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Basic Life Support forHealthcare ProvidersCare steps outlined within this handbook are consistent with: 2010 International Liaison Committee on Resuscitation (ILCOR)Consensus on Science and Treatment Recommendations (CoSTR) 2010 American Heart Association Guidelines for CPR & ECCMembers of the American Red Cross Scientific Advisory Councilprovided guidance and review.The American Red Cross Scientific Advisory Council is a panel of nationallyrecognized experts drawn from a wide variety of scientific, medical and academicdisciplines. The Council provides authoritative guidance on first aid, CPR, emergencytreatments, rescue practices, emergency preparedness, aquatics, disaster health,nursing, education and training.For more information on the Scientific Advisory Council, ic-advisory-councilAbout the American Red Cross:The American Red Cross shelters, feeds and provides emotional support to victims ofdisasters; supplies about 40 percent of the nation’s blood; teaches skills that savelives; provides international humanitarian aid; and supports military members andtheir families. The American Red Cross is a not-for-profit organization that depends onvolunteers and the generosity of the American public to perform its mission. For moreinformation, please visit redcross.org or follow us on Twitter @RedCross.Basic Life Support forHealthcare ProvidersProvider HandbookStock No. 652180BLS-Handbook-Cover.indd 12/4/15 8:41 AM

American Red CrossBasic Life Supportfor Healthcare ProvidersHandbook53800 Basic Life HB FM pi-x.indd 12/4/15 10:07 AM

The Basic Life Support for Healthcare Providers Handbook is part of the American Red Cross BasicLife Support for Healthcare Providers program. The emergency care procedures outlined in the programmaterials reflect the standard of knowledge and accepted emergency practices in the United States atthe time this manual was published. It is the reader’s responsibility to stay informed of changesin emergency care procedures.PLEASE READ THE FOLLOWING TERMS AND CONDITIONS (the “Terms and Conditions”)BEFORE AGREEING TO ACCESS, USE OR DOWNLOAD THE FOLLOWING AMERICANNATIONAL RED CROSS MATERIALS. BY PURCHASING, DOWNLOADING, OR OTHERWISEUSING OR ACCESSING THE MATERIALS, YOU ACKNOWLEDGE AND HEREBY AGREE TO BELEGALLY BOUND BY BOTH THESE TERMS AND CONDITIONS AND THE AMERICAN NATIONALRED CROSS TERMS OF USE (AVAILABLE AT http://www.redcross.org/terms-of-use). YOUAGREE THAT THE INCLUDED COURSE MATERIALS ARE PROVIDED “AS IS” AND WITHOUTWARRANTIES OF ANY KIND, AND THAT ANY ACCESS TO OR USE OF THESE COURSEMATERIALS IS AT YOUR OWN RISK.The following materials (including downloadable electronic materials, as applicable) including all content,graphics, images and logos, are copyrighted by, and the exclusive property of, The American NationalRed Cross (“Red Cross”). Unless otherwise indicated in writing by the Red Cross, the Red Cross grantsyou (“Recipient”) the limited right to download, print, photocopy and use the electronic materials onlyfor use in conjunction with teaching or preparing to teach a Red Cross course by individuals or entitiesexpressly authorized by the Red Cross, subject to the following restrictions: The Recipient is prohibited from creating new electronic versions of the materials. The Recipient is prohibited from revising, altering, adapting or modifying the materials, which includesremoving, altering or covering any copyright notices, Red Cross marks, logos, or other proprietarynotices placed or embedded in the materials. The Recipient is prohibited from creating any derivative works incorporating, in part or in whole, thecontent of the materials. The Recipient is prohibited from downloading the materials, or any part of the materials, and puttingthem on Recipient’s own website or any other third-party website without advance written permissionof the Red Cross. The Recipient is prohibited from removing these Terms and Conditions in otherwise-permitted copies,and is likewise prohibited from making any additional representations or warranties relating to thematerials.Any rights not expressly granted herein are reserved by the Red Cross. The Red Cross does not permitits materials to be reproduced or published without advance written permission from the Red Cross. Torequest permission to reproduce or publish Red Cross materials, please submit your written request to TheAmerican National Red Cross.Copyright 2011, 2015 The American National Red Cross. ALL RIGHTS RESERVED.The Red Cross emblem, American Red Cross and the American Red Cross logo are trademarks of TheAmerican National Red Cross and protected by various national statutes.Published by StayWellPrinted in the United States of AmericaISBN: 978-1-58480-643-153800 Basic Life HB FM pi-x.indd 22/4/15 10:07 AM

