REVIVE HEART ARREST AND OXYGEN WITH CPR.

WHAT WILL YOU DO WHEN YOU FIND UNRESPONDED PERSON?

Here are some guides that you should do !!!

Cardiopulmonary resuscitation (CPR) is a technique that we use in a life-threatening emergency situation to According to the American Health Association,

“DOING CPR RIGHT AWAY CAN DOUBLE  OR EVEN TRIPLE CHANCE OF SURVIVING CARDIAC ARREST.” 

CPR is an effort to provide oxygen to the vital organs (brain) and revive the heart and reverse the process that leads to death. As “Clinical death” starts when heart moment and breathing stop but have chances to revive, but after 4-6 minutes, “biological death” means brain death starts, which is difficult to revive.

CPR or BLS certificate programs and seminars are launched by many hospitals, medical universities and paid or unpaid organizations like Red Cross, American Heart Association (AHA) and ECC, which is mostly free for students and other interested people.

CPR consists of external cardiac massage and artificial ventilation to maintain circulatory flow and oxygenation that is performed within the first 4-6 minutes until the medical help arrives.

WHAT CPR REVIVE?

CPR is the revision of heart and lung function and it is consist of 4 parts;

1. AIRWAY:  Must be opened and free of foreign bodies for proper ventilation. The chest should be checked by the provider for any beat sound.
2. BREATHING: Artificial respiration should be given until breathing can be restored.
3. CIRCULATION: External chest massage should be given in the absence of a palpable pulse.
4. DEFINITIVE TREATMENT: It is the alternative treatment in the way of drug and defibrillation that helps to cause cardiac functioning.  

But in 2010, AHA guideline for CPR and ECC recommend change in BLS( basic life support) sequence of steps from A-B-C(airway, breathing, and circulation or compression) to C-A-B (compression, airway, and breathing)

CPR starts when no evidence of cardiac output or pulse which is detected by 3 ways:

1. Unresponsiveness
2. Apnea
3. Absence of detectable pulse

PRIMARY STEPS OF CPR

According to AHA association these primary steps are applied outside the hospital are;

1. Check the scene for safety: If the victim is lying on the center of the road, then you should take the victim to a safe place or footpath.
2. Shaking and shouting at the victim for response: shake and tap the shoulder of the victim and shout, “are you OK? Who are you?” If the victim does not respond, then start CPR.
3. Call for help: If crowded is there, then point a person to call 911. if you are alone, then you should see the pulse then call for help.
4. Position the person in a supine and open airway:  It helps the victim in breathing and also tells about obstruction in the airway.
5. Check circulation or pulse: check the carotid artery(neck) and radial artery(wrist) pulse. If they are low, then check the airway. If not, start compressions.
6. If the victim is breathing:  then try to awake the victim from unconsciousness if not check the airway. 

Steps for HANDS-only CPR:

 –>30 chest compression :

1. Place the heel of your hand in an interlock position on the center of the chest of the victim between nipples.
2. Position yourself with a straight shoulder, elbow and back that helps you in force exertion and doesn’t make you tired.
3. Press straight down on the chest, not more than 5-6 cm (2 inches) deep.
4. Allow the chest to recoil in real position then compress again.
5. Repeat the compression 100 times per minute.

For adult — 2 inches depth with 2 hands

For child—-1-2 inches depth with 1 hands

For infant—1/2-1 inches depth with 2 fingers

–> Rescue breaths per minute:

There are 4 ways by which we can give breaths;

• Mouth to mouth
• Mouth to nose
• Mouth to stoma
• Artificial breath with Ambu bag 

Here some steps;

1. Tilt the head and chin up with two fingers of the victim and correct collapsed tough and made the airway clear.
2. Pinch the nose before giving breath.
3. Seal your mouth over the victim’s mouth and blow for 1/2-1 sec.
4. After 1st breath, release the nose and wait for the recoil of the chest and then 2nd breath.
5. After every 30 compressions, give two breaths.

REPEAT THE CYCLE OF 30 COMPRESSION AND 2 BREATHS UNTIL THE VICTIM STARTS BREATHING OR THE MEDICAL HELP ARRIVE. 

GENERAL QUESTIONS:

Q.what if we don’t use the right technique?

The right technique gives you 90% chances to revive a patient, but improper technique leads to injuries and worse conditions. 

Q. Why does CPR fail?

CPR may fail because, delay in starting, improper technique, and delay in defibrillation. 

Q. Does it cause any injury?

Yes, improperly doing CPR causes organ damage( live, lungs and spleen ),  and also rib or sternum fracture which can also trachea damage. 

Q. When should we don’t do CPR?

It should only be performed when a person shows no signs of life or when they are:

• when the victim is unconscious.
• don’t respond to your shouting unresponsive.
• apnea or not breathing normally (in cardiac arrest).

Q.what we should do after CPR?

If victims revive or condition symptoms are life returning like cough, movement, normal or heavy breathing then stop CPR and try to make him cool because after CPR people face hypothermia attacks. If the victim is not responding, continue CPR until the help arrives.

Q. Is CPR a lifesaver technique?

research generally says that 40 % of patients were revived from CPR after cardiac arrest and 10-20% of people survive long enough to be discharged.

CONCLUSION:

CPR is the rescue method that helps where no help is around. and the goal of CPR is to prevent more biological damage and to improve survival. CPR technique required more personnel, training.so we should learn and also aware of more people about it.