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Cardiopulmonary Resuscitation (CPR)
Based on the European Resuscitation Council (ERC) Guidelines
2010/2011: cprguidelines.eu
What is CPR?
> Cardiopulmonary Resuscitation (CPR) is a first aid technique to
help people who suffer a “cardiac arrest” (their heart stops beating).
> It involves doing chest compressions and rescue breaths to
keep the casualty alive until a defibrillator arrives.
> A defibrillator is an electrical device which can be used to help
restart someone’s heart.
> CPR on its own is unlikely to restart someone’s heart, however it
will increase the chance of a defibrillator being successful.
Stratford Upon Avon First Aid
Patient assessment
If you find someone
collapsed, you can
use the mnemonic
“DR ABC” to help
you remember what
to do
Stratford Upon Avon First Aid
D: Danger
> Ensure there are no dangers to yourself,
other bystanders or the casualty
> Ask yourself - why has the casualty
collapsed? Are there any hazards? Am I at risk?
> Dangers could include: moving vehicles,
electricity, water, other people and smoke/fire
> Only help if it is safe to do so
Stratford Upon Avon First Aid
R: Response
> Try and wake the casualty up - are they
responsive?
> Kneel by his/her head, shout loudly in
both ears and tap them on the shoulders
> If no response, the casualty is
unconscious
Stratford Upon Avon First Aid
At this point…
> If a casualty does not wake up they are
unconscious.
> This is an emergency situation
> Try and attract attention to yourself/the
casualty by shouting for help
> However, do not leave the casualty
Stratford Upon Avon First Aid
A: Airway
> The airway is the tube which takes air
from the mouth/nose to the lungs
> When a casualty is unconscious, their
tongue can fall backwards and block their
airway.
> This can cause an obstruction and stop
the casualty from breathing
Stratford Upon Avon First Aid
A: Airway (2)
> To open someone’s airway, place one
hand on their forehead and tilt their head
backwards
> Then place two fingers on the bony part
of their chin and lift it.
> This is known as the “head tilt, chin lift”
maneuver.
Stratford Upon Avon First Aid
Stratford Upon Avon First Aid
B: Breathing
> Keep your hands on the person’s head/chin
> Place your cheek above their mouth and look at their
chest
> Look, listen and feel for regular breathing for up to
10 seconds.
Irregular shallow gasps is not normal breathing. This is
a phenomenon known as ‘agonal breathing’ and should
be treated as not breathing
Stratford Upon Avon First Aid
C: Call an ambulance
> If a casualty is not breathing normally,
call an emergency ambulance
immediately
> If a bystander is available, they can call
the ambulance for you
> Ensure you tell the operator that you
have an unconscious, non-breathing
casualty.
Stratford Upon Avon First Aid
Adult CPR
> After an ambulance has been called, you
should commence CPR.
> First, you should give 30 chest compressions
> Place your hands in the centre of the person’s
chest, over the breastbone (sternum)
> Interlock your fingers
> Push down 30 times at a rate of 100 - 120
compressions / minute
Stratford Upon Avon First Aid
Chest compressions
Ensure your elbows
are locked and your
shoulders positioned
above the chest
Push down to a depth
of about 5cm
Ensure you release
fully after each
compression
Stratford Upon Avon First Aid
Rescue breaths
> After 30 chest compressions, give 2
rescue breaths.
> Tilt the casualty’s head backwards, life
their chin and then pinch their nose
> Make a seal over their mouth and
breath in for approximately one second
Stratford Upon Avon First Aid
Adult CPR
> Continue the cycle of 30 chest
compressions to 2 rescue breaths until
help arrives
> If there is more than one first aider,
swap over doing chest compressions
regularly
> If a defibrillator arrives it should be used
immediately
Stratford Upon Avon First Aid
Chain of Survival
Stratford Upon Avon First Aid
CPR is a key part of the Chain of Survival. The chain of
survival describes the links which give the best chance of
survival to a patient in cardiac arrest
Watch this video
The video next is a real life resuscitation
captured on TV for the series Bondi Rescue.
It shows lifeguards successful resuscitating a
swimmer and using a defibrillator.
The protocols in the video are slightly different
to what we’ve covered, however the general
idea is the same!
