CPR & COVID-19 (Phil. Heart
Association Guidelines)
Out of hospital cardiac arrest
PPE- N95, goggles, double gloves, face
shield, gown
Casual- gloves, mask, face shield
Call help, if not sure what to do.
If untrained, perform hands only CPR
Push hard and fast.
Q- Humihinga is CHEST RISE
Call for Help
Shoulders are parallel to the victim
Elbows locked
100-120 compressions per minute
If untrained perform Hands only CPR
Push hard and fast
Signs of life
Perform high quality CPR
Ask if the patient is conscious. Tap.
Ask for help
LLF- look, listen, and feel.
Check pulse. (full ppe. Do not come close if
there's none. FIRST PRIORITY IS YOUR
OWN HEALTH.)
Feel your throat, find Laryngeal prominence
or ADAM’s apple. Feel through the pulse.
Either pulse has stopped or is weak. See if
there's chest rise. If there’s no pulse,
perform CPR. CHest compression. If there’s
no barrier. Ambu bag?? Is not used
anymore unless there's a filter because it’s
not disposable. Secretions. Endotracheal
intubation is used in the hospital instead.
MTMR is not allowed. Mouth-to mouth
resus.
Shockable- automated external defibrillator
(AED)
Remove the patient's clothes. Shave if hairy.
On device. Apply pads on chest. Plug pads
to AED. let it analyze. No touchy touchy.
Wait for ambulance. Higher survival rate if
CPR is alternated.
Sudden cardiac arrest- patient is w/o
symptoms. Kuryente sa puso problem. AED
stops heart to reset contraction. Supply
oxygenated blood. Ventricular fibrillation is
only managed by a defibrillator??? Huaw.
Di naman laging may AED. Thus CPR is
important whenever you are waiting for AED
and ambulance.
Chest compression- pinapatagal yung
panginginig. Aanhin mo yung puso kung
tumigil na.
FLatline- heart has stopped. Anumang
kuryente, waley na. Heart will not respond.
But there’s still a possibility.
Thus CPR increases survival rate.
AED knows if what you’re doing is right.
“Good compression. Push harder. Push
faster.” AED guides you on what to do.
IF not shockable, check pulse. Either pulse
is normal or it has stopped (ASYSTOLE).
Q-
You see one of the reason to stop CPR is
when you defibrillate
HQCPR is minimizing interruptions
There is a law which requires places with
sick populations like Pharmacies will be
required to install their own AEDs
Survival rate of CPR is just 8-10%
Asystole is absence of electrical impulse so
NO DEFIBRILLATION
Defibrillation ORGANIZES a disorganized
rhythm like VF, pulseless VTach which are
shockable rhythms
2-2.4 DEPTH for blood to reach into the
brain and vital organs. POssibility that
there’s survival. Wag sa beach. Recoil is
maintained.
PAG TUMIGIL TAYO, TITIGIL NA DIN ANG
PUSO, THUS CONTINUOUS ANG CPR
CHEST COMPRESSION.
Epinephrine is given. Out of hospital, the
only thing you can do is chest compre.
of rescuers to achieve a CCF greater than
80%.
5. • Ventilation: 2 breaths after 30
compressions without an advanced airway;
1 breath every 6 seconds with an advanced
airway.

After resus, all the PPE is to be thrown MTMR is not allowed. An Ambu bag is used
away. Be extra careful. Wag mong galawin with a mouthpiece. No actual MTM even
pag wala kang equipment. Baka mahawa ka before COVID. Not during COVID, it is
pa. Pakielamera. preferred to do hands-only CPR with a
barrier: N95. Cover patient with plastic chest
upto head. Protect yo self. Need not rush
What are the 5 components of high quality chest compre, allowable time to gear up
CPR? prior to starting or resuming ALS/BLS.
Five main components of high-performance Ambu bags are not used unless there’s a
CPR have been identified: viral filter. Even though it is a closed
chest compression fraction (less than 80% mechanism, it still is needed to use viral
CCF), filters. A brand of a bag valve. Bag valves
chest compression rate (100-120 are generic. Tube in a viral chuchu.
compressions per minute),
chest compression depth (2-2.4 inches or
5-6cm depth),
allow for chest recoil on a flat surface
(residual leaning),
and ventilation.
Minimize interruptions.
These CPR components were identified
because of their contribution to blood flow
and outcome.

PHA- push hard and fast.

AHA- nah. Contrary

1. • Depth: 2–2.4 inches (5–6 centimeters)

2. • Compression rate: 100–120/minute
3. • Recoil: Allow for full recoil after each
compression. No leaning.
4. • Minimize pauses. Get the chest
compression fraction (CCF), the percentage
of time CPR is being delivered, as high as
possible, with a target of at least 60%. It
may be reasonable with a sufficient number