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Departments & Programs,UW Health,Ambulatory Education,CPR

Adult CPR

Adult CPR - Departments & Programs, UW Health, Ambulatory Education, CPR


Adult CPR (Adult age beginning at Puberty) 1 & 2 Rescuer – 2015 Guidelines

  1. Ask "Are you OK?" Place the person on a firm flat surface. Check the victim for unresponsiveness. Tap the shoulders, call the person's name (if you know it), and ask them "if they are ok."
  2. If you are alone, call 9-1-1 first (and retrieve an AED if available), then return to the victim and begin CPR. If you are with someone, send that person to call 9-1-1 (and retrieve an AED if available) while you continue assessment. If in a clinic or hospital you may also call a code blue and ask for crash cart.
  3. Check for breathing and a pulse, at the carotid artery closest to you, for at least 5 but no more than 10 seconds.
  4. Begin 30 Chest compressions (C): If the victim is not moving or does not have a pulse, begin 30 chest compressions. Place the heel of one hand on the center of the chest (between the nipple line), and the other hand on top of the first. Keep your elbows straight. Push down on the chest 2-2.4 inches (5-6cm), at the rate of 100-120 compressions per minute.
    Chest compressions on an adult during CPR
    Compressions on an adult during CPR
  5. Airway and 2 Rescue Breaths after 30 Compressions (A and B): Open the airway by pushing on the forehead with your hand closest to the head (head lilt), and lifting up the bony part of the chin with the fingers of your hand closest to the chin (chin lift). Using a breathing barrier (mask, shield) or mouth to mouth (remember to pinch nose), give 2 rescue breaths. Each breath should take about one second (less than 10 seconds for both). This will decrease the chance of vomiting. Review picture. Make sure that the chest rises with each breath. If the chest does not rise, reposition the head and try again. Continue cycles of 30 compressions and 2 breaths until there are obvious signs of life, AED become available, or EMS arrives. No additional pulse checks needed.
  6. Rescue breathing: if the victim has a pulse give one rescue breath every 5-6 seconds. (Rescue breathing for children under puberty and infants is one every 3-5 seconds) Reassess every 2 minutes if pulse is present.

    Tilting a head during CPR to open the airway

    CPR on an adult using a breath barrier

    CPR with proper head tilt to open the airway