心肺复苏CPR流程--英文版.doc
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CPR
[Cardio(heart)Pulmonary(lung)Resuscitation(revive,revitalize)]
1.Checkthesceneforsafety.
3.Kneelontherightsideoftheperson.Determineunresponsiveness.
Taptheshoulderandshout“Areyouokay?
”
4.Checkforbreathing.About5seconds(Lookdowntowardstheperson’schesttoseeifitismoving.Listenwithyourear,foranyairflowthroughthemouthornose.Feelwithyourcheekifthereisanyaircomingoutofthemouth..)
5.ActivatetheEMSS.
6.Positionthepersonsupine.Logrollthepersonsothere’snotwistingofthespine.Mustbeonahard,flatsurface.Placetheperson’sarmsalongsidethebody.
7.Looseningtightcollarandbelt.
8.Checkforcarotidpulse.Lessthan10seconds.2fingers/cmlateralthethroat.Alsocheckforvisiblesignsofcirculation(breathing,coughing,moving).
9.Circulation.Ifpersonhasnopulse,beginwiththechestCompressions.Locatebreastbone&Interlocktwohands.
Placeheelofonehandoncenterofchestbetweenthenipples(breastbone:
junctionofthemiddle1/3andlower1/3)
Besuretokeepyourfingersupoffthechestwall.
Keepyourarmsstraightandshouldersoveryourhands.Verticalforceproducedbytheupperpartofthebody.
Pushhard,pushfast.Depth:
morethan5cm/2inches.Frequency:
over100times/min.
Makearhythmandcountoutloud.(Try:
1and,2and,3and,4and,5and,6and,```30and)
After30compressions(betterin18seconds),followwith2rescuebreaths.
10.ClearandopentheAirway.
Useyourtwofingerstoclearanythingthatblockingtheperson’sairway.
Head-tilt&Chin-lift.
ORJaw-thrust.(Useforpersonwhomaygotneckinjury.)Graspthelowerjawonbothsidesofthehead,liftitupwardandoutward.
11.Breathing.
Pinchtheperson’snosewithyourfingertips&startmouthtomouthbreathing.
Placeyourmouthovertheperson’smouthandexhale.
Givetwofullbreaths(1secondforeach).Betweeneachbreathallowlungstorelaxasthepersonexhales.
Keepaneyeonhischest.Trynottoover-inflatetheperson’slungs.
Breathfrequency:
8~10times/2mins.400~600ml/time(foradult)
12.OneCPRcycle:
30compressions+2breaths,shouldbeperformed5times.
TimeshifforBreathingtoCompressionshouldbelimitedin5seconds.
13.After5cycles(about2minutes)ofCPR,recheckcirculation.
Ifnocirculation,continueCPRandrecheckcirculationevery2minutes.
14.Stillpulsesareabsent,ContinueCPRcycleUntilhelparrives.Thewholeprocessatleast30minutes.
15.Dothefollowingifthepersonhassignsofcirculation:
a.Checkforbreathing
b.Positionthepersoninrecoverypositioniftheperson’sbreathing.
c.Monitorbreathingandcirculation.
d.Recordtheprocess.
16.Dothefollowingifthepersonhassignsofcirculationbutbreathingisabsent:
a.Give1rescuebreathevery5seconds.
b.Monitorcirculation.
.