32253610https://english.119.gov.taipei/News_Content.aspx?n=C9F7F8E163A27202&s=5A443DC022E6D6B5CPR Demonstration<style>.imgArea {display: inline-block;}.imgAreaChest img {width: 40% !important;}</style><div class="content">Slogan: Check, Call, C-A-B <div class="check"> Check: call or pat the person to see if there is any response; meanwhile, check if the person is breathing normally. (For example: Sir! Sir! Or, ma’am, kid, what’s wrong?)  <div class="imgArea"><img src="https://www.tfd.gov.tw/english/cpr_01.jpg" style="width: 100%;" alt="Check" class="fr-fic fr-dii"></div></div> <div class="call"> Call: Call 119 to request EMS personnel. Call at once if the person is unconscious. Get an AED (automated external defibrillator) if it is available on the spot.  <div class="imgArea"><img src="https://www.tfd.gov.tw/english/cpr_02.jpg" style="width: 100%;" alt="Call" class="fr-fic fr-dii"></div></div> <div class="Chest"> Chest compression: Give chest compressions at once if the person cannot breathe or hardly breathes normally. Place your hands on the person’s breastbone at the center of his/her chest. Give compressions by pushing the breastbone down at least 5cm (5cm for children and 4 cm for infants) at the speed of 100-120 compressions per minute. This method does not apply to new-born babies.  <div class="imgAreaChest"><img src="https://www.tfd.gov.tw/english/cpr_03.jpg" style="width: 100%;" alt="Place your hands on the person’s breastbone at the center of his/her chest." class="fr-fic fr-dii"> <img src="https://www.tfd.gov.tw/english/cpr_04.jpg" style="width: 100%;" alt="Give compressions by pushing the breastbone down at least 5cm (5cm for children and 4 cm for infants) at the speed of 100-120 compressions per minute." class="fr-fic fr-dii"> <img src="https://www.tfd.gov.tw/english/cpr_05.jpg" style="width: 100%;" alt="Chest compression" class="fr-fic fr-dii"> <img src="https://www.tfd.gov.tw/english/cpr_06.jpg" style="width: 100%;" alt="Chest compression" class="fr-fic fr-dii"></div></div> <div class="Airway"> Airway: Tilt the head back and lift the chin.  <div class="imgArea"><img src="https://www.tfd.gov.tw/english/cpr_07.jpg" style="width: 100%;" alt="Airway" class="fr-fic fr-dii"></div></div> <div class="Breathing"> Breathing: Give 2 rescue breaths within 3-4 seconds, about 1 breath a second; the chest will rise and fall; skip this step if you are not comfortable with it. Pinch the nose shut with your thumb and forefinger when giving rescue breaths. The ratio of chest compressions to rescue breaths is 30 to 2.  <div class="imgArea" style="width: 100%;"><img src="https://www.tfd.gov.tw/english/cpr_08.png" alt="Breathing" class="fr-fic fr-dii"></div></div></div> <table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse:collapse;"><thead><tr><th colspan="2" scope="col" style="border:solid black 1.0pt;border-top:none;" valign="top">TargetStep/Action</th><th scope="col" style="border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;" valign="top">Adult≧8 years old</th><th scope="col" style="border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;" valign="top">Child1-8 years old</th><th scope="col" style="border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;" valign="top">Infant＜1 year old</th></tr><tr><th colspan="5" scope="col" style="border:solid black 1.0pt;" valign="top">CPR GuidelineRevised on <st1:chsdate day="16" islunardate="False" isrocdate="False" month="12" w:st="on" year="2010">12/16/2010</st1:chsdate> by the Department of Health, Executive Yuan</th></tr></thead><tbody><tr><th colspan="2" rowspan="2" scope="row" style="border:solid black 1.0pt;border-top:none;" valign="top">(Check) Check response and breathing</th><td colspan="3" style="border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;">No response</td></tr><tr><td colspan="3" style="border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;">No breaths or virtually no normal breaths</td></tr><tr><th colspan="2" scope="row" style="border:solid black 1.0pt;border-top:none;" valign="top">(Call) Call 119Ask for help. Get an AED if available.