15
Table 9. Cardio-Airway-Breathing
Basic cardiopulmonary resuscitation is C-A-B (compressions - airway - breathing )
Check for pulse Take for maximum of 10 seconds
Chest
compressions
Push hard and push fast on the center of the chest
Maintain rate of 100/min
Compress chest 5 cm with each downstroke
Allow complete chest recoil between compressions
Minimize frequency and duration of any interruptions
Ventilations Perform only if ≥2 rescuers are present
Avoid excessive ventilation – just enough to confirm chest rise
Deliver ventilation over 1 second
If 3 rescuers are available – one for compressions, one to hold
the mask in place and one to squeeze the bag. Rotate positions
every 2 min.
Compression/
ventilation ratio
30/2
Defibrillation Single defibrillation using
highest available energ y in
adults
Adult–200 joules
Phases of
resuscitation in
cardiac arrest
Electrical phase 0-4 min Defibrillate, compressions
Hemodynamic phase 4-10 min
aer arrest
Defibrillate, compressions
Metabolic phase >10 min aer
arrest
Few patients survive
Table 10. Available Automatic Epinephrine Injectors in the
United States
Product name (alphabetical order)
a
Web sites
Adrenaclick www.adrenaclick.com
Auvi-Q (temporarily unavailable as of 12/15) www.auviq.com
Epinephrine injection, USP auto-injector
(authorized generic of Adrenaclick)
www.epinephrineautoinject.com
EpiPen www.epipen.com
EpiPen, Jr.
a
All these devices are available in doses of 0.15 and 0.3 mg.
