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- Ensure the scene is safe
- Check for response
- If no response i.e. unresponsive and lack of normal breathing (no breathing or only gasping), then
- Activate EMS (Emergency Medical Services) and get or call for AED (automated external defibrillator, and only if two rescuers are present)
- Immediately start the chest compressions
- Position the heel of 1 or 2 hands in the lower part of the center of the chest (1 or 2 hand technique)
- Start compression (2 inches or at least 1/3 the depth of the chest) and do at least 100 per minute. Allow complete chest recoil after each compression to allow heart to refill with blood.
- Position the heel of 1 or 2 hands in the lower part of the center of the chest
- After 30 compressions, open the victim's airway - head tilt-chin lift (push the forehead back with one hand and lift the chin to move the jaw forward with the other hand).
- Give 2 breaths, each for 1-second duration, and look for chest rise. If the first breath doesn't make the chest rise and fall, then reposition the head i.e. head tilt-chin lift, and re administer the breaths. Give one breath, every 3-5 second intervals (12-20 breaths per minute).
- Continue 30 compressions followed by 2 ventilations i.e. ratio of 30:2
- Leave to activate emergency medical services and to get AED after 5 cycles or after 2 minutes (if only 1 rescuer present and the EMS has not been activated)
- AED with pediatric pads (for children less than8 years), should be used as soon as it is available. Resume chest compressions immediately after the shock is given.
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