CPR Instructions

• Pain in the chest - tightness in the chest, a feeling of indigestion, heavy squeezing pain with a uncomfortable pressure on the chest, pain radiating to the neck or left arm.
  
  
• Difficulty breathing - shortness of breath.
  
  
• Feeling of nausea and or vomiting.
  
  
• Skin that is pale, clammy, and/or sweaty cold.
  
  
• If there are no signs or symptoms of distress the person might have silent Myocardial infarction.

• You should stop all activity and sit or lay down.
  
  
• Call for help if you are having pain that lasts for more than two minutes.

• If the person is responsive, and you think they are experiencing a heart attack, call 9-1-1.
  
  
• If the person is unconscious, shake and shout at the victim to see if they respond, if they don't respond, call 9-1-1. Then begin CPR!
  
  
• If the person wakes, moans or is conscious, it is not necessary to do CPR.

• First determine if the victim is breathing before you begin.
  
  
• Tilt the head back and lift the chin up to open the victims airway.
  
  
• Put your ear to the victim's open mouth to listen for any airflow through the mouth or nose.
  
  
• Look down towards the chest to see if the chest is moving.
  
  
• With your cheek feel if there is any air coming out of the mouth.

• Call 9-1-1
  
  
• Tilt head back and lift the chin up to open the victims airway.
  
  
• Pinch the nose, make a seal from your mouth to the victim's mouth, breath air into the victim's mouth to raise the chest, allow the chest to fall.
  
  
• Repeat a second breath into the victims mouth.

• Put the heel of your hand in the middle of the victim's chest in between the nipples.
  
  
• Interlock your fingers of your second hand with the first hand and start to compress down on the chest one and a half to two inches (4-5cm).
  
  
• Let the chest recoil before the next compression.
  
  
• The chest should be compressed at a rate of 100 per minute.
  
  
• Continue at that rate until you have completed 30 compressions.

• Tilt the head back and lift the chin up again to open the victim's airway.
  
  
• Pinch the nose, make a seal from your mouth to the victim's mouth.
  
  
• Then give two more rescue breaths, remembering to allow the chest to raise then fall before the next breath.

• Stop and check to see if the victim is breathing.
  
  
• If the victim is still not breathing, continue with two more breaths, then 30 more chest compressions.
  
  
• Continue until the victim starts breathing or until help arrives.

• Recent guidelines for CPR have suggested that it is only necessary to administer the chest compressions and it is not necessary to include rescue breaths.
  
  
• When you are giving CPR you may feel pops and snaps from the victim when you begin chest compressions, don't worry this is a normal occurrence. Continue with compressions, remember this is a life you might be saving.
  
  
• Do not allow your hands to bounce on the victim's chest during chest compressions. Make sure the hand stays in contact with the chest at all times.
  
  
• When giving CPR to a child, remember that the rescue breaths and chest compressions given to a child or infant will require less pressure than an adult.

• Patient is revived
  
  
• You are relieved by another trained individual
  
  
• Become exhausted
  
  
• Doctor is present and pronounces death

• Avoid smoking
  
  
• Healthy diet (fiber, fruits, vegetables, avoid junk foods)
  
  
• Exercise
  
  
• Know and control blood pressure and cholesterol level