</th><td style="border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;">Call 119 for help</td><td colspan="2" style="border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;">Perform CPR for 2 minutes, then call 119</td></tr><tr><th colspan="2" scope="col" style="border:solid black 1.0pt;border-top:none;">CPR Steps</th><td colspan="3" style="border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;">C-A-B</td></tr><tr><th rowspan="5" scope="row" style="border:solid black 1.0pt;border-top:none;">(C) Compressions</th><th scope="row" style="border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;">Position</th><td colspan="2" style="border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;">In center of nipple line</td><td style="border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;">Below center of nipple line</td></tr><tr><th scope="row" style="border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;">Push hard</th><td style="border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;">At least <st1:chmetcnv hasspace="False" negative="False" numbertype="1" sourcevalue="5" tcsc="0" unitname="cm" w:st="on">5cm</st1:chmetcnv></td><td style="border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;">About <st1:chmetcnv hasspace="False" negative="False" numbertype="1" sourcevalue="5" tcsc="0" unitname="cm" w:st="on">5cm</st1:chmetcnv> (1/3 of chest thickness)</td><td style="border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;">About <st1:chmetcnv hasspace="False" negative="False" numbertype="1" sourcevalue="4" tcsc="0" unitname="cm" w:st="on">4cm</st1:chmetcnv> (1/3 of chest thickness)</td></tr><tr><th scope="row" style="border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;">Push fast</th><td colspan="3" style="border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;">100-120 compressions per minute</td></tr><tr><th scope="row" style="border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;">Chest rises</th><td colspan="3" style="border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;">Make sure chest rises completely after each compression</td></tr><tr><th scope="row" style="border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;">Avoid pause</th><td colspan="3" style="border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;">Avoid pauses, less than 10 seconds if you must pause</td></tr><tr><td colspan="5" style="border:solid black 1.0pt;border-top:none;">If the care giver does not give rescue breaths, continue with chest compressions</td></tr><tr><th colspan="2" scope="row" style="border:solid black 1.0pt;border-top:none;">(A) Airway</th><td colspan="3" style="border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;">Tilt head and lift chin</td></tr><tr><th colspan="2" scope="row" style="border:solid black 1.0pt;border-top:none;">(B) Breaths</th><td colspan="3" style="border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;">Give two rescue breaths, 1 second per breath. Visible chest rises and falls.</td></tr><tr><th colspan="2" rowspan="2" scope="row" style="border:solid black 1.0pt;border-top:none;">Ratio of compression to breath</th><td colspan="3" style="border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;">30 : 2</td></tr><tr><td colspan="3" style="border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;">Repeat the cycles of 30 chest compressions and 2 rescue breaths until the ill or injured person can move or <st1:place w:st="on">EMS</st1:place> arrives</td></tr><tr><td colspan="5" style="border:none;border-bottom:solid black 1.0pt;mso-border-bottom-alt:solid black .5pt;padding:0cm 5.4pt 0cm 5.4pt;" valign="top"><o:p> </o:p></td></tr><tr><th colspan="2" scope="row" style="border:solid black 1.0pt;border-top:none;">(D) Defibrillation</th><td colspan="3" style="border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;">Get an AED as soon as possible</td></tr><tr style="mso-yfti-lastrow:yes;"><th colspan="2" scope="row" style="border:solid black 1.0pt;border-top:none;" valign="top"><o:p> </o:p></th><td style="border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;" valign="top">Use AED pads for adults</td><td style="border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;" valign="top">Use pediatric AED pads for children between 1-8 years of age; if not available, use regular AED pads for adults.</td><td style="border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;" valign="top">Perform manual defibrillation. If not available, use pediatric AED pads; otherwise, use regular AED.