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Indirect heart massage

Indirect (external) heart massage, along with artificial respiration, is one of the most important activities aimed at saving the life of the victim. The essence of the indirect massage of the heart is to restore or maintain blood circulation at a level sufficient to provide the tissues of the body with oxygen, nutrients and remove carbon dioxide from them.

Indirect cardiac massage is performed immediately: in the absence of a pulse; with dilated pupils; with other signs of clinical death.

When conducting an indirect massage of the heart of the victim laid on his back. Unfasten (tear, cut) clothes, belts, buttons, ties - anything that interferes with normal blood circulation.

The assisting person rises to the side of the victim and places one palm strictly on the lower third of the sternum in the transverse direction, and the other palm on top. The fingers of both hands are somewhat raised and do not touch the skin of the victim. With energetic pushes, with a frequency of 60 times per minute, rhythmically press on the sternum, using not only the strength of the hands, but also the weight of the body.

The effectiveness of an indirect massage of the heart is confirmed by the appearance of a pulse in the carotid or femoral artery.
After 1 - 2 minutes, the skin and mucous membranes of the victim's lips take on a pink hue, the pupils constrict.

The combination of an indirect heart massage with artificial respiration.

Indirect cardiac massage is performed simultaneously with artificial respiration, since an indirect heart massage itself does not ventilate the lungs. If resuscitation is carried out by two people, the lungs inflate at a ratio of 1: 5, that is, for each inflating of the lungs, 5 compressions (compressions) of the sternum are performed.

If one person provides assistance, then the lungs inflate at a ratio of 2:15, that is, every 2 fast blows of air into the victim's lungs perform 15 compressions of the sternum with an interval of 1 s.

• Artificial respiration and indirect heart massage are resuscitative measures. They should be started immediately and carried out before restoring an independent steady pulse and breathing, until the doctor arrives or the victim is transported to the hospital. With the appearance of obvious signs of biological death, assistance is stopped.
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Indirect heart massage

  1. INDIRECT MASSAGE OF THE HEART
    Indications for indirect heart massage: Heart rate below 80 beats per minute after the initial stage of mechanical ventilation for 15–20 seconds. Indirect cardiac massage technique Indirect cardiac massage can be performed in one of two ways: • Using two fingers (index and middle or middle and ringless) of one hand • Using the fingers of both hands, covering their chest In both
  2. Information about indirect heart massage
    Indirect cardiac massage is started if 30 seconds after the start of the ventilation with 100% oxygen. CS: • Below 60 beats per 1 minute • Or between 60 and 80 beats, and there is no tendency to increase. For an indirect massage of the heart, a second paramedic is needed. INDIRECT MASSAGE OF THE HEART CAN BE DOED WITH THE USE OF TWO HANDS: 1). Mentally draw a line connecting the nipples. The lower third of the sternum is just
  3. Indirect heart massage
    The presence of blood circulation can be established and observed by determining the pulse. Pulses are usually measured on the neck, on the femoral artery and on the wrist. In the terminal state, the pulse is usually determined on the neck (carotid artery), since in this state the pulse on the wrist is no longer determined. To do this, you need to install the fingers on the neck of the patient in the area of ​​the larynx ("Adam's apple"), and then move the fingers along
  4. Indirect heart massage
    Unfasten the clothes of the victim, put him on his back on a hard surface. Assisting rises to the right of the victim. He puts his palm of his left hand on the lower part of the patient's sternum (not on the ribs !!! Otherwise, they can be broken and damage the lung), and puts the palm of his right hand on his left hand. Indirect heart massage is performed by rhythmic pressure 60 times per minute.
  5. INDIRECT MASSAGE OF THE HEART IN COMBINATION WITH ARTIFICIAL BREATH (CARDIAL-PULMONARY REANIMATION)
    This complex procedure is used in animals with circulatory disorders and respiratory arrest (with sun and heat stroke, anaphylactic shock, electric shock, poisoning with carbon monoxide and exhaust gases, diabetic crisis, acute heart failure, and other cases when cardiac arrest may occur. the basis of the procedure of artificial respiration
  6. MASSAGE OF THE HEART
    Heart massage - mechanical effect on the heart after it stops in order to restore its activity and maintain continuous blood flow until the heart resumes. Indications to M. with. are all cases of cardiac arrest. The heart may stop contracting from various causes: spasm of the coronary vessels, acute heart failure, myocardial infarction, severe injury, damage
  7. External heart massage
    Induction of blood flow during external massage of the heart is caused by two mechanisms: • squeezing the heart between the sternum and the spine leads to the expulsion of blood from the heart and this supports the systemic and pulmonary circulation. After cessation of pressure on the sternum, the chest expands, which leads to the filling of the heart chambers and blood vessels with blood (the classical concept); • full
  8. Revitalization with direct heart massage
    Direct cardiac massage should not be used as a normal, routine method of CPR, since indirect massage is sufficiently effective. At the same time, in some cases, since it is impossible to revitalize with the help of external compressions of the sternum, it is necessary to conduct a direct heart massage. In animal experiments, it was shown that a direct heart massage, performed after a short
  9. REJUVENATION WITH THE HELP OF DIRECT HEART MASSAGE
    Direct cardiac massage should not be used as a normal, routine method of CPR, since indirect massage is sufficiently effective. At the same time, in some cases, since it is impossible to revitalize with the help of external compressions of the sternum, it is necessary to conduct a direct heart massage. In animal experiments, it was shown that a direct heart massage, performed after a short
  10. Closed heart massage
    INDICATIONS Asystole. Bradycardia (heart rate less than 60 per minute, despite 30-second ventilation with positive pressure). CONTRAINDICATIONS No indication. PLACE OF THE PROCEDURE PITN maternity homes. ORIT COMPOSITION OF THE TEAM CONDUCTING THE MANIPULATION The manipulation is performed by a neonatologist or anesthesiologist-resuscitator and ward nurse. EQUIPMENT Set for carrying out IVL.
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    The projection of the heart valves on the anterior chest wall: 1) a bicuspid valve (mitral) is projected to the left of the sternum at the level of cartilage IV rib; 2) the tricuspid valve is projected on the middle of the line connecting the III rib cartilage on the left and V rib cartilage on the right; 3) the aortic valves are projected on the middle of the sternum at the level of the third costal cartilage; 4) pulmonary valves are projected onto III
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