| C - CIRCULATION
Check if the casualty has a pulse.
If casualty has a pulse but is not breathing, start EAR
at 15 breaths per minute.
If no pulse is present immediately start CPR.
How to check pulse?
Feel for a carotid (neck) pulse by placing
the pads of your fingers in the groove beside the Adam's
apple or the middle of the neck on a woman. You can check
on either side of the neck. You must check the pulse for
10 seconds.
Note: When the body is in shock, it
often shuts down the peripheral circulation, including
the radial (wrist) pulse. Therefore it is not advised
to check radial pulse.
CARDIO-PULMONARY RESUSCITATION (CPR)
Cardio-pulmonary resuscitation (CPR)
is a combination of the Chest Compression procedure and
Expired Air Resuscitation (EAR).
Whichever method is used, the pulse must
be checked after one minute and then at two
minute intervals. Failure to do so may result in brain
damage and lead to death.
Note:
CPR must only be practised on a revival dummy.
STEP 1 - After 5 full breaths, check pulse. If no pulse
is present commence CPR immediately.
STEP 2 - Position the hands on the Compression point
STEP 3 - Exert pressure using the heel of the lower hand
STEP 4- Depress the Sternum about 4-5 centimetres
STEP 5- Give equal time from compression and relaxation
STEP 6- Give 15 compressions in 10-12 seconds. 2 breaths
in 3-4 seconds. 4 cycles per minute.
CPR for Infants
A child’s bones are not properly
formed and more delicate. There is a critical differences
between giving CPR to adults and children which are as
follows:
For children under the age of
1 year:
• Only use two fingers over the
lower half of the breastbone
• Do not tilt head backwards
• Jut give small puffs, not full breaths as for
adults
• EAR rate 20 breaths per minute
• 1 breath in 5 seconds
• Compression depth is one third depth of the chest
For children aged between 1 and 8 years:
• Use the heel of one hand only
• Give only half a breath
• Ratios & Rates are the same as for a 1 year
old child
• Compression depth is one third depth of the chest
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