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Cardiopulmonary resuscitation (CPR) is a lifesaving technique used when a cardiac emergency occurs. Cardiac arrest happens if the heart unexpectedly stops beating. Without a heartbeat, the heart cannot pump blood to the body’s major organs like the brain and liver. Blood contains oxygen, which these organs require to survive. Without oxygen, severe brain damage occurs within four minutes, and death occurs within ten minutes. CPR manually pumps oxygenated blood to the organs when the heart cannot do so due to cardiovascular complications.
There are two main types of CPR: hands-only CPR and CPR with rescue breathing. If you find a person who has collapsed, check for responsiveness and a pulse. If neither is present, begin CPR.
Hands-only CPR
It is the American Heart Association's (AHA) recommendation that people who do not have CPR certification use the hands-only method, where they deliver rapid compressions to the center of the victim's chest, using both hands to pump down at least 2 inches and at a rate of 120 beats per minute.
CPR with Rescue Breathing
If you have completed American Heart Association CPR classes and the victim is not breathing normally, begin with 30 chest compressions, then tilt their head back and lift the chin upwards to clear the airway. Sealing your mouth over the victim's mouth, deliver one rescue breath and watch for the victim's chest to rise. If it does not rise, give a second rescue breath. After two rescue breaths, resume chest compressions and continue at a ratio of 30 compressions to 2 breaths until the victim is breathing normally or until emergency medical assistance can take over.
The steps for performing CPR for children and infants are similar to adult CPR, but some changes are made to accommodate their smaller body size. Chest compressions should only be as deep as 1/3 of the child's chest depth, typically no more than 2 inches. You may only need to use one hand to perform chest compressions on smaller children, and rescue breaths should be less forceful. If there are two rescuers, use a ratio of 15:2 chest compressions to rescue breaths for children.