First Aid & CPR Basics : Depth of CPR Chest Compressions

[AdvancedGentleman]

Wow Youtube do not have adds for videos like this! People come here to try and learn how to do CPR ASAP not watch an advertisement and panic while they have to wait and the precious seconds waste away.

[wcresponder]

press hard at least 2 " according to ILCOR standards, press fast over 100 beats per minute again ILCOR standard. Good Compression Good Recovery.

International Liason Committe On Resuscitation.

[anniepham84]

15 or 20 minutes??? if oxygen doesnt get to the brain within 6 minutes, the person will die.

[moOswe]

@anniepham84 What she failed to tell us in this video is that you give 30 pushes over the chest and after that you give air two times using mouth to mouth and then repeat the procedure over and over. Its also very important to check for pulse every minute or so.

[4jiz]

@anniepham84 Correct, their brain will start to release chemicals that eat itself.

[SilverGunZoO]

I would pass out of exhaustion rather than let someone die, it will never happen

[samuhaify]

we learned about the CPR in school it was embarrasing first but then we all got confident aniway i think this video clip is useful

[pd41689]

for an adult use two hands for a child you use one or two hands based on its size for an infant two fingers

[smartndumb101]

I know if you get tired it will be hard to continue but when you think about it - would you really be able to live with the guilt of letting someone die because you got tired?

[cbarsonfire]

@smartndumb101

HAVE YOU EVER DONE CPR?

[smartndumb101]

@cbarsonfire No, I'm 14. But my dad did die of a heart attack. Again, if I had seen him, dying, on the side of the road, and I didn't try to keep going at least, I would be heartbroken. Even if he wasn't my dad. They have lives, they have families. Personally, I don't think I could let myself stop knowing that.

[martapajak]

@smartndumb101 They wouldn't die because you were tired. They would die because they had an accident or injury before you started CPR. These are two different things!

[4jiz]

@smartndumb101 Exactly, the adrenaline would kick in and you wouldn't get tired. You could pump for an hour if you had to, the rush keeps you going. This girl doesn't know whtf she's talkin' about. I've been in life guard class and just practicing on the dummy, I got an adrenaline rush performing on the dummy and I did full and correct compressions. Most people don't push down hard enough, the harder and faster you push, the better chance the person has of making it.

[megdabest]

Yeah so please.. if your fat or old or fat and old.. please don't do CPR on me XD

[Tyrfingr]

Well i sure shit wouldnt CPR you, no point saving the life of people who only have half a brain and no respect.

[megdabest]

I'm seriously not asking you to. I'm really sure if I was in need of someones assistance.. i wouldn't come across a Sweedish bloke walking down my street.

[dobrent]

kövér amerikaiak

[isabellitaosorio]

what does CPR mean like what is the meaning like lol mean laughs out loud whats the meaning of CPR help

[ab134685]

Cardio Pulminary Resuscitate :)

[shalby74]

CPR- cardiopulmonary resuscitation

[normal225]

i bearly learned this in my health class using some dummies

[capsunik14]

wow!but if the person it's a baby you use 2 fingers,not 2 hands,right????

[TRIXSTER03]

yes

[TRIXSTER03]

yes thats right. Two fingers just below the nipple line.

[DidntKnowWhatToPut1]

you only use one hand with children

[TRIXSTER03]

You can use two hands if you want, although one hand is the way most people do it.

[TRIXSTER03]

You can use one hand with a child, however, you should consider the childs size, as all children are different. For some children you can use one hand, others you may have to use two.

[Arielleyy]

for the 15:2 for children, do the two rescuers switch off? or what is the other rescuer doing while one person is doing the compressions and breaths?

[TRIXSTER03]

one rescuer does, breathes the other compressions. You only switch positions if the compressor gives the call. The compressor always has control of the situation and makes those calls. Before switching always finish a proper cycle of vents and compressions.

[vidbyvid]

does cpr make the person jump up and ok??

[TRIXSTER03]

Not always.

