I am starting compressions while waiting for the AED. My hands will be on top of each other and put in the middle of his chest. I will allow the chest to recoil.
One person verifies the scene is safe and calls 9-1-1. The other person verifies he is unresponsive and taps his should after he does not wake to his name shouted. One person kneels down beside James.
Time for 2 rescue breaths!
The person who is kneeling ask the person around her to get the AED and first aid kit.
I am here with the AED!Everyone clear!
I will do compressions while you put the pads on him.
She will give 30 chest compressions. They will go two inches deep, and at a rate of 100-120 bpm. It is essential that she started compressions right away because CPR circulates to the vital organs to prevent brain and organ damage.
EMS is here, they can take over care!
I will do compressions now!
She will be doing 2 rescue breaths. There will be a barrier around his mouth and nose. She will open the airway. She will make sure there is a complete seal. She will give a regular breath into his mouth, and check if the chest is rising. She will then give another breath. This will not last longer than 10 seconds, and she will go right back to chest compressions. She will continue with the 30 compressions to 2 rescue breaths.
They are exhibiting team work to continue compressions. They will turn on the AED and follow the prompts. They will take off his shirt, and then proceed with putting on the pads in the appropriate spots on the diagram. They will take off their hands to let the AED analyze his heart rhythm. The AED tells them a shock is advised, and she says "EVERYONE CLEAR". They push the shock button. The early defibrillation is important because it can significantly increase their chance of survival by restoring an effective heart rhythm.
They trade off doing compressions after they deliver the shock, so the one who had been doing compressions could rest. She does 30 compressions and 2 rescue breaths, and then EMS takes over care.