ECC is not something that can be learned from a book. It should be given only by trained operators. Correct technique is important because of the risk of injury, for ECC, even when expertly administered, provides less than half the normal blood flow to the brain.
If a casualty being given EAR has no pulse, the procedure is as follows:
- Give 15 compressions in 10 – 12 seconds.
- Give 2 ventilations within 3 – 5 seconds. (The cycle should not take more than 15 seconds.)
- Continue at 4 cycles per minute, checking the carotid pulse (neck) and breathing every two minutes.
- If circulation is restored, stop FCC but continue EAR.
- If breathing is restored, stop EAR. Place the casualty in the stable side position and ensure that airway is kept clear.