One rescuer CPR for adult

Jun 16th, 2008 | By admin | Category: CPR (Cardiopulmonary resuscitation)
 D&nbsp Danger
  • Look out for unsafe environment, e.g. exposed electrical wires, fire, possible explosion, construction works, or poisonous gas
  • Ensure that the scene is safe for you to help
 R Response
  • Establish unresponsiveness
  • Call, tap or gently shake the person
  • Call out loudly: “Hello! Hello! Are you OK?”
  • If no response, Call loudly: “Help! Call ambulance 995”
  • Turn on back as a unit, “log-roll”, supporting head and neck if necessary
  • Victim must be supine and on flat surface
 A Airway
  • Open Airway: Head-Tilt Chin-Lift to open airway
  • Check Airway: Remove foreign body with finger sweep if visible
 B Breathing
  • Maintain Head-Tilt Chin-Lift
  • Check for breathing: Look, Listen & Feel (10 secs)
  • Look for the chest rise and fall
  • Listen for the air escaping during exhalation
  • Feel for the flow of air
  • If NO breathing, give 2 breaths
    (1 sec/breath; Volume of air: 400 – 600 mls/breath)

  • Allow lung deflation between each breath
 C Circulation
  • Check for pulse
  • Locate the landmark and palpate up to 10 sec.
  • While maintaining head-tilt with one hand on the forehead, feel for carotid pulse, with the pulp of two fingers of the other hand (up to 10 secs) and look for Signs of Circulation
  • If NO pulse, start CPR
  • Locate landmark for chest compression
  • Proper body and hand position
  • Run middle finger along bottom edge of rib cage to notch at center (tip of the sternum)
  • Place index finger next to finger on the notch
  • Place heel of the other hand next to index finger
  • Interlock both hands
  • Compress vertically 4-5 cm downwards with the following Compression : ventilation ratio 30 compressions : 2 ventilations
  • Say mnemonic:
    1 & 2 & 3 & 4 & 5 & 1 & 2 & 3 & 4 & 10 & 1 & 2 & 3 & 4 & 15 & 1 & 2 & 3 & 4 & 20 & 1 & 2 & 3 & 4 & 25 & 1 & 2 & 3 & 4 & 30

  • Compression rate is at least 100 per minute
&nbsp CPR cycle
  • Give 5 cycles of 30 chest compressions followed by 2 breaths in 2 minutes
  • Assess for pulse after every 5 cycles. If pulse absent, continue CPR with 30 compressions
&nbsp Rescue breathing
(if pulse present)
  • If breathing is absent, perform rescue breathing:
  • Blow, 2 - a thousand, 3 - a thousand, 4 - a thousand, 5 - a thousand, Blow
  • Give 12 rescue breaths in 1 minute
&nbsp Recovery position
  • If breathing and pulse return, stop CPR
  • Place the victim in the recovery position if:
    Pulse and breathing are present &
    Victim is still unconscious &
    Has no evidence of neck or other trauma




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