Indirect cardiac massage
If there is no pulse along with breathing, it is necessary to do an indirect heart massage.
Indirect (closed) heart massage, or chest compression, is the compression of the muscles of the heart between the sternum and the spine in order to maintain a person’s circulation during cardiac arrest. Refers to elementary resuscitation measures.
Attention! You can not perform a closed heart massage in the presence of a pulse.
Technique of indirect heart massage
Place the victim on a flat, hard surface. Chest compression should not be performed on a bed or other soft surfaces.
Determine the location of the affected xiphoid process. The xiphoid process is the shortest and narrowest part of the sternum, its end.
Measure 2-4 cm up from the xiphoid process – this is the point of compression.
Place the base of your hand on the compression point. In this case, the thumb should point either to the chin or to the abdomen of the victim, depending on the location of the resuscitation person. Place the other palm on top of one hand, fold your fingers into the lock. Pressing is carried out strictly with the base of the palm – your fingers should not come into contact with the victim’s sternum.
Perform rhythmic thrusts of the chest strongly, smoothly, strictly upright, with the weight of the upper half of your body. The frequency is 100-110 presses per minute. In this case, the chest should bend by 3-4 cm.
For infants, an indirect heart massage is performed with the index and middle fingers of one hand. For teenagers – with the palm of one hand.
If mechanical ventilation is performed simultaneously with a closed heart massage, every two breaths should alternate with 30 pressure on the chest.
If, during resuscitation, the victim regains breathing or a pulse appears, stop providing first aid and lay the person on their side with a palm under their head. Monitor his condition until the arrival of doctors.
When food or foreign bodies get into the trachea, it clogs up (in whole or in part) – the person suffocates.
Signs of a blocked airway:
Lack of proper breathing. If the windpipe is not completely blocked, the person coughs; if completely – holds on to the throat.
Inability to speak.
Blue skin of the face, swelling of the vessels of the neck.
Airway cleaning is most often performed according to the Heimlich method.
Stand behind the victim.
Wrap your arms around it, interlocking them in a lock, just above the navel, under the costal arch.
Press firmly on the victim’s stomach, sharply bending the arms at the elbows.
Do not squeeze the victim’s chest, except for pregnant women who have pressure in the lower chest.
Repeat the reception several times until the airways are free.
If the victim fainted and fell, lay him on his back, sit on his hips and press on the costal arches with both hands.
To remove foreign bodies from the respiratory tract of the child, it is necessary to turn him on his stomach and pat 2-3 times between the shoulder blades. Be very careful. Even if your baby clears his throat quickly, see a doctor for a physical examination.