Definition:

Cardiopulmonary resuscitation (CPR or) associates chest compressions (best known under the term CPR) and ventilation (artificial respiration).

 

Cardiac massage (chest compression where) is a procedure performed in association with artificial ventilation , as part of cardiopulmonary resuscitation .

 

This technique varies slightly depending on whether it is applied:

 

 

• on an adult or child over 8 years

 

• on a child under 8 years

 

• an infant

Treatment:

Place the victim on his back on a hard, if not already in that position.

 

• Perform 15 compressions on the lower half of the sternum in adults and 5 child and infant.

 

• After the cuts replace the victim’s head back, lift the chin and make effective 2 breaths (i.e. that of the victim’s chest should rise each time you blow) in adults , 1 in the child and infant

• Replace hands immediately over the lower half of the sternum and make a new series of chest compressions.

• Continue alternating 15 chest compressions with 2 breaths for adults, 5 compressions with 1 breath in children and infant.

The incidence of sternal compressions should be 100 per minute, regardless of age, coupled with 8 to 10 breaths effective.

 

Continue the resuscitation and monitor their effectiveness.

 

Every 5 cycles of 15 compressions and 2 breaths for adults ( 10 cycles of 5 compressions and 1 breath in children and infants ), stop CPR maneuvers to search for signs of circulation (as occurred in coughing or movement of the victim, or the resumption of breathing). This search should not last more than 10 seconds.

 

• If signs of circulation, including respiration, are present, install the victim in recovery position and monitor continuously the respiration. If breathing stops again, or if in doubt, put the victim on his back and start CPR.

• If signs of circulation are absent, continue CPR and so on until help arrives.

How to do cardiac massage for an adult or child over 8 years?

 

The victim should lie down on his back on a hard surface:

 

• Kneel at his side and, as far as possible, strip off his chest.

• Determine the area of support as follows:
  • locate, the tip of the middle, the trough at the top of the sternum to the base of the neck
  • locate, middle on the other hand, the hollow where the ribs meet (at the bottom of the sternum)
  • Determine the center of the sternum.

• Place the heel of one hand just below the middle spotted (that is to say on the top of the lower half of the sternum). This support must be made on the midline, never on the coast.

• Place your other hand above the first, interlocking the fingers of both hands. One can also place the second hand flat on the first, but taking care to meet the fingers without letting them in contact with the thorax.

 

Push your hands down quickly, his arms taut, elbows locked (your hands should come down from 4 to 5 centimeters), then let them back.

 

Sure throughout the maneuver to stay vertically well above the ground and not swing your body back and forth.

 

1.            The hands must stay in contact with the sternum between each compression.

 

2.            The duration of compression should be equal to the relaxation of pressure on the thorax.

 

3.            The chest should resume its original dimensions after each compression (so that the effectiveness of chest compressions is maximum).

 

4.            Every 15 compressions, Interleaved 2 breaths .

 

5.            The portion of breaths to compressions and compressions to rescue breaths should be made as quickly as possible, otherwise reduce the effectiveness of cardiopulmonary resuscitation.