Cardio-Pulmonary Resuscitation Instructions · perform CPR until an Automatic External Defibrillator (AED) is available for use. This manual will provide you with the steps and procedures

Cardio-Pulmonary Resuscitation Instructions

Prepared By:

Amanda Rock

Ondria Arias

Dillion Blackshare

Table of Contents iii

Table of Contents Table of Contents ......................................................................................................................................... iii

Introduction to Cardio Pulmonary Resuscitation Instructions ...................................................................... v

Materials Needed to Perform CPR and the Abdominal Thrust ..................................................................... 1

Preparation Page ........................................................................................................................................... 3

Cardiopulmonary Resuscitation: Adult ......................................................................................................... 5

Performing Procedures on an Adult .............................................................................................................. 7

Conscious Choking of an Adult ................................................................................................................ 7

Unconscious Choking of an Adult ............................................................................................................ 7

How to Perform CPR on an Adult ............................................................................................................ 8

How to Perform the Rescue Breath on an Adult ....................................................................................... 8

What to do next ..................................................................................................................................... 8

How to Perform the Abdominal Thrusts on an Adult ............................................................................... 9

Cardiopulmonary Resuscitation: Child ....................................................................................................... 11

Performing Procedures on a Child .............................................................................................................. 13

Conscious Choking of a Child ................................................................................................................ 13

Unconscious Choking of a Child ............................................................................................................ 13

How to Perform CPR on Child ............................................................................................................... 14

How to Perform the Rescue Breath on a Child ....................................................................................... 14

What to do next: .................................................................................................................................. 14

How to Perform the Abdominal Thrusts on a Child ............................................................................... 14

Cardiopulmonary Resuscitation: Infant ...................................................................................................... 15

Performing Procedures on an Infant ........................................................................................................... 17

Conscious Choking of an Infant.............................................................................................................. 17

Unconscious Choking of an Infant .................................................................................................. 17

How to Perform CPR on an Infant .......................................................................................................... 18

How to Perform the Rescue Breath on an Infant .................................................................................... 18

What to do next: .................................................................................................................................. 18

How to Perform the Abdominal Thrust on an Infant .............................................................................. 19

To give chest thrusts to an infant…. ................................................................................................... 19

Trouble Shooting ........................................................................................................................................ 21

Table of Contents iv

Table of Contents iii

Introduction to Cardio Pulmonary Resuscitation Instructions v

Introduction to Cardio Pulmonary Resuscitation Instructions

Imagine you are eating pizza with a friend one day when all of a sudden your friend begins to choke on

their pizza. You begin to panic and wish that you knew how to perform the abdominal thrust so that you

could help your friend. This instruction manual will provide you with the step by step procedure of

performing the abdominal thrust and Cardiac Pulmonary Resuscitation (CPR) that can be used in an

emergency. CPR is what you do when a person is unconscious and not breathing. After you do

unconscious choking you must check their vitals /check their pulse and breathing. If no pulse is found,

perform CPR until an Automatic External Defibrillator (AED) is available for use. This manual will

provide you with the steps and procedures to needed to perform CPR and the abdominal thrust, if you

would like to become certified to perform these procedures simply look for a CPR program in your

community to further your CPR education.

Materials Needed to Perform CPR and the Abdominal Thrust 1

Materials Needed to Perform CPR and the Abdominal Thrust • Face mask for rescue breath

http://www.quebecfirstaid.com/faceshield13.jpg

• Latex gloves for unconscious choking

• AED if available

http://www.calvin.edu/admin/physicalplant/departments/ehs/policies/aed/aed-m.JPG

• A friend to practice on

• Cellular device for calling 9-1-1

http://www.quebecfirstaid.com/faceshield13.jpg

Preparation Page 3

Preparation Page

Once you have obtained all the needed materials you are ready to prepare to begin learning how to

perform CPR and the abdominal thrust. To do so you must do the following:

1. Take the latex gloves and put them on your hands to ensure sanitation for both you and the

victim (the person you are practicing with)

2. Place the face mask on the victim’s face prior to performing the rescue breath to ensure the

health and that the procedure is sanitary for both you and the victim

3. You are now ready to proceed to learning how to perform CPR and the abdominal thrust

Cardiopulmonary Resuscitation: Adult

Performing Procedures on an Adult 7

Figure 1- Copyright 2006 by the

American Red Cross


American Red Cross


American Red Cross


American Red Cross

Performing Procedures on an Adult

Conscious Choking of an Adult Step 1

Check the scene, and then proceed to checking the person

Step 2

Be sure that you have someone call 9-1-1

Step 3

Lean the person forward and give 5 back blows using the

heel of your hand. See figure 1.

Step 4

Give 5 quick, upward abdominal thrusts. See figure 2.

Step 5 Continue the blows to the back and abdominal thrusts until one

of the following things happens:

• An object is forced out of the person’s mouth

• The person can breathe or cough forcefully

• The person becomes unconscious

Unconscious Choking of an Adult Step 1

Check vitals

1. Using index fingers, of the right hand, tilt the chin back gently.

Using left hand, gently tilt head back fully.

