A is for Airway
When you pass out, your tongue relaxes, and it can roll back in your mouth and block your windpipe. Before you can start CPR on an unconscious person, you'll probably need move their tongue out of the way. Here's how to clear a blocked airway:
B is for Breathing
Your lungs have one main function: remove carbon dioxide and take up oxygen. Normally, the muscles in your chest contract and expand your chest cavity, allowing your lungs to fill up with air. Oxygen and carbon dioxide diffuse across the immense surface area of your lungs. Finally, your chest muscles relax, and you exhale. (To learn more about lungs, see How Your Lungs Work).
Rescue breathing uses your lungs to force air into the victim's lungs at regular intervals. The timing of each breath (about 1.5 to 2 seconds per breath) mimics normal breathing. However, the process is much more like blowing up a balloon than real breathing. You inhale deeply, form a tight seal with your mouth over their mouth, and exhale strongly to push air out of your mouth into theirs. Because you also pinch the victim's nostrils closed, the air has nowhere to go except down into the lungs, which expand as they fill with air.
Mouth-to-mouth breathing is hard work. Normally, when you inhale, the chest muscles drive the process. In artificial respiration, you're working against the victim's relaxed chest muscles. When the chest muscles are relaxed, the chest cavity is small, keeping the lungs in a deflated state. As a rescuer, you have to exhale forcefully into the victim's mouth for 1 to 2 seconds to overcome this resistance. As the lungs fill with air, the victim's chest is pushed up at the same time; you can actually see it rise. When you remove your mouth from the victim's and break the air seal, their chest falls and once again deflates the lungs. As in normal breathing, this results in air being exhaled from the victim's mouth.
Does air exhaled from someone else's mouth really provide enough oxygen to save an unconscious person? Normally, the air you inhale contains about 20 percent oxygen by volume, and your lungs remove about 5 percent of the oxygen in each breath. The air you blow into a victim's mouth thus contains about 15 to 16 percent oxygen, which is more than enough to supply their needs.
After you've given the victim two breaths, you then check to see whether or not they have a pulse and whether they are able to breathe on their own. This will determine what you do next.
| If the victim . . . | you should |
| Is breathing and has a pulse | stop CPR, and stay with them until help arrives. |
| Is not breathing and has a pulse | continue rescue breathing. |
| Has no pulse | begin chest compressions, alternating with rescue breathing. |
C is for Circulation
If the victim's heart is not beating, all your breathing efforts are for naught; the oxygen that you're getting into their circulation isn't going anywhere! Once again, you have to take over for a failing organ. This time you essentially become a surrogate heart to pump oxygenated blood out to the rest of the victim's body. How can you have any effect on blood flow from outside of the body? All it takes is your hands and some strength. The steps are simple:
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