteoEach set of 30 compressions should take 18 seconds or lessAllow complete chest recoil after each compressionMinimize interruptions in chest compressions to less than 10secondsCPR ratio is 30 compressions to 2 breathsoRatio stays the same for one-person & two-person CPRIn two-person CPR the rescuers should change positions afterevery 2 minutes6/15/2011
GUIDELINES FOR ADULTSCenter for Professional Practice of NursingCPR Guidelines for Health-Care ProvidersPROVIDE EFFECTIVE BREATHSOpen the victim’s airway. Use the appropriate technique to openthe airwayooHead Tilt-Chin Lift: tilt the head back and lift the chinJaw Thrust: If a head or neck injury is suspectedDeliver each rescue breath over 1 secondThe victim’s chest should rise with each breathAvoid excessive ventilationUse bag-valve mask or barrier device if availableOnce an advanced airway is placed, continuous compressions arepreformed without pause for ventilation. Ventilations aredelivered at a rate of 1 breath every 6-8 secondsIf there is a pulse and the victim is not breathing:Provide rescue breathing: 1 breath every 5-6 seconds(10-12 breaths/minute)CONTINUE HIGH QUALITY CPRContinue cycles of compressions and ventilation at a ratio of 30:2Healthcare Providers should rotate compressors every 2 minutesAttach and use AED as soon as availableMinimize interruptions in chest compressionso Limit to less than 10 secondsHealth care providers continue effective chest compressions/CPRuntil return of spontaneous circulation (ROSC) or termination ofresuscitative efforts6/15/2011
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