Chest compression:

Chest compressions replace the heartbeat while it has stopped. Compressions help managed some blood flow to the lungs heart, and brain. You must perform rescue breathing anytime you perform chest compressions.

Before beginning artificial respiration, assess the situation:

1.  Is the person conscious or unconscious?

2.  If the person appears unconscious, tap or shake his or her shoulder or ask loudly, "Are you fine?"

3.  If the person doesn't respond, follow the steps below and get help through calling for emergency medical assistance. If you cannot leave the scene, have anyone else call.

For perform mouth-to-mouth rescue breathing and chest compression:

1.  Position the person so you can check for signs of life through laying the person flat on their back on a firm surface and extending the neck.

a. Open the person's mouth and airway through lifting the chin forward.

b. Determine while the person is breathing through concurrently listening for breathing sounds, feeling for air motion on your cheek and ear or look for chest motion.

c. If the person is not breathing, pinch his or her nostrils closed and make a seal around the mouth and breathe into his or her mouth twice. Give one breath each five seconds - 12 breaths each minute - and completely refill your lungs after each breath.

If there are no signs of life - no response, movement or breathing - starts chest compressions:

1. Place your hands over the lower part of the breastbone, remains your elbows straight and position your shoulders directly above your hands to make the best use of your weight.

2. Push down 1 ½ to 2 inches at a rate of 80 to 100 times a minute. Here the pushing down and letting up phase of every cycle should be equivalent in duration. Do not jab down and relax. After 15 compressions, breathe within the person's mouth twice.

3. After each four cycles of 15 compressions and two breaths, recheck for signs of life. Continue a rescue manoeuvres as long as there are no signs of life.

Continue the artificial respiration without interruption, until natural breathing is restored and until the physician arrives. A brief return to natural respiration is not a definite indication for stopping the resuscitation. The patient must be watched, and if natural breathing stops then the artificial respiration be resumed at once. In carrying out resuscitation it might be essential to change the operator.

This modification must be made without losing the rhythm of respiration. Through this procedure no confusion results at the time of change of operator and a regular rhythm is kept up.

If patient recovers before the medical assistance arrives, regulate your artificial respiration to the rate of the patient's breathing, and while s/he has sufficiently recovered make her/him comfortable and provide hot tea. Do not permit patient to exert even through walking until a doctor has seen her/him as the shock might have affected his heart.

On this note, we would like to end the unit and summaries what you have studied.