Emergency medical services primarily came into formal existence in the United States to serve one very important need: to provide field resuscitation to patients with severe cardiopulmonary conditions and major trauma. EMS physicians should be expert resuscitators evidenced by their mastery of all the techniques needed to provide the highest level of care. This is also the skill set needed to train and educate the EMS providers with which they work due to the obvious value of this basic prehospital intervention. 1,2
Cardiopulmonary Resuscitation (CPR) is the manual or mechanical method of creating artificial circulation to temporarily provide vital organs, especially the brain and heart, with oxygenated blood until normal cardiopulmonary activity can be restored in a person in cardiac arrest.
Step 1: Assess for responsiveness, absence of breathing, or presence of abnormal breathing/gasping.
Step 2: Apply automatic external defibrillator (AED) or multifunction monitor/defibrillator.
If witnessed arrest or CPR initiated prior to arrival, use AED as indicated or multifunction monitor/defibrillator as indicated by rhythm interpretation.
Ensure continued CPR during charging. 3
If unwitnessed arrest or defibrillation not indicated, go to Step 3.
Step 3: Assess circulation by checking for a pulse for 10 seconds.
Step 4: If no pulse, begin cycle of compressions to ventilations at a ratio of 30:2 (universally for all ages). In children, if two providers are available for resuscitation, a ratio of 15:2 should be used.
Step 5: Continue compressions to ventilations at a ratio of 30:2 for 5 cycles. After 5 cycles: stop. Reassess pulse. Reanalyze ...
Pop-up div Successfully Displayed
This div only appears when the trigger link is hovered over.
Otherwise it is hidden from view.