1. Check for responsiveness. Shake or tap the person gently. See if the person moves or makes a noise. Shout, "Are you OK?"
2. Call 911 if there is no response. Shout for help and send someone to call 911. If you are alone, call 911 and retrieve an automated external defibrillator (AED) if one is available, even if you have to leave the person.
3. Carefully place the person on their back. If there is a chance the person has a spinal injury, two people should move the person to prevent the head and neck from twisting.
4. Open the airway. Lift up the chin with 2 fingers. At the same time, push down on the forehead with the other hand.
5. Look, listen, and feel for breathing. Place your ear close to the person’s mouth and nose. Watch for chest movement. Feel for breath on your cheek.
6. If the person is not breathing or has trouble breathing:
- Cover the person’s mouth tightly with your mouth.
- Pinch the nose closed.
- Keep the chin lifted and head tilted.
- Give 2 breaths. Each breath should take about a second and make the chest rise.
7. Perform chest compressions:
- Place the heel of one hand on the breastbone – just below the nipples.
- Place the heel of your other hand on top of the first hand.
- Position your body directly over your hands.
- Give 30 chest compressions. These compressions should be FAST and hard. Press down about 2 inches into the chest. Each time, let the chest rise completely. Count the 30 compressions quickly: "1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30, off."
8. Give the person 2 more breaths. The chest should rise.
9. Continue CPR (30 chest compressions followed by 2 breaths, then repeat) until the person recovers or help arrives. If an AED for adults is available, use it as soon as possible.
If the person starts breathing again, place them in the recovery position. Periodically re-check for breathing until help arrives.
Review Date: 8/26/2009
Reviewed By: John E. Duldner, Jr., MD, MS, Assistant Professor of Emergency Medicine/Attending Physician, Samaritan Regional Health System. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
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