doctors in training step 2 2015 download

Lock your elbows and use only your upper body weight to supply the force for the chest compressions, and count as you perform them. Stand or kneel directly over the patient's chest.Locate the area over the heart to begin chest compressions – between the breasts and on the lower third of the sternum.If you're not directly over the chest, you may not adequately compress the heart. Pro Tip #1: Make sure you're directly over the victim's chest to maximize cardiac output, and not off to one side. If you've determined at this point that the victim is unresponsive, not breathing normally (as you now know, agonal respiration is not breathing normally and should be considered the same as NO respirations), and has no pulse, continue immediately with CPR.Spend no more than 10 seconds looking for a pulse. Use the flat parts of your index and middle fingers and press with moderate force in that valley. Check for the carotid pulse, located between the trachea and sternocleidomastoid muscle, in the valley between these two structures.Continue to assess the victim's responsiveness and vital signs – signs of breathing normally, signs of a pulse, etc.In the event that you do not know how to proceed, call 911 on your cell phone, put it on speaker, and follow their instructions. If there is a bystander nearby, you can ask for their help – calling 911, locating an AED, etc. Call 911 and activate EMS or call in a code if you're in a healthcare setting.If you still do not get a response, proceed with the following steps. If you don't get an initial response, place your hand on the victim's forehead and tap on his or her collarbone. Make sure you have your rescue mask with a one-way valve handy and begin calling out to the victim to assess whether or not he or she is responsive.

Recognize the cardiac emergency and call 911Īs always, the first thing you want to do is make sure the scene is safe and that your gloves are on.Remember the five links in the Adult Cardiac Chain of Survival: A patient who is unconscious, not breathing normally, and has no pulse is in cardiac arrest and needs CPR.ĬPR is a combination of chest compressions and ventilations that circulates blood and oxygen to the brain and other vital organs for a person whose heart and breathing have stopped.

Doctors in training step 2 2015 download