ABC of CPR (1983) Pt. 2 of 2

hey Baldrick trouble okay Paul has stopped breathing so from now on every second counts the sooner air can be got into his lungs the better the chances of his living rather than drowning because his rescuer is a strong swimmer he can ventilate Paul while they're still in the water see how he extends the neck to make an airway cuddy go to the clubhouse after making that airway again clear the mouth of debris and start mouth to mouth at once every second cuts get air in don't panic just get air in don't give up don't ever give up until a doctor orders you to the fans we're in the recovery position okay Jenny moving arms steady whatever the circumstances you must always get air into the lungs at the first opportunity which almost always means when the casualty is out of immediate danger and it's physically possible to give mouth-to-mouth don't wait until it's convenient what's convenient for you could mean death for the casualty and don't panic either leave that to others give the panic or something useful to do even if it is your mother and get on with it B then stands for breathe for him now here there's going to be an extra complication let's watch in this case he stopped breathing because the electric shock has paralysed the muscles and nerves that control that breathing but this time there's more to it there are something he stopped really okay then I think over here after a few inflation's he still pale and perhaps going blue there's no major pulse which means his heart has stopped as well and ventilation on its own is not enough the heart must be restarted by ecc external chest compression divide the bottom two-thirds of his breastbone in half to find the bottom third put the heel of one hand there cover this hand with the heel of your other hand and interlock your fingers keep your arms straight and press and press at about 80 times a minute just over one a second incidentally never do this on a conscious patient his normal heartbeat could be upset by it this is the see of our ABC circulate the blood by chest compression the casualty should be on a firm surface the breastbone can be pressed down safely for about four centimeters one of the half inches and what you're doing is raising and lowering the pressure in the chest forcing blood out through the arteries carrying with it the oxygen you supplied by mouth to mouth and sucking blood in through the veins the compressions should be firm and controlled violent movement fails to produce the right pumping action and could damage internal organs and of course you must keep up the ventilation because he's on his own this rescuer is giving to inflation's for every 15 compressions if you have a helper you should give one inflation for every five compressions think of the legislation Oh go ahead follow me and remember never give up never give up always assume that life is there until you're proved wrong let's go through it once more breathing stopped as soon as you possibly can make an airway this may be all you need to do to save a life if breathing doesn't restart ventilate without delay remember second count when breathing starts gently place the casualty in the recovery position heart stopped that is ventilation has no effect and there's no pulse then ventilate and give ECC and keep it up until he recovers or a doctor says he's dead remember most of us can save lives if we learn the ABC of cardiopulmonary resuscitation CPR