MY CPR MANUAL

CPR, Conscious Choking, Unconscious Choking, & Bleeding

Adult, Child, & Infant CPR

ADULT: First you want to check the scene, then check the person and see if there is any response. Then have someone call 911 or if alone call yourself then you want to go right into 30 compressions for a rate of at least 100 beats per minute, only go 2 inches deep, using 2 hands, put the heel of one hand on the center chest then place other hand on top. Then after that you want to tilt their head and look for any objects inside the mouth. Then give 2 rescue breaths, each lasting about 1 second. Continue this cycle 5 times.

CHILD: First you want to check the scene, then check the person and see if there is any response. Then either you or someone else needs to call 911. Then go right into 30 compressions, same as adult, except you go 1/3 inches deep. Then head tilt, look for an objects in the mouth, then do 2 rescue breaths each lasting about 1 second. Continue this cycle 5 times.

INFANT: First you want to check the scene, then check the infant and see if there is any response. Then either you or someone else needs to call 911. Then go right into 30 compressions, using 2 fingers on the breastbone just below the nipple line & you go 1/3 inches deep. followed by a head tilt & 2 rescue breaths. Continue this cycle 5 times.

Adult, Child, & Infant Conscious Choking

ADULT & CHILD: first you ask the person if they are choking. If the person is unable to breath or talk, treat the person. Have either you or someone else call 911. Then stand behind the person, then place the flat side of your fist just above the belly button. Grab the back of your fist with the other hand. Then start doing abdominal thrusts, pulling inward and outward. Continue doing the abdominal thrusts until the object comes out or the person goes unconscious.

INFANT: First you see if the infant is responsive and breathing. If the infant is unable to breath or respond, treat the infant. Have either you or someone else call 911. Then support the infant's face & place its body on your forearm. Make sure to keep the infant's head lower than its feet. Then do 5 back flows between the shoulder blades using the heel of your hand. Then support the infant's head and turn the infant over on your other forearm. Give 5 chest thrusts. Continue 5 back flows and 5 chest thrusts until the object comes out or the infant becomes unconscious.

**If the person is pregnant or too large to reach around, then give chest thrusts instead.

Adult, Child, & Infant Unconscious Choking

ADULT: If the person becomes unconscious, lower the patient safely to the ground. Then either you or someone else call 911.  Then start 30 compressions, 2 inches deep using 2 hands. Then open the airway and check for any objects inside the person's mouth. If you see an object, then sweep it out with your finger. Then do 2 rescue breaths, if the breaths don't make the chest rise then, re tilt head and reattempt 2 rescue breaths. If the person is still unconscious and not breathing, continue 30 compressions and 2 rescue breaths.

CHILD: If the person becomes unconscious, lower the patient safely to the ground. Then either you or someone else call 911.  Then start 30 compressions, 1/3 inches deep using 2 hands. Then open the airway and check for any objects inside the person's mouth. If you see an object, then sweep it out with your finger. Then do 2 rescue breaths, if the breaths don't make the chest rise then, retilt head and reattempt 2 rescue breaths. If the person is still unconscious and not breathing, continue 30 compressions and 2 rescue breaths.

INFANT: If the person becomes unconscious, lower the patient safely to the ground. Then either you or someone else call 911.  Then start 30 compressions, 1/3 inches deep using 2 fingers. Then open the airway and check for any objects inside the person's mouth. If you see an object, then sweep it out with your pinky. Then do 2 rescue breaths, if the breaths don't make the chest rise then, retilt head and reattempt 2 rescue breaths. If the person is still unconscious and not breathing, continue 30 compressions and 2 rescue breaths.

**If the patient vomits, roll the patient on his/her side and clear out his/her airway. After the airway is cleared, roll the patient back & continue care.

Bleeding

You need to put direct pressure on it by adding a piece of gauze. If it starts to leak through then add more gauze to the top. Keep the wound elevated as long as there is no bone fracture. Keeping it elevated at heart level is best. Once the bleeding is under control, then you can start wrapping the wound, still keeping direct pressure on it.  You want to start wrapping at the end of the arm and work your way towards the heart. So you don't trap blood in the hand. When get to the top where the wound is, you can put a little twist to the tie which helps apply a little more pressure. After you get it tight enough check for any leak through bleeding. Check for capillary refill. Elevate above the heart, activate EMS, Watch for reoccurance of bleeding. If you get more bleeding then put another layer of bandage & wrapping on to create a pressure dressing and then get the patient to the hospital.

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