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- Ensure the scene is safe.
- Check for response.
- If there is 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).
- Immediately start the chest compressions.
- 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 are locked at the elbow and at a 90-degree angle to the victim's chest.
- Start compressions ( at least 2 inches in depth) and do at least 100 per minute. Allow complete chest recoil after each compression to allow the heart to refill with blood.
- After 30 compressions, open the airway and give breaths. 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, then 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 5-6 second intervals (10-12 breaths per minute).
- Continue 30 compressions followed by 2 ventilations, i.e. ratio of 30:2.
- AED should be used as soon as it is available to resume chest compressions immediately after the shock is given.
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