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 Part 5: adult basic life support: 2010 American Heart Association Guidelines for  Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Berg RA; Hemphill R; Abella BS; Aufderheide TP; Cave DM; Hazinski MF; Lerner EB; Rea TD; Sayre MR; Swor RACirculation  2010[Nov]; 122 (18 Suppl 3): S685-705The critical lifesaving steps of BLS are â— Immediate Recognition and Activation  of the emergency response system â— Early CPR and â— Rapid Defibrillation for VF.  When an adult suddenly collapses, whoever is nearby should activate the emergency  system and begin chest compressions (regardless of training). Trained lay  rescuers who are able and healthcare providers should provide compressions and  ventilations. Contrary to the belief of too many in this situation, CPR is not  harmful. Inaction is harmful and CPR can be lifesaving. However, the quality of  CPR is critical. Chest compressions should be delivered by pushing hard and fast  in the center of the chest (ie, chest compressions should be of adequate rate and  depth). Rescuers should allow complete chest recoil after each compression and  minimize interruptions in chest compressions. They should also avoid excessive  ventilation. If and when available, an AED should be applied and used without  delaying chest compressions. With prompt and effective provision of these  actions, lives are saved every day.|*American Heart Association[MESH]|*Practice Guidelines as Topic/standards[MESH]|Adult[MESH]|Age Factors[MESH]|Cardiology/*methods/standards[MESH]|Cardiopulmonary Resuscitation/*methods/standards[MESH]|Electric Countershock/methods/standards[MESH]|Emergency Medical Services/methods/standards[MESH]|Heart Arrest/diagnosis/therapy[MESH]|Humans[MESH]|United States[MESH]
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