CARDIO-PULMONARY

RESUSCITATION
Cebu Doctors’ University
College of Nursing

Mr. Jetier T. Pinote, R.N

Assessment
Airway
Breathing
Circulation
Assessment CPR
Airway Circulation
Breathing Airway
Circulation Breathing
Circulation
The movement of blood through the beating of the heart
• Pulse sites: carotid artery, brachial pulse.
• No more than 10 seconds assessment.
• Check for signs of circulation regularly, the victim
might fall into cardiac arrest anytime.
• If no circulation detected, begin chest
compression immediately.
Circulation
PRINCIPLES
• Air that enters the lungs contain about 21% of O2 and only trace of CO2. Air
that is exhaled from the lungs contain about 20% CO2.
• The right side of the heart pumps blood to the lungs, where blood picks up
the oxygen and releases them to the body.
• The oxygenated blood returns to the left side of the heart, where it is
pumped to the tissues of the body.
• All tissues require O2, but the brain requires more O2 than any other tissue.
• Clinical Death – when breathing and circulation stops (0-4 minutes)
• Biological Death – when breathing and circulation stops (> 6 minutes)
Airway
The protection and maintenance of the victim’s airway including the
use of airways such as an oral or nasal airway.

If the person is unresponsive:

• Open the blocked airway, inspection of the mouth
may reveal a blocked airway.
• Techniques in opening airway:
• Head tilt chin lift
• Jaw thrust
 • For infants: avoid tilting the head back too far.
• Once airway is open, lean over and put your ear
close to the victim’s mouth:
• look at chest movement
• listen for the sound of breathing
• feel for breath on your cheek (3-5 cm
away)
• If the victim is breathing, position to recovery
position.
Breathing
The actual flow of air through respiration, natural or artificial
respiration often assisted by emergency oxygen.

• LLF Method
• After delivering two breaths, check for signs of
circulation, such as breathing, coughing,
movement or responsiveness.
Cardio-
Pulmonary
Resuscitation
Compressions
• Place victim on flat and firm surface; cardiac
board
• Heel of the hand/Fingers
• Push hard (depth) & fast (30 compressions/cycle)
• 100 – 120 per minute
• Allow complete chest recoil – avoid leaning
• Minimize interruptions - <10 secs
• Tune of Macarena
• Children – “push hard enough”
• Compression Only CPR
Rescue breaths
• Opening the airway
• 2 breaths every 30 compressions
• 20-30 breaths/minute
• Methods
• Mouth to Mouth
• Mouth to Nose
• Mouth to Mouth and Nose
• Mouth to Mask
• Bag Valve Mask
Rescue breaths
BLS Chain of Survival
ADULT PEDIATRIC
1. 1.
2. 2.
3. 3.
4. 4.
5. 5.
6. 6.
7.
BLS Chain of Survival

ADULT PEDIATRIC
1 man rescue 30:2 30:2
2 man rescue 30:2 15:2
Recovery Position
When to Stop?
Scene becomes unsafe
Turn over to the physician
Over exhaustion of the rescuer
Physician declared death
Spontaneous return of circulation and breathing