PECE
| Adult | Child | Infant |
Assessment | -establish unresponsiveness (gently shake and shout) -activate the EMS system | -establish unresponsiveness (gently shake and shout) -if 2 nd rescuer is available, have him activate the EMS system | -establish unresponsiveness (gently shake and shout) -if 2 nd rescuer is available, have him activate the EMS system |
Airway | -open airway (head tilt-chin lift or jaw thrust) | -open airway (head tilt-chin lift or jaw thrust) | -open airway (head tilt-chin lift or jaw thrust) |
Breathing (up to 10 sec.) | -check breathing (look, listen, and feel) -if breathing is absent, give 2 slow breaths (over 2 sec. inspiration without 02 700-1000ml)—watch chest rise and allow for exhalation between breaths(with 02 give breaths of 400-600ml over 1-2 sec.) | -check breathing (look, listen, and feel) -if breathing is absent, give 2 slow breaths (1 to 1.5 sec. inspiration)—watch chest rise and allow for exhalation between breaths | -check breathing (look, listen, and feel) -if breathing is absent give 2 slow breaths (1 to 1.5 sec. inspiration)—watch chest rise and allow for exhalation between breaths |
Circulation ( up to 10 sec.) | -check carotid pulse -if breathing is absent but pulse is present, provide rescue breathing (1 breath every 4-5 sec; about 10-12 breaths per minute) | -check carotid pulse -if breathing is absent but pulse is present, provide rescue breathing (1 breath every 3 sec.; about 20 breaths per minute) | -check brachial pulse -if breathing is absent but pulse is present, provide rescue breathing (1 breath every 3 sec.; about 20 breaths per minute) |
CPR | -if no pulse, give cycles of 15 chest compressions followed by 2 slow breaths -rate: 100 compressions per minute -depth: 1.5-2 inches | -if no pulse, give cycles of 5 chest compressions followed by one slow breath -rate: 100 compressions per minute -depth: 1-1.5 inches | -if no pulse, give cycles of 5 chest compressions followed by one slow breath -rate: 100 compressions per minute -depth: 0.5-1 inch |
Pulse Check (up to 10 sec) | -after 4 cycles of 15:2 (about 1 minute) check pulse and breathing -if no pulse, continue 15:2 cycles beginning with chest compressions | -after 20 cycles of 5:1 (about 1 minute) check pulse and breathing -if rescuer is alone, activate the EMS system -if no pulse, continue 5:1 cycles beginning with chest compressions | -after 20 cycles of 5:1 (about 1 minute) check pulse and breathing -if rescuer is alone, activate the EMS system -if no pulse, continue 5:1 cycles beginning with chest compressions |
| Adult | Child | Infant |
Age | > than 8 | > than 1, < than 8 | < than 1 |
Compression Depth | 1.2-2 | 1-1.5 | 0.5-1 |
Compression Rate | 100 | 100 | 100 |
Compressions | 15:2 | 5:1 | 5:1 |
Breathing | 4-5 sec | 3 sec | 3 sec |