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MANUAL PHYSIOLOGY PRACTICAL - Repository:The Medical ...

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FM/UOJ<br />

4. Both together:<br />

When circulation and respiration fail artificial respiration and cardiac massage<br />

should be delivered at the same time. It is exhausting and the operator should be able to<br />

get help when available. Ideally, artificial respiration and cardiac massage should<br />

resemble resting state in that the rates of the two must be one is to four (1:4). When the<br />

operator is alone two respirations could follow twelve cardiac massages, for convenience.<br />

When help is available, the operator should get the assistant to deliver cardiac massage.<br />

<strong>The</strong> operator should give the artificial respiration and lead the assistant by counting aloud.<br />

This will ensure coordinated action between the two people.<br />

5. Completion of the manoeuvre<br />

If started, it should continue until the victim recovers or another person<br />

takes over the manoeuvre. It is necessary to pause one in a while to see whether the<br />

victim has recovered.<br />

Exercise<br />

a) Explain why mouth to mouth method is the best of all types of artificial<br />

respiration available.<br />

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b) Describe the risks of this method to the victim and to the operator.<br />

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c) Explain the importance of correct hand position during cardiac massage.<br />

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Circulation<br />

Page | 110

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