Everybody should learn how to perform Cardiopulmonary resuscitation or CPR. According to the American Heart Association (AHA), almost 70% of Americans don’t know how to do CPR if somebody is experiencing a cardiac emergency or people follow wrong techniques to perform CPR. According to a survey more than 75% of cardiac arrests occur at home where patients depend on the immediate respiratory care response of their family members. Thus, knowing the correct CPR process can help saving the life of loved ones.
Below are the crucial steps used while administering CPR on an adult:
- Ask the victim, “are you ok?” to check for consciousness. Try tapping on the shoulders to stimulate the victim. If the victim is truly not breathing and requires CPR, continue with the sequence.
- Position the victim laying flat on his back. Open or remove the victim’s shirt to provide access to the chest. Kneel next to the victim and position the hands on the victim’s chest.
- The heel of one palm should be placed on the center of the chest, in line with the victim’s nipples. Place the heel of the other hand on top of the first and interlock fingers.
- The fingers should point towards the victim’s nipples, with the long axis of the hand parallel to the ribs. This reduces the chance of rib fractures.
- Compression are delivered with the heel of the palm. Fingers should not make contact with the chest during compression. It may be necessary to extend or curl the fingers under to achieve this position.
- The rescuer should keep his elbows straight, shoulders over the hands, and lean over the victim. This creates a posture that allows hard and fast compression to be delivered.
- When administering compression to a small child, only one hand may be needed.
- Begin with 30 chest compression at a rate of at least 100 compression per minute. Allow the chest to completely recoil between compression. Press on the center of the chest. It may be helpful to count the compression out loud as they are administered to keep track of progress.
- For adult victims, the compression should be two inches deep.
- For child victims, the compressions should be 1/3 the chest diameter, or about two inches deep.
Following the cycle of 30 compression, administer two ventilation:
- Open the victim’s airway by tilting the head back and lifting the jaw. This lifts the victim’s tongue from the back of the throat, allowing air to pass into the lungs.
- Look into the victim’s mouth and remove any visible obstructions.
- Position the fact shield or other protective device if one is available.
- Pinch the victim’s nostrils closed to prevent air from escaping.
- The rescuer should take a deep breath and position his mouth around the victim’s mouth. The rescuer uses his lips to form a seal around the victim’s mouth to prevent air from escaping.
- Blow into the victim’s mouth until his chest rises. This takes about two seconds.
- Allow the victim’s chest to fall, about four seconds.
- Blow into the victim’s mouth a second time, forming the second ventilation of the cycle.
- The entire ventilation sequence should take less than 10 seconds.
- Alternate between 30 compressions and 2 breaths. If multiple rescuers are present, take turns administering compressions to prevent fatigue, switching every two minutes.
- Administer the AED as soon as it is available. Repeat AED use after five cycles of CPR.
If the victim’s chest does not rise during ventilations:
- Check the head position to ensure the airway is open. It may be necessary to tilt the head father back.
- Check for foreign material inside the mouth.
- Ensure that the nostrils are completely closed and that there is a tight seal around the victim’s mouth.
Alternative forms of respiration:
- If the victim has a stoma, or opening in the front of the neck used for breathing following a larynx removal, the rescuer needs to breathe into this opening instead of the mouth. It may still be necessary to hold the mouth and nostrils closed.
- If severe mouth injuries are present, preventing a tight seal from being formed around the victim’s mouth, the rescuer can breathe into the victim’s nose. Hold the mouth closed while you blow into the nose. Open the mouth to let the air out.
The more people available for these steps, the better. However, if someone is alone he/she should call 911 for emergency medical services before starting CPR treatment.
CPR Select provides you with nationally and internationally-accepted online CPR/AED First Aid certification program. The courses exist completely online, with no face-to-face requirements. All the materials are designed and approved by American Heart Association (AHA) trained doctors.