Updated May 2018
When we have a situation that calls for CPR we need to act immediately and efficiently. There are two methods to performing CPR: Single rescuer CPR is also known as one-rescuer CPR or one-person CPR. When you have a partner, you may also hear it as two-rescuer CPR or two-person CPR.
Between the two methods, 2-rescuer CPR is more efficient due to one person performing compressions and another is giving breaths, it’s not as tiring and there’s less of a delay between compressions and breaths. Therefore, it’s more efficient and it’s more effective.
If there are two rescuers available, here’s how to decide what type of CPR to perform. If both people have been trained in how to perform 2-rescuer CPR, and there is someone else available to call 911, then 2-rescuer CPR is preferable. If there isn’t a third person to make the call, then one of the two rescuers should make the call immediately, and should only begin 2-rescuer CPR afterward.
When only 1 rescuer is trained in CPR
On the other hand, if only one or neither of the rescuers are trained in 2-rescuer CPR, then the rescuer or rescuers on the scene should do 1-rescuer CPR. There is too much coordination and communication necessary in 2-rescuer CPR to attempt it without advanced training. Instead of 2-rescuer CPR, each rescuer should take turns performing 1-rescuer CPR until he or she gets tired, then they should trade off with the other person to do 1-rescuer CPR, until that person gets tired. It is recommended that the two rescuers trade off about every two minutes. That’s approximately five cycles of 30 compressions and two breaths.
Researchers have stated that the most effective and efficient CPR is given in the first two minutes of care. Using the above guidelines to help all rescuers give everyone in distress a fighting chance of survival
STEPS TO TWO-PERSON CPR
STEP 1 Evaluate the scene
STEP 2 Approach and Access
STEP 3 RESCUER 1 If patient is unconscious, immediately Ask the other rescuer to immediately call emergency medical assistance
STEP 4 Begin CPR
at a rate of at least 100 compressions per minute and the chest should be compressed at least 2 inches or 1/3 the thickness of the persons chest from front to back allowing full recoil in between each compression
STEP 5 Push hard and fast in the center of the person’s chest until help arrives, trying to limit all pauses to chest compressions to less than 10 seconds
STEP 6 If the first person performing chest compressions is tired, switch positions after two minutes. It’s important not to spend too much time switching as this will reduce the effectiveness of CPR
STEP 7 RESCUER 2 Repeat cycle of compressions and ventilations (at a rate of 30/2 for an adult or 15/2 for a child or baby). Responder at head periodically checks for effectiveness of compressions by feeling for carotid pulse
STEP 8 Once the AED has been applied and turned on, continue doing chest compressions at 100 per minute and follow the instructions from the AED
STEP 9 If there is any change in patient’s condition, stop CPR and check ABCs
- The cycle of CPR for patients is 2 rescue breaths for every 30 compressions
- In the case of two person CPR, the cycle is 30 compressions to 2 breaths for adults
- For children, the rate is halved. The cycle is 15 compressions for every 2 breaths
- For a non-responsive adult or child, the pulse should be checked on the neck.
- For infants ,the pulse is too faint to be detected on the neck and can be detected on the arm in the brachial artery.
- In terms of resuscitation, anyone over the age of 12 years can be treated as an adult, anyone between 2- 12 years is a child.
- Anyone younger than 2 years is to be treated according to the CPR rules for infants.
Method of 2-person CPR :
- First, check for any signs of response from the victim. If the victim is in an unresponsive state, check for pulse and signs of breathing.
- Ask the other volunteer to call for help by calling your local emergency number and giving details of the victim’s condition and whereabouts.
- Lay the victim on a flat surface.
- Start the chest compressions with about 100 compressions per minute. After every 30 compressions, follow with breaths. Since two man compression has an extra person to help, one person can give the compressions while the second can give the breaths. This can be alternated every two minutes since compressions are quite tiring for one person to handle.
- Make sure that there is no gap in giving the compressions, your actions will be helpful in supplying blood to the brain.
- In case the victim is a child, use 15 compressions and then give breaths instead of thirty.
- For infants, be sure to support the neck and back while attempting resuscitation in order to avoid injury to the patient.
- Both the CPR givers need to alternate between giving breaths and chest compressions and switch positions once each person is tired. this method is to be followed till an AED arrives.
- An AED is an Automated External Defibrillator that will externally stimulate the heart into giving a response. Make sure there’s no water around when the AED is going to be operated as it conducts electricity.