Resuscitation Guidance in COVID-19

Because of the heightened awareness of the possibility that

the casualty may have COVID-19, the Resuscitation Council

UK offers this advice:

• Recognise cardiac arrest by looking for the absence of signs of

life and the absence of normal breathing. Do not listen or feel for

breathing by placing your ear and cheek close to the casualty’s

mouth. If you are in any doubt about confirming cardiac arrest, the

default position is to start chest compressions until help arrives.

• Make sure an ambulance is on its way. If COVID-19 is suspected, tell

them when you call 999

• If there is a perceived risk of infection, rescuers should place a cloth/

towel over the casualty’s mouth and nose and attempt compression

only CPR and early defibrillation, until the ambulance (or advanced

care team) arrives.

• Early use of a defibrillator significantly increases the casualty’s chances

of survival and does not increase risk of infection

• If the rescuer has access to any form of personal protective equipment

(PPE) this should be worn

• After performing compression-only CPR, all rescuers should wash their

hands thoroughly with soap and water; alcohol-based hand gel is a

convenient alternative. They should also seek advice from the NHS

111 coronavirus advice service or medical adviser