CPR and COVID-1 9

Photo courtesy: DAN.org

As most of us are aware, COVID-1 9 can be contracted by coming into contact with droplets of bodily fluid from an infected person. Performing chest compressings as part of CPR can mobilize droplets, much like coughing can. Since even asymptomatic people can carry and spread the virus, it is nearly impossible for a spectator to determine their risk of contracting the virus when intervening and performing CPR. If a spectator did nothing other than activating EMS, the victimas chances of survival would be very low, while intervention would substantially improve the odds. However, it would also increase the rescueras risk of exposure to COVID-1 9. Ultimately the decision to act or not act is a difficult and personal one. If you determine that you need to respond, we recommend the following steps.

If you need to perform CPR, be sure you have the proper personal protective equipment( PPE ). Activate EMS first, and if COVID-1 9 is suspected, alerting them of this mistrust. When assessing pulse and respirations, speedily look for normal breathing in the form of chest movement and pink coloration of the skin and nail beds( apinka applies regardless of natural skin tone ). Do not place your ear and cheek close to the personas mouth. 2 If you need to perform CPR, be sure you have the proper personal protective equipment( PPE ). This includes gloves, eye protection, a facemask and a gown( if available) 1,3 When in doubt about the risk of disease transmission, compression-only CPR is the default protocol for adults. If there is a perceived risk of infection and you are doing compression-only CPR, place a facemask or cloth( such as a bandana, t-shirt or towel) over the personas nose and mouth. 1,2 This will help mitigate expulsion of droplets during CPR compressings. If you have a pocket mask or suitcase valve mask( BVM ), these may be used. If available, the BVM should be equipped with a high-efficiency particulate air filter( HEPA filter) for expired air. 1,3 If a pocket mask is employed, the mask should be secured in place with the elastic strap. After the event has ended, employ appropriate disinfectants to clean the region, and washing your hands thoroughly. Avoid touching your face, and consider showering, rinsing your clothes and sterilizing your shoes when you get home.

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