How to Perform CPR Without Mouth to Mouth Resuscitation
Dr. Travis Stork: Because I remember before I ever went in to medicine, I went and took CPR classes in high school for the lifeguard training. And it's a little intimidating wait, okay two breast, 15 compressions, 30 compressions, this one for kids--five.
Dr. Andrew Ordon: I thought it was 20 times for one compression.
Dr. Travis Stork: The point is, it's very confusing. But now we have a new phrase in emergency medicine. Get on the chest, stay on the chest.
Dr. Andrew Ordon: I call it no excuses. You don’t have to put your mouth on the patient’s mouth. There is no excuse not to start that CPR, ASAP.
Dr. Travis Stork: So if you come upon a bystander and you find them on the ground like rescue Amy here. Your whole goal in those first few minutes until help arrives; your goal is to get blood flowing particularly to the brain.
So, quite simply, go ahead and get on the ground. We've learn in CPR check to see if they’re breathing, check to see if there is a pulse. If you’re unable to get a pulse, don’t be afraid because this patient is otherwise dead. So call 911. If there is a defibrillator nearby, have someone get that but otherwise you want 100 compressions per minute right where the breast bone is. Very quickly, 100 per minute and you got to remember you have to press deep enough that you’re pressing the heart’s chambers sending blood up through the carotid arteries to the brain and the other very vital organs.
And the other great thing that we learn in emergency medicine is by doing CPR and doing those chest compressions, by the time a defibrillator does get there, you actually have a better chance at getting the heart’s rhythm to stabilize because now--blood that is still a little bit of oxygen to the brain but the heart is getting some of that as well.
Dr. Andrew Ordon: Is this protocol also true in pediatrics?
Female: For the newborn and the infant, we still recommend doing both mouth to mouth plus the chest compressions. And typically for a brand new newborn, it's actually three chest compressions for every breath.
Dr. Travis Stork: So, I encourage everyone to learn CPR and certainly learn how to do chest compressions.
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