Cardiopulmonary Resuscitation for Teens and Adults
(Lay Rescuer CPR for Teens and Adults)
Reasons for Procedure
- Sudden cardiac arrest
- Cerebrovascular accident (such as stroke)
- Electrical shocks and lightning strikes
- Severe infection
- Severe allergic reaction
- Drug overdose
- Excessive bleeding
What to Do
Prior to Procedure
- If you are alone, call for emergency medical services away. If someone is with you, have that person call for emergency medical services right away and get the automatic external defibrillator (AED). An AED is a device that delivers electric shocks to the person's heart.
If the person is not breathing or only gasping, begin CPR by doing chest compressions:
- Place the heel of 1 hand palm down on the chest with the other hand on top.
- Straighten your arms and lock your elbows. Begin pressing down in a straight motion. The compressions should be at least 2 inches deep.
- Push hard and fast at a rate of 100 compressions per minute.
- Allow the chest to rise completely between compressions.
- Avoid interruption between compressions.
If you are trained in CPR, give 2 rescue breaths after 30 compressions. To give rescue breaths:
- Open the airway by placing 1 hand on the forehead and lifting the chin with your other hand.
- Gently tilt the head backward. Pinch the person's nose and cover their mouth with yours.
- Breathe twice into his mouth until you see the chest rise. Breaths should be about 1 second each.
- After giving 2 rescue breaths, do 30 compressions. Continue the cycle of 2 breaths and 30 compressions.
- If you are not trained in CPR, continue doing the chest compressions without giving rescue breaths.
Give CPR until the AED is brought to the scene or until:
- Medical help arrives.
- It becomes unsafe to continue.
- The person is conscious and able to breathe.
To use the AED:
- Turn the AED on.
- Attach the pads.
- Follow the prompts. If advised, deliver the shock. If the shock is not advised, the AED will tell you to resume CPR.
How Long Will It Take?
Will It Hurt the Victim?
Call for Help
American Heart Association http://www.heart.org
American Red Cross http://www.redcross.org
Health Canada http://www.hc-sc.gc.ca
Public Health Agency of Canada http://www.phac-aspc.gc.ca
2005 American Heart Association (AHA) guidelines for cardiopulmonary resuscitation (CPR) and emergency cardiovascular care (ECC) of pediatric and neonatal patients: pediatric basic life support. Pediatrics. 2006;117(5):e989-e1004.
Bardy, G.H. A critic's assessment of our approach to cardiac arrest. New Engl J of Med. 2011;364(4):374-375.
Bush CM, Jones JS, et al. Pediatric injuries from cardiopulmonary resuscitation. Ann Emerg Med. 1996;28(1):40-44.
Cardiopulmonary resuscitation (CPR). Am Fam Physician . 2000;62(7):1564.
Heartsaver First Aid with CPR and AED. American Heart Association website. Available at: http://www.heart.org/HEARTORG/CPRAndECC/CorporateTraining/HeartsaverCourses/Heartsaver-CPR-AED-Online-Part-1%5FUCM%5F303283%5FArticle.jsp. Accessed November 20, 2012.
Neumar RW, Nolan JP, et al. Post-cardiac arrest syndrome: epidemiology, pathophysiology, treatment, and prognostication. A consensus statement from the International Liaison Committee on Resuscitation. Circulation. 2008;118(23):2452-2483.
Part 5: Adult basic life support: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2010;122(18 Suppl 3):S685-S705.
Topjian AA, Berg RA, et al. Pediatric cardiopulmonary resuscitation: advances in science, techniques, and outcomes. Pediatrics. 2008;122(5):1086-1098.
- Reviewer: Marcin Chwistek, MD
- Review Date: 10/2014 -
- Update Date: 01/13/2014 -