Israeli Paramedics Association

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Non Trauma Adult Pt. - 1 Rescuer

Sit at the victim's side

Check for Unconsciousness

Conscious

Vital Signs....

Unconsciousness

-----------------> Activate the EMS

Roll the victim aside - Remove foreign bodies from the mouth

Open the Airway

Position the victim supine - Head tilt - chin lift / Jaw thrust

Check for Breathing

Breathing

Maintain Airway Open , Vital Signs

Look,listen and feel for  5 sec.

Breathing is Absent / Hypoventilation

Give 2 initial breaths

Mouth to mouth / Mouth to Pocket Mask.  1.5-2 sec. each ventilation

Check for Pulse

Pulse is Present

Ventilate every 5 sec.

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At the Carotid artery , for 5 sec.

Check for Pulse

Pulse is Absent

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After every minute

Perform 15 chect compressions - reopen the airway - & 2 ventilations

2 fingers up from the end of the Sternum , 2 hand's heels , Locked albows , 1.5-2 inches depression , 50% depression - 50% relaxation , Rate of  100 / min

Continue CPR at ratio of 15:2

After 1 minute (4 cycles of 15:2)

Check for Pulse

----------------------------->

Pulse is Present

----------->

Pulse is Absent

Continue CPR at ratio of 15:2

Reassessment

Check for Pulse every few minutes

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Paramedic Neomi Zvi - Feb 2000

JAMA ; Guidelines for CPR & Emergency Cardiac Care ; 1992 ; 2184-2191