Page 123 - Demonstrating skill coppysaved colored-converted

If breathing is not present, begin rescue breathing by giving two slow breaths: pinch
nose and cover the mouth with yours and blow until you see the chest rise. Give 2
breaths.
Time: each breath should take 1.5 sec and watch for chest rise and allow time for
exhalation.
Volume: sufficient volume. No large volume or forceful breathing.
Circulation
Assessment of pulseless (5-10 seconds) check the carotid
If the pulse is absent begin external chest compressions
A landmark for compression is not to be used; that is as follows:
 Run your index and middle fingers along the lower rib cage until the middle finger
reaches the notch (xiphoid process). The index finger is placed next to the middle finger.
 The heel of the same hand is placed next to the point where the index finger was located.
(One hand can be used.)
 Lock your elbows into position, the arms are straightened and shoulders directly over the
victim's sternum. Keep the heel of your hand lightly in contact with the chest during the
relaxation phase chest compression to maintain the correct hand position.

 Push hard- push fast without any interruption
 Rate of compression: 100 per minute
 Depth of compression: 1/2 -1 inch the depth of the chest
 Compression /ventilation ration: 30:2
 The compression/relaxation cycle should be equal

5. Reassess
 After 5 cycles of compressions and 6 cycles of ventilation (30:2), check for the return of
carotid pulse and spontaneous breathing
 According to the findings (after 2 minutes):
 There is the pulse – place in the recovery position carefully; monitor vital signs until
EMS arrives.
 There is a pulse but no breathing: continue rescue breathing every 3-5 seconds (12-20
breaths per minute). Recheck pulse every 2 minutes.
 No pulse or breathing continues CPR 30:2. , until provider arrives
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