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CPR

2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science

Chain of Survival

The links in this Chain are:
  1. Immediate recognition and activation
  2. early CPR, rapid defibrillation
  3. effective advanced life support
  4. integrated post-cardiac arrest care.

 

 
TableSummary of Key BLS Components for Adults, Children and Infants
 
 

Recommendations

Component

Adults

Children

Infants

Recognition

Unresponsive (for all ages)

No breathing, not breathing normally (eg, only gasping)

No breathing or only gasping

No pulse palpated within 10 seconds (HCP Only)

CPR Sequence

CAB

CAB

CAB

Compression Rate

At least 100/min

Compression Depth

At least 2 inches (5 cm)

At least 1/3 AP Depth About 2 inches (5 cm)

At least 1/3 AP Depth About 1 Formulainches (4 cm)

Chest Wall Recoil

Allow Complete Recoil Between Compressions HCPs Rotate Compressors Every 2 minutes

Compression Interruptions

Minimize Interruptions in Chest Compressions Attempt to limit interruptions to less than 10 seconds

Airway

Head tilt-chin lift (HCP suspected trauma: jaw thrust)

Compression to Ventilation Ratio (until advanced airway placed)

30:2 (1 or 2 rescuers)

30:2 Single Rescuer 15:2 2 HCP Rescuers

30:2 Single Rescuer 15:2 2 HCP Rescuers

Ventilations: When rescuer Untrained or Trained and Not Proficient

Compressions Only

Ventilations with advanced airway (HCP)

1 breath every 6–8 seconds (8–10 breaths/min) Asynchronous with chest compressions About 1 second per breath Visible Chest Rise

Defibrillation

Attach and use AED as soon as available. Minimize interruptions in chest compressions before and after shock, resume CPR beginning with compressions immediately after each shock





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