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Cardiopulmonary Resuscitation Every hour in the U.S. approximately 48 people will have a cardiac arrest event outside of the hospital. Nine out of ten people will not survive. However, if lifesaving CPR is performed, a victim’s chance of surviving can double, or even triple. DR’S ABC CPR Differences: Adult, Child, Infant Adult Primary Assessment: • Tap (on shoulder) and shout “Are you okay?” • Check Pulse on Carotid (Neck) Artery • Compress chest around 2 inches in depth Child Primary Assessment: • Tap (on shoulder) and shout “Are you okay?” • Check Pulse on Carotid (Neck) Artery • Compress chest around 1-2 inches in depth Infant Primary Assessment: • Tap (Flick Foot) and shout “Are you okay?” • Check Pulse on Brachial (Upper & Inner Arm) Artery • Compress chest around ½ - 1 inch in depth Effective Chest Compressions • Kneel at the person’s side, near his or her chest. • With the middle and forefingers of the hand nearest the legs, locate the notch where the bottom rims of the rib cage meet in the middle of the chest. • Place the heel of the hand on the breastbone (sternum) next to the notch, which is located in the center of the chest, between the nipples. Place your other hand on top of the one that is in position. Be sure to keep your fingers up off the chest wall. You may find it easier to do this if you interlock your fingers. Effective Chest Compressions Continued • Bring your shoulders directly over the person’s sternum. Press downward, keeping your arms straight. Push hard and fast. For an adult, depress the sternum about a third to a half the depth of the chest. Then, relax pressure on the sternum completely. Do not remove your hands from the person’s sternum, but do allow the chest to return to its normal position between compressions. Relaxation and compression should be of equal duration. Avoid interruptions in chest compressions (to prevent stoppage of blood flow). • Use 30 chest compressions to every two breaths (or about five cycles of 30:2 compressions and ventilations every two minutes) for all victims (excluding newborns). You must compress at the rate of about 100 times per minute. • Continue CPR until advanced life support is available. When can I stop CPR? • When there are obvious signs of life • When higher trained personnel arrive • When I get too tired to continue • When the scene becomes unsafe • When an AED becomes available An automated external defibrillator (AED) is a portable electronic device that automatically diagnoses the lifethreatening cardiac arrhythmias of ventricular fibrillation and ventricular tachycardia in a patient,[1] and is able to treat them through defibrillation, the application of electrical therapy which stops the arrhythmia, allowing the heart to reestablish an effective rhythm.