When administering CPR how many compressions at a minimum should the medical assistant do in 1 min?

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Cardiopulmonary Resuscitation (CPR) for Adults

Cardiopulmonary Rescuer and Adult

Cardiopulmonary resuscitation (CPR) can help save a life during a cardiac or breathing emergency. There are seven basic steps to the CPR process. The process first begins by scanning the scene for safety, activating the emergency response system (calling for help, and obtaining an automated external defibrillator), opening the person’s airway and checking for breathing. When it is apparent that the person needs CPR, chest compressions should begin at a rate of 100 to 120/min and to a depth of at least 2 inches (5 cm) for an average adult. For healthcare providers, CPR using chest compressions and mouth-to-mouth breathing at a ratio of 30:2 (cycles of 30 compressions, 2 breaths). For the general public who are not formally trained, compression-only CPR ( CPR without mouth-to-mouth breaths) is recommended. CPR should be performed until the person exhibits breathing, an AED becomes available, or help arrives on the scene.

8 KEY FACTS

The first step before performing CPR is to check the scene and the person. The healthcare provider must ensure that the scene is safe for them to enter. Once safety is established, the healthcare provider should tap the person on the shoulder and shout "Are you OK?" This is a rapid assessment to make sure that the person does in fact need help.

If the person does in fact need help, call for assistance. If not in a hospital setting, call 911 (or have someone call 911) and send someone else to obtain an automated external defibrillator (AED).

At this point, check to see if the person is breathing. Look and listen carefully, watch the chest for a rise and fall. Do this for no more than 10 seconds. If there is no breathing, it is time to begin CPR.

The next step is to open the airway. With the person lying on their back, tilt the head back slightly to lift the chin.

Compressions should be hard and fast. Hands should be placed in the middle of the chest, one on top of the other. Compressions should be delivered at a rate of 100-120 compressions per minute, at least 2 inches deep.

Before administering rescue breaths, you must ensure that the airway is still accessible to receive the air.

After making the airway accessible by tilting the person’s head back slightly and lifting the chin, two breaths should be delivered. Blow into the person's mouth to make the chest rise. After the two rescue breaths, compressions should be continued.

The CPR sequence of 30 compressions to 2 breaths should be performed until the person exhibits breathing, an AED becomes available, or help arrives on the scene.

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Rescue breathing is needed if a person collapses and stops breathing. In CPR, rescue breathing may also follow chest compressions if a person's heart is not beating. A person may need rescue breathing in the following situations:

  • Near drowning

  • Overdose or poisoning

  • Choking

  • Carbon monoxide poisoning

  • Severe asthma attack

By breathing into another person's lungs (rescue breathing), you can supply enough oxygen to preserve life. Act quickly, because brain damage can occur after only 3 minutes without oxygen.

  • If the person is an infant or child (age 1 to puberty) and he or she is not breathing, do chest compressions and rescue breathing for 2 minutes (5 cycles) of 30 compressions and 2 rescue breaths), then call 911. Push fast, at least 100-120 compressions per minute. Give one breath every 6 seconds (10 breaths/minute).

  • In adults, call 911 first and begin CPR.

  • Please note: If you are alone, not trained in CPR, and a phone is nearby, call 911.

You may use a protective facemask.  Follow the instructions that came with the mask.

Step 1. Open the airway

  • Place the victim on his or her back.

  • Press your palm against the person's forehead. At the same time hook your fingers under the chin and lift it away from the spine, as if pulling out a drawer. This tilts the head back and opens the airway. 

  • If there is a possibility of a broken neck, place the victim on his or her back without moving the neck or chin.

Step 2. Check for breathing

  • Check to see if the chest is rising.

  • Listen for normal breathing (not gasping for air).

  • If there is no normal breathing, start mouth-to-mouth breathing as described in Steps 3 to 5.

Step 3. Pinch and seal

  • Adults and children (age 1 to puberty):

    • Keep the head tilted back and chin down.

    • Pinch the victim's nostrils together with your thumb and first finger. Or follow your facemask instructions.

    • If you don't have a protective barrier, seal your lips over the victims open mouth. 

    • Note: If the victim's mouth can't be opened, you can seal your lips over the victim's nose.

  • Infants (up to age 1):

    • Cover the infant's nose and mouth with your mouth or a protective barrier. 

Step 4. Start with 2 "rescue" breaths

  • Adults and children (age 1 to puberty):

    • Breathe into the victim's mouth for 1 second. Watch for the chest to rise.

    • If the chest rises, breathe into the victim's mouth a second time.

    • If the chest doesn't rise, tilt the victim's head back and chin down again. Then breathe into the victim's mouth a second time.

  • Infant (up to age 1):

    • Give 2 gentle puffs or breaths of air instead of a deep breath. Each puff is given 2 seconds apart because each gentle breath should last 1 second.

    • If the chest rises, breathe a gentle puff or breathe into the victim's mouth a second time.

    • If the chest doesn't rise, tilt the victim's head back and chin down again. Then breathe into the victim's mouth a second time.

    • If the chest still doesn't rise, check inside the mouth for a foreign object after chest compressions. If an object is visible, sweep the mouth with your fingers and remove the object. Take care not to push the object further into the throat.

Step 5. Give more breaths

  • Adults and children (ages 1 to puberty):

    • Give 2 breaths after 30 chest compressions until the person starts breathing or emergency medical services arrive. Push fast, at least 100-120 continuous compressions per minute. Give one breath every 6 seconds (10 breaths//minute).

  • Infants (up to age 1):

    • Give 2 breaths after 30 chest compressions until the infant starts breathing or emergency medical services arrive. Push fast, at least 100-120 continuous compressions per minute. Give one breath every 6 seconds (10 breaths//minute).

It is best to be prepared in the event of an emergency. Look for classes offered by your local hospital, the American Heart Association, or the American Red Cross in your area or on the Internet.

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