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EMR
EMT
AEMT
Paramedic
Extended
CPR
Indications: Pulseless patients who do not meet CCR or obvious death criteria.
Children
Respiratory Etiology
Overdose
Trauma
Drowning
Obstetrical
Steps
Performed?
Yes No
Component
Recommendations
Adults
Children
Infants
Recognition
Unresponsive Adults
No breathing or no normal breathing (i.e., gasping)
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No palpated pulse within 5-10 seconds
CPR Sequence
C-A-B (Circulation-Airway-Breathing)
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Compression Rate
100-120/minute
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Compression Depth
2-2.4 inches
At least 1/3 AP diameter (2 inches)
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Chest Wall Recoil
Allow complete recoil between compressions
Rotate compressors every 2 minutes
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Compression
Interruptions
Minimize interruptions in chest compressions
Attempt to limit interruptions to < 10 seconds
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Airway
Passive oxygen insufflation with NRB at 100% FiO2
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Compression to
Ventilation Ratio
(until advanced airway is
placed)
30:2
1 or 2 Rescuers
30:2
Single Rescuer
15:2
2 Rescuers
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Ventilation with
Advanced Airway
1 breath every 6-8 seconds, asynchronous with compressions
About 1 second per breath – visible chest rise
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Defibrillation
Attach and use defibrillator or AED as soon as available.
Minimize interruptions in chest compressions before and after
shock. Resume compressions immediately after each shock.
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CPR