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In CPR, the chest compressions push on the lower half of the sternum —the bone that is along the middle of the chest from the neck to the belly— and leave it to rise up until recovering its normal position. The rescue breaths are made by pinching the victim's nose and blowing air mouth-to-mouth.
During chest compressions in cardiopulmonary resuscitation (CPR), it is possible to fracture or dislodge the xiphoid process, potentially leading to punctures or lacerations of the diaphragm. Furthermore, inadvertent liver puncture resulting in life-threatening internal bleeding can occur.
Demonstration of chest thrusts. If the patient can not receive pressure on the abdomen, the abdominal thrusts are replaced by chest thrusts. [8] This is the case of pregnant women, obese people, and others. Chest thrusts are applied in the same manner as abdominal thrusts, but pressing inwards on the lower half of the sternum (the chest bone).
These are applied on the lower half of the chest bone, but not in the very endpoint (the xiphoid process, which could be broken). For victims who are not in an upright position, The American National Institutes of Health recommends positioning the victim on the back, then straddling the torso and employing chest thrusts. [16]
There are multiple factors during cardiopulmonary resuscitation (CPR) and defibrillation that are associated with success of achieving return of spontaneous circulation. One of the factors in CPR is the chest compression fraction, which is a measure of how much time during cardiac arrest are chest compressions performed.
The duration of chest compressions varied from less than 1 minute to 65 minutes. Fourteen of the 20 patients (70%) survived and were discharged from the hospital. The authors concluded that chest compression can be useful as a bridge therapy until an external defibrillator can be brought to the scene. [44]
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