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Table of comparison for performing CPR for adult, child, infant, and pregnant women

Objectives Actions

Adult (over 8 yrs.) Child (1 to8 yrs.)

Infant (under 1 yr.) Pregnant

A. Airway 1. Assessment:

Determineunresponsiveness

Tap or gently shake shoulder.

Say, Are you okay? Observe Say, Are you okay?

2. Get help Call out Help!

3. Position thevictim

Turn on back as a unit, supporting head and neck if necessary (4-10 seconds)

4. Open theairway

Head-tilt/chin-lift

B. Breathing

5. Assessment:Determine

breathlessness

Maintain open airway. Place ear over mouth, observing chest. Look, listen, feelfor breathing. (3-5 seconds)

6. Give 2 rescuebreaths

Maintain open airway.

Seal mouth to mouth Mouth tonose/mouth

Seal mouth to mouth

Give 2 rescue breaths, 1 to 1 seconds each. Observe chest rise. Allow lungdeflation between breaths.

7. Option forobstructedairway

Reposition victims head. Try again to give rescue breaths

Activate the EMS system.

a. Give 6-10subdiaphragmatic

abdominal thrusts (theHeimlich maneuver).

Give 4 back blows. Consider chest thrustsif the victim is in the

late stages ofpregnancy.

Give 4 chest thrusts.

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b. Tongue-jawlift andfingersweep

Tongue-jaw lift, but finger sweeponly if you see a foreign object.

Tongue-jaw lift andfinger sweep

If unsuccessful, repeat a, c and d until successful.C. Circulatio

n8. Assessment:

Determinepulselessness.

Feel for carotid pulse with onehand; maintain head-tilt with the

other. (5-10 seconds)

Feel for the brachialpulse; keep head-

tilt.

Feel for carotid pulsewith one hand; maintainhead-tilt with the other.

(5-10 seconds)

9. Activate EMSsystem.

Is someone responded to the call for help, send them to activate the EMSsystem.

Begin chestcompressions:

10. Landmarkcheck

11. Hand position

12. Compressionrate

Run middle finger along bottomedge of rib cage to notch at

center (tip of sternum).

Imagine a linedrawn between the

nipples.

Run middle finger alongbottom edge of rib cageto notch at center (tip of

sternum).Place index finger next to finger

on notch:Place 23 fingers

on sternum, 1fingers width below

line.Depress - 1 in.

Heel of one hand onsternum in center of

chest, between nipples.

Second hand on top offirst with hands

overlapped and parallel

Two hands next to

index finger.Depress 1 - 2 in.

Heel of one

hand nextto indexfinger.

Depress 1-1 in.

80-100 per minute At least 100 perminute

80-100 per minute

CPR Cycles 13. Compressionsto breaths.

2 breaths to every15 compressions.

1 breath to every 5 compressions 2 breaths to every 15compressions.

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