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CPR consists of chest compressions followed by rescue breaths - for single rescuer do 30 compressions and 2 breaths (30:2), for > 2 rescuers do 15 compressions and 2 breaths (15:2). The rate of chest compressions should be 100-120 compressions/min and depth should be 1.5 inches for infants and 2 inches for children. [citation needed]
With children, however, 2015 American Heart Association guidelines indicate that doing only compressions may actually result in worse outcomes, because such problems in children normally arise from respiratory issues rather than from cardiac ones, given their young age. [1] Chest compression to breathing ratios is set at 30 to 2 in adults.
For uncomplicated term or preterm infants, delayed cord clamping is standard so that the child can immediately be placed in the mothers arms to be evaluated. [4] Supplemental oxygen is used judiciously. [4] Monitoring of heart rate is the best indicator of response to resuscitation efforts. [4]
For this reason, lay rescuers proceed directly to cardiopulmonary resuscitation, starting with chest compressions, which is effectively artificial circulation. In order to simplify the teaching of this to some groups, especially at a basic first aid level, the C for Circulation is changed for meaning CPR or Compressions. [17] [18] [19]
After defibrillation, chest compressions should be continued for two minutes before another rhythm check. [30] This is based on a compression rate of 100-120 compressions per minute, a compression depth of 5–6 centimeters into the chest, full chest recoil, and a ventilation rate of 10 breath ventilations per minute. [30]
The LUCAS device delivers high-quality compressions at a continuous rate, while up to a third of manual compressions can be incorrect. [9] In 2013, a 68-year-old male made a complete recovery, including no intellectual or neurological deficits, after an out-of-hospital cardiac arrest after 59 minutes of mechanical compressions on a LUCAS device.
The compression depth and force varies per patient. The chest displacement equals a 20% reduction in the anterior-posterior chest depth. The physiological duty cycle is 50%, and it runs in a 30:2, 15:2 or continuous compression mode, which is user-selectable, at a rate of 80 compressions-per-minute.
Basic life support (BLS) is a level of medical care which is used for patients with life-threatening condition of cardiac arrest until they can be given full medical care by advanced life support providers (paramedics, nurses, physicians or any trained general personnel).