</td></tr></tbody></table>[][][][]Taipei City Fire Department32253620https://english.119.gov.taipei/News_Content.aspx?n=C9F7F8E163A27202&s=61CBF5B5BBD310F7Choking Rescue Response<div class="WordSection1" style="layout-grid:18.0pt;">Choking Rescue Response I. Learning Objectives First aid for choking First aid for choking adult and child <o:p> </o:p> II. Choking Rescue Response The choking person is conscious: 1. Partially blocked airway: Encourage coughing and heavy breathing 2. Seriously blocked airway: Try abdominal thrusts The choking person is unconscious: 1. Try chest compression <o:p> </o:p> III. Choking Rescue Response 1 The choking person is conscious: If the choking person is coughing forcefully due to partially-blocked airway, do not interfere with his/her self-induced coughing and breathing. <img alt="choking person" height="197" src="https://www.tfd.gov.tw/english/crr_01.jpg" v:shapes="圖片_x0020_2" width="255" class="fr-fic fr-dii"> IV. Choking Rescue Response 2-1 The choking person is conscious: If a person shows the following symptoms of a seriously blocked airway: *  Coughing weakly or stopped coughing *  Developing breathing difficulties *  Stopped breathing *  Making high-pitched noises when inhaling (wheezing noises) *  Skin becoming greenish-blue, unable to speak, or the body is becoming limp *  Clutching the neck with both hands You should act at once! <img alt="If a person shows the symptoms of a seriously blocked airway, you should act at once!" height="246" src="https://www.tfd.gov.tw/english/crr_02.jpg" v:shapes="圖片_x0020_3" width="252" class="fr-fic fr-dii"> V. Choking Rescue Response 2-2 The choking person is conscious: 1. Ask the person: “Are you choking?” 2. If the person nods his/her head or cannot respond verbally, stand behind the person with one leg lunging forward. <img alt="Make a fist with one hand and place it against the center of the person’s upper abdomen, slightly above the navel; grab the fist with your other hand." height="230" src="https://www.tfd.gov.tw/english/crr_03.jpg" v:shapes="圖片_x0020_4" width="367" class="fr-fic fr-dii"> 3.  Make a fist with one hand (the thumb and the forefinger face the choking person’s abdomen) and place it against the center of the person’s upper abdomen, slightly above the navel; grab the fist with your other hand. 4.  Give quick, upward thrusts into the abdomen repeatedly. <img alt="Give quick, upward thrusts into the abdomen repeatedly." height="185" src="https://www.tfd.gov.tw/english/crr_04.jpg" v:shapes="圖片_x0020_5" width="312" class="fr-fic fr-dii"> VI. Choking Rescue Response 3-1 The choking person is unconscious: If the object cannot be cleared out of the airway and the person is unconsciously collapsing on the rescurer: 1. In a lunge stance, move the leg behind backward; quickly but carefully lay the choking person down on the floor, facing upward. (If the heart stops beating, follow the procedure of basic first aid till the step below. If the situation is similar, suspect the person is choking and give him/her the same treatment at once). 2. Tilt the person’s head back and lift the chin to open the airway. If you see an object in the person’s mouth, remove it with your finger. 3. If the object is removed or you do not see an object, give one rescue breath.  4. If the breath cannot go in or the chest does not rise, re-open the airway and give another rescue breath. Pinch the nose shut with your thumb and forefinger when giving rescue breaths (perform chest compressions if you prefer not to give rescue breaths). 5. If the breath still cannot go in or the chest still does not rise, give 30 chest compressions (at a speed of about 100 compressions per minute). Meanwhile, visually check if any foreign object is discharged or if the airway obstruction is released. 6. Repeat steps 2 to 5 until the obstruction is removed, or send the person to the hospital immediately after repeating the cycle 5 times or 2 minutes. <o:p> </o:p> VII. Rescue for a pregnant or large choking person <img alt="Rescue for a pregnant or large choking person" height="239" src="https://www.tfd.gov.tw/english/crr_05.jpg" v:shapes="圖片_x0020_6" width="312" class="fr-fic fr-dii"> VIII. Rescue for a choking child Follow the same steps for adults; however, give abdominal thrusts with only one hand for smaller children. <img alt="Follow the same steps for adults; however, give abdominal thrusts with only one hand for smaller children." height="251" src="https://www.tfd.gov.tw/english/crr_06.jpg" v:shapes="圖片_x0020_7" width="390" class="fr-fic fr-dii"> IX. Rescue for a choking infant Give back blows and chest thrusts (5 times each) until the object is forced out. <img alt="Give back blows(5 times)" height="191" src="https://www.tfd.gov.tw/english/crr_08.jpg" v:shapes="圖片_x0020_8" width="288" class="fr-fic fr-dii"> <img alt="Chest thrusts(5 times)" height="192" src="https://www.tfd.gov.tw/english/crr_09.jpg" v:shapes="圖片_x0020_9" width="288" class="fr-fic fr-dii"> <o:p> </o:p></div>[][][][]Taipei City Fire Department