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2010 AHA Guidelines
A Change from A-B-C to C-A-B
Rapid recognize
Safe area, firm surface Shake shoulder & shout Activate emergency respons
Unresponsive Not breathing or only gasping
Unresponsive Not breathing or only gasping Pulse check < 10 seconds
Early CPR Push hard & fast Complete recoil High quality (100x/m; depth 5 cm)
Breathing Head tilt - chin lift Jaw thrust without head extension
Mouth to mouth (regular breathing; over 1 second; chest rise)
≥ 2 rescuer
Switch position every 2 minute Interuption < 5 second
Re-evaluaate every 2 minute
Advance airway Intubation, stop compression- <10
second Breath 8-10x/min Compression 100x/min
Choking Back blow (infant) Cough Heimlich maneuver (child) Chest thrust
Recovery Position
Unresponsive, normal breathing, effective circullation
Airway, prevent obstruction
Indication of Intubation Inability to ventilate with bag mask: ventilator, obstruction, anesthesia
Absent of reflex protective airway: Unconscious, aspiration, suction
Preparation Scope Tube Airway Tape Introducer Connector Suction
Pediatric & Infant
• 1 rescuer 30:2• ≥ 2 rescuer 15:2• Depth 1/3 AP ( child 5cm; infant 4cm)
Infant :Intermammari lineTwo fingerMouth to mouth & noseMouth to noseMouth to mouth
Child :Lower half sternumOne or two hand
Pulse check : brachial artery in infant; carotid or femoral in a child
Palpaple pulse ≥60 with inadequate breath rescue breath 12-20x/min (1breath every 3-5 second), reassess the pulse every 2 minute
Pulse<60 with pallor/cyanosischest compression
2 rescuer15:2