Basic Life Support (BLS) / CPR Updates:
1.BLS / CPR sequence from “A-B-C” to “ C-A-B” for Adult, Child, and Infant. “C-A-B” stands for: Chest Compressions, Airway, Breathing. After the first set of chest compressions, open the airway and give two breaths.
The reason for the change to "C-A-B" is to allow rescuers start compressions earlier. Start compressions within 10 seconds within ten seconds from the recognition cardiac arrest.
2.Removal of the “Look, Listen and Feel for Breathing” in the Assessment Step.
3.Simultaneously check for Responsiveness and Breathing and Alert or Activate the Emergency Response system. Start compressions within 10 seconds of recognition of cardiac arrest.
4.Compression Rate increased to “at least” 100 per minute, push hard and fast.
5.Depth of Compressions: Adult – At least 2 inches of chest compression Children - 2 inches or 1/3 of the depth of chest Infant – 1½ inches or 1/3 of the depth of chest
5.Emphasis on Allowing for full chest recoil, minimizing interruptions to performing chest compressions, and avoiding excessive ventilation.
7.Team Approach to CPR and increased focus on presenting CPR/BLS training as a team. For example one rescuer performs chest compressions, one team member activates the emergency response system and gets the Automated External Defibrillator (AED) and an other team member provides ventilations. Team members perform multiple tasks simultaneously.
8.The Routine Use of Chicoid pressure is not recommended.
9.The De-emphasis of pulse check on a child or an infant because of the difficulty encountered by healthcare providers and lay rescuers in determining if there is a pulse in an emergency. If there is no pulse, or if you are not sure there is a pulse, begin chest compressions immediately.
10.Use of an AED on infants if a manual defibrillator is not available. You may use and AED, preferably with a pediatric dose attenuator. If an AED with a pediatric dose attenuator is not available you may use an AED that does not have a pediatric dose attenuator. Remember a Manual defibrillator is preferred for infants.