2. Place cheek close to the mouth of the victim. Looking down

the middle of chest, feel for breath on cheek and look for rise

and fall of chest for 10 seconds. See figure 3

a. If breathing, assume the recovery position *

b. If not breathing, proceed to step 2

Step 2

While still holding the head in this position, place mask on

face and deliver two slow and full breaths (rescue breaths)

while still watching the victim’s chest. See figure 4

a. If no rise and fall of the chest then repeat step 1

b. If there is a rise and fall of the chest, proceed to step 3

Step 3

While the head is still in the tilted back position, place your

middle finger and index finger on the victim’s neck for 10

seconds to check for a pulse

a. If a pulse is found, place victim in recovery position

b. If no pulse is found, begin CPR

*The Recovery position is the position where you place the victim after the victim

shows signs of breathing.



American Red Cross

*To perform: First, take leg closest to you and prop up, while leaving the other leg

alone. Second, place arm closest to you across the victim’s body, away from you. Third,

while cradling the victim’s head, gently roll the victim, away from, onto his or her side

and hold them there. Fourth, continue to check the victim’s vitals constantly until medical

help arrives.

How to Perform CPR on an Adult After checking an ill or injured person, follow the following steps to perform CPR

Step 1

Give cycles of 30 chest compressions (see figure 5) and 2

Rescue breaths

Step 2

Continue CPR until one of the following things occurs

• The scene of the emergency becomes unsafe

• You find a sign of life

• AED is ready to be used

• You are too exhausted to continue

• Another trained responder arrives and takes over

•

How to Perform the Rescue Breath on an Adult Step 1

Tilt head back and lift chin, then pinch the nose shut

Step 2

Take a breathe and make a complete seal over the person’s mouth

Step 3

Blow into the person’s mouth to make their chest clearly rise. See figure 4

Note: Each rescue breathes should last about 1 second

What to do next

If breaths go in- Give CPR or use AED (if AED is immediately available)

If breaths do not go in- repeat steps 1-3 of unconscious choking



American Red Cross

How to Perform the Abdominal Thrusts on an Adult Step 1

Take right-hand and form a fist with the thumb

inside

of the fist

Step 2 Take left hand and cover your right-hand

Step 3 Place the hand combo two (2) finger widths

above

the victim’s “Belly-button”. (See figure 6)

Step 4

Make a “J” movement with your arms. Refer to

figure 2, and then push into the victim’s

stomach and move upward.

Cardiopulmonary Resuscitation: Child

Performing Procedures on a Child 13

Figure 7- Copyright 2006

by the American Red

Cross

Figure 8- Copyright 2006 by

the American Red Cross

Performing Procedures on a Child

Conscious Choking of a Child

Step 1

Check the scene, and then proceed to checking the child

Step 2


Step 3

Lean the child forward and give 5 back blows using the heel of

your hand. (See Figure 7)

Step 4

Give 5 quick, upward abdominal thrusts. (See Figure 8)

Step 5

Continue the blows to the back and abdominal thrusts until one

of the following things happens:

• An object is forced out of the child’s mouth

• The child can breathe or cough forcefully

• The child becomes unconscious

Unconscious Choking of a Child Step 1

Check vitals:

1. Using index fingers, of the right hand, tilt the chin back gently. Using left hand,

gently tilt head back fully.

2. Place cheek close to the mouth of the victim. Looking down the

middle of chest, feel for breath on cheek and look for rise and fall of

chest for 10 seconds.

a. If breathing, assume the recovery position *


Step 2

While still holding the head in this position, place mask on face and deliver two slow and

full breaths (rescue breaths) while still watching the victim’s chest.

a. If no rise and fall of the chest , then repeat step 1

b. If there is a rise and fall of the chest, proceed to step 3

Step 3

While the head is still in the tilted back position, place your middle finger and index

finger on the victim’s neck for 10 seconds to check for a pulse



Performing Procedures on a Child 14

Figure 9- Copyright 2006 by the American Red Cross



How to Perform CPR on Child After checking an ill or injured child, follow the following steps to perform CPR

Step 1 Give cycles of 30 chest compressions (Figure 9) and 2 rescue breaths

(Figure 10)

Step 2







How to Perform the Rescue Breath on a Child Step 1

Tilt head back and lift chin, then pinch the nose shut

Step 2

Take a breathe and make a complete seal over the person’s mouth

Step 3

Blow into the person’s mouth to make their chest clearly rise, see

(Figure 10)


Note: Because children are smaller than adult do not tilt head as far

to open airways.

What to do next:

a. If breathes go in- Give CPR or use AED (if AED is immediately

available)

b. If breaths do not go in- repeat steps 1-3 of unconscious choking

How to Perform the Abdominal Thrusts on a Child Step 1

Take right-hand and form a fist with the thumb inside of the fist

Step 2

Take left hand and cover your right-hand

Step 3

Place the hand combo two (2) finger widths above the victim’s “Belly-button”

Step 4

Make a “J” movement with your arms

a. Push into the victim’s stomach and move upward. Refer back to Figure 9

Note: For children, stand or kneel behind the child, depending on his or her size.

