Indirect heart massage is a must for everyone.

Occasionally, there are situations when a person stops the heart, and medical care can not be provided professionally. In this case, the only correct solution for others will be carrying out an indirect massage of the heart. Direct indications for the adoption of such a decision are any causes that led to the arrest of the heartbeat. As a rule, it is difficult to establish an accurate diagnosis outside the medical institution, especially if the surrounding people are not physicians. However, the most common causes - acute heart failure, coronary artery spasm , trauma, myocardial infarction - require immediate intervention.

The most common cause of confusion is the inability to diagnose the termination of the heartbeat. In a panic, others forget the main signs of cardiac arrest. These include: sudden blanching of the skin, deep fainting, lack of pulse (which is especially easy to check on the carotid artery), the disappearance of breathing, dilated pupils. If such signs are found, immediately begin an indirect cardiac massage, since there is not much time for resuscitation.

Typically, the time of clinical death is considered the first six minutes after cardiac arrest, since then irreversible changes occur in the brain and further resuscitation entails severe disability.

Indirect massage of the heart is not complicated. However, when you hold it, you need to know the basic information. Usually massage ends when the first signs of vital activity are visible - the appearance of breathing, the reaction of the pupils, pulsation of the carotid artery.

So, immediately after cardiac arrest, you should start a massage. There are some advantages here: if you perform direct cardiac massage, you need to spend time on the dissection of the chest, because this kind of massage is done exclusively during heart operations, if other methods can not make the organ work. Indirect heart massage can be started immediately.

To start the patient should be put on a flat hard surface. The one who does the massage, can be on either side of the trunk. In this case, the palm of the masseur is placed on the bottom of the sternum. In order to increase the pressure and give the movements a jerk force, a second palm is placed on top. Start movement is supported by the weight of the whole body. The jerks should be quite intense - about one push in a second. Constantly to hold hands over a breast bone it is impossible - the blood should freely penetrate, and a thorax - to be straightened. Usually it is easier to pour blood to the heart, the victim's legs are slightly raised.

One massage of the heart will be ineffective if you do not connect the respiratory movement. In this case, it is better if another person who by the type of "mouth to mouth" (best of all) or "mouth to nose" will be pumping air into the lungs will answer the respiration. The mode of resuscitation should be related as 1 to 5 - one respiratory movement and five heart attacks.

Indirect cardiac massage is different in adults and in children. For adults, you need to do about eighty perks per minute with intensive bending of the sternum. If the motion is careless, the rib can break, especially if the heart massage is done to a person of advanced age. In small children, indirect massage is done with one hand, and in newborns with two fingers. The intensity of the tremors should be greater - about a hundred per minute, as the heart of the child normally works faster than the adult.

If you decide to do an indirect heart massage, then do not neglect and qualified help - you must immediately send someone for the doctors. With a successful massage of a person in the future, it will be necessary to hospitalize, examine and take appropriate treatment measures.