4. Perform chest compressions:
- Place the heel of one hand on the breastbone – just below the nipples.
- Place the heel of your other hand on top of the first hand.
- Position your body directly over your hands.
- Give 30 chest compressions. These compressions should be FAST and hard. Press down about 2 inches into the chest. Each time, let the chest rise completely. Count the 30 compressions quickly: "1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30, off."
Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
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