Making heartbeats and respiration normal again (cpr)


MAKING HEARTBEATS AND RESPIRATION NORMAL AGAIN (CPR)


Introduction-

        CPR is a process which is used when an injured person is become unconscious and his/she is not able to breathe after accident even blood circulation is also not found in his body. The work related to heart is known as cardio and the work related to lungs is known as pulmonary. Two types of works are done in CPR whose main motto is to keep the injured person alive until he/she gets medical treatment (doctor’s help). These two works are as follow-

  1. Giving artificial breath through mouth.
  2. Pressing the chest.

            The main motto of these works is to give oxygen to the brain, because the brain stops functioning if it does not get oxygen till 3 minutes, means it is become dead.

It (CPR) is needed in the cases like heart attacks, suffocation, drowning in water, getting electric shock, suffocation by smoke or in the condition occurred after smelling poisonous gas, etc. 

Working planning of CPR- before starting the process of CPR, first of all determine that the sufferer and the people around him/her is not in danger and then only start further process. If the sufferer starts becoming unconscious, ask few question to the sufferer, for example- what is your name? Open your eyes, etc.

        After that, flap his/her back, it will make the sufferer conscious. If it does not make any impression, press his/her stomach. The chest suppresses by sudden stretch and food particles, etc. may come out.  

Standing position- first of all, stand behind the sufferer and hold his/her waist with your arms, then make a fist with one hand by pressing his/her stomach with your thumbs. Now, hold the fist with another hand by pressing his/her ribs. Give jerk with the help of fist in the stomach cavity as upwards and inwards and then give pressure on the stomach with motion with the help of fist. In this way, give pressure on the stomach 5 times. if it also does not make any impression and food particles do not come out, flap the sufferer’s back 5 times and press his/her stomach 5 times one after another.

Lying position-when the sufferer is unconscious, make him/her lie down on his/her back and then sit on your knees and give pressure with your palms on his/her stomach.

Important tips during emergency- if a person has become unconscious, first of all try to make him/her conscious by shaking his/her body. If it is failed, check his/her breathe that it is going on or not. If he/she is in wrong posture, make him/her lie down in correct posture so that he/she could get fresh air.

        After that, check the breathing pipe of the sufferer. If his/her breath is going on, make him/her lie down on his/her stomach while if his/her breath is not running, make him/her on his/her back and then give artificial breath through your mouth.

        After that, chest his/her blood circulation. If the blood is circulating properly inside blood vessels, keep the process of giving artificial breath continue. While if the blood circulation is found as stopped, start CPR process. Press his/her chest 30 times and give artificial breath through your mouth 2 times. Shake his/her shoulders gently. If the sufferer shows its reaction, it means he/she is in conscious stage and if he/she does not show any reaction, it means he/she does not in conscious stage. In this case, call other people immediately for help.   

Open the breathing pipe- the breathing pipe may be contracted in the condition of unconsciousness or may be blocked completely due to turning of the tongue. In such condition, the breathing pipe of the sufferer can be opened through following primary treatment-

  • First of all, make the sufferer lie down on his/her back on floor or bed.
  • Then, sit on your knees facing towards the sufferer.
  • Push the sufferer backwards by placing your one hand on his/her forehead.
  • If anything is entangled inside his/her mouth like- any outer thing, artificial teeth, vomiting materials, etc., remove out with the help of your finger.
  • Then, place the fingers of another hand under the chin of the sufferer and raise it up.
  • If you have doubt about the hurt in the nose of the sufferer, open his/her jaw with full effort. Keep your hands in the both sides of his/her face. Make his/her jaws up for opening the breathing pipe with your fingers, but do not move or turn his/her head or neck.

Check his/her breathing pipe-

  • With keeping the breathing pipe as opened, keep your ear near the sufferer’s nose and mouth for 10 seconds and then try to hear and feel as well as observe his/her chest.
  • If his/her chest is moving as ups and downs (expanding and contracting), it means the breath of the sufferer is going on.
  • Try to hear his/her breathing sound.
  • Feel his/her warm breath on your ear.
  • If he/she is breathing, make him/her lie down on his/her stomach.
  • If he/she is not breathing properly, ask your friend to call a doctor or ambulance.
  • You should go on giving artificial breath until a doctor comes.  

