CPR (Adult, Child, Infant)

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ADULT CPR

These are the steps to perform adult CPR:

Difficulty: Easy

Time Required: CPR should start as soon as possible

Here's How:

1. Attempt to wake victim. If the victim is not breathing (or is just gasping for breath), call 911
immediately and go to step 2. If someone else is there to help, one of you call 911 while the
other moves on to step 2.

If the victim is breathing, see the Tips section at the bottom of this page for what to do.

2. Begin chest compressions. If the victim is not breathing, place the heel of your hand in the
middle of his chest. Put your other hand on top of the first with your fingers interlaced. Compress
the chest at least 2 inches (4-5 cm). Allow the chest to completely recoil before the next
compression. Compress the chest at a rate of at least 100 pushes per minute. Perform 30
compressions at this rate (should take you about 18 seconds).

If you are not trained in CPR, continue to do chest compressions until help arrives or the victim wakes up.

It's normal to feel pops and snaps when you first begin chest compressions - DON'T STOP! You're not
going to make the victim worse.

3. Begin rescue breathing. If you have been trained in CPR, after 30 compressions, open the
victim's airway using the head-tilt, chin-lift method. Pinch the victim's nose and make a seal over
the victim's mouth with yours. Use a CPR mask if available. Give the victim a breath big enough to
make the chest rise. Let the chest fall, then repeat the rescue breath once more. If the chest
doesn't rise on the first breath, reposition the head and try again. Whether it works on the
second try or not, go to step 4.

If you don't feel comfortable with this step, just continue to do chest compressions at a rate of at least
100/minute.

4. Repeat chest compressions. Do 30 more chest compressions just like you did the first time.

5. Repeat rescue breaths. Give 2 more breaths just like you did in step 3 (unless you're skipping the
rescue breaths).

6. Keep going. Repeat steps 4 and 5 for about two minutes (about 5 cycles of 30 compressions and
2 rescue breaths).

If you have access to an automated external defibrillator (AED), continue to do CPR until you can attach it
to the victim and turn it on. If you saw the victim collapse, put the AED on right away. If not, attach it
after approximately one minute of CPR (chest compressions and rescue breaths).

7. After 2 minutes of chest compressions and rescue breaths, stop compressions and recheck victim
for breathing. If the victim is still not breathing, continue CPR starting with chest compressions.

8. Repeat the process, checking for breathing every 2 minutes (5 cycles or so), until help arrives. If
the victim wakes up, you can stop CPR.

Tips:

1. Chest compressions are extremely important. If you are not comfortable giving rescue breaths,
still perform chest compressions!

2. If the victim is breathing, briskly rub your knuckles against the victim's sternum. If the victim does
not wake, call 911.

If the victim wakes up, but is confused or not able to speak, call 911.

3. This is not a substitute for actual CPR training. Find a CPR class and get proper training.

Not every CPR class is the same. There are CPR classes for healthcare professionals as well as CPR classes
for the layperson. Before you take a CPR class, make sure the class is right for you.

4. For more information on these steps go to the Emergency Cardiac Care (ECC) Guidelines from the
American Heart Association.
CHILD CPR (1 – 8 years old)
There is no substitute for proper training. However, emergencies wait for no one. Use these steps to
provide CPR to children 1 to 8 years old.

Time Required: As long as it takes

Here's How:

1. Stay Safe
Children may be infected with contagious diseases. If you are concerned about possible exposure
to contagious disease, practice universal precautions and wear personal protective equipment, if
available.

2. Try to Wake the Child


Gently tap or shake the child's shoulders and call out his or her name in a loud voice. Don't hurt
the child, but be aggressive -- you're trying to wake her up.

If the child does not wake up, have someone call 911 immediately. If no one else is available to call 911
and the child is not breathing, continue to step 3 and do CPR for about 2 minutes before calling 911.

3. Begin chest compressions


If the child is not breathing, put one hand on the breastbone directly between the child's nipples.
Push straight down about 2 inches -- or about a third of the thickness of the child's chest -- and
then let the chest all the way back up. Do that 30 times, about twice per second.

