|
Rescuer's
Action
|
Pts
|
Score
|
Retest
|
|
1.
Tries to arouse patient (shake and shout)
|
1
|
|
|
|
2.
Opens airway using head-tilt, chin-lift
|
1
|
|
|
|
3.
Opens airway before checking for breathing
|
1
|
|
|
|
4.
Verifies respiratory arrest, checking for 3-5 seconds
(look-listen-feel)
|
1
|
|
|
|
5.
Attempts to ventilate
|
1
|
|
|
|
6.
Uses ventilation device (barrier, pocket mask, BVM)
|
1
|
|
|
|
7.
Repositions the airway
|
1
|
|
|
|
8.
Attempts to ventilate again
|
1
|
|
|
|
9.
Delivers back blows with adequate technique (maximum of 5)
|
1
|
|
|
|
10.
Delivers chest thrusts with adequate technique (maximum of 5)
|
1
|
|
|
|
11.
Inspects the mouth for foreign object
|
1
|
|
|
|
12.
Attempts ventilations again
|
1
|
|
|
|
13.
Repeats back blows with adequate technique
|
1
|
|
|
|
14.
Repeats chest thrusts with adequate technique
|
1
|
|
|
|
15.
Repeats inspection of mouth after each sequence
|
1
|
|
|
|
16.
Repeats ventilations, with adequate technique, after checking mouth
|
1
|
|
|
|
17.
Airway obstruction procedure performed with adequate technique. If
this step is given a zero, the rationale should be listed under comments.
|
2
|
|
|
|
18.
Utilizes universal precautions
|
1
|
|
|
|
Total
Score=
|
19
|
|
|
