How to carry out cardiopulmonary resuscitation

Make sure your security

Before you administer first aid, inspectRecommendations for resuscitation European Resuscitation Council (revision 2015) scene. If something is threatening your safety, such as Exposed wire or fire, do not approach the victim. Call rescuers 112 or fix the problem yourself, say, remove the broken glass.

If possible, wear disposable gloves and goggles - it will protect you from exposure to blood and saliva.

Check to see if the person is conscious

Come and loud Hail person. If he does not respond, shake shoulders. If there is no response, it means that the person is unconscious: go to the next step.

In the case where it is in any way responded to, leave it in the same position. Ask what happened and look from head to toe. Provide assistance if necessary, Call an ambulance.

Free airways

Turn the victim onto his back. Zaprokinte his head back, which straighten the neck and chin lift. This will help to release the throat from the sunken language.

Open the victim's mouth and check. If there's anything there, remove it. Any foreign object interferes with breathing.

Check breathing

Lean to the open mouth of the affected cheek. In listen carefully breath, sense wheel airflow for 10 seconds and watch moving thorax. During this time the person must make at least two breaths. If he is not breathing, proceed to the next step.

If the person is breathing rare (less than two times in 10 seconds), loud or barely audible - consider that there is no breathing and be prepared to resuscitate.

Do not check the breathing with the help of a mirror or a feather. Such methods are unreliable and takes a lot of time. Do not attempt to check pulse: To do everything right, it takes practice.

Call an ambulance

Please call 103. To avoid wasting time, ask someone to help you. Turn on the speakerphone to simultaneously listen Manager tips and resuscitation.

Make 30 taps on the chest

This technique is suitable for adults and teenagers who look older than 14 years. To learn how to do the intensive care unit for young children, read below.

Put patient on back on firm surface and kneel on the side of it. Free chest of clothes. It is important to find a place for chest compressions: on the effectiveness of resuscitation depends largely.

Place the base of the palm just below the center of the sternum (bone to which the ribs are attached). Top with a second hand and connect the fingers to the castle. Straighten your elbows and keep the shoulders directly above your hands.

Press on the sternum with all his weight, prodavlivaya it to 5-6 cm at a speed of 100-120 keystrokes per minute (about twice per second). Before doing the next depression, do not release your hands and wait until the chest straighten.

Make two rescue breaths

CPR can be dangerous if done it to a stranger. If you do not know how to do it or are afraid of something to catch, limit only chest compressions. For personal protection, you can use a valve tape for cardiopulmonary resuscitation.

After 30 clicks again zaprokinte the victim's head to free the respiratory tract. Hold your nose with your fingers, open your mouth and close your lips last embrace. Make the victim inhale even for 1 second. Watch the chest: it should rise. If there is no movement, again zaprokinte head back and take a second breath. To all this should take no more than 10 seconds.

Continue resuscitation

Alternate heart massage and artificial respiration at a ratio of 30 presses and 2 breaths. Stop resuscitation is possible in three cases:

1. The ambulance arrived.
2. The victim began to breathe or awake.
3. You are physically exhausted.

If possible, find an assistant and alternate with them, to be less tired.

Turn the patient on side

If the person is unconscious, but breathing, it must be turned on its side, so that he choked tongue or vomit.

How to carry out cardiopulmonary resuscitation for children

Check for signs of life in children should be the same as in adults. If the child is unconscious and not breathing, call an ambulance and go to the following algorithmRecommendations for resuscitation European Resuscitation Council (revision 2015).

Take five breaths. For children who are in the form of 1 year to 14 years, act in the same way as for adults, and infants need the same time to cover his mouth and nose, and mouth.

After that, once again check for breathing. If it does not, start resuscitation at a ratio of 15 presses (with a frequency of two per second) and two rescue breaths. Push the depth of one third of the thickness of the chest. If the child is small, single-handed, if the older - two.

Infants under 1 year performing pressing with your fingers. To do this, grasp the baby so that the thumbs are on top of the sternum. Find the xiphoid process - this is the place where the lower ribs are fused to the sternum. Depart from the edges to the top 1-1.5 cm and place the thumbs on the sternum. Also, pressing can make middle and index fingers at the same point.