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Basic Life Support (BLS) Training

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For the purposes of the BLS course, age definitions are as follows: - Adult: after onset of puberty and older Children: 1 year to puberty Infant: <1 year of age How deep should you compress for each age group? - Adults: at least 2 inches Children: at least 1/3 of the depth of the chest; about 2 inches Infants: at least 1/3 of the depth of the chest; about 1.5 inches How do you check a pulse in infants and children? - Infants: palpate a brachial pulse Children: palpate a carotid or femoral pulse It can be difficult to BLS providers to determine the presence or absence of a pulse in any victim, particularly in an infant or child. So if you do not definitely feel a pulse within 10 seconds, start CPR, beginning with chest compressions How do you locate the carotid pulse? - 1. Locate the trachea on the side closest to you, using 2-3 fingers 2. Slide fingers into the groove between the trachea and the muscles at the side of the neck, where you can feel the pulse 3. Feel for a pulse for at least 5 but no more than 10 seconds. If you do not definitely feel a pulse, begin CPR starting with chest compressions How do you perform chest compressions in infants? - Using the 2 finger technique: 1. Place infant on a firm, flat surface 2. Place 2 fingers in the center of the infant's chest, just below the nipple line, on the lower half of the breastbone. Do not press the tip of the breastbone 3. Give compressions at rate of 100-120/min 4. Compress at least 1/3 of chest (about 1.5 inches) 5. Allow full recoil between compressions and minimize interruptions to 10 seconds or less 6. After every 30 compressions open the airway and give 2 breaths, each over 1 second. The chest should rise after each breath 7. After about 5 cycles of CPR, if you are along and the emergency response system has not been activated, stop to activate the response system and retrieve the AED 8. Restart CPR with 30:2 ratio and use AED until advanced providers take over or the infant begins to breathe, move, or otherwise react How do you place AED pads on someone with a transdermal medication patch? - Do not place AED pads directly on top of the medication patch because it may block the transfer of energy from the AED pad to the heart and also cause small burns. If it does not delay delivery, remove the patch and wipe the area before attaching pads normally. Use gloves when removing the patch to avoid delivery of medication to the rescuer How do you place AED pads on someone with an implanted defibrillator or pacemaker? - These devices are easy to identify because they create a hard lump beneath the skin of the upper chest or abdomen. Avoid placing the AED pad directly over the device but otherwise continue normally How does rapid defibrillation work and what effect does it have on a patient undergoing cardiac arrest? - Rapid defibrillation can identify lethal heart rhythms and deliver a shock to terminate the abnormal rhythm and allow the heart's normal rhythm to resume. In conjunction with high-quality CPR, rapid defibrillation can double or triple the chances of survival How often should rescue breaths be given in infants and children when a pulse is present? - 1 breath every 3-5 seconds How would you recognize that someone has had cardiac arrest? - The victim will be unresponsive, not breathing or only gasping, and no pulse

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Basic Life Support (BLS) Training
For the purposes of the BLS course, age definitions are as follows: - ✔✔✔Adult: after onset of puberty
and older

Children: 1 year to puberty

Infant: <1 year of age



How deep should you compress for each age group? - ✔✔✔Adults: at least 2 inches

Children: at least 1/3 of the depth of the chest; about 2 inches

Infants: at least 1/3 of the depth of the chest; about 1.5 inches



How do you check a pulse in infants and children? - ✔✔✔Infants: palpate a brachial pulse

Children: palpate a carotid or femoral pulse



It can be difficult to BLS providers to determine the presence or absence of a pulse in any victim,
particularly in an infant or child. So if you do not definitely feel a pulse within 10 seconds, start CPR,
beginning with chest compressions



How do you locate the carotid pulse? - ✔✔✔1. Locate the trachea on the side closest to you, using 2-3
fingers

2. Slide fingers into the groove between the trachea and the muscles at the side of the neck, where you
can feel the pulse

3. Feel for a pulse for at least 5 but no more than 10 seconds. If you do not definitely feel a pulse, begin
CPR starting with chest compressions



How do you perform chest compressions in infants? - ✔✔✔Using the 2 finger technique:

1. Place infant on a firm, flat surface

2. Place 2 fingers in the center of the infant's chest, just below the nipple line, on the lower half of the
breastbone. Do not press the tip of the breastbone

, 3. Give compressions at rate of 100-120/min

4. Compress at least 1/3 of chest (about 1.5 inches)

5. Allow full recoil between compressions and minimize interruptions to 10 seconds or less

6. After every 30 compressions open the airway and give 2 breaths, each over 1 second. The chest
should rise after each breath

7. After about 5 cycles of CPR, if you are along and the emergency response system has not been
activated, stop to activate the response system and retrieve the AED

8. Restart CPR with 30:2 ratio and use AED until advanced providers take over or the infant begins to
breathe, move, or otherwise react



How do you place AED pads on someone with a transdermal medication patch? - ✔✔✔Do not place
AED pads directly on top of the medication patch because it may block the transfer of energy from the
AED pad to the heart and also cause small burns. If it does not delay delivery, remove the patch and
wipe the area before attaching pads normally. Use gloves when removing the patch to avoid delivery of
medication to the rescuer



How do you place AED pads on someone with an implanted defibrillator or pacemaker? - ✔✔✔These
devices are easy to identify because they create a hard lump beneath the skin of the upper chest or
abdomen. Avoid placing the AED pad directly over the device but otherwise continue normally



How does rapid defibrillation work and what effect does it have on a patient undergoing cardiac arrest?
- ✔✔✔Rapid defibrillation can identify lethal heart rhythms and deliver a shock to terminate the
abnormal rhythm and allow the heart's normal rhythm to resume. In conjunction with high-quality CPR,
rapid defibrillation can double or triple the chances of survival



How often should rescue breaths be given in infants and children when a pulse is present? - ✔✔✔1
breath every 3-5 seconds



How would you recognize that someone has had cardiac arrest? - ✔✔✔The victim will be
unresponsive, not breathing or only gasping, and no pulse
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