Process of giving artificial breath- before giving artificial breath to the sufferer, determine that his/her breathing pipe has been opened or not. After that, press the sufferer’s nose with the help of your first (index) finger and thumb, but keep his/her mouth as opened. Now, take a deep breath for filling air in to your lungs and then place your mouth on the mouth of the sufferer and give (fill) air into his/her mouth gently until his/her chest is expanded. Now, remove away your mouth and allow the sufferer’s chest to come down. Becoming the chest up and down shows that the sufferer’s respiration is affected.  

        If the sufferer’s chest does not expanded by filling air (giving breath), check the following-

        The head of the sufferer has been bended backwards or not; his/her chin is raised up or not. Check that the mouth and nostrils of the sufferer re closed properly or not. Anything is entangled or not inside his/her mouth. Check, after giving artificial breath 2 times, that his/her breathing is going on or not.  

Starting seventh CPR-

  • if gyration is absent, start CPR immediately as well as press the sufferer’s chest 30 times and give artificial breath 2 times. Repeat this activity in the ratio of 30:2. Keep the process of giving CPR continue until the sufferer gets emergency help or he/she starts breathing in a normal way.
  • Two people are needed who have proper knowledge about CPR, one for pressing the sufferer’s chest and another for giving artificial breath.
  • Both the people should need to change their works at the intervals of every 2-2 minutes for avoiding tiredness.
  • Along with providing oxygen to the brain, CPR also provide sufficient amount of blood to the brain and heart muscles.      

Giving pressure on the chest- in this process, pressure is given regularly on the lower bones of the chest so that pressure could fall on the heart between chest’s bones and spines. It enhances blood circulation towards the heart and the internal nerves of the chest also get pressure.  

Method to give pressure on the chest-

  • For this purpose, make the sufferer lie down on his/her back on floor or any hard surface.
  • Then, sit on your knees near him/her.
  • After that, move the fingers of your left on the lower bones of the chest where chest bones meet, your middle finger should be at this place and the first finger should be above it.
  • Move the palm of other hand towards the first finger; this is the place, on which you have to give pressure.
  • Lock the fingers by placing your first hand on another hand.
  • Make you body straight by straitening your arms and elbows above the shoulders.
  • Now, press the chest’s bones directly in downward direction. Pressure should be given as 100 times per minute. This pressure should be of 4-5 cm.
  • After that, keep away your weight so that the chest could come in its normal condition, but you should not away your hand from the chest.
  • Pressure should be given 30 times in a rhythm. The interval between giving and stopping pressure should be equal.

Pressure on the chest in the ratio of breath-

  • If you are alone, you should give artificial breath and pressure on the chest 2 times and 30 times respectively (in the ratio of 2:30).
  • If you have a helper and the sufferer is an adult, give artificial breath and pressure on his/her chest in the ratio of 2:30. But, if the sufferer is a child or newly born baby, this type of treatment should be give in the ratio of 2:15.  

CPR for children- If you have to give CPR to a child of age between 1 to 7 years, use only one palm to give pressure on his/her chest and press 1/3 part of the chest only 1 time. 

CPR for newly born baby- If artificial breath is giving to a newly born baby through CPR, cover its mouth and nose with your mouth while giving artificial breath and then give small artificial breaths. After that, give pressure on only 1/3 part of its chest with help of only two fingers.    

Note-

  • If the sufferer is in little conscious, do not give pressure on his/her chest.
  • Give just a gentle pressure on the chest of the sufferer, because his/her ribs may be affected by giving pressure with force.
  • CPR should be used on the sufferer only when he/she is either in serious condition or there is no need of any operation (surgery) soon.
  • During primary treatment, if you have no any option other than providing artificial breath through the mouth of an HIV positive person, don’t worry because this disease (HIV) does not communicate in this way.
  • If the heart of a person is stopped working suddenly, by hammering fist on the lower bones of his/her chest, his/her heart beats may start again.
  • By giving CPR in case of stopping heartbeats suddenly, the possibility becomes double of becoming the patient as live again.
  • If you are unable to give artificial breath to the sufferer due to any reason or do not want to do this, pressure should be given on the chest of the sufferer only through CPR process in such case.

In case of getting electric shock- if anyone gets electric shock, in this situation you should be careful about yourself too along with saving his/her life. After that, turn off the main switch or make the sufferer separate from electricity with the help of any piece of wood, etc. and then check the breathing and pulse rate of the sufferer that these are working properly or not. If the sufferer feels any type of problems in breathing or in pulse rate, give him/her artificial breath or CPR immediately.