Stratford Upon Avon First Aid
Watch this video
Stratford Upon Avon First Aid
Summary
> Danger
> Response
> Airway
> Breathing
> Call an ambulance
Stratford Upon Avon First Aid

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Cardiopulmonary resuscitation (cpr)

  • 1. Cardiopulmonary Resuscitation (CPR) Based on the European Resuscitation Council (ERC) Guidelines 2010/2011: cprguidelines.eu
  • 2. What is CPR? > Cardiopulmonary Resuscitation (CPR) is a first aid technique to help people who suffer a “cardiac arrest” (their heart stops beating). > It involves doing chest compressions and rescue breaths to keep the casualty alive until a defibrillator arrives. > A defibrillator is an electrical device which can be used to help restart someone’s heart. > CPR on its own is unlikely to restart someone’s heart, however it will increase the chance of a defibrillator being successful. Stratford Upon Avon First Aid
  • 3. Patient assessment If you find someone collapsed, you can use the mnemonic “DR ABC” to help you remember what to do Stratford Upon Avon First Aid
  • 4. D: Danger > Ensure there are no dangers to yourself, other bystanders or the casualty > Ask yourself - why has the casualty collapsed? Are there any hazards? Am I at risk? > Dangers could include: moving vehicles, electricity, water, other people and smoke/fire > Only help if it is safe to do so Stratford Upon Avon First Aid
  • 5. R: Response > Try and wake the casualty up - are they responsive? > Kneel by his/her head, shout loudly in both ears and tap them on the shoulders > If no response, the casualty is unconscious Stratford Upon Avon First Aid
  • 6. At this point… > If a casualty does not wake up they are unconscious. > This is an emergency situation > Try and attract attention to yourself/the casualty by shouting for help > However, do not leave the casualty Stratford Upon Avon First Aid
  • 7. A: Airway > The airway is the tube which takes air from the mouth/nose to the lungs > When a casualty is unconscious, their tongue can fall backwards and block their airway. > This can cause an obstruction and stop the casualty from breathing Stratford Upon Avon First Aid
  • 8. A: Airway (2) > To open someone’s airway, place one hand on their forehead and tilt their head backwards > Then place two fingers on the bony part of their chin and lift it. > This is known as the “head tilt, chin lift” maneuver. Stratford Upon Avon First Aid
  • 10. B: Breathing > Keep your hands on the person’s head/chin > Place your cheek above their mouth and look at their chest > Look, listen and feel for regular breathing for up to 10 seconds. Irregular shallow gasps is not normal breathing. This is a phenomenon known as ‘agonal breathing’ and should be treated as not breathing Stratford Upon Avon First Aid
  • 11. C: Call an ambulance > If a casualty is not breathing normally, call an emergency ambulance immediately > If a bystander is available, they can call the ambulance for you > Ensure you tell the operator that you have an unconscious, non-breathing casualty. Stratford Upon Avon First Aid
  • 12. Adult CPR > After an ambulance has been called, you should commence CPR. > First, you should give 30 chest compressions > Place your hands in the centre of the person’s chest, over the breastbone (sternum) > Interlock your fingers > Push down 30 times at a rate of 100 - 120 compressions / minute Stratford Upon Avon First Aid
  • 13. Chest compressions Ensure your elbows are locked and your shoulders positioned above the chest Push down to a depth of about 5cm Ensure you release fully after each compression Stratford Upon Avon First Aid
  • 14. Rescue breaths > After 30 chest compressions, give 2 rescue breaths. > Tilt the casualty’s head backwards, life their chin and then pinch their nose > Make a seal over their mouth and breath in for approximately one second Stratford Upon Avon First Aid
  • 15. Adult CPR > Continue the cycle of 30 chest compressions to 2 rescue breaths until help arrives > If there is more than one first aider, swap over doing chest compressions regularly > If a defibrillator arrives it should be used immediately Stratford Upon Avon First Aid
  • 16. Chain of Survival Stratford Upon Avon First Aid CPR is a key part of the Chain of Survival. The chain of survival describes the links which give the best chance of survival to a patient in cardiac arrest
  • 17. Watch this video The video next is a real life resuscitation captured on TV for the series Bondi Rescue. It shows lifeguards successful resuscitating a swimmer and using a defibrillator. The protocols in the video are slightly different to what we’ve covered, however the general idea is the same! Stratford Upon Avon First Aid
  • 18. Watch this video Stratford Upon Avon First Aid
  • 19. Summary > Danger > Response > Airway > Breathing > Call an ambulance Stratford Upon Avon First Aid