(Lay Rescuer CPR for Teens and Adults)
Reasons for Procedure
- Sudden cardiac arrest
- Cerebrovascular accident (such as stroke)
- Electrical shocks and lightning strikes
- Severe infection
- Severe allergic reaction
- Drug overdose
- Excessive bleeding
What to Do
Prior to Procedure
- If you are alone, call for medical help right away. If someone is with you, have that person call for medical help right away and get the automatic external defibrillator (AED). An AED is a device that delivers electric shocks to the victim's heart.
If the person is not breathing or only gasping, begin CPR by doing chest compressions:
- Place the heel of one hand palm down on the chest with the other hand on top.
- Straighten your arms and lock your elbows. Begin pressing down in a straight motion. The compressions should be at least two inches deep.
- Push hard and fast at a rate of 100 compressions per minute.
- Allow the chest to rise completely between compressions.
- Avoid interruption between compressions.
If you are trained in CPR, give two rescue breaths after 30 compressions. To give rescue breaths:
- Open the airway by placing one hand on the forehead and lifting the chin with your other hand.
- Gently tilt the head backward. Pinch the victim's nose and cover his mouth with yours.
- Breathe twice into his mouth until you see the chest rise. Breaths should be about one second each.
- After giving two rescue breaths, do 30 compressions. Continue the cycle of two breaths and 30 compressions.
- If you are not trained in CPR, continue doing the chest compressions without giving rescue breaths.
Give CPR until the AED is brought to the scene or until:
- Medical help arrives.
- It becomes unsafe to continue.
- The victim is conscious and able to breathe.
To use the AED:
- Turn the AED on.
- Attach the pads.
- Follow the prompts. If advised, deliver the shock. If the shock is not advised, the AED will tell you to resume CPR.
How Long Will It Take?
Will It Hurt the Victim?
Call for Help
American Heart Association http://www.heart.org
American Red Cross http://www.redcross.org
Health Canada http://www.hc-sc.gc.ca
Public Health Agency of Canada http://www.phac-aspc.gc.ca
American Heart Association. 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care science: part 1 executive summary. American Heart Association website. Available at: http://circ.ahajournals.org/cgi/content/full/122/18%5Fsuppl%5F3/S640. Published October 2010. Accessed November 20, 2012.
American Heart Association. 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care science: part 5 adult basic life support. American Heart Association website. Available at: http://circ.ahajournals.org/content/122/18%5Fsuppl%5F3/S685.full?sid=d85d05e7-f8b8-4d44-9137-8cd47f557f9c. Published 2010. Accessed November 20, 2012.
American Heart Association. Heartsaver First Aid with CPR and AED. Dallas, TX: American Heart Association; 2006
Bardy GH. A critic's assessment of our approach to cardiac arrest. N Engl J Med. 2011 Jan 27;364(4);374-375.
Cardiopulmonary resuscitation (CPR). Am Fam Physician . 2000;62(7). Available at http://www.aafp.org/afp/2000/1001/p1564.html. Accessed November 20, 2012.
Neumar RW, Nolan JP, et al. Post-cardiac arrest syndrome: epidemiology, pathophysiology, treatment, and prognostication. A consensus statement from the International Liaison Committee on Resuscitation. Circulation. 2008 Dec 2;118(23):2452-83. Epub 2008 Oct 23. No abstract available.
- Reviewer: Brian Randall, MD
- Review Date: 03/2013 -
- Update Date: 03/15/2013 -