Chest compressions

• Push hard, push fast.
• Ensure proper positioning with force coming with locked elbows directly above patient.
• Use stool if needed.
• Effective compressions should show as beats on the cardiac monitor.

• Once intubated, continue both with HR 100, RR 8-10 (except newborn should ventilate at 40-60/min).

• Check pulses continuously to ensure adequacy of CPR.

• Minimize interruptions
  • Pulse check at most every 2 mins
  • Change provider every 2 mins to minimize fatigue
  • Compressions immediately after shocks, meds (it won’t work until the heart gets pumped some)

* To help you feel what 100 beats per minute is, you can use the beat of “Stayin’ Alive” or “Another One Bites the Dust” (though the latter is probably less appropriate).