( Lab. №.

10 )
Cardio-pulmonary resuscitation
Car di o- Pul monary
Res usci tati on
( CPR )
Artificial respiration:
This is called for in man in 2 types of respiratory failure:

a- When breathing fails due to drowning,

inhalation of poisonous gases, suicidal and
accidental overdoses with narcotics, overdoses
with anaesthetics or electrocution.

b- In gradually progressive respiratory failure

due to paralysis of respiratory muscles; e.g.
Poliomyelitis or Diphtheria.
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 Mouth to mouth breathing:
Procedure:
• The operator kneels on the left of
the supine patient.
• Lift the victim’s neck with one hand
and tilt the forehead back with the
other.
• The lower jaw is held upwards.
• Clear the mouth and pharynx of
mucus, blood, vomitus or foreign
material.

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 Mouth to mouth breathing:
• The victim’s nose is closed by the thumb
and index finger, then take a deep
breath.
• Enfold the victim’s mouth between your
own lips ensuring an airtight connection.
• Exhale forcefully to inflate the patient’s
lung.
• Withdraw your mouth to allow the patient
to exhale passively.
• Mouth to mouth breathing is continued
at a rate of (12–15 breaths/min.).
• Artificial respiration should be
continued until spontaneous respiration
returns.

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External cardiac compression (massage):

If carotid pulsations disappear or are absent a

precordial thump should be given within one
minute of the heart arrest. To do this, the rescuer
holds his closed fist about (30cm) above the
midpoint of the victim's sternum with the fleshy
ulnar side of the fist toward the chest. He (the
rescuer) then delivers one quick strong thump to
the sternum. This may restore normal ventricular
contractions. If there is no immediate response,
Cardio-pulmonary resuscitation should be
begun at once.

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Cardio-pulmonary resuscitation:
Procedure:
• Place the heel of one hand on the
lower third of the sternum just
above the level of xiphoid process,
with the heel of the other hand on
top of it.
• Apply firm vertical pressure
sufficient to force the sternum about
5cm downward (less in children)
about once a second (60–80 /min.).

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 Cardio-pulmonary resuscitation:
3. When two rescuers are available, 1
mouth to mouth inflation should be
given after every 5th compression.
Two rescuers= 5:1
When only one rescuer is present, 2 quick
deep lung inflations should be given
after every 15 chest compressions. The
carotid pulse should be checked every
minute subsequently.
One rescuer = 15:2

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Cardio-pulmonary resuscitation:
• Check the pupils periodically, pupils
that remain widely dilated are an
indication of cerebral hypoxia and
brain damage.

• Resuscitation must be continuous

during transportation of the patient
to hospital.

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dlerqader74@yahoo.com