** Note: [2020 Interim Guidance] During COVID-19, many lay responders are unlikely to have access to adequate PPE. Use a face mask or cloth to cover your, and the victim’s, mouth and nose to prevent transmission.
Chest Compression Steps for an Adult:
*Note: For CPR emergencies, an adult is anyone who is going through or gone through puberty.
- Place yourself at the victim’s side.
- Ensure that the victim is lying on his back on a firm, flat surface
- If unconscious and face down, roll the victim face-up while supporting the head, neck and back.
- Immediately remove clothes from the chest.
- Form the correct hand position for chest compressions:
- Place the heel of your hand on the breastbone, between the nipples.
- Place the other hand on top of the first hand and interlace the fingers.
- Keep the fingers off the chest.
- To form the correct body position for CPR: kneel down, and keep your arms straight above the chest and your shoulders above your hands. Lock your elbows.
- Compress / push down hard and fast at least 2 inches, but no more than 2.4 inches deep, at a rate of at least 100 to 120 compressions per minute.
- Make sure the chest rises back up completely after each compression.
2 Rescuer Technique – When a second rescuer is available to help:
- Let the second rescuer activate the Emergency Response System (call 9-1-1) and get the AED.
- The first rescuer should stay with the victim and be prepared to remove clothes from the chest and start CPR.
- When both rescuers are present with the victim, they should take turns doing chest compressions; switching approximately every 2 minutes. The rescuers should remind each other to push down at least 2 inches but no more than 2.4 inches deep, and watch for proper chest recoil.
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