- Check for danger. Remember that you cannot help if you become injured.
- If the area is safe approach the casualty and check for a response.
- Gently shake each shoulder and ask ‘loudly are you okay?’
- If there is no response open the airway.
- Place one hand on the forehead and the fingertips of your other hand under the chin and gently tilt the head back.
- Look, listen and feel for normal breathing for no more than 10 seconds.
- If they are not breathing normally shout for help and get someone to call 999 or 112 and send for a defibrillator also known as an AED.
- If you are alone with the casualty and have a mobile phone with you, put it on loudspeaker to communicate with the emergency services, but do not delay starting CPR.
- Kneel at the side of the casualty level with their chest.
- Place the heel of one hand in the center of the chest towards the bottom of the breast bone.
- And the heel of your other hand on top of the first hand and interlock your fingers. Raise your fingers away from the ribs.
- Lean over the casualty with your arm straight and press down on the breastbone to a depth of five to six centimeters.
- Release all of the pressure from your hands but maintain contact with the casualties chest. Allow the chest to rise fully. This is one chest compression.
- Do 30 compressions at a rate of about 2 per second. You are aiming for 100 to 120 per minute.
- Now give two rescue breaths. If possible use a protective barrier such as a face shield or face mask.
- Ensure the casualties Airway is open by tilting the head back. Pinch their nose firmly closed
- Take a normal breath and seal your lips around their mouth. Blow into the mouth until the chest rises. Remove your mouth and allow the chest to fall.
- Repeat once more continue the CPR cycle of 30 chest compressions to two breaths.
- If an AED arrives switch it on and follow the voice instructions.
- You or your helper will need to expose the casualties bare chest by undoing or cutting their clothing.
- Peel the backing from one pad at a time and place firmly on the casualties bare chest in the position shown.
- Place one pad below the casualties right collarbone. Place the other pad around the casualties left side over the lower ribs.
- Stop CPR while the AED analyzes the heart rhythm and make sure no one touches the casualty.
- If a shock is indicated, make sure that everybody stands clear. Press the shock Button as directed. If it is a fully automatic AED the machine will deliver the shock automatically.
- Continue to follow the voice or visual instructions and restart CPR a to ratio of 30 chest compressions to two breaths.
- Do not stop doing CPR until:
- A health professional tells you to stop.
- You become exhausted.
- If there is more than one rescuer do about two minutes of CPR each, but minimize any interruption in chest compressions.
- The casualty is obviously responsive, they wake up move open their eyes and breathe normally.
- Taking care of yourself after giving CPR trying to resuscitate someone can be a very traumatic experience and it is important to look after yourself and to be aware of the symptoms of post-traumatic stress.