The ABC Scheme of Resuscitation
The basic means of resuscitation involve three main stages, also known as ABC.
- During stage one, it is necessary to free the airway (A) from anything that prevents breathing;
- During stage two, it is necessary to start artificial breathing (B);
- During stage three, it is necessary to start the indirect heart massage to renew the circulation (C).
Step 1: Freeing Airways
Step 2: Ventilating Lungs
Step 3: Massaging the Heart
Still knowing all this, you should not start resuscitation in any case where the patient has a medical condition, such as heart attack or apoplexy. Resuscitation should be used only in very particular cases.
Conditions That Require Resuscitation
There are several main conditions when it is necessary to render such help to people:
- Circulatory and respiratory arrest;
- Preagonic and agonic conditions;
- Apparent death.
It is possible to refuse trying resuscitation only under the condition that biologic death is certified or all these measures are obviously and absolutely unpromising. There are certain visible early symptoms of biologic death: the “cat eye” symptom and cornea dimness and dryness. Late symptoms of biologic death include postmortem rigidity and death spots. It is necessary to remember that irreversible changes in the brain start to happen within three to four minutes after the circulatory arrest. That is why it is so important to begin resuscitation as soon as possible. Emergency calls and diagnostics should be done together with resuscitation.
Diagnostics of Apparent Death
Diagnosis of apparent death is not hard. A sudden loss of consciousness, no pulse on large arteries, growing cyanosis (blue color) of skin, no respiratory movements, and/or wide eye pupils are enough to diagnose this life threatening condition. There is no time to measure blood pressure or listen for heart beating. Changes in the nervous system can start to happen at any moment after heart ventricles stop to push blood. Thus, the very moment of apparent death is the moment to begin resuscitation.
Now you know what can be done to save someone’s life. Remember that quite often the quality of this life depends on how well you are able to act and how much care you put into each movement of your hands.