1. Professional Rescuer CPR
Chapter 7

2. 7-1: Performing Adult Chest Compressions (1 of 2)
1. Locate the top and bottom of the sternum. Place the heel of your hand in the center of the chest, in between the nipples.

3. 7-1: Performing Adult Chest Compressions (2 of 2)
2. Place your other hand on top of your first hand and interlock your fingers.
3. Compress the chest of an adult 1½" to 2" straight down.

4. 7-2: Performing One-Rescuer Adult CPR (1 of 2)
1. Establish responsive-ness by gently shaking the shoulder.
2. Open the airway.
3. Check for breathing.

5. 7-2: Performing One-Rescuer Adult CPR (2 of 2)
4. Perform rescue breathing.
5. Check for circulation.
6. Perform chest compressions.

6. 7-3: Performing Two-Rescuer Adult CPR (1 of 2)
1. Establish responsiveness.
2. Open the airway using the head tilt–chin lift or jaw-thrust maneuver.
3. Check for breathing —look, listen, and feel.

7. 7-3: Performing Two-Rescuer Adult CPR (2 of 2)
4. Perform rescue breathing: give two breaths.
5. Check for circulation by feeling the carotid pulse.
6. Begin chest compressions and continue rescue breathing.

8. 7-4: Performing One-Rescuer Infant CPR (1 of 3)
1. Position the infant on a firm surface and establish the infant’s level of responsiveness.
2. Open the airway using the head tilt–chin lift maneuver.
Photos courtesy of Jennifer and Marc Lemaire.

9. 7-4: Performing One-Rescuer Infant CPR (2 of 3)
3. Check for breathing.
4. To breathe for an infant, place your mouth over the infant’s mouth and nose and give very small puffs of air, just enough to make the chest rise.
Photos courtesy of Jennifer and Marc Lemaire.

10. 7-4: Performing One-Rescuer Infant CPR (3 of 3)
6. Begin chest compressions, using the middle and ring fingers to compress the sternum, at the rate of 100 per minute. Continue compressions and ventilations, and reassess the patient after five cycles.
5. Check for circulation. Check the brachial pulse on the inside of the arm. Check for at least 5 seconds but no more than 10 seconds.
Photos courtesy of Jennifer and Marc Lemaire.

11. 7-5: Procedure for Automated External Defibrillation (1 of 3)
1. Check for responsiveness, airway, breathing, and circulation.
2. If the patient is unresponsive, not breathing, and pulseless, perform CPR for five cycles (about 2 minutes). If arrest is witnessed, proceed to Step 3.

12. 7-5: Procedure for Automated External Defibrillation (2 of 3)
3. Apply the adhesive pads and connect them to the defibrillator. Turn on the AED. Do not touch the patient. Allow the AED to analyze the rhythm.
4. Determine whether a shock is advised by the defibrillator. If a shock is advised, defibrillate the patient.

13. 7-5: Procedure for Automated External Defibrillation (3 of 3)
5. As soon as the AED gives the shock, perform five cycles of CPR (about 2 minutes), starting with chest compressions, then analyze the rhythm. If the AED advises no shock, perform five cycles of CPR (about 2 minutes), starting with chest compressions, then analyze the rhythm.