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Treatment to Give When the Patient Has No
Pulse Beating and Has Ceased to Breathe
＊Performing cardiac massage - Fig. 2
If the patient has no pulse beating, with the pupils open and no heartbeat being heard,
the patient has a cardiac arrest and requires immediate artificial respiration. Continue
this until a medical specialist arrives, and follow his or her directions after that.
(1) Putting one hand on about the lower one third of the patient's ribs and the other
hand over the back of the first, with your elbow fully stretched (with bended elbow,
you can’t press to the extent the patient’s ribs are depressed), apply your body
weight to the hands to press the patient's body until it is depressed about 2 cm
(Repeat this about 50 times a minute). (Cardiac massage.)
(2) If only one first-aide is available, perform a cardiac massage about 15 times and
then give mouth-to-mouth artificial respiration 2 times. Repeat this sequence. If two
first-aides are available, while one person performs a cardiac massage 15 times,
and the other should give mouth-to-mouth artificial respiration 2 times. Repeat this
sequence (combined cardiac massage and mouth-to-mouth artificial respiration
method).
(3) Check the patient's pupils and feel the pulse from time to time. When the pupils are
restored to normal and the pulse begins to beat regularly, stop treating and keep the
patient calm while giving him or her coffee, tea or any other hot drink to keep him or
her warm while watching him or her carefully.
Fig.2 Cardiac massage
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