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NAME ___DATE ___/___/___SKILL PERFORMANCE EVALUATIONCARDIAC ARRESTCARDIOPULMONARY RESUSCITATIONADULT 1 and 2 RESCUER SCENARIO:EXAMINER(S):Attempt: 1st 2nd 3rd (final)PREPARATION Skill Component Yes No Comments Establishes
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How to fill out how to perform hands-only

01
To fill out the hands-only CPR form, follow these steps:
02
Start by ensuring the safety of the victim and yourself. Make sure the environment is safe and there is no immediate danger.
03
Check for responsiveness. Tap the victim and shout, 'Are you okay?' to see if they respond.
04
If there is no response, ask someone else nearby to call emergency services and get an AED if available.
05
Kneel beside the victim and locate the center of their chest, between the nipples.
06
Place the heel of one hand on the center of the victim's chest and place the other hand on top, interlocking your fingers.
07
Start compressions. Press down hard and fast, at a rate of about 100-120 compressions per minute. Allow the chest to fully recoil between compressions.
08
Continue compressions until help arrives or the victim shows signs of life, such as breathing or movement.
09
Remember to stay with the victim and continue compressions until professional help takes over.
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If an AED arrives, follow the instructions provided and use it as soon as possible.
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Cooperate and provide information to the emergency medical personnel when they arrive.

Who needs how to perform hands-only?

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Anyone who witnesses a sudden cardiac arrest or finds an unresponsive person can benefit from knowing how to perform hands-only CPR.
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It can be a valuable skill for family members, friends, co-workers, or even strangers who may encounter such a situation.
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The knowledge of hands-only CPR can help save a life by maintaining blood flow to critical organs until professional medical help arrives.
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Therefore, it is highly recommended for everyone to learn how to perform hands-only CPR, as it can make a difference in an emergency situation.

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Hands-only CPR is a method of cardiopulmonary resuscitation that involves only chest compressions, without mouth-to-mouth breathing, used to help someone who has collapsed and does not have a pulse.
Individuals or organizations involved in CPR training or public health initiatives may be required to file reports or documentation related to hands-only CPR performance in specific contexts.
Filling out forms related to hands-only CPR typically involves providing details of the training program, participant information, and demonstrating knowledge of the technique.
The purpose of hands-only CPR is to provide immediate assistance to someone experiencing cardiac arrest, increasing their chances of survival until professional medical help arrives.
Reports on hands-only CPR should include details on training sessions, participant outcomes, the number of CPR training events conducted, and feedback on the effectiveness of the training.
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