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CPR 2

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How is CPR Performed?

There are two commonly known versions of CPR:

1. For healthcare providers and those trained: conventional CPR using chest compressions and mouth-to-mouth breathing at a ratio
of 30:2 compressions-to-breaths. In adult victims of cardiac arrest, it is reasonable for rescuers to perform chest compressions at
a rate of 100 to 120/min and to a depth of at least 2 inches (5 cm) for an average adult, while avoiding excessive chest
compression depths (greater than 2.4 inches [6 cm]).
2. For the general public or bystanders who witness an adult suddenly collapse: compression-only CPR, or Hands-Only CPR.
Hands-Only CPR is CPR without mouth-to-mouth breaths. It is recommended for use by people who see a teen or adult suddenly
collapse in an out-of-hospital setting (such as at home, at work, or in a park).

CPR STEP-BY-STEP
There are two main stages to CPR: the preparation stage and the CPR stage.

Preparation steps

Before performing CPR on an adult, use the following preparation steps:


Step 1. Call 911
1. First, check the scene for factors that could put you in danger, such as traffic, fire, or falling masonry. Next, check
the person. Do they need help? Tap their shoulder and shout, “Are you OK?”
2. If they are not responding, call 911 or ask a bystander to call 911 before performing CPR. If possible, ask a bystander
to go and search for an AED machine. People can find these in offices and many other public buildings.

Step 2. Place the person on their back and open their airway
1. Place the person carefully on their back and kneel beside their chest. Tilt their head back slightly by lifting their chin.
2. Open their mouth and check for any obstruction, such as food or vomit. Remove any obstruction if it is loose. If it is
not loose, trying to grasp it may push it farther into the airway.

Step 3. Check for breathing


1. Place your ear next the person’s mouth and listen for no more than 10 seconds. If you do not hear breathing, or you
only hear occasional gasps, begin CPR.
2. If someone is unconscious but still breathing, do not perform CPR. Instead, if they do not seem to have a spinal
injury, place them in the recovery position.
3. Keep monitoring their breathing and perform CPR if they stop breathing.

Use the following steps to perform CPR:

Step 4. Perform 30 chest compressions


1. Place one of your hands on top of the other and clasp them together.
With the heel of the hands and straight elbows, push hard and fast in the
center of the chest, slightly below the nipples.
2. Push at least 2 inches deep. Compress their chest at a rate of least 100
times per minute. Let the chest rise fully between compressions.

Step 5. Perform two rescue breaths


1. Making sure their mouth is clear, tilt their head back slightly and lift their
chin. Pinch their nose shut, place your mouth fully over theirs,
and blow to make their chest rise.
2. If their chest does not rise with the first breath, retilt their head. If
their chest still does not rise with a second breath, the person
might be choking.
Step 6. Repeat
1. Repeat the cycle of 30 chest compressions and two rescue breaths until the person starts breathing or help arrives. If an AED
arrives, carry on performing CPR until the machine is set up and ready to use.

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