This document provides guidelines for cardiopulmonary resuscitation (CPR). It discusses: 1) CPR techniques for adults, children, and infants with an emphasis on high quality compressions that are started within 10 seconds of arrest, are at least 100 compressions per minute for adults and children or 120 for infants, and are at least 5 inches deep for adults or 1/3 the depth of the chest for children and infants. 2) The routine use of cricoid pressure during CPR is no longer recommended and pulse checks should be limited to 5-10 seconds with compressions started if any doubt about a pulse. 3) For infants, manual CPR is preferred to automated CPR from

1. DR. MAY AMR MUHAMMAD
Master Cardiology, Ain Shams University
AHA FA, BLS, ACLS Instructor
CPHQ
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2. 1. ADULT.
2. CHILD.
3. INFANT.
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3. ADULT PEDIATRIC
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4. C
•Chest Compressions
A
•Airway
B
•Breathing
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5.  2- Emphasis on High Quality CPR:
I. START within 10 sec. of arrest recognition.
II. PUSH HARD: Compression rate AT LEAST
100/ min.
III. PUSH FAST: Compression depth AT LEAST 5
inches in adults, (5 cm in children and 4 cm
in infants or 1/3 of the AP chest diameter).
IV. ALLOW COMPLETE CHEST RECOIL.
V. Minimize interruptions.
VI. Give effective breaths.
VII. Avoid excessive ventilations.
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6.  3- The routine use of cricoid pressure is no
more recommended.
 4- No Look, Listen, and Feel .
 5- De- emphasis on the pulse check (from 5-
10 sec only and if any doubt start chest
compressions).
 6-Use of AED for infants:
1. Manual is preferred than Automated.
2. If not available use the pediatric dose attenuator.
3. If not available use the Adult AED.
 7- Team Approach to CPR.
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7. 7
Check response
Activate EMS and Ask for AED
Scan for breathing and check
central pulse.
Start Chest Compressions (2min.)

8. ADULT PEDIATRIC
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9. 9

10. ADULT PEDIATRIC
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11. Hand & Body Position. Don’t Forget.
I. START within 10 sec. of
arrest recognition.
II. PUSH HARD: Compression
rate of 100 -120/ min.
III. PUSH FAST: Compression
depth of 5-6 cmin adults,
(5 -6 cm in children and
4-5 cm in infants or 1/3
of the AP chest diameter).
IV. ALLOW COMPLETE CHEST
RECOIL.
V. Minimize interruptions.
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12. CHILD INFANT
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13. I. Open Airway (Head Tilt – Chin Lift / Jaw
Thrust).
II. Give Breath (Mouth to Barrier/ Mouth to
mouth).
III. Use of airway Adjuvant.
IV. Use of Advanced Airways.
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14. Power Button. Power Automatically.
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15. ADULT PEDIARTIC
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16. 1- Hairy Chest. 2- Water.
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17. 3-Transdermal Drugs. 4- Implanted PM & ICDs.
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