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SASK-RESCUE Lifesaving & Lifeguard Club
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RESOURCES Summary of Changes to CPR |
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When to phone EMS After determining that the victim is unresponsive, the rescuer should send a bystander to phone EMS if one is available. If a rescuer is alone with an adult victim, the rescuer immediately goes to phone EMS. If a rescuer is alone with an unresponsive, nonbreathing child or infant victim, perform about 5 cycles of CPR (30 compressions to 2 breaths) before leaving the victim to phone EMS.
Opening the airway of a suspected spinal injury victim If rescue breathing is required for a victim with a suspected spinal injury, the rescuer should carefully open the airway using the head-tilt / chin-lift method.
Checking for breathing Look, listen and feel for no more than 10 seconds.
Rescue Breaths The depth and duration of the rescue breath is reduced. The rescuer delivers a normal (not deep) breath over 1 second with just enough force to cause the chest to rise.
Do not check for pulse If the victim is unresponsive and nonbreathing, start chest compressions immediately after giving 2 rescue breaths. Do not check for a pulse before starting chest compressions. After starting CPR, the rescuer continues until EMS takes over treatment, or an AED trained responder with an AED begins treatment or the victim begins to move.
Landmarking for chest compressions For adult and child victims, landmark on the centre of a line drawn between the nipples. Landmarking for infant victims is still 1 finger width below the nipple line.
Chest Compressions for child and adult victims – use 2 hands Rescuers use 2 hands for chest compressions on both child and adult victims. Still use 2 fingers for infant chest compressions.
Compression Depth For child and infant victims, the compression depth is changed to about 1/3 to ½ the depth of the chest. Adult compression depth remains unchanged at 1.5 to 2 inches.
Single compression to ventilation ratio of 30: 2 for all victims types The rescuer performs CPR with repeating cycles of 30 chest compressions followed by 2 rescue breaths for all victim types: infant, child and adult.
Two Rescuer CPR – reducing fatigue Fatigue is the major factor in affecting the effectiveness of compressions. Either have two rescuers taking turns doing single rescuer CPR or one does rescue breathing and the other rescuer does rescue breathing and switch roles. Unconscious obstructed airway The number of chest compressions for all victim types is 30. After 30 compressions, look in the mouth for obstruction before attempting rescue breathing.
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