Today our topic of discussion is Method of Cardiopulmonary Resuscitation.
Method of Cardiopulmonary Resuscitation
METHOD
Serial rhythmic compressions of chest that help circulate oxygen containing blood to vital organs.
Infant
- Site: Sternum compression-below level of infant’s nipples.
- Width one finger breadth
- Depth 0.5-1 inch
- Rate 100 times per minute.
Child
- Site: Lower margin of child’s rib cage to notch where ribs and sternum meet
- Avoid compression over notch
- Place heel of nurse’s hand over lower half of sternum [between nipple line and notch)
- Depth: 1-1.5 inches
- Rate: 100 times per minute.
Ratio of Cardiac Compression to Ventilation (CPR)
- 2 persons-5:1
- 1 person-15:2
One Rescuer CPR
Shake shoulders and ask “Are you OK?”, shout for help. Open the airway: The most important action for successful resuscitation is immediate opening of the airway. Tilt the head by applying firm backward pressure on the victim’s forehead with palm of one hand.
Place two or three fingers of the other hand under the bony part of the lower jaw near the chin and lift the chin. Check for breathing: Place check close to victim’s mouth and nose. Look at chest to see if it risen and falls. Listen and feel for exhaled air (for at least 5 seconds)
External Cardiac Massage
Breath: Maintain an open airway. Pinch nose. Seal lips around victims mouth and deliver two full breathes watching for chest to rise and fall with each breath .
Check for circulation: Feel for a carotid pulse. Again shout. for help/activate EMS system. If pulse is present, continue to give artificial ventilation at the rate of 1 breath or 12 mm.
Circulate: If pulse is absent, run fingers along the lower rib to notch in centre of the heart where ribs meet sternum. With middle finger in notch, place index finger on lower end of sternum. Place heel of other hand on lower 1/2 of sternum next to index finger.
Put the heel of 1st hand on top. With shoulders directly over sternum and elbows locked compress straight up and down 15 times, at the rate of 80-100 times a minute, using the count “one and two and three and etc. Return quickly to victims head to deliver two breaths Compression depth should be 1.5-2 inches:
Theo-rescuer CPR: Two medical professional arriving at same time-no.