News: January 2010 Articles
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January 5, 2010
Changes to the Lay Rescuer CPR Guidelines
The major changes in the guidelines
recommendations for lay rescuer CPR are
the following:
1. If alone with an unresponsive infant or
child, give about 5 cycles of compressions
and ventilations (about 2 minutes) before
leaving the child to phone 911.
2. Do not try to open the airway using a jaw
thrust for injured victims—use the head
tilt–chin lift for all victims.
3. Take 5 to 10 seconds (no more than 10
seconds) to check for normal breathing in
an unresponsive adult or for presence or
absence of breathing in the unresponsive
infant or child.
4. Take a normal (not a deep) breath before
giving a rescue breath to a victim.
5. Give each breath over 1 second. Each
breath should make the chest rise.
6. If the victim’s chest does not rise when
the fi rst rescue breath is delivered,
perform the head tilt–chin lift again
before giving the second breath.
7. Do not check for signs of circulation. After
delivery of 2 rescue breaths, immediately
begin chest compressions (and cycles of
compressions and rescue breaths).
8. No teaching of rescue breathing without
chest compressions (exception: rescue
breathing is taught in the Heartsaver
Pediatric First Aid Course).
9. Use the same 30:2 compression-toventilation
ratio for all victims.
10. For children, use 1 or 2 hands to perform
chest compressions and compress at the
nipple line; for infants, compress with 2
fi ngers on the breastbone just below the
nipple line.
11. When you use an AED, you will give 1
shock followed by immediate CPR,
beginning with chest compressions. Rhythm
checks will be performed every 2 minutes.
12. Actions for relief of choking (severe
airway obstruction) have been simplifi ed.
13. New fi rst aid recommendations have
been developed with more information
included about stabilization of the head
and neck in injured victims. - Page 1 of 1 pages