1 MAN C.P.

R
No Procedure

1. Assessment of safety & wear PPE (clear the danger)

2. Check for response, Tap the shoulder and ask “ Are you
OK”
3. If no response, call for help. Ask for ambulance, call 999
4. Open Airway (Head Tilt Chin Lift)
5. Scan for normal breathing in not more than 10 seconds.
(No breathing / agonal gasping)
6. Start chest compression if no breathing or abnormal
breathing seen.
7. High quality chest compression
a. Correct compression hand placement (Center of
chest)
b. 2 hands: heel of 1 hand, other hand on top
c. Push hard (depth > 2 inches (5cm)
d. Push fast (rate at least 100 per minutes)
e. Allow complete chest recoil
f. Minimize interruption (gives 2 breaths in less than
10 seconds)
g. Avoid excessive ventilation
8. Perform 30 compressions with 2 ventilations for each cycle.
a. About 1 second per breath
b. Able to produce visible chest rise
9. Continue the 5 cycles for 2 minutes
10. Check the carotid pulse not more than 10 seconds (if
pulse present)
11. Check for breathing (if no breathing)
12. Provide 1 breath every 6 seconds (20 ventilations for 2
minutes)
13. Re-assess victim's pulse and breathing every 2 minutes
14. Position victim in the recovery position, monitor vital
sign and skin colour until emergency team arrive.
2 MAN C.P.R
No Procedure

1. Assessment of safety & wear PPE

2. Check for response, Tap the shoulder and ask “ Are you OK”
3. If no response, call for help Ask for ambulance, call 999
4. Open Airway (Head Tilt Chin Lift)
5. Scan for normal breathing in not more than 10 seconds. (No
breathing / agonal gasping)
6. Start chest compression if no breathing or abnormal breathing
seen.
7. High quality chest compression
a. Correct compression hand placement (Center of chest)
b. 2 hands: heel of 1 hand, other hand on top
c. Push hard (depth > 2 inches (5cm)
d. Push fast (rate at least 100 per minutes)
e. Allow complete chest recoil
f. Minimize interruption (gives 2 breaths in less than 10
seconds)
h.Avoid excessive ventilation
8. Perform 30 compression with 2 ventilations for 5 cycles (2
minutes)
a. About 1 second per breath
b. Able to produce visible chest rise
9. Switch roles & re-assess victim with minimal interruption every 2
minutes
10. Ventilator check the carotid pulse not more than 10 seconds. If no
pulse, second compressor start chest compression again.
11. Perform 30 compression with 2 ventilations for 5 cycles
(2 minutes)
12. Ventilator check the carotid pulse not more than 10 seconds. (if
pulse present, no breathing) Provide 1 breath every 6 seconds (20
ventions for 2 minutes)
 13. Reassses victim's pulse and breathing every 2 minutes if pulse and
breathing present,
14. Position victim in recovery position, monitor vital sign and skin
colour until emergency team arrive.

ADULT CHOKING
No Procedure

1. Recognition of choking: clutch the neck and attempt to

cough.
2. Ask question “Are you choking”?
If victim nods yes, help needed
3. Assess severity of airway obstruction
a. If mild, encourage victim to cough
b. If severe (can't speak, difficulty in breathing, silent cough
& cyanosis) provide help
4. Give Back blows 5 times, Give abdominal trust 5 times,
repeat until foreign body is out or victim become
unconscious
VICTIM BECOME UNCONSCIOUS
5. Shout for help and active emergency response system
6. Support the victim to the ground
7. Open airway and check for foreign body
8. If no Foreign body seen, give 2 rescue breaths
9. Provide 30 chest compression
10. Open airway and check foreign body (remove if seen using
finger sweep technique)
11. If no foreign body seen, give 2 ventilation (if no chest
movement, re-position the head before second attempt of
ventilation).
12. Continue with 30 chest compression and 2 ventilation until
airway clear
13. Re assess victim’s pulse & breathing every 2 minutes
14. Position victim in recovery position, monitor vital sign and
skin colour until emergency team arrive.

INFANT C.P.R

No Procedure
1. Assessment of danger and safety
2. Check for responsiveness, Tap shoulder twice,
ask “ Are you OK”
3. Call for help if no response. Ask for ambulance, call 999
4. Open airway (Head Tilt Chin Lift) do not hyperextend
5. Check breathing: look, listen and feel for normal breathing
not more than 10 seconds. If No breathing / agonal gasping
6. Give 5 rescue breaths.
7. Check brachial pulse (take not more than 10 sec)
8. Start chest compression if pulse < 60/min with poor
perfusion)
9. High quality chest compression
a. Center of chest, below nipple line
b. 2 finger technique
c. Push hard (about 1 1/2 inches / 4cm)
d. Push fast (rate at least 100 per minutes)
e. Allow complete chest recoil
f. Minimize interruption
g. Avoid excessive ventilation
10. Provide 30 compression with 2 ventilations for 5 cycles (2
minutes)
a. About 1 second per breath
 b. Able to produce visible chest rise
11. Re-assess victim’s pulse and breathing every 2 minutes
12. Provide 1 breath every 3 seconds (40 ventilatons for 2
minutes) if pulse present but no breathing.
13. Re-assess victim’s pulse and breathing every 2 minutes
14. Keep warm, reassses victim's pulse and breathing every 2
minutes If pulse and breathing present.

INFANT CHOKING
No Procedure

1 Assess severity of airway obstruction

a. If mild, able to cry, cough and breath. encourage victim
to cough
b. If severe (no strong cry, ineffective cough, serious
breathing difficulties & cynosis) provide help
2 Sandwich technique
3 Give Back blows 5 times
4 Give chest thrust 5 times
5 Remove foreign body if seen (use finger sweep)
VICTIM BECOME UNCONSCIOUS
6 Check victim response
7. Ask for ambulance if no response
8. Put victim on hard surface, open air and check for any
foreign body in the mouth, if no seen, given 5 ventilation
9. Provide 15 chest compression
10. Check foreign body (remove if seen using finger sweep
technique)
11. Give 2 ventilation (if no chest movement, re-position the
 head before second attempt of ventilation).
12. Continue with 30 chest compression and 2 ventilation until
airway clear
13. If foriegn body seen, removed foriegn body by finger sweep.
try to ventilate twice
14. Check pulse, if no pulse or if pulse < 60/minute with poor
perfusion, Start chest compression 30 : 2
15. Re assess victim’s pulse & breathing every 2 minutes
16. Position victim in recovery position, monitor vital sign and
skin colour every 2 minutes until emergency team arrive.