NURSI 427 American Heart Association Basic Life Support for Healthcare Providers BLS Course Study Guide & Review

ADULT Adult Chain of Survival:  Early access: Establish Unresponsiveness/no breathing then activate EMS/911  Early CPR: Provide BLS/CPR within 4 minutes  Early defibrillation: Have an AED on them and shocking within 5 minutes of the arrest  Early advanced care: EMS/code team arriving soon thereafter Choking ‐ Adult 1. Conscious Choking • Are you choking? • Can you speak? • Can I HELP you? • Provide inward and upward Abdominal thrust, just above the navel. 2. Unconscious Choking: (NO BLIND FINGER SWEEPS) • Call 911 • Open the airway remove the object if you see it, then begin CPR (30 compressions to 2 breaths) • Every time you open the airway to give breaths look for the object • Then continue CPR (30 to 2) 3. Adult Rescue breathing: It is done only when the victim is not breathing adequately but has a pulse. Rescue breathing for the adult is 1 breath every 5 –6 seconds or 10‐12/min. Agonal Gasps are inadequate breaths associated with Cardiac Arrest not Choking. CPR ‐ Adult 1. Adult 1 rescuer CPR • Determine Unresponsiveness (shake and shout), if no response • Check for no breathing or normal breathing (minimum 5 seconds; maximum 10 seconds) • Activate emergency medical system and call for an AED • Check for carotid pulse for (minimum 5 seconds; maximum 10 seconds) If there is no detectable pulse, start chest compressions at the center of the chest, at the nipple line, with the heal of one hand on top of the other, at a ratio of: 30 compressions (Acceptable 18 seconds for 30 compressions) • Give 2 breaths (1 second each) • Deliver second cycle of 30 compressions at correct hand position (Acceptable 23 compressions) • Give 2 breaths (1 second each) • Continue CPR until help arrive