When should CPR not be given, it can be life-threatening
February 5, Kathmandu. Suppose you are somewhere in a market or a public place and a person falls unconscious on the ground. You have often seen such videos on the internet where when a person falls unconscious on the ground, someone else saves his life by giving CPR.
You also started giving CPR to the unconscious person without any delay. When the person regained consciousness, he was groaning. When he was taken to the hospital, it was found that his rib cage was fractured.
The doctor said that the unconscious person did not need CPR. It was just a normal unconsciousness. Due to giving CPR in the wrong way, his rib cage got fractured.
Two months ago, a similar video was shared by Union Railway Minister Ashwini Vaishnav. In which a TTE was giving CPR to a 70-year-old man in a moving train. Usually such videos get praise, but Ashwini Vaishnav had to face a lot of criticism for this video. Many doctors even appealed to him to delete this video.
So many questions were raised on this video because the elderly person who was being given CPR was conscious and breathing properly. He did not need it at all.
Every year 40-50 lakh people die due to cardiac arrest
According to a study published in 'The Lancet', about 5-6 lakh people die every year in India due to sudden cardiac arrest. According to a study published in the National Library of Medicine, 40 to 50 lakh people die every year due to sudden cardiac arrest all over the world.
About 45% of people can be saved by giving immediate CPR in case of cardiac arrest. However, CPR given in the wrong way or at the wrong time can also pose risks.
What is CPR?
The full form of CPR is cardiopulmonary resuscitation. It is a procedure in which the patient's life can be saved by compressing his chest and giving mouth-to-mouth breaths. CPR is given when a person's heartbeat or breathing stops.
When should CPR be given?
If someone around you suddenly collapses and his breathing and heartbeat stop, then he is in urgent need of CPR.
How do we know if someone needs CPR?
We must first understand whether a person needs CPR or not. Only then should this procedure be followed. The way the video of giving CPR in a train is going viral, giving CPR without need in this way can put the life of the person in front at risk.
To avoid such a situation, follow these 8 steps before giving CPR:
- If someone in front of you suddenly collapses or falls, ask that person loudly if he or she is okay.
- If he is not responding then immediately call 102 or ask someone else around you to call an ambulance immediately.
- Ask people around you if anyone has an Automated External Defibrillator (AED). AED is a medical device that can help return the heart beat to a normal rhythm. This device is mandatory in all commercial flights. Sometimes people can also carry it with them as it is portable and does not weigh much.
- If the collapsed person is lying on their back, tilt their head slightly backward.
- Get close to the person's face and listen for 10 seconds to see if he or she is breathing.
- If breathing cannot be heard, check the chest to see if there is a heartbeat.
- Touch the side of his neck to feel if he has a pulse.
- If no pulse can be felt, give CPR.
What is the correct way to give CPR?
You may have often read or heard that anyone can perform CPR. However, if a person has basic knowledge about it, he will be able to perform this procedure better. These CPR guidelines apply to people of all ages except newborns.
To help a person, follow these CPR guidelines:
- If the person is not breathing, first make him lie down on his back on a flat surface.
- After this, place one of your hands over the other hand and place it in the center of the person's chest.
- If giving CPR to a child up to 8 years of age, use only one hand and place it just below the breastbone.
- Transfer the force of your body to the person's chest and press on his chest with your hands. Your pressure should be strong enough to create at least 2 inches of compression in the chest.
- During this, use the lower part of your palm and keep your arms completely straight.
- Keep pressing the person's chest 100 to 120 times in a minute. During this, keep in mind that after every pressing, the chest is returning upwards to its previous position.
- People trained in CPR can give two mouth-to-mouth rescue breaths for every 30 compressions.
- Continue performing compressions and rescue breaths until the person is breathing or an ambulance arrives.
Follow these tips while giving rescue breaths:
- Tilt the person's head slightly back, lift his or her chin, and pinch his or her nose shut.
- Place your mouth over their mouth and breathe into them so that their chest rises. If the person's chest doesn't rise when you breathe, check to see if there's something stuck in their mouth.
- Give a total of two rescue breaths and then immediately begin compressions.
When should CPR not be given?
As important as it is to know when to give CPR to a person when needed, it is also important to know when not to give CPR to someone.
Do not give CPR at all in these situations-
- If the person is conscious.
- If the person is unconscious, but is breathing and your heartbeat can be heard.
- If the person is able to move his hands, legs and head.
- If the person is shouting.
- If movement is visible in the person's eyes.
- If the ambulance or medical help has arrived.
- If you are extremely tired or are unable to compress your chest even 100 times per minute.
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