How to do the right CPR in case we encounter an emergency situation have the opportunity to save human beings together All life will be safe
How to do proper CPR to save lives
Let’s see how to do the right CPR in case at UFABET. We encounter an emergency situation. have the opportunity to save human beings together All life will be safe
CPR is a basic first aid method that saves the lives of many victims. Therefore, the correct CPR procedure should be some knowledge that should be with all of us. Because accidents can happen anywhere, anytime. And there may be situations in which we have to see a person who suffers a blackout. cardiac arrest, such as drowning, electric shock, inhalation of toxic gases, toxic fumes, shock due to loss of blood Or those who suffer from cardiac arrest for a while from other causes, so if we have the opportunity and knowledge enough to save the lives of our fellow human beings or even those close to us.
Cardiopulmonary Resuscitation Or simply called CPR, is first aid to help people who have stopped breathing or have stopped beating to return to breathing. And there is a flow of oxygen and blood back to its original state. Along with preventing the tissue from being harm by a permanent lack of oxygen. Basic life support can given to the victim through chest compressions and artificial respiration.
Sudden cardiac arrest is the leading cause of death. This may cause by having heart disease, exercising too much, sudden shock or regret, from massive blood loss, unable to supply blood to the heart, obstructed airways. It may also cause by an overdose or drug allergy.
Therefore, it is stipulated “Chain of Survival” as a principle to help resuscitate the same way around the world and is a common agreement in practice, consisting of
1. Evaluation of the patient to see if he is conscious or not. If he is unconscious, he cannot find his pulse. Immediately call for help or call for emergency medical services from various agencies, such as the Erawan Center (only in the Bangkok area), Tel. 1646, National Institute of Emergency Medicine, Tel. 1669 (Nationwide)
2. Accurate and timely (CPR)
3. Defibrillation (AED) within 3-5 minutes when indicated
4. Effective advanced life support
5. Post-resuscitation care
For the injured person who should be helped urgently with CPR can be observed as follows.
1. Unconscious, unconscious
2. No breathing or gasping
3. Heart stops beating
Basic Life Support (BLS)
Basic cardiopulmonary resuscitation guidelines consist of 3 main steps. Initially, the sequence of ABC (Airway-Breathing-Circulation) was recommended, but has now been changed to CAB (Chest compression-Airway-). Breathing) because first pressing the chest will cause blood to feed important organs such as the heart and brain.
30 chest compressions (C) >> open airway (A) >> 2 rescue breaths (B) = 30 : 2
CPR will be continued until the rescuer arrives. or until the patient regained consciousness
Let’s take a look at how to do each step.
C : Chest compression is to press the chest. The heart pump allows the injured person to regain blood flow in the body. The principle of pumping the heart is to press the chest bone (Sternum) down to close to the spine. This causes the heart between the two bones to be compressed as well. Causing the blood to be squeezed out of the heart to raise the body virtual contraction of the heart which has the steps to pump the heart as follows
1. Have the injured person lie down on a hard surface or use a plank on the back of the injured person. The first aid worker kneels on the right or left side of the injured person’s chest. Feel for the bottom of the sternum where it connects to the ribs. by using fingers to touch the ribs up (If kneeling on the right side, use the right hand to feel for the sternum. but if kneeling on the left side, use the left hand to feel)
2. Place the index and middle fingers where the ribs meet the lowest sternum. Place the ridge of your other hand on the spot next to your index and middle fingers. The position of the ridge of the hand that rests on the sternum will be the correct position to continue pumping the heart.
* If you are not sure where the ribs are located The easiest way is to place the heel of your hand (non-dominant) in the middle of your chest. between both nipples
3. Place your other hand (Preferably the dominant hand) superimposed on the back of the hand placed in the correct position. then straighten your fingers Then hook the fingers of both hands together, straighten the arms and lean perpendicular to the injured person’s chest. Put your weight on your arm while compressing the injured person’s chest. Push at least 2 inches (5 centimeters) deep for adults.
But if it’s a child, press down at least 1/3 of the chest depth (about 2 inches or 5 centimeters). CPR is performed by simply pressing the center of the sternum with the thumbs at a rate of 100–120 beats per minute. With the fingers wrapped around the chest and thumbs applied.
4. To keep the interval of each press constant. and the rhythm of pumping blood out of the heart to suit the needs of the body Use the method to count the number of times pressed. As follows…one and two and three and four and five…by pressing every number to count. and let the “and” interchangeable, achieve a rate of at least 100 compressions per minute (less than this will not work).
When pressing fully, relax your hand up without moving your hand from the specified point. And before the next chest compressions, compressions must performe as soon as the chest has fully returned. While chest compressions pump the heart Do not use your fingers to press on the injured ribs.
5. 30 chest compressions should done. Alternating with 2 breaths, and there should be at least 2 rescuers. Because it was found that the practitioner would become tired and the effectiveness of chest compressions would decrease after about 1 minute. At least 2 people, change delivery provider roles every 2 minutes, or complete 5 cycles of alternating chest compressions (30:2) and continue until the defibrillator arrives. and ready to use or have medical personnel come to take care of the patient
– Hands must be placed in the middle of the chest. Don’t lean to the left. or near the heart Because it can cause broken ribs.
– Need to press the chest quickly and hard. but don’t bump at a rate of at least 100 beats per minute
– Press at least 2 inches or 5 centimeters deep for adults.
– After each compression. The chest must fully recovered. for the heart to receive blood for the next pump If you don’t let your breasts return to the end will decrease the blood supply to the organs of the body
– Do as many chest compressions as possible. The chest compressions can stop for no more than 10 seconds in the case of palpation of the pulse. Defibrillation, and needing to stop for advanced ventilator insertion. (in case you can’t wear it while chest compressions)
– Do not use too much ventilation.
– People who have never received basic life support training before. Chest compressions should performed alone. No breathing aids Because during the first cardiac arrest patients Oxygen levels in the bloodstream remain adequate for some time. While chest compressions are being performed, the expansion of the chest allows for gas exchange. Emphasis is placed on pressing the chest hard and fast. The rescuer should continue to perform chest compressions alone until the defibrillator arrives and is ready for use. or have medical personnel to take care of patients
A : Airway means to open the airway to clear. Because most of the injured people who are unconscious will have a falling base of the tongue and larynx blocking the upper airway. Therefore, the airway must open considering.
– If the patient has no head or neck injury will use the method of looking up and lifting the chin (Head tilt – Chin lift)
– If the patient is suspected of having pain in the spinal cord. Use the Manual Spinal Motion Restriction method by placing both hands on the sides of the head. to prevent the movement of the head
– If the patient is suspected to have a spinal injury in the neck area. Open the airway by lifting the jaw (Jaw Thrust) by pulling both jaws upward. The helper will be above the patient’s head.
B : Breathing means assisting breathing by maintaining adequate oxygen levels and expelling carbon dioxide. Therefore, in patients whose cardiac arrest due to lack of air, such as drowning, it is necessary to perform chest compressions and rescue breaths 5 cycles or 2 minutes before calling for help. Because the patient is having oxygen levels that are lower than normal. In which the oxygen. That is blown out contains about 16-17% oxygen. Which is sufficient for use in the body.