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Figure 5-5. CPR position.
9. Two rescue breaths. Use head tilt/chin lift to open the airway, then give two rescue breaths,
watching to make sure that the chest rises with each breath.
10. Four cycles, then check. Use the two-finger technique to reposition your hands with each set of
compressions. Recheck the pulse after every four sets of 15 compressions and two rescue breaths.
11. If the victim regains a pulse and is breathing. Continue to monitor ABCs, while checking for
and treating other injuries.
12. If the victim regains a pulse but is not breathing. Continue rescue breathing at the rate of one
breath every 5 seconds. Listen for breathing and recheck pulse every 12 breaths (count out loud
between breaths).
13. If the victim has no pulse, continue CPR until:
• Breathing and pulse return.
• The rescuers are exhausted.
• The rescuers are in danger.
• The victim fails to respond to prolonged resuscitation (how you define “prolonged”
depends on the circumstances; prolonged CPR is most likely to be successful in hy-
pothermia cases).
• The rescuers are relieved by medical professionals.
CPR is not magic. There are situations in which it should not be attempted, including:
• A lethal injury (death is obvious).
• A dangerous setting in which rescuers' lives are in danger.
• Chest compressions are impossible, such as in cases where the chest is frozen or
crushed.
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