Cardiac Arrest and CPR. Presence Regional EMS February 2014 BLS CE. Objectives. Review the steps to performing quality CPR. Demonstrate techniques of quality CPR. Using a variety of scenarios demonstrate the use of an AED.
Presence Regional EMS
February 2014 BLS CE
Assess compression effectiveness if CPR is in progress. If the patient is unresponsive and CPR has not been started, begin providing chest compressions and rescue breaths at a ratio of 30 compressions to 2 breaths, continuing until an AED arrives and is ready for use.
Turn on the AED. Apply the AED pads to the chest and attach the pads to the AED. Stop CPR.
Verbally and visually clear the patient. Push the Analyze button, if there is one. Wait for the AED to analyze the cardiac rhythm. If no shock is advised, perform five cycles (2 minutes) of CPR and then reanalyze the cardiac rhythm. If a shock is advised, recheck that all are clear, and push the Shock button. After the shock is delivered, immediately resume CPR beginning with chest compressions.
After five cycles (2 minutes) of CPR, reanalyze the cardiac rhythm. Do not interrupt chest compressions for more than 10 seconds.
If shock is advised, clear the patient, push the Shock button, and immediately resume CPR. If no shock is advised, immediately resume CPR. Transport, and contact medical control as needed.
Compress the chest one third the anterior-posterior diameter of the chest at a rate of at least 100 times/min. Coordinate compressions with ventilations in a 30:2 ratio (one rescuer) or 15:2 (two rescuers), pausing for ventilations.
Place the heel of one or both hands in the center of the chest, in between the nipples, avoiding the xiphoid process.
Position the infant on a firm surface while maintaining the airway. Place two fingers in the middle of the sternum just below a line between the nipples.
Use two fingers to compress the chest one third to one half its depth at a rate of at least 100 per minute. Allow the sternum to return to its normal position between compressions.
Use of adult dose is better than no attempt at defibrillation!