35
see STEP 4) for 1 minute (60 seconds), before
retrieving a telephone and calling Emergency
Services, and retrieving a CellAED®. Inform
Emergency Services that you have a CellAED® and
follow their instructions.
STEP 4
START CHEST COMPRESSION CPR
Start chest compression CPR to keep the patient’s
blood flowing. To perform chest compression CPR
on a patient weighing greater than 10 kg (22 lbs)
(Figure 7, page 36)
, complete the following:
i) Place the heel of one hand over the sternum,
in the centre of the patient’s chest. Place your
other hand on top of the first and interlock
your fingers.
ii) Position yourself above the patient’s chest.
iii) Keeping your arms straight, press straight
down on their chest and deliver chest
compressions of no more than one third of the
patient’s chest cavity.
iv) Release the pressure. Pressing down and
releasing is 1 compression.
Perform chest compression CPR at a rate of 120 per
minute (twice per second) for 1 minute (60 seconds).
(Continued page 36)
FIGURE 6: Check if the patient is responsive
Can you
hear me?
Please talk
to me.
STEP 1
ASSESS SAFETY OF LOCATION
Ensure that no obvious danger is present, and that
the area is safe for you to provide chest compression
CPR and administer the CellAED®.
DANGER:
Do not use the CellAED® while the patient is
in or is near a pool of water or on any other conductive
surface(s). Carefully remove the patient if necessary.
Ensure that the patient is dry before using the CellAED®.
STEP 2
DETERMINE WHETHER THE PATIENT
IS IN SUDDEN CARDIAC ARREST
A patient in SCA is typically:
•
Unconscious,
•
Unresponsive when you talk to, shout at, touch,
or gently shake them
(Figure 6, page 35)
, and
•
Not breathing or taking occasional gasping
breaths, accompanied by strange vocalizations
and muscle spasms (agonal breathing).
STEP 3
CALL EMERGENCY SERVICES
IMMEDIATELY AND RETRIEVE THE
CellAED®
If the patient is unconscious, unresponsive, and not
breathing normally, or if you are unsure whether
they are in SCA, call or have a bystander call
Emergency Services. Send a bystander to retrieve
the CellAED®, or if you are alone, retrieve the
CellAED® before commencing chest compression
CPR (for instructions, see STEP 4).
If the patient is between 1-8 years old, you are alone,
and a telephone is not close by, commence chest
compression CPR (for instructions,
