• Home
  • Download PDF
  • Order CD-ROM
  • Order in Print
MOUTH TO MOUTH
Figure 14-3.Position for cardiac compression

Basic Military Requirements (BMR) Revised Edition
Page Navigation
  373    374    375    376    377  378  379    380    381    382    383  
perform the back pressure/arm lift method, do the following steps: 1.   Place  the  victim  on  the  stomach,  face  to  one side, neck hyper extend, with hands under the head. 2.   Quickly clear the mouth of any foreign matter. 3.   Kneel at the victim’s head and place your hands on  the  victim’s  back  so  that  the  heels  of  the hands lie just below a line between the armpits, with  thumbs  touching  and  fingers  extending downward and outward. 4.   Rock forward, keeping your arms straight, and exert pressure almost directly downward on the victim’s back, forcing air out of the lungs. 5.   Then rock backward, releasing the pressure and grasping the arms just above the elbows. 6.   Continue  to  rock  backward,  pulling  the  arms upward  and  inward  (toward  the  head)  until resistance and tension in the victim’s shoulders are noted. That expands the chest, causing active intake of air (inspiration). 7.   Rock  forward  and  release  the  victim’s  arms. That causes passive exiting of air (expiration). Repeat the cycle of press, release, lift, and release 10  to  12  times  a  minute  until  the  victim  can  breathe naturally. CARDIAC ARREST AND CARDIOPULMONARY RESUSCITATION Learning Objective: When you finish this chapter, you will be able to— Recall    the    procedures    to    administer cardiopulmonary resuscitation (CPR). Cardiac  arrest  is  the  complete  stoppage  of  heart function. If the victim is to live, action must be taken immediately to restore heart function. The immediate administration of cardiopulmonary resuscitation (CPR) by a rescuer using correct procedures greatly increases the  chances  of  a  victim’s  survival.  CPR  consists  of external  heart  compression  and  artificial  ventilation. The  compression  is  performed  on  the  outside  of  the chest,   and   the   lungs   are   ventilated   either   by mouth-to-mouth  or  mouth-to-nose  techniques.  To  be effective, CPR must be started within 4 minutes of the onset of cardiac arrest. The victim should be lying on a firm surface. CAUTION A  rescuer  who  has  not  been  properly  trained should  not  attempt  CPR.  (To  learn  CPR,  you should  take  an  approved  course  from  a qualified  CPR  instructor.)  Improperly  done, CPR can cause serious damage. Therefore, it is never  practiced  on  a  healthy  individual  for training purposes; a training aid is used instead. ONE-RESCUER TECHNIQUE In an unwitnessed cardiac arrest, don’t assume that an arrest has occurred solely because the victim is lying on  the  floor  and  appears  to  be  unconscious.  Before beginning CPR, you should— 1.   Try  to  arouse  the  victim  (shake  the  victim’s shoulders and shout to try to obtain a response). 2.   Lie the unconscious victim on his/her back. 3.   Kneel  at  the  shoulders  and  establish  an  open airway,   using   the   procedures   outlined previously in artificial ventilations. 4.   Check for breathing by looking, listening, and feeling. a.   Look to see if the chest is rising and falling. b.   Listen for air coming from the mouth. c.   Check close to the victim’s mouth and feel for air coming out. 5.   If the victim isn’t breathing, seal the nose, take a deep  breath,  and  blow  four  quick  breaths  into the victim without allowing time for the lungs to deflate fully. 6.   Quickly  remove  your  mouth  and  allow  the victim to exhale by himself/herself. 7.   Check the carotid pulse as shown in figure 14-1. If no pulse is present, start CPR immediately. 14-4 Student Notes:







Western Governors University

Privacy Statement
Press Release
Contact

© Copyright Integrated Publishing, Inc.. All Rights Reserved. Design by Strategico.