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1. Approach the patient and ensure the scene is safe for both you and the patient
2. Give the patient a little shake or pull the earlobe (or similar), ask 'can you hear me' or similar
3. tilt the head back and open the mouth to check there is no obstruction
4. put your ear next to the patient's mouth, looking down their torso and look, listen and feel for breathing for no longer than 10 seconds
5. place one hand on top of the other, interlock your fingers, image a line drawn between the two nipples and place your hands on the centre of the chest in line with the nipples
6. press down about 4-5cm
7. repeat step 6 a further 29 times (so a total of 30 times)
8. if you feel up to it, give 2 ventilations by tilting the head back, pinching the nose and slowly breathing into the patient's mouth over about a second, checking that the chest rises
9. repeat from step 5 until additional help arrives or you are two tired to continue.

Note that in the recent guidelines, ventilations are considered optional. If you are performing chest compressions correctly, the rise of the chest when you lift your hands will draw air into the lungs.

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15y ago

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