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The most important aspects of CPR are: few interruptions of chest compressions, a sufficient speed and depth of compressions, completely relaxing pressure between compressions, and not ventilating too much. [21] It is unclear if a few minutes of CPR before defibrillation results in different outcomes than immediate defibrillation. [22]
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.
The newest guidelines for adult BLS allow a rescuer to diagnose cardiac arrest if the patient is unresponsive and not breathing normally. The guidelines also changed the duration of rescue breaths and the placement of the hand on the chest when performing chest compressions.
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]
30 compressions to 2 breaths 30 compressions to 2 breaths 30 compressions to 2 puffs Chest pressure 2 hands 1-2 hands 2 fingers CPR compression rate Approximately 100 per minute Approximately 100 per minute Approximately 100 per minute Compression depth One-third of a chest depth One-third of a chest depth One-third of a chest depth Head tilt
Image credits: Imafish12 #5. ICU RN for 9 years here. We don’t “shock” asystole, aka a “flatline” heart rhythm. We do manual chest compressions and we give them epinephrine (adrenaline ...
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]
Next, thrust in an inward and upward motion on the diaphragm. This will force air out of the lungs and remove the blockage. Repeat these abdominal thrusts up to five times, the doctor advised.