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Ovid: Oxford Handbook of Clinical Medicine

Editors: Longmore, Murray; Wilkinson, Ian B; Turmezei, Tom; Cheung, Chee Kay Title: Oxford Handbook of Clinical Medicine, 7th Edition Copyright ©2007 Oxford University Press > Back of Book > UK Adult Basic Life-Support Algorithm 2005 UK Adult Basic Life-Support Algorithm 20051 The algorithm assumes that only one rescuer is present, with no equipment. (If a defibrillator is to hand, get a rhythm readout, and defibrillate, as opposite, as soon as possible.)

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Send or go for help as soon as possible according to guidelines Managing the airway You open the airway by tilting the head and lifting the there is no question of spinal trauma. Use a close-fitting mask if available, held in place by thumbs pressing downwards either side of the mouth-piece; palms against cheeks. Chest compressions Cardiopulmonary resuscitation (CPR) involves compressive force over the lower sternum with the heal of the hands placed one on top of the other, directing the weight of your body through your vertical, straight, arms. Depth of compression: 4cm. Rate of compressions: 100/min. Remember that these are guidelines only, and that the exact circumstances of the cardiorespiratory arrest will partly determine best practice. The guidelines are also more consensus-based than evidence based (p644), and are likely to be adapted from time to time, for example, as consensus develops about the best recovery position—eg semi-lateral position, with under-most arm either straight at the side, in dorsal position, or in the ventral position cradling the head with the upper-most arm crossing it (more stable, but possible risk to arm blood flow).2

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