FIRST-AID TREATMENTS
iv
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 depress the chest wall to a depth of
approximately 4 to 5 cm. (Chest compressions of 30 at the rate of about 100 times
per minute.). (Cardiac massage)
(2) If only one first-aider is available, perform a cardiac massage about 30 times and then
give mouth-to-mouth artificial respiration 2 times. Repeat this sequence.
If two first-aiders are available, while one person performs a cardiac massage 30
times, 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
Procedure for Cardiopulmonary Resuscitation (CPR) Using the AED
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