Cardiopulmonary Resuscitation: Infant

Performing Procedures on an Infant 17




American Red Cross



Performing Procedures on an Infant

Conscious Choking of an Infant Step 1

Check the scene, and then proceed to checking the infant

Step 2


Step 3

Lean the infant forward and give 5 back blows using the

heel of your hand between the infant’s shoulder blades-each

blow should be separate and distinct attempt to dislodge the

object. (See Figure 11)

Step 4

Give 5 quick, chest thrusts

Step 5

Continue the blows to the back and chest thrusts until one of

the following things happens:

• An object is forced out of the infant’s mouth

• The infant can breathe or cough forcefully

• The infant becomes unconscious

Note: Hold head and neck securely when giving back blows and chest thrusts.

Unconscious Choking of an Infant Step 1

Check vitals

1. Using index fingers, of the right hand, tilt the chin back

gently. Using left hand, gently tilt head back fully. (See

Figure 12)

2. Place cheek close to the mouth of the victim. Looking down

the middle of chest, feel for breath on cheek and look for

rise and fall of chest for 10 seconds.

a. If breathing, assume the recovery position


Step 2

While still holding the head in this position, place mask on

face and deliver two slow and full breaths (rescue breaths)

while still watching the victim’s chest. (See Figure 13)

a. If no rise and fall of the chest then repeat step 1

b. If there is a rise and fall of the chest, proceed to step

3

Step 3

While the head is still in the tilted back position, place your

middle finger and index finger on the victim’s neck for 10

seconds to check for a pulse





American Red Cross

Figure15- Copyright 2006 by


How to Perform CPR on an Infant

After checking an ill or injured infant, follow the following steps to perform

CPR:

Step 1

Give cycles of 30 chest compressions (Figure 14) and 2 rescue breaths

(Figure 15)

Step 2







How to Perform the Rescue Breath on an Infant Step 1

Give one (1) rescue breath about every three (3) seconds. Seal

mouth over infant’s mouth and nose. (See Figure15)

Step 2

After about two (2) minutes, recheck signs of life and pulse for

more than ten (10) seconds


Note: Because infants are smaller than adult do not tilt head as far to

open airways.

What to do next:

a. If breaths go in- Give CPR or use AED (if AED is

immediately available)

b. If breaths do not go in- repeat steps 1-3 of

unconscious choking








How to Perform the Abdominal Thrust on an Infant When an infant begins choking and stops breathing….

(See Figures 16-19)

Step 1

Position the infant face-up on your forearm

Step 2

Place you other hand on top of the infant, using you thumb

and fingers to hold the infant’s jaw while sandwiching the

infant between your forearms

Step 3

Turn the infant over so that he or she is face-down on your

forearm

Step 4

Lower your arm onto your thigh so that the infant’s head is

lower than his or her chest.

Note: Maintain support of the infant’s head and neck by firmly

holding the jaw between your thumb and fore finger.

To give chest thrusts to an infant….

Step 1

Place the infant in a face-up position

Step 2

Place your free hand and forearm along the infant’s head and back so

that the infant is sandwiched between your two hands and forearms

Note: Maintain support of the infant’s head and neck by firmly holding

the jaw between your thumb and fore finger from the front while you

cradle the back of the head with your other hand

Step 3

Turn the infant onto his or her back

Step 4

Lower your arm supporting the infant’s back onto your opposite

thigh. The infant’s head should be lower than his or her chest, which

will assist in dislodging the object

Step 5

Locate the correct place to give chest thrusts by imagining a line

running across the infant’s chest between the nipples

Step 6

Place the pads of two or three fingers in the center of the infant’s chest use

the pads of these fingers to compress the breastbone. Only compress the

breastbone ½ to 1 inch and then let the breastbone return to its normal position.

Keep your fingers in contact with the infant’s breastbone

Step 7

Using this method, give a total of 5 chest thrusts.

Figure17- Copyright 2006 by


Trouble Shooting 21



Trouble Shooting What to do if the scene has become unsafe

Be sure to make the scene as safe as possible for both you and the victim prior to

performing CPR on them

What to do if you are attempting to perform the abdominal thrust and are unable to wrap your

arms around the victim’s stomach.

Step 1

Take right-hand and form a fist with the thumb inside

of the fist

Step 2

Take left hand and cover your right-hand

Step 3

Place the hand combo two (2) finger widths above the

victim’s center breastbone/ chest. (See Figure 19)

Step 4

Make a “J” movement with your arms by pushing into

the victim’s chest and moving upward

Documents

Cardio-Pulmonary Resuscitation Instructions · perform CPR until an Automatic External Defibrillator (AED) is available for use. This manual will provide you with the steps and procedures