The child does not breathe: the sequence of actions for cardiopulmonary resuscitation

Point one: quick evaluation.

If the child is pale, blue and obviously not breathing, immediately begin resuscitation, as described in the second paragraph. If you are not sure, look, listen and

Push in the stomach if the child is conscious.

from the end of the sternum. Squeeze your fist with your second palm and push the abdomen of the child abruptly inward and upward, repeating the push if necessary six to ten times. Brushes of your hands should not touch the end of the sternum or ribs.

feel to detect signs of breathing.

Point two: cleanse your mouth. Look, there are no foreign objects, food or chewing gum in your mouth. Carefully remove everything that you find with your finger, but do not act blindly. If there are vomit or other liquid in the mouth, rotate the child on its side so that it all flows under the force of the

attraction. If you suspect that the child has choked, perform a blow to the back.

Point three: put the baby so that you straighten the airways.

Place the baby on his back, so that his head is flush with the heart. Put one hand on his head, and fingers second on his chin. Remove the tongue from the back of the pharynx, lifting the chin with one hand and pressing the second on the forehead.

The child's head should be slightly tilted upwards to the ceiling( the so-called sniffing position: try snorting and notice how your head will slightly curl up and move forward).Do not tilt your child's head back as much as an adult does, as this can block access to air. If you put a towel under your neck, it usually maintains the correct position.

As the child grows older, the angle of the head tilt back gradually increases. Your fingers holding the chin should not press on your throat and can be used to lower your lower lip and thereby keep your mouth open.

Fourth point: start artificial respiration mouth to mouth.

• Child up to one year. Put your mouth to the mouth and nose of the child. Dui-

Artificial respiration of the mouth in the mouth and nose of a child up to a year.

those in the child's mouth with only such force to see that the baby's chest rises.(Only let the air out of your cheeks, and do not exhale with all the strength, drawing a full chest of air. If you forcefully push too much air too quickly, it can damage the baby's lungs or inflate his stomach and make breathing difficult or cause vomiting.) Start with two short exhalations. Look, the baby's chest rises during your exhalations. If the baby's chest rises, you can be sure that the airways are clean and that you are doing everything right. Continue to do artificial mouth-to-mouth breathing until the baby begins to breathe on their own. Blow air regularly every three seconds( twenty times per minute).

If the child's chest does not rise, pinch the mouth and the child's nose is more tight and try to make a few more strong blows. If the chest still does not rise, you should suspect obstruction of the airways( obstruction) and either shift the child's head, tilting it correctly, and repeat artificial mouth-to-mouth breathing, or immediately go to the backstroke in combination with the chest thrusts toknock out a foreign body that may have become stuck in the airways.

• Child from the year: if the child is older, pinch his nose with the thumb and forefinger and sealed his mouth with her mouth When you call the ambulance

In case of accident, always give the ambulance dispatcher the following information:

• your location inthe moment( and brief instructions on how to get to the place, if you find it difficult);

• on which phone you can contact at the moment;

• the name and age of the child;

• the condition of the child;the cause of the accident;

If you are petrified with fear, ask someone else to get instructions from the dispatcher regarding what to do before the arrival of the paramedics.

benches. Then act like with a child under one year, according to the instructions given by above.

Point five: check the pulse of the child. If you feel a pulse, it means that you do not need to do an indirect( closed) massage of the heart. The easiest way to find a baby's pulse is to gently press between the muscles on the inside of the shoulder( upper arm), in the middle between the shoulder joint and the elbow. Another place for palpating the pulse, the older child has the side of the neck. If the child does not have a pulse, go to the next step.

Point six: begin to hold a heart massage. Place the child on a hard surface, such as a floor or table. Unbutton or remove the shirt or ryazhonku. Place two or three

fingers on the sternum, just below the line connecting the nipples, as described for thrusts into the chest. Press down on the sternum( the heart is just below it), lowering it by 1.5-2.5 cm with a speed of at least a hundred pushes per minute - speed will be calculated more easily if you repeat: "One, and two, and one, andtwo, and. .. ", uttering" and "when you stop pressing, and the figure when you press on the sternum, smooth, unsharp movements.

If you perform cardiopulmonary resuscitation alone, blow the child mouth-to-mouth air once every five strokes on the heart, monitoring the correct position of the head and observing whether the baby's chest rises. Do not take your fingers off the baby's skin between jerks, except for those moments when you need to do an air injection.

If two rescuers work together, one presses on the chest, pausing after every five clicks to allow the second rescuer to do mouth-to-mouth resuscitation( this coordination usually only gives results in specially trained rescuers; inexperienced rescuers do not need to exactly coordinate heart massage withartificial ventilation of the lungs).

Continue checking your heart rate every three to four minutes until medical personnel arrive. When you feel that the pulse has appeared, stop doing heart massage, but continue to ventilate the lungs lightly in your mouth until the baby breathes on their own.

In brief, the main resuscitation actions1 are as follows:

1. Checking the airways: Put the child's head correctly and remove foreign objects to release the airways.

2. Artificial respiration: Conduct artificial ventilation of the lungs of the mouth in the mouth or mouth in the nose and mouth, keeping in mind the correct position of the child's head, at a rate of one blowing in three seconds.

3. Blood circulation: If you do not feel a pulse or heartbeat, perform an indirect heart massage at a rate of one hundred pushes per minute.

4. Call an ambulance: Call to call for help, if possible, a minute or two after the start of resuscitation.

Changes in indirect cardiac massage with age

Newborns: It can be easier to press the baby's breast if you wrap your entire chest with your two palms just below the armpits and press the tips of your two thumbs against the sternum( see illustration).

Older child: Lean against the bases of your palms and push deeper, 2.5-3.5 cm, at a rate of one hundred pushes per minute.

Indoor heart massage of a newborn