Chest Compressions

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Cardiac arrest is the condition in which circulation ceases and the vital organs are deprived of oxygen cardiac arrest is the most common result of coronary heart arrest.

Cardiopulmonary resuscitation is the combination of chest compressions and rescue breathing. The chest compressions and rescue breathing must be combined for effective resuscitation of the victim who is undergoing cardiac arrest.

The new American heart association 20120 CPR guidelines emphasize:

‚¬ Compressions first
Then immediately deliver the 100 chest compressions a minute and it is highly recommended to avoid lags in the chest compressions. This should have a depth of 2 inches for adults and 1.5 inches for infants. Again, the arms should be straight, avoid leaning and the strength should come from the shoulders and not the arms. By mimicking the pumping action of the heart, the blood on the veins (that still contains oxygen) will be effectively transported to the vital organs of the body especially the brain.
Push hard and push fast
The simplified form of cardiopulmonary resuscitation or CPR focuses on giving chest compressions to keep the blood and the oxygen in the blood flowing to the heart and brain. The landmark of this is between the 4th and 5th rib or nipple line.
Compressions first or CAB is now going to be a standard
-compress first
-check airway
-give rescue breaths

The three conctions of cardiac arrest:
- Cardiovascular collapse
In this condition, the heart is still beating but its actin is not so weak that the blood is not being circulated through the vascular system to the brain and body tissues.
- Ventricular fibrillation
This occurs when the individual fascicles of the heart beat independently rather than the coordinated, synchronized manner that produces the rhythmic heartbeat.
- Cardiac standstill
This simply means that the heart has already stopped beating

Compression only CPR
If a rescuer cannot perform mouth to mouth ventilation for an adult victim, then only provide chest compressions. Remember that cardiopulmonary resuscitation should be provided rather than no CPR at all.

Chest compression only CPR is recommended only in the following circumstances:
1. When a rescuer is unwilling or unable to perform mouth to mouth rescue breathing
2. For use in dispatcher assisted CPR instructions where the simplicity of this modified technique allow untrained bystanders to rapidly intervene.
Cough CPR
This is a self initiated CPR which is possible. It's use however is limited to clinical situations in which the patient has a monitored cardiac arrest, the arrest was recognized before loss of consciousness and the patient can cough forcefully.

Chest compressions are the first interventions to provide during emergency cases. If you are not trained, provide chest compressions without interruptions in between while waiting for the emergency medical services.. When five cycles of CAB (circulation, airway and breathing) measures have passed then us an automated external defibrillator to regain the electrical impulses to the heart. Follow the voice prompts, provide one shock and then provide cardiopulmonary resuscitation again.
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