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Indirect cardiac massage

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

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

During an indirect massage, the victim’s heart is laid on his back. Unfasten (tear, cut) clothes, belt, buttons, ties - everything that interferes with normal blood circulation.

The carer stands on the side of the victim and puts 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 slightly raised and do not touch the skin of the victim. Vigorous shocks, 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 heart massage is confirmed by the appearance of a pulse on the carotid or femoral artery.
After 1 - 2 minutes, the skin and mucous membranes of the lips of the victim take a pink tint, the pupils narrow.

The combination of indirect heart massage with artificial respiration.

Indirect cardiac massage is performed simultaneously with artificial respiration, as indirect cardiac massage alone does not ventilate the lungs. If two people carry out resuscitation, the lungs are inflated in a ratio of 1: 5, that is, 5 compressions of the sternum are performed for each inflation of the lungs.

If one person helps, then the lungs are inflated in a ratio of 2: 15, that is, every 2 quick air blows into the victim's lungs, 15 sternum compressions are performed with an interval of 1s.

• Artificial respiration and indirect cardiac massage are resuscitation measures. They should be started immediately and carried out until the restoration of an independent steady pulse and breathing, until the doctor arrives or the victim is taken to a medical institution. When there are clear signs of biological death, assistance is discontinued.
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Indirect cardiac massage

  1. INDIRECT HEART MASSAGE
    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 ring) of one hand • Using the thumbs of both hands, covering the chest in both
  2. Indirect Cardiac Massage Information
    Indirect cardiac massage is started if 30 seconds after the start of mechanical ventilation with 100% oxygen C.S.C .: • Below 60 beats per 1 minute • Or between 60 and 80 beats, and there is no tendency to increase. For an indirect heart massage, a second health worker is needed. Indirect heart massage can be done using two hands: 1). Mentally draw a line connecting the nipples. The lower third of the sternum is just
  3. Indirect cardiac massage
    The presence of blood circulation can be established and observed by determining the pulse. Pulse is 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 detected. To do this, place your fingers on the patient’s neck in the larynx (“Adam's apple”), and then move your fingers along
  4. Indirect cardiac massage
    Unfasten the victim’s clothes, put him on his back on a hard surface. The caretaker rises on the right side of the victim. He puts his palm of his left hand on the lower part of the sternum of the patient (not on the ribs !!! Otherwise, they can break and damage the lung), and the palm of his right hand rests on his left hand. Indirect cardiac massage is performed by rhythmic pressure 60 times per minute.
  5. Indirect heart massage combined with artificial respiration (cardiopulmonary resuscitation)
    This complex procedure is used in animals with circulatory disorders and respiratory arrest (with sun and heat stroke, anaphylactic shock, electric shock, carbon monoxide and exhaust poisoning, with a diabetic crisis, acute heart failure, and other cases where cardiac arrest may occur. B the basis of artificial respiration
  6. HEART MASSAGE
    Heart massage - a mechanical effect on the heart after it stops in order to restore its activity and maintain continuous blood flow until the heart resumes functioning. Indications to M. of page are all cases of cardiac arrest. The heart may stop contracting due to various reasons: spasm of coronary vessels, acute heart failure, myocardial infarction, severe trauma, damage
  7. Outdoor heart massage
    The induction of blood flow during external cardiac massage is due to two mechanisms: • the compression of the heart between the sternum and the spine leads to the expulsion of blood from the heart and this supports systemic and pulmonary circulation. After the pressure on the sternum ceases, the chest expands, which leads to the filling of the chambers of the heart and blood vessels with blood (classic concept); • complete
  8. Revitalization with direct heart massage
    Direct cardiac massage should not be used as a normal, routine CPR method, as indirect massage is quite effective. At the same time, in some cases, due to the impossibility of resuscitation with the help of external compressions of the sternum, direct cardiac massage is required. In animal experiments, it was shown that direct cardiac massage performed after a short
  9. REVIVAL WITH THE DIRECT HEART MASSAGE
    Direct cardiac massage should not be used as a normal, routine CPR method, as indirect massage is quite effective. At the same time, in some cases, due to the impossibility of resuscitation with the help of external compressions of the sternum, direct cardiac massage is required. In animal experiments, it was shown that direct cardiac massage performed after a short
  10. Indoor cardiac massage
    INDICATIONS Asystole. Bradycardia (heart rate less than 60 per minute, despite 30-second ventilation with positive pressure). CONTRAINDICATIONS No indication. VENUE OF THE PETS PROCEDURE OF Maternity hospitals. ORITN. COMPOSITION OF THE MANAGEMENT TEAM The manipulation is carried out by a neonatologist or resuscitation anesthetist and a ward nurse. EQUIPMENT Set for carrying out IVL.
  11. Heart diseases. Coronary heart disease (CHD). Reperfusion syndrome. Hypertensive heart disease. Acute and chronic pulmonary heart.
    1. IHD is 1. productive myocarditis 2. myocardial fatty degeneration 3. right ventricular failure 4. absolute coronary circulatory failure 5. relative coronary insufficiency 2. Forms of acute coronary heart disease 1. myocardial infarction 2. cardiomyopathy 3. angina pectoris 4. exudative myocarditis 5 sudden coronary death 3. With angina pectoris in cardiomyocytes
  12. Indirect Cell Division (Mitosis, or Karyokinesis)
    The biological meaning of mitosis is the exact distribution of paired chromosomes among daughter cells, so that young cells receive exactly the same hereditary information. The structure of chromosomes (Greek chroma - color, soma - body, that is, a staining body) consists in the spiralization of DNA molecule bundles and the appearance of a matrix rich in RNA and phospholipids around them. Resulting chromosomes
  13. 19. HEART TONES (CHARACTERISTIC OF I, II TONS, PLACE OF LISTENING). RULES OF AUSCULTATION. PROJECTION OF HEART VALVES ON THE BREAST CELL. HEART VALVE LISTENING POINTS. PHYSIOLOGICAL CHANGE OF HEART TONES. DIAGNOSTIC VALUE
    The projection of heart valves on the anterior chest wall: 1) a bicuspid valve (mitral) is projected to the left at the sternum at the level of cartilage of the 4th rib; 2) the tricuspid valve is projected onto the middle of the line connecting the III costal cartilage on the left and the V costal cartilage on the right; 3) aortic valves are projected onto the middle of the sternum at level III of the costal cartilage; 4) pulmonary valve valves are projected onto III
  14. HEART DISEASES. CORONARY ARTERY DISEASE. HYPERTENSIVE HEART DISEASE. Myocardial hypertrophy. ACUTE AND CHRONIC PULMONARY HEART
    HEART DISEASES. CORONARY ARTERY DISEASE. HYPERTENSIVE HEART DISEASE. Myocardial hypertrophy. ACUTE AND CHRONIC PULMONARY
  15. 18. TONES OF HEART. MECHANISM OF HEART TONES (I, II, III, IV, V). THEORY OF HYDRAULIC SHOCK (Yu.D. SAFONOV). FACTORS DETERMINING THE STRENGTH OF HEART TONES.
    Properties of the hydraulic system. The natural vibration frequency of each structure of a hydraulic system is inversely proportional to its mass. The lowest natural frequency of oscillations in the heart muscle, but this structure has a large mass. The highest frequency of natural oscillations in the lunar valves of the aorta and pulmonary artery, and their mass is the smallest. The oscillation frequency determines the pitch.
  16. HEART DISEASES. HEART VALVE DISEASES (HEART DISEASES). RHEUMATISM. MYOCARDIAL DISEASES. PERICARDIAL DISEASES. HEART TUMORS
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