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Cardiopulmonary Resuscitation (CPR)

Clinical Indications:

    Basic life support for the patient in cardiac arrest

Procedure:

    1. Assess the patient for a pulse (no longer than 10 seconds)

    2. If no pulse immediately begin chest compressions of at least 100/min. CPR sequence should be CAB (Circulations/Airway/Breathing). Compression depth for an adult should be at least 2 inches, Child 1/3 AP diameter about 2 inches, Infant 1/3 AP diameter about 1 1/2 inches.

    3. Open the patient's airway with the head-tilt, chin-lift. 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 for opening the airway.

    4. Compression to ventilation ration (until advanced airway is placed) Adult 1 or 2 rescuers 30:2, Child and Infant single rescuer 30:2 and when 2 rescuers are available 15:2.

    5. Go to Cardiac Arrest Procedure.

    6. Chest compressions should be provided in an uninterrupted manner and the rescuer should allow for complete chest recoil between compressions. Only brief interruptions are allowed for rhythm analysis, defibrillation, and performance of procedures and shuld be limites to

    7. Once an advanced airway is in place provide no more than 8-10 breaths per minute with the BVM. 1 Breath should be given every 6-8 seconds and each breath should be no longer than 1 second. Use EtCO2 to guide your ventilations as directed in the Cardiac Arrest Protocol.

    8. Document the time and procedure in the Patient Care Report (PCR).

Certification Requirements:

    Maintain knowledge of the indications, contraindications, technique, and possible complications of the procedure. Assessment of this knowledge may be accomplished via quality assurance mechanisms, classroom demonstrations, skills stations, or other mechanisms as deemed appropriate by the local EMS System.

Please see the https://eccguidelines.heart.org/wp-content/uploads/2015/09/BLS-Adult-Cardiac-Arrest-Algorithm---2015-Update.png for additional information

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