Adult BLS for Healthcare Providers

Step 1:
Unresponsive
No breathing or no normal breathing (ie, only gasping)

Step 2:
Activate emergency response system
Get AED /defibrillator
or send second rescuer (if available) to do this

Step 3:
Check pulse:
DEFINITE pulse within 10 seconds?
                    
No Pulse            Definite Pulse

Step 3A:
     •Give 1 breath every 5 to 6 seconds
     •Recheck pulse every 2 minutes

Step 4:
Begin cycles of 30 COMPRESSIONS and 2 BREATHS

Step 5:
AED/defibrillator ARRIVES

Step 6:
Check rhythm
Shockable rhythm?

Shockable            Not Shockable    
    
Step 7:
Give 1 shock
Resume CPR immediately for 2 minutes

Step 8:
Resume CPR immediately for 2 minutes
Check rhythm every 2 minutes; continue until ALS providers take over or victim starts to move

High-Quality CPR
     •Rate at least 100/min
     •Compression depth at least 2 inches (5cm)
     •Allow complete chest recoil after each compression
     •Minimize interruptions in chest compressions
     •Avoid excessive ventilation

Simplified Adult BLS

Unresponsive
No breathing or no normal breathing (only gasping)
Activate emergency response
Start CPR
Get defibrillator
Check rhythm/shock if indicated
Repeat every 2 minutes
Push Hard/Push Fast

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