The care steps outlined within this handbook are consistent with the 2010 International LiaisonCommittee on Resuscitation (ILCOR) Consensus on Science and Treatment Recommendations(CoSTR) and the 2010 American Heart Association Guidelines for CPR & ECC.ACKnowledgmentsThis handbook is dedicated to the thousands of employees and volunteers of the American RedCross who contribute their time and talent to supporting and teaching lifesaving skills worldwide andto the thousands of course participants who have decided to be prepared to take action when anemergency strikes.Content DirectionJonathan L. Epstein, MEMS, NREMT-PSenior Director, Science and Content DevelopmentAmerican Red CrossAmerican Red Cross Scientific Advisory CouncilGuidance and Review of the Basic Life Support for Healthcare Providers program was provided bymembers of the American Red Cross Scientific Advisory Council.The American Red Cross Scientific Advisory Council is a panel of nationally recognized expertsdrawn from a wide variety of scientific, medical and academic disciplines. The Council providesauthoritative guidance on first aid, CPR, emergency treatments, rescue practices, emergencypreparedness, aquatics, disaster health, nursing, education and training.For more information on the Scientific Advisory Council, visit visory-councilMembers of the Scientific Advisory Council at the time of publication include:LeadershipDavid Markenson, MD, MBA, FCCM,FAAP, FACEP, EMT-PChairChief Medical Officer, Sky Ridge MedicalCenterLinda Quan, MDVice ChairPediatric Emergency Physician, SeattleChildren’s HospitalProfessor of Pediatrics, University ofWashington School of MedicineResuscitation Sub-CouncilRichard N. Bradley, MDResuscitation Sub-Council ChairAssociate Professor of Emergency Medicine,University of Texas Medical School atHoustonDivision Chief of Emergency Medical Servicesand Disaster Medicine, University of TexasMedical School at HoustonMichael G. Millin, MD, MPH, FACEPResuscitation Sub-Council Vice ChairAssistant Professor of Emergency Medicine,Johns Hopkins University School of MedicineMedical Director, BWI Airport Fire and RescueDepartmentWendell E. Jones, MD, MBA, CPE, FACPChief Medical Officer, Veterans IntegratedService Network 17Assistant Professor, Internal Medicine,University of Texas SouthwesternSiobán Kennedy, MA, ACP, CQIAManager of Paramedic Practice, SunnybrookCentre for Prehospital MedicineBasic Life Support for Healthcare Providers Handbook53800 Basic Life HB FM pi-x.indd 3iii2/4/15 10:07 AM

Stamatios Lerakis, MD, PhD, FAHA,FACC, FASE, FASNC, FCCPProfessor of Medicine (Cardiology), Radiologyand Imaging Sciences, Emory UniversitySchool of MedicineDirector of Cardiac MRI and InterventionalEchocardiography, Emory University HospitalAdjunct Professor of Biomedical Engineering,Emory University and Georgia Institute ofTechnologyIra Nemeth, MDAssistant Professor in the Department ofMedicine, Baylor College of MedicineDirector of EMS and Disaster Medicine, BaylorCollege of MedicineAssistant Medical Director, Ben Taub GeneralHospital’s Emergency DepartmentJoseph W. Rossano, MDAssistant Professor of Pediatrics/Cardiology,University of Pennsylvania and Children’sHospital of PhiladelphiaJoan Elizabeth Shook, MD, FAAP, FACEPProfessor of Pediatrics, Baylor Collegeof Medicine Pediatric Emergency MedicineSectionNursing and Caregiving Sub-CouncilJean Johnson, PhD, RN, FAANNursing and Caregiving Sub-CouncilChairDean and Professor, George WashingtonUniversity School of NursingivSusan M. Heidrich, PhD, RNNurse Scientist, Middleton Memorial VeteransAdministration Hospital (Madison, WI)Helen Denne Shulte Emeritus Professor,University of Wisconsin –Madison School ofNursingJohn P. Hirdes, MDProfessor and Ontario Home Care Researchand Knowledge Exchange Chair, Universityof Waterloo School of Public Health andHealth SystemsSenior Canadian Fellow and Board Member,interRAIDeanna Colburn Hostler, DPT, CCS (ABD)Clinical Assistant Professor of PhysicalTherapy, University at Buffalo, StateUniversity of New YorkCarla M. Tozer, MSN, APN/CPN, ACHPH,ANP-BC, GNP-BCVisiting Nursing Practice Specialist/VisitingClinical Instructor, University of Illinois atChicago College of NursingTener Goodwin Veenema, PhD, MPH, MS,FNAP, FAANAssociate Professor and Pediatric EmergencyNurse Practitioner, Johns Hopkins Schoolof NursingPresident, CEO of Tener Consulting Group,LLCChristy Blackstone, MSW, LCSWLicensed Clinical Social Worker and CaregiverSupport Coordinator, Alexandria VeteransAffairs Health Care SystemFirst Aid Sub-CouncilAndrew MacPherson, MD, CCFP-EMFirst Aid Sub-Council ChairEmergency Physician, Victoria, BCMedical Consultant, British ColumbiaEmergency Health ServicesBarbara J. Burgel, RN, ANP, PhD, FAANProfessor of Clinical Nursing and Adult NursePractitioner, University of California, SanFrancisco, School of Nursing Occupational andEnvironmental Health Nursing Graduate ProgramL. Kristian Arnold, MD, MPH, FACEPChief Medical Officer, ArLac HealthServicesMedical Director, Boston Police DepartmentOccupational Medicine UnitSusan L. Carlson, MSN, APRN, ACNS-BC,GNP-BC, FNGNANurse Practitioner, South Texas VeteransHealthcare System Neurology DepartmentDavid C. Berry, PhD, ATC, EMT-BAssistant Professor and Coordinator of AthleticTraining Clinical Education, Weber StateUniversityMarie O. Etienne, DNP, ARNP, PLNCProfessor and Faculty Service-LearningCoordinator, Miami Dade College Schoolof NursingAdelita Gonzales Cantu, PhD, RNAssistant Professor, University of Texas HealthScience Center Department of Family andCommunity Health SystemsAmerican Red Cross53800 Basic Life HB FM pi-x.indd 42/4/15 10:07 AM