Once you have called for help, you should commence continuous chest compressions. Press hard and fast.
The rescuer can either do:
- Compression-only CPR, which involves compression of the chest without any interruption for breathing.
- Standard CPR with 30 compressions to 2 rescue breaths.
Both of these measures currently have the same clinical outcomes. SCA in an active footballer on the field usually means that the blood oxygen saturation level is sufficient for hands-only chest compression to be undertaken for the first few minutes of CPR. After that an effective form of rescue ventilation should be initiated via mouth-to-mask or manual resuscitator ventilation, with or without supplemental oxygen, and with or without use of an appropriate airway.
START CHEST COMPRESSIONS
The patient should be in horizontal position on a firm surface. The clinician should be on their knees adjacent to the patient’s chest. The palm of the dominant hand should sit on the center of the patient’s sternum. The fingers should be interlocked and the elbows locked straight.
If the patient has had compression-only CPR, rescue breathing should be started (30:2 ratio) by ten minutes. Consider using a mask or bag-valve mask.
TWO PERSON CPR
Maintaining adequate chest compression is hard. Ideally involve those around you. Encourage them to push hard and fast.
By clicking this box you confirm that you have completed a basic life support CPR certification.
Prof Efraim Kramer
Emergency Medicine Physician