CHEST COMPRESSIONS

When

to begin during a resuscitation

How to administer
How to coordinate with IPPV
When to stop

CHEST COMPRESSIONS
What are chest compressions or
External Cardiac Massage?
Rhythmic Compression of Sternum that : Compress the Heart against Spine
Increase the Intrathoracic Pressure
Circulate Blood to Vital Organs

CHEST COMPRESSION
Pump

out blood from the heart during

compression and fill up blood in the heart
during release
Must always be accompanied by ventilation
with 100% oxygen

Compression

Release

CHEST COMPRESSIONS
Indication
Whenever

HR remains <60BPM despite 30

sec. of Effective PPV

Landmarks

Positioning if Personnel

CHEST COMPRESSIONS
Position
Lower

third of the sternum

Between nipple line and xiphisternum

Resuscitation With PPV&Chest

Compression

CHEST COMPRESSIONS
How do you position
your hands on the
chest to begin
chest
compressions?

Thumb Technique

Thumb Technique

Correct

Incorrect

CHEST COMPRESSIONS
How do you position
your hands on the
chest to begin
chest
compressions?

Two -finger Technique

Finger Technique

Correct

Incorrect

Fingers always remain in contact with Chest

CHEST COMPRESSIONS
RATE

3 CC then 1 ventilation (1:3)

90 CC to 30 ventilation in one minute

ADEQUACY

Palpable Femoral / Carotid pulse

CHEST COMPRESSIONS
How much pressure do you need to
compress the chest ?
Depth

of approximately 1/3rd of A-P

diameter of the chest.

WHEN TO STOP CC

When

more

heart rate is 60 per minute or

CHEST COMPRESSIONS
DANGERS
Broken ribs
Lacerate liver
Pneumothorax

Precautions
No

pressure on ribs,xiphisternum, abdomen

Do not lift thumbs/fingers