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Changes in Life Support ( CPR , AED)

Care Technique	Previous Recommendations	New Recommendations
Initial assessment	Check for responsiveness , then open the airway and check for normal breathing	Check for responsiveness  and simultaneously look for normal breathing
CPR technique	Give 2 breaths before beginning chest compressions ( ABC)	Begin CPR immediately with chest compressions( CAB)
Depth of compressions	1 ½ to 2 inches in adult , 1/3 to ½ the depth of the chest in an infant of child	At least 2 inches in an adult , at least 1/3 the depth of the chest in an infant ( about 1 1 ½ inches) or child ( about 2 inches)
Rate of compressions	100 per minute	At least 100 per minute
AED for infants and children	Use AED with paediatric pads for child ages 1 to 8 yrs	Use AED with pediatric pads for both infants and children uo to age 8

Focus on how to provide high quality CPR

1)    Chest compressions          

a.     Push hard and push fast

                                                              i.      At least 100 per minute ( vs. Approx 100/ minute)

                                                            ii.      Compression depth at least 2 inches in adult

  1.     2 inches in children ( = 1/3 AP diameter)

  2.     1 ½ inches in infants (= 1/3 AP diameter)

                                                          iii.      Allow complete recoil of the chest after each compression

                                                         iv.      Maximize the number of compressions per minute

  1.     Minimize interruptions

                                                           v.      Compression – ventilation ratio of 30:2