b) The number of rental items detailed on the Schedule represents the contractual minimum charge per month. Any variation to usage as defined in Clause 7 above or any other excess usage as defined in Clause 8 will be charged monthly at the agreed charge. A single trained rescuer should first proceed with rescue manoeuvres (unless able to call for help on a mobile phone simultaneously). This should start with the first person on scene, who is often a bystander (i.e. a member of the public). Two finger technique: Compress the lower sternum with the tips of two of your fingers (index and middle fingers) by at least one-third of the depth of the infant’s chest, approximately 4cm. Around 80% of cardiac arrests happen in the home. As people are spending more time at home during COVID-19, that statistic may be higher at the moment. Learning CPR guarantees that you have the skills to help those around you, including in the home.

Restart a Heart (RSAH) is an annual initiative led by Resuscitation Council UK which aims to increase the number of people surviving out-of-hospital cardiac arrests.Immediate defibrillation may be considered if VF or pulseless VT is diagnosed during an intercycle pause ( IIb-B). 2,6

Depth: depress the lower half of the sternum by at least one third of the anterior–posterior dimension of the chest (which is approximately 4 cm for an infant and 5 cm for a child). Do not compress the soft tissues under the infant’s jaw, as this will exacerbate the airway obstruction. Blood gas and electrolyte analysis may be helpful in evaluating CPR effectiveness and identifying underlying causes. 5 Proper monitoring plays a critical role in patients at risk for, suffering from, or recovering from CPA. Monitoring involves understanding the monitor’s limitations, and correctly interpreting the information obtained. Monitoring is further subdivided into: 5 Separate guidelines have been developed for resuscitation of those with suspected or confirmed acute respiratory syndrome coronavirus 2 (SARS-CoV-2).Uninterrupted, high quality chest compressions are vital, with attention being paid to all components of each chest compression including the rate, depth and allowing adequate time for chest recoil to occur (avoiding lean on the chest). Approximately 50% of the whole chest compression cycle should be the relaxation phase (one cycle is from the start of one compression to the next). Chest compression pauses should be minimised so that 80% or more of the CPR cycle is comprised of chest compressions.

Similarly, an EtCO 2 reading may not be obtained (or a reading of zero may be obtained) immediately following endotracheal intubation in a patient suffering from CPA. 5 Endotracheal intubation and ventilation should be performed simultaneously during chest compressions in lateral recumbency. 2,4 In cases where there is more than one rescuer, a second rescuer should call 999 (outside hospital) to summon emergency medical services (EMS) or call 2222 if in an NHS hospital to summon the clinical emergency team immediately. If calling 999 preferably use the speaker function of a mobile phone. Continue with paediatric BLS using a C:V ratio of 15:2 (or the ratio you are familiar with) until help arrives or child improves. Keeping the hand pressed against the cheek, pull on the far leg to roll the child towards you onto their side.They do this by organising and facilitating training events and also by providing opportunities for people to learn CPR and defibrillation digitally in the safety and comfort of their own homes.

Identify the landmark for chest compression (lower sternum approximately a finger’s breadth above the xiphisternum). Running a CPR training event in your community or organisation is a great way to help save lives. We have a range of free resources to help you to get started. Our free resources Full guide on how to teach CPR b) In the event of any controversy, claim or dispute, performance or breach of this Agreement, each such claim shall be submitted to arbitration in the courts of Sydney, New South Wales. If defibrillation is unsuccessful, escalation of defibrillation energy is reasonable (IIa-B). 2,6 Readers with electrical defibrillators should view the RECOVER drug dosage chart specific to their defibrillator type for recommendations on energy selection (see veccs.org). 2 Additional ALS Therapies Immediate defibrillation for pulseless VT/VF of less than 4 minutes duration as there is minimal ischemia during this time ( I-B) 2,6Note: Do not interrupt CPR at any moment unless there are clear signs of life (movement, coughing, normal breathing). Two or more rescuers should alternate who is performing chest compressions frequently; the compressing rescuer should switch hands (the hand compressing, the hand which is on top) or the technique (one to 2-handed) to avoid fatigue. Hopper K, Epstein SE, Fletcher DJ, et al. RECOVER evidence and knowledge gap analysis on veterinary CPR—Part 3: Basic life support. J Vet Emerg Crit Care 2012; 22(S1):S26-S43. Alert the emergency medical services (EMS) immediately by dialling 999 on your phone, if a person is unconscious with absent or abnormal breathing. Consensus on Science with Treatment Recommendations, led by the International Liaison Committee on Resuscitation (ILCOR)