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Cardiopulmonary resuscitation (CPR) is an emergency procedure consisting of chest compressions often combined with artificial ventilation, or mouth to mouth in an effort to manually preserve intact brain function until further measures are taken to restore spontaneous blood circulation and breathing in a person who is in cardiac arrest.
CPR involves a rescuer or bystander providing chest compressions to a patient in a supine position while also giving rescue breaths. The rescuer or bystander can also choose not to provide breaths and provide compression-only CPR. Depending on the age and circumstances of the patient, there can be variations in the compression to breath ratio ...
The International Liaison Committee on Resuscitation (ILCOR) does not recommend one specific recovery position, but advises on six key principles to be followed: [4] The casualty should be in as near a true lateral position as possible with the head dependent [clarification needed] to allow free drainage of fluid. The position should be stable.
The CPR mask is the preferred method of ventilating a patient when only one rescuer is available. Many feature 18 mm (0.71 in) inlets to support supplemental oxygen , which increases the oxygen being delivered from the approximate 17% available in the expired air of the rescuer to around 40-50%.
The mask is secured to the face with both hands, the rescuer then places their mouth onto the opening and breathes into the mask. This allows ventilation to occur. Pocket masks are more portable and less expensive than bag valve masks, while also allowing both hands to be used to form the seal when delivering rescue breaths.
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Most adults who can be saved from cardiac arrest are in ventricular fibrillation or pulseless ventricular tachycardia, which means their heart has fallen out of rhythm. [14] Early defibrillation is the link in the chain most likely to improve survival since defibrillation can help shock the heart back into a regular beat. [ 15 ]