2015 AHA CPR GUIDELINES

 

ADULTS

CHILDREN

INFANTS

NEWBORNS

CPR ORDER

Compression, Airway, Breathing CAB

COMPRESSION DEPTH

At Least 2 Inches

1/3 Depth of Chest (About 2”)

1/3 Depth of Chest (About 1 1⁄2 “)

1/3 Depth of Chest

COMPRESSION RATE

100 to 120 per minute

120/min

COMPRESSION NOTES

Minimize interruptions in chest compressions Limit interruptions to < 10 seconds

COMPRESSION TO BREATHS RATIO

30:2
1 or 2 Person CPR

30:2 1 Person CPR 15:2 2 Person CPR

3:1

ADV ANCED AIRWAY

1 breath every 6-8 seconds (8-10 breaths/min)
About 1 sec per breath duration No interruptions of compressions

40-60 breaths/min

RESCUE BREATHING

1 breath every 5-6 seconds (10-12 breaths/min)

1 breath every 3-5 seconds (12-20 breaths/min)

40-60 breaths/min

NOTES:

  • Use jaw-thrust method to open airway on trauma patients.

  • Allow the chest to fully recoil after each compression.

  • Change person compressing chest every 2 minutes.

  • Attach and use AED as soon as possible.

  • Utilize AED as it is programmed. (Even if it is not to AHA guidelines.)
    P  If available, use age appropriate AEDs or pads.

  • Minimize interruptions to compressions before and after each shock to less than 10 seconds.

  • Resume CPR beginning with compressions after each defibrillation.

  • For pregnant patients in arrest, consider need for manual uterine displacement and perform chest compressions slightly higher on the sternum than normal.

  • In all cardiac arrests, consider the ACLS “Treatable Causes”: i.e., “Hs” and “Ts”

 

H’s

Hypovolemia: look for obvious blood loss, use a fluid challenge to determine if arrest is related to hypovolemia. Hypoxia: open airway, administer oxygen Hypo or hyperkalemia: hyper may be evidenced by peaked T-waves and wide QRS, hypo may be evidenced by U-waves. Hydrogen Ion (Acidosis): provide adequate ventilations, administer sodium bicarb to prevent metabolic acidosis Hypothermia: pt may not respond to drug or electrical therapy

T’s

Tamponade, Cardiac: may be evidenced by narrow QRS with rapid rate Toxins: treat known overdoses Tension Pneumothorax: decompress the chest Thrombosis (Coronary, Pulmonary): treat known MI

 

 

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