CPR Adult and Infant Older Child CPR (I year old to (Less than one (Puberty and puberty) year old) Establish Consider/call for additional resources Unresponsiveness Open the Airway Head tilt chin lift (suspected spinal trauma: Jaw thrust) – Open the airway- look, listen and feel. Check Breathing Take at least 5 seconds and no more than 10 seconds Give 2 breaths 2 breaths (1 second each) Brachial Pulse (if Carotid Pulse (if no no pulse or pulse Check Pulse Carotid Pulse pulse or pulse < 60 < 60 bpm with (if no pulse, bpm with signs of At 5 seconds and of poor start chest poor perfusion, no more than 10 perfusion, start compressions) start chest seconds chest compressions) compressions Start CPR Just below nipple Compression • Center of breastbone between nipples line on location breastbone 2 fingers Compression Heel of 1 hand, other on top (thumb-encircling • depth (or 1 hand for small patients) for 2- person) Compression • 1 ½ to 2 inches 1/3 to ½ depth of chest depth Compression rate 100 per minute ● Compression- • 30:2 15:2 ventilation ratio Discontinuation of CPR Do not attempt Resuscitation Determination of Field Death Procedure: ALS/BLS Treatment: CPR may be discontinued without Base Station contact and the patient determined to be dead for the following reasons ONLY IF: 1. Upon further examination it is determined that the patient meets the of Death Criteria” and CPR was initiated prior to this discovery. “Determination a. Field EMS providers may declare apparent death but may not pronounce death. Once CPR has been initiated and there is no favorable response,
CPR CPR Adult and Older Child (Puberty and (I year old to puberty) Infant (Less than one year old) Establish Unresponsiveness Consider/call for additional resources Open the Airway Head tilt – chin lift (suspected spinal trauma: Jaw thrust) Check Breathing Open the airway- look, listen and feel. Take at least 5 seconds and no more than 10 seconds 2 breaths Give 2 breaths (1 second each) Check Pulse At 5 seconds and no more than 10 seconds Carotid Pulse (if no pulse, start chest compressions) Carotid Pulse (if no pulse or pulse < 60 bpm with signs of poor perfusion, start chest compressions) Brachial Pulse (if no pulse or pulse < 60 bpm with of poor perfusion, start chest compressions Start CPR • Compression location Center of breastbone between nipples Just below nipple line on breastbone • Compression depth Heel of 1 hand, other on top (or 1 hand for small patients) 2 fingers (thumb-encircling for 2- person) • Compression depth 1 ½ to 2 inches 1/3 to ½ depth of chest ● Compression rate 100 per minute • Compression- ventilation ratio 30:2 15:2 Discontinuation of CPR Do not attempt Resuscitation Determination of Field Death Procedure: ALS/BLS Treatment: CPR may be discontinued without Base Station contact and the patient determined to be dead for the following reasons ONLY IF: 1. Upon further examination it is determined that the patient meets the “Determination of Death Criteria” and CPR was initiated prior to this discovery. a. Field EMS providers may declare apparent death but may not pronounce death. Once CPR has been initiated and there is no favorable response,
2012_lc_ems_protocols.docx