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iv.  Artificial Respiration
          Sometimes  natural breathing stops  if  the victim
          becomes unconscious due to accidents. In such a case,
          artificial  breating  (i.e.  mouth-to-mouth  breathing)  is
          needed to restore the victims’ breathing.  A  first  aid
          provided to the victim to restore breathing, if natural
          breathing  stops,  is  called  artificial  respiration. It is
          also called expired air resuscitation. In the cases  of
          heart attack, electric shock, drowning and poisoning,   Fig: 3
          artificial respiration safeguards life of casualty before   Artificial respiration
          getting medical treatment.

          Steps of Mouth to mouth Respiration
          a.  Victim is placed in supine position (lying on back by looking upwards)
          b.  Airways is opened if any obstruction is there and mouth is cleared properly.

          c.  The upward position of the victim is maintained. For this purpose, the head of the
              victim should be pressed backward by keeping one hand on the victim’s forehead
              and other at the chin.
          d.  Nostrils of the victim are closed with the fingers.
          e.  Air is blown into the victim’s lungs by placing the first aider’s mouth over the victim’s
              mouth.
          f.   Air is blown once in every 3/4 seconds and after blowing, it is left for a while to let air
              come out.
          g.  This process is continued until the victim regains breathing or medical treatment
              becomes available.
          h.  After regaining breathing, the victim should be kept warm and is carried for medical
              treatment as fast as possible.

          v.  Cardiac Massage

          Sometimes heart beat of victim stops due to accidents.
          In this condition, victim gets fainted and may die if
          immediate  treatment  is  not  possible.  Thus,  the  first
          aider  should  make sure  that whether heart of  the
          victim gets stopped. In the case of stopping, heart beat
          of  the  victim,  the  first  aider  should  provide  cardiac
          massage along with artificial respiration. It is essential
          to provide  cardiac  massage  to the victim  within 3/4
          minutes of stopping heart beat in order to revive it.   Fig: 4
          Generally, heart beat  stops due to severe accidents,
          electric shock, heart attack, etc. Thus, it is essential to provide cardiac massage to the
          victim if  he is unconscious, pulse is absent and heart beat is stopped.

          238  GREEN Health, Population and Environment Education Book-10
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