2015 Trumbull Memorial Hospital Demo

CPR

CPR

Indications: Pulseless patients who do not meet CCR or obvious death criteria.  Children  Respiratory Etiology  Overdose  Trauma

 Drowning  Obstetrical

Steps

Performed? Yes No

Component

Recommendations

Adults

Children

Infants

Unresponsive Adults

No breathing or no normal breathing (i.e., gasping)

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Recognition

No palpated pulse within 5-10 seconds

C-A-B (Circulation-Airway-Breathing)

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CPR Sequence

100-120/minute

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Compression Rate

2-2.4 inches

At least 1/3 AP diameter (2 inches)

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Compression Depth

Allow complete recoil between compressions Rotate compressors every 2 minutes Minimize interruptions in chest compressions Attempt to limit interruptions to < 10 seconds

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Chest Wall Recoil

Compression Interruptions

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Passive oxygen insufflation with NRB at 100% FiO2

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Airway

30:2 Single Rescuer 15:2 2 Rescuers

Compression to Ventilation Ratio (until advanced airway is placed)

30:2 1 or 2 Rescuers

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1 breath every 6-8 seconds, asynchronous with compressions About 1 second per breath – visible chest rise Attach and use defibrillator or AED as soon as available. Minimize interruptions in chest compressions before and after shock. Resume compressions immediately after each shock.

Ventilation with Advanced Airway

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Defibrillation

124

EMR

EMT

AEMT

Paramedic

Extended