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FIRST AID  171

         CPR – Chest compressions





              CPR, or cardiopulmonary resuscitation, is used to resuscitate an unconscious victim who has no signs of
              circulation, such as coughing, breathing, or movement. If the heart stops beating, blood does not circulate
              through the body, and vital organs, including the brain, are starved of oxygen. You can maintain some
              circulation artificially using chest compressions, which help the heart to push blood around the body. Chest
              compressions are always combined with rescue breathing to ensure that the blood is supplied with oxygen.




                                          PRACTICAL TECHNIQUE
               Chest compressions (adults)                   Remove the first hand
               The technique combines rescue breaths (see opposite page)  and rest its heel on
               and chest compressions to simulate circulation.  3 top of the hand that
                                                             is in position for chest
                  Call 911. Kneel beside the victim. Place the
                  middle and index fingers of one hand on the  compressions. Lock the
              1 notch at the bottom of his or her breastbone.  fingers of both hands
                                                             together firmly.
                                      Position your hand
                                      at the bottom of                     Lean over the victim with
                                      the breastbone                       your arms straight. Press
                                                                       4 down vertically on the
                                                                           breastbone, depressing the
                                                                                      1
                                                                           chest by about 1 ⁄2–2 in
                                                                           (4–5 cm). Release the
                                                                           pressure but don’t move your
                                      Place the heel of                    hands. Give 15 compressions
                                      your other hand on                   at a rate of 100 per minute;
                                  2 the breastbone next                    then give 2 rescue breaths.
                                      to your fingers. This                Do cycles of 15 compressions
                                      is the point where                   and 2 rescue breaths until
                                      you will apply chest                       help arrives or the
                                      compressions.                                victim takes
                                                                                   a spontaneous
                                                                                   breath or makes
                                                                                   a movement.


                Chest compressions (babies)              Chest compressions (children)
                ● For a baby under                       ● For a child aged
                1 year old, place 2                      1–7 years, place the
                fingers just below an                    heel of one hand on
                imaginary line                           the lower breastbone
                between the nipples                      and use cycles of
                and use cycles of 5                      5 compressions to
                chest compressions to                    1 rescue breath.
                1 rescue breath.
                                                         Keep your arm
                Press down firmly                        straight during
                and rhythmically                         each compression
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