If you've been trained in CPR and you remember how to give rescue breaths, go to step 4. If not, just
keep doing chest compressions and go to step 5.

4. Give the child two breaths


After pushing on the chest 30 times, cover the child's mouth with your mouth and pinch his nose
closed with your fingers. Gently blow until you see his chest rise. Let the air escape -- the chest
will go back down -- and give one more breath.

If no air goes in when you try to blow, adjust the child's head and try again. If that doesn't work, then
skip it and go back to chest compressions (step 3), you can try rescue breaths again after 30 more
compressions.

5. Keep doing CPR and call 911 after 2 minutes


If you are by yourself, keep doing CPR for 2 minutes (about 5 groups of compressions) before
calling 911. If someone else is there or comes along as you are doing CPR, have that person call
911. Even if the child wakes up, you need to call 911 any time you had to do CPR.

Once 911 has been called or you have someone else calling, keep doing CPR. Don't stop until help arrives
or the child wakes up.

Tips:

1. When checking for breathing, if you're not sure then assume the child isn't breathing. It's much
worse to assume a kid is breathing and not do anything than to assume he or she isn't and start
rescue breaths.

2. When giving rescue breaths, using a CPR mask helps with making a proper seal and keeps vomit
out of the rescuer's mouth.

3. Put a book under the child's shoulders -- if you have time -- to help keep his or her head tilted
back.

4. When asking someone else to call 911, make sure you tell them why they are calling. If not, they
may not tell the 911 dispatcher exactly what's going on. If the dispatcher knows a child isn't
breathing or responding, the dispatcher may be able to give you instructions to help. If you call
911, be calm and listen carefully.
INFANT CPR (Babies under a year old)

There is no substitute for proper training. However, emergencies wait for no one. Use these steps to
provide CPR to babies under 1 year old.

Time Required: As long as it takes

Here's How:

1. Stay Safe
Children may be infected with contagious diseases. If you are concerned about possible exposure
to contagious disease, practice universal precautions and wear personal protective equipment, if
available.

2. Try to wake the infant


Really little babies respond well having the soles of their feet rubbed or tapped. For infants more
than 2 months old, tap their shoulder or chest. In either case, call out his name in a loud voice.
Don't hurt the baby but be aggressive; you're trying to wake him up.

If the infant does not wake up, have someone call 911 immediately. If no one else is available to call 911
and the baby is not breathing, continue to step 3 and do CPR for about 2 minutes before calling 911.

3. Begin chest compressions


If the baby is not breathing, put two fingers on the breastbone directly between the baby's
nipples. Push straight down about an inch and a half -- or about a third of the thickness of the
baby's chest -- and then let the chest all the way back up. Do that 30 times, about twice per
second.

If you've been trained in CPR and you remember how to give rescue breaths, go to step 4. If not, just
keep doing chest compressions and go to step 5.

4. Give the baby two breaths


After pushing on the chest 30 times, cover the baby's entire mouth and nose with your mouth
and gently blow until you see his or her chest rise. Let the air escape -- the chest will go back
down -- and give one more breath.

If no air goes in when you try to blow, adjust the baby's head and try again. If that doesn't work, then
skip it and go back to chest compressions (step 3), you can try rescue breaths again after 30 more
compressions.

5. Keep doing CPR and call 911 after 2 minutes


If you are by yourself, keep doing CPR for 2 minutes (about 5 groups of compressions) before
calling 911. If someone else is there or comes along as you are doing CPR, have that person call
911. Even if the baby wakes up, you need to call 911 any time you had to do CPR.

Once 911 has been called or you have someone else calling, keep doing CPR. Don't stop until help arrives
or the baby wakes up.

Tips:

1. When checking for breathing, if you're not sure then assume the baby isn't breathing. It's much
worse to assume a baby is breathing and not do anything than to assume he or she isn't and start
CPR.

2. Put a book under the baby's shoulders -- if you have time -- to help keep his head tilted back.

3. When asking someone else to call 911, make sure you tell them why they are calling. If not, they
may not tell the 911 dispatcher exactly what's going on. If the dispatcher knows the baby isn't
breathing or responding, the dispatcher may be able to give you instructions to help.

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