AHA 2020 BLS CPR Guidelines
Adult BLS CPR
Pulse Check
- Check the carotid for no less than 5, no more than 10 seconds, on your side
- Find the trachea, go just parallel to that with 2 fingers
- Look and listen for breathing at the same time
- Agonal respirations are ineffective and indicate cardiac arrest
- Shout “help, Get an AED, call 911”
Compressions
- Location of hands, just below the nipple line in the center of the chest, just above the xiphoid process
- Put your shoulders over the patient, straighten and lock your elbows and wrists
- You will break ribs due to proper depth and strength
- Proper depth should be about 2 inches
- Allow for full chest recoil, this ensures refilling of blood in the heart
- Ratio with ventilations 30:2
- 100-120 compressions a minute
- Limit interruptions off the chest for more than 10 seconds
Pocket Mask/BVM
Pocket Mask
- C clamp, thumb, then head tilt chin lift looking for chest rise and fall
BMV
- Place yourself at the head of the patient
- Make a C-E Clamp, Open the airway with the head-tilt-chin lift
- Squeeze the bag over 1 second, we don’t want to over ventilate and risk gastric inflation and aspiration
Child BLS CPR
- Definition of 1 year to signs of puberty (chest/armpit hair, breast development)
- When checking a pulse, if a pediatric patient has a pulse less than 60 bpm, perfusion is not efficient and CPR is indicated
- Difference in hand placement/technique: 1 hand vs. 2 hands
- Still ensure recoil
- Proper Depth approximately 1/3 depth of the chest or 2 inches
- 1 rescuer= 30:2 compression to ventilation ratio
- 2+ rescuer= 15:2 compression to ventilation ratio
- Allow for full chest recoil, this ensures refilling of blood in the heart
- Per AHA, children usually go down due to breathing problems, as opposed to adults who usually go down for cardiac reasons
- Limit interruptions off the chest for more than 10 seconds
Infant BLS CPR
Pulse Check
- Check the brachial, located between the tricep and bicep, for no less than 5, no more than 10 seconds, on your side
- If less than 60, treat as CPR
- Look and listen for breathing at the same time
Compressions
- Location of hands fingers in the center of the chest for one rescuer CPR
- Proper depth should be 1/3 chest depth of the chest or 1.5 inches
- Allow for full chest recoil, this ensures refilling of blood in the heart
- Location of hands is thumb encircling on chest for two rescuer CPR
- 1 rescuer= 30:2 compression to ventilation ratio
- 2+ rescuer= 15:2 compression to ventilation ratio
- Limit interruptions off the chest for more than 10 seconds
Pocket Mask/BVM
Pocket Mask
- C clamp, thumb, then head tilt chin lift looking for chest rise and fall
BMV
- Place yourself at the head of the patient
- Make a C-E Clamp, Open the airway with the head-tilt-chin lift
- Squeeze the bag over 1 second, we don’t want to over ventilate and risk gastric inflation and aspiration
Visit https://www.heart.org and *https://expresstraining.com/resources/study-guides/ for more info
