1. Division of Risk Management State of Florida Loss Prevention Program

2.  Check for scene safety making sure you and the victim are free from danger.  Check for responsiveness by tapping the shoulders with both hands while saying “are you ok?”  If no response, yell for help.  If someone comes, tell him/her to phone 911 and get an Automated External Defibrillator (AED).  If no one comes, phone 911 immediately and then begin the steps of CPR. Someone in Trouble? What Should you do?

3.  Open the Airway.  Head-tilt-chin-lift or Jaw Thrust.  Look, Listen, Feel for breath (5 – 10 seconds).  Say, “I’m looking to see if the chest is rising and listening and feeling for breath” and you’ll be fine.  Perform a “Head-tilt-chin-lift” and give 2 breaths.  Give enough breath to make the chest rise.  Remember to pinch the nose.  Start 5 cycles of 30 compressions and 2 breaths at a rate of 100 compressions per minute.  Five cycles of 30 compressions and 2 breaths in under 2 minutes.  Remember—if an AED arrives on the scene (for adult CPR) stop CPR and use AED immediately.

4. 2 fingers on “boney part of chin, other hand pushing forehead back.

5. Heel of one hand center of the chest on the nipple line, above the bottom of the breastbone. Place other hand on top. Compression Hand Placement

6. Correct compression technique and posture. Elbows straight, eyes looking at the top of your hands, counting each compression. Compression Technique and Posture

7.  Check for scene safety.  Check for responsiveness.  If no response, SHOUT for help, send someone to ACTIVATE EMS, and get an AED.  Open the Airway.  Head-tilt-chin-lift or Jaw Thrust.  Look, Listen, Feel for breath (5 – 10 seconds).  Give 2 breaths.  Give enough breath to make the chest rise.  Remember to pinch the nose.  Start CPR: 30 compressions and 2 breaths at a rate of 100 compressions per minute.  After 5 cycles of 30:2, if alone, ACTIVATE the EMS and get the AED.

10.  Check for scene safety.  Check for responsiveness.  If no response, SHOUT for help, send someone to ACTIVATE EMS, and get an AED.  Open the Airway.  Head-tilt-chin-lift or Jaw Thrust.  Look, Listen, Feel for breath (5 – 10 seconds).  Give 2 breaths.  Give enough breath to make the chest rise.  Remember to place your mouth around the nose and mouth.  Start CPR: 30 compressions and 2 breaths at a rate of 100 compressions per minute.  After 5 cycles of 30:2, if alone, call 911 after 5 th cycle.

12. 1. Place it at the victims side next to the responder using it. 2. POWER on the AED. 3. ATTACH the pads to the victim, then attach to AED. 4. Clear the victim and ANALYZE the rhythm by pressing the analyze button. 5. SHOCK – If the AED advises a shock, Clear the victim and press the SHOCK button. 6. CPR – After AED gives the shock, begin CPR beginning with chest compressions. 7. RE-ANALYZE – After 2 minutes of CPR, press ANALYZE on AED  Four Special situations: Take heed of the four special situations and know what to do.  Hairy chest.  Wet/water.  Pacemaker.  Medicine patch.  Use adult pads on victims aged 8 and older.  Use specialized pediatric pads on victims aged 1 to 8.  Currently no evidence to recommend for AED use on infants aged 1 or less.

15.  Ask the victim “Are you choking?”  If the victim nods yes, ask the victim “Can I help?”  If the victim nods yes, position yourself behind the victim one foot between victim’s feet for stability (standing for adult, kneeling for child).  Place one fist turned up with the thumb slightly above the navel but well below the breastbone. The other hand clasping the first fist.  Thrust inward and upward with enough force to expel the object.  Continue to thrust until the object is expelled or the victim becomes unresponsive.  If the object is expelled, have the victim see a healthcare professional for further evaluation.  If the Adult victim becomes unresponsive, call 911 and get an AED. Open the Airway and remove the object if you see it, then begin CPR. Check the Airway every time before giving breaths during CPR.  If the Child victim becomes unresponsive, Open the Airway, remove the object if you see it, and begin CPR. After 5 cycles (2 min) ACTIVATE the EMS and get an AED. Check the Airway every time before giving breaths during CPR.

18.  Look for signs of severe airway obstruction.  Poor / no air exchange.  Weak ineffective cough / no cough at all.  Turning blue around mouth.  Kneel / sit with infant in your lap.  Perform 5 back thrusts, 5 chest thrusts, continue until object is expelled or infant becomes unresponsive.  If object is expelled, take infant to a healthcare provider for further evaluation.  If object is not expelled and infant becomes unresponsive, open the airway, remove the object if you see it, and begin CPR.  After 5 cycles (2 minutes), ACTIVATE the EMS.  Check the Airway every time before giving breaths during CPR.

21. For more information on this subject, please contact: Division of Risk Management State of Florida Loss Prevention Program StateLossPreventionProgram@myfloridacfo.com (850)413-4756