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- If the victim collapses /becomes unconscious, then activate emergency medical services and get an AED (if two rescuers are present)
- The rescuer should then start chest compressions (without a pulse check)
- The rescuer should place the heel of one hand on the center (middle) of the victim's chest (which is the lower half of the sternum) and the heel of the other hand on top of the first so that the hands are overlapped. The arms should be locked at the elbow and at 90 degree to the victim's chest
- Chest compressions (at least 2 inches in depth for an adult or at least 1/3 the diameter of the chest compression for a child) should be done at a rate of at least 100 compressions per minute.
- After 30 compressions, open the airway i.e. head tilt-chin lift technique: push the forehead back with one hand and lift the chin to move the jaw forward with the other hand .
- Check for an object in the mouth, and if you see an object then remove it.
- 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 (check for an object in the mouth each time before the ventilation, and if you see an object then remove it) i.e. ratio of 30:2, until an AED or the EMS arrives.
- an AED should be used as soon as it is available; resume chest compressions immediately after the shock is given ( minimize interruptions) .
- Leave to activate emergency medical services and to get an AED after 5 cycles or 2 minutes (only if one rescuer is present and the EMS has not been activated)
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