(CPR)CARDIO-PULMONARY RESUSCITATION

ONE
Perform the following procedure once you establish that a person is unresponsive.

TWO
Dial 999 and call the emergency services immediately

THREE
Tilt the head and chin to open the airway

FOUR
Feel, look and listen for any signs of breathing and circulation. This shouldn’t take more than 10/15 seconds.

FIVE
If no signs of breathing are evident, close nostrils with finger/thumb and give two slow breaths in the person’s mouth, pausing between breaths to allow person to exhale breath. Make sure there is no air leak and chest rises and falls. Assess by checking for signs of circulation (breathing, coughing, movement or carotid pulse in neck).

SIX
If there are no signs of a pulse start chest compressions.

	Position the heel of one hand on the centre of the breastbone between the nipples. Place the second hand on first. Compress chest one third to half the depth of the chest.
	Press down smoothly and firmly with 15 compressions followed by two slow breaths, this is counted as one cycle.
	After approximately four cycles (1 minute) of 15 compressions followed by two slow breaths, re-check and assess signs of circulation and breathing.
	Keep this going until the casualty shows signs of life, qualified help arrives or you become exhausted.

SEVEN
If signs of circulation are evident but the person is not breathing, give one slow breath every five seconds. Once breathing and circulation has returned, place the person on their side in the recovery position.

Follow the same procedure for an unresponsive child using the heel of just one hand for compression (two fingers for infants) and shorten the CPR cycle to one breath followed by 5 compressions of the chest. Check for signs of circulation after approximately 20 cycles (1 minute). If there are no signs continue CPR.