1. Collapsed or sick patient Check for RESPONSE Gentle SHAKE AND SHOUT No response? Shout for HELP

2. AIRWAY Turn onto back CHECK – remove foreign body/debris OPEN - Head tilt/chin lift

3. Breathing and Circulation LOOK – for normal breathing and signs of life LISTEN – for breath sounds FEEL – for air on your cheek ASSESS for up to 10 seconds

4. Effective chest compressions Heel of the hand in the centre of the chest – offer hand on top Position yourself vertically above the patients chest with straight arms Compress 4-5cm allowing chest to recoil after each compression Repeat 30 times at a rate of 100/min

5. Combine chest compressions with rescue breaths Ensure airway is open, then deliver 2 RESCUE BREATHS Take approx 1 second for each breath, watching the chest rise normally Immediately continue with 30 CHEST COMPRESSIONS : 2 BREATHS

6. Compression – only CPR If unable or unwilling to give rescue breaths perform chest compressions These should be continuous at a rate of 100/min Stop only if the patient starts breathing normally

8. CHOKING BACK BLOWS Stand to one side and slightly behind Lean patient forward and support chest with one hand Give up to 5 back blows

9. ABDOMINAL THRUSTS Stand behind patient and lean them forwards Place fist between navel and breastbone Grasp with other hand, pull sharply inwards and upwards Repeat up to 5 times If the obstruction is still not relieved continue alternating 5 back blows with 5 abdominal thrusts

10. Recovery position