CPR

1. Determine unresponsiveness

a. shake and shout "are you okay?"

b. call for help

2. Position the client, if no evidence of trauma (if trauma, see section III of this lesson)

3. Open the airway

a. head-tilt, chin lift

b. jaw thrust (if spinal injury suspected)

4. Assess for breathing: look, listen and feel

5. Give rescue breaths

a. assess if breaths go into lungs by chest movement

b. if air does not go in, reposition airway (see #3 above)

c. if air still does not go in, check for foreign body

i. abdominal thrust (Heimlich manueuver) (illustration 1
illustration 2
)

ii. do not proceed until airway and rescue breathing established

a. when airway is clear, check for abscence of pulse

b. begin chest compressions

i. be sure client is on a firm surface

ii. hand position is critical

· two finger-widths above xiphoid

· lower one-half of sternum

i. for adult, 1.5 to 2 inch compression depth

ii. two rescuers, 80 to 100 compressions per minute

iii. one rescuer, 80 compressions per minute

a. alternate compressions and breaths

i. one and two rescuers, 15 compressions to two breaths

b. reassess cardiopulmonary status after one minute and every few minutes thereafter