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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.
As an exception for the normal compression-to-ventilation ratio of 30:2, if at least two trained rescuers are present and the victim is a child, the preferred ratio is 15:2. [ 31 ] : 8 Equally, in newborns, the ratio is 30:2 if one rescuer is present, and 15:2 if two rescuers are present (according to the AHA 2015 Guidelines). [ 5 ] :
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The ABC system for CPR training was later adopted by the American Heart Association, which promulgated standards for CPR in 1973. As of 2010, the American Heart Association chose to focus CPR on reducing interruptions to compressions, and has changed the order in its guidelines to C irculation, A irway, B reathing (CAB).
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).
Over the years, the American Heart Association has added two new links to the chain: post-resuscitation care in 2010, [7] [3] and physical and emotional recovery in 2020. [4] Also in 2020, the American Heart Association issued a new pediatric chain of survival for infants, children, and adolescents. [8]
The Broselow Tape relates a child's height as measured by the tape to their weight to provide medical instructions including medication dosages, the size of the equipment that should be used, and the level of energy when using a defibrillator. Particular to children is the need to calculate all these therapies for each child individually.
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.
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