AHA BLS Manual
What is the sixth link of the Chain of Survival (adult and pediatric)? (AHA) -
Recovery. Initiated during hospitalization, lasts as long as necessary to ensure a return to
optimal physical, cognitive, and emotional well-being.
Adult rescue breathing: [] breaths every [] seconds -
1 breath every 6 seconds (10 per minute)
Can you provide compressions over clothing? -
Yes, but only if they are hard to remove. Move bulky clothes out of the way first.
Can an AED be used over clothing? -
Definitely not. Remove all clothing that covers the chest before using an AED.
Infant compressions can be performed with... -
2 thumbs or 2 fingers placed below nipple line.
Heel of hand (single rescuer) if unable to achieve recommended depth with fingers.
Recommended compression depth for infants? -
1/3 the diameter of the chest.
Pediatric ventilation rates -
For infants and children who are receiving rescue breathing with an advanced airway in
place, 1 breath every 2-3 seconds (20-30 breaths per minute).
When is naloxone administered? -
Given to a patient with a suspected opioid overdose and has a definite pulse but no normal
breathing (only gasping, ie. respiratory arrest).
1|Page
,Give in conjunction with rescue breathing.
When do you consider naloxone administration? -
Patient with suspected opioid overdose, no pulse, and no breathing. Do not delay CPR.
OR
Patient with suspected opioid overdose, with normal breathing and definite pulse. Do not delay
transportation to the hospital.
What does the AHA define as an adult? -
Adolescents (ie. after the onset of puberty) and older
What does the AHA define as a child? -
1 year of age to puberty
Signs of puberty include chest or underarm hair development (males) or breast development
(females)
What does the AHA define as an infant? -
Less than 1 year of age (excluding newly born infants in the delivery room)
What qualifies as high-quality CPR? (6 points) -
(1) Start compressions within 10 seconds of recognition of cardiac arrest. (2) Push hard and
fast 100-120 compressions per minute. (3) Allow complete chest recoil. (4) Minimize interruptions in
chest compressions, limiting interruptions to less than 10 seconds. (5) Give effective breaths that
make the chest rise. (6) Avoid excessive ventilation.
Compression depth for adults -
2 inches (5 cm), maximum of 2.4 inches
Compression depth for children -
At least 1/3 of chest depth. About 2 inches or 5 cm
2|Page
, Compression depth for infants -
At least 1/3 of chest depth. About 3/2 inches or 4 cm
Chest compressions are more often too shallow, not too deep -
True
At what chest compression depth can adults sustain injuries? -
Usually depths greater than 2.4 inches (6 cm)
Two types of chains of survival -
IHCA: In-hospital Cardiac Arrest
OHCA: Out-of-Hospital Cardiac Arrest
ROSC -
Return of Spontaneous Circulation
What 3 aspects are essential upon recognition of a cardiac emergency -
1. Immediate activation of resuscitation team
2. Early, high-quality CPR
3. Rapid defibrilation
What is a "cath lab" (cardiac catheterization suite or laboratory) -
Group of procedure rooms in a hospital or clinic that contains specialized equipment to
evaluate the cardiovascular system around the heart and lungs.
Cardiac catheterization -
Placement of a catheter through a vein or artery and into the heart. Used to study the
function of the heart and its surrounding structures.
OHCA Chain of Survival -
1. Recognition and activation
3|Page
What is the sixth link of the Chain of Survival (adult and pediatric)? (AHA) -
Recovery. Initiated during hospitalization, lasts as long as necessary to ensure a return to
optimal physical, cognitive, and emotional well-being.
Adult rescue breathing: [] breaths every [] seconds -
1 breath every 6 seconds (10 per minute)
Can you provide compressions over clothing? -
Yes, but only if they are hard to remove. Move bulky clothes out of the way first.
Can an AED be used over clothing? -
Definitely not. Remove all clothing that covers the chest before using an AED.
Infant compressions can be performed with... -
2 thumbs or 2 fingers placed below nipple line.
Heel of hand (single rescuer) if unable to achieve recommended depth with fingers.
Recommended compression depth for infants? -
1/3 the diameter of the chest.
Pediatric ventilation rates -
For infants and children who are receiving rescue breathing with an advanced airway in
place, 1 breath every 2-3 seconds (20-30 breaths per minute).
When is naloxone administered? -
Given to a patient with a suspected opioid overdose and has a definite pulse but no normal
breathing (only gasping, ie. respiratory arrest).
1|Page
,Give in conjunction with rescue breathing.
When do you consider naloxone administration? -
Patient with suspected opioid overdose, no pulse, and no breathing. Do not delay CPR.
OR
Patient with suspected opioid overdose, with normal breathing and definite pulse. Do not delay
transportation to the hospital.
What does the AHA define as an adult? -
Adolescents (ie. after the onset of puberty) and older
What does the AHA define as a child? -
1 year of age to puberty
Signs of puberty include chest or underarm hair development (males) or breast development
(females)
What does the AHA define as an infant? -
Less than 1 year of age (excluding newly born infants in the delivery room)
What qualifies as high-quality CPR? (6 points) -
(1) Start compressions within 10 seconds of recognition of cardiac arrest. (2) Push hard and
fast 100-120 compressions per minute. (3) Allow complete chest recoil. (4) Minimize interruptions in
chest compressions, limiting interruptions to less than 10 seconds. (5) Give effective breaths that
make the chest rise. (6) Avoid excessive ventilation.
Compression depth for adults -
2 inches (5 cm), maximum of 2.4 inches
Compression depth for children -
At least 1/3 of chest depth. About 2 inches or 5 cm
2|Page
, Compression depth for infants -
At least 1/3 of chest depth. About 3/2 inches or 4 cm
Chest compressions are more often too shallow, not too deep -
True
At what chest compression depth can adults sustain injuries? -
Usually depths greater than 2.4 inches (6 cm)
Two types of chains of survival -
IHCA: In-hospital Cardiac Arrest
OHCA: Out-of-Hospital Cardiac Arrest
ROSC -
Return of Spontaneous Circulation
What 3 aspects are essential upon recognition of a cardiac emergency -
1. Immediate activation of resuscitation team
2. Early, high-quality CPR
3. Rapid defibrilation
What is a "cath lab" (cardiac catheterization suite or laboratory) -
Group of procedure rooms in a hospital or clinic that contains specialized equipment to
evaluate the cardiovascular system around the heart and lungs.
Cardiac catheterization -
Placement of a catheter through a vein or artery and into the heart. Used to study the
function of the heart and its surrounding structures.
OHCA Chain of Survival -
1. Recognition and activation
3|Page