[finndog88]

30:2 For an Adult

2:30 For a Child

[crizzygirl]

30:2 is the ratio of compression and ventilation for adults whether rescuer is alone or assisted, while 30:2 for children if there is only one rescuer, and becomes 15:2 if there are 2 rescuers. (American Heart Association, 2005)

[finndog88]

Okay...She had it all wrong...Come on i am a 12 year old St John Cadet and could probably do it better that her!

[TRIXSTER03]

St. John CAdet? What divison. I am a member to

[usmcmike1978]

First off you shouldnt be standing, secondly you use your body weight to compress not your arm muscles, and you keep your hands on the chest as all times. for a child you should compress 1 inch to 1 and a half inch. You can Use one or Two hands on a child but in most cases a child will be suffering a respiratory emergency rather than cardiac so they would need Rescue Breathing Before CPR.

[riddyzarzoff]

This is great advice.

Don't get caught up in the mechanics such as shoulders and all that.

Getting 30 compressions done every 20 seconds is hard enough:)

[TRIXSTER03]

Well actually, the mechanics of CPR such as (the shoulders and arms,) are important to pefrom CPR effectively.

[rauooma]

what a nerd!!!

[debunker1905]

shes doing it wrong.

don't move your shoulders.

she most be 1 in above where her hands actually are

[daire36]

i agree, your only suppose to use one hand on a child, but then again their americans

[ShelbyDawnSmith]

You can use two hands if desired, but you don't need to. It would depend on your strength and endurance for doing the task for what may be a long while.

[GIspecialty]

WTF does that have to do with anything? Americans have given the world the greatest medical advancements and procedures. Thats why people go to America if they can.

[frambesbuckeye]

I have to say she did an excellent job of shattering the dummies xyphoid process and killing it.

[TRIXSTER03]

actually, this how deep to perform compressions. The patients ribs may break but this is normal in some cases involving CPR.

[TRIXSTER03]

You don't always break a patients ribs when performing CPR.

[TRIXSTER03]

p.s. SproutConure, what field of nursing are you in or what type of nurse are you an, RN, LPN, Psychiatric nurse?

[TRIXSTER03]

True the victim may be (dead.) However, remember that first resonders/ lay rescuers cannot declare a patient to be dead unless of course like their head is not connected to the body, etc. Only doctors can declare a patient to be dead. The GSL in Canada will protect you as long as you offer to help assistance, act in good faith, do not leave/ abandon the Pt., & if you have a first aid ticket, you use the training which your ticket allows.

[eakinone]

Check out this new mattress designed by college students. It makes CPR faster and more efficient in hospitals.

Search for "CPR Mattress" on YouTube

[sit1buttdown]

Lol i wouldn't want her to do CPR on me cause how deep she is going on the dummy thast like breaking youe chest O.O also we r learning this in Medical class and im in 9th grade not some proffesional at it though

[chriscece17]

Your suppose to...and it wont break your chest lol...you have to do it 1/2 inch or 1/3 inches or something like that in order to get the air/blood pumping to your brain.. i took that class when i was in 9th grade too but i hated it cause i didnt really care about it too much..

[TRIXSTER03]

CPR may infact break the ribs. Is this the case for every CPR situation? No. However, some patients ribs will break due to the depth of compressions/ downward force being applied as you compress.

[patchcords]

Good intro to cpr but..... to be FULLY TRAINED, it is a 2 to 3 day course with much more training involved than learned from a 1 min video.

[chriscece17]

yea!im taking the class but i have to do 8 full hours of training but that vid is not enough

[TRIXSTER03]

By the way, remember that just because you are being shown how to do CPR in this video, this doesn't mean anyone can go ahead and do it. Make sure you are properly trained to deal with the nature of the emergency. I recommend not to do this without a valid first aid ticket.

[TRIXSTER03]

Although the GSL, may be be different in some countries so be sure you are fully aware of your rights and obligations of the Good Samaritain Law.

[pollyisanidiot123]

fuck this id rather die

[TRIXSTER03]

Oh no way, I am actually a first aid attendant for St. John Ambulance Brigade. I am going into my 7th year in September. When did you take the course? I have never been taught or have even heard of studens practicing on eachother. Although if you press lightly I guess not much damage could happen. I am suprised they didn't use the Annie dolls.

[shadow64857]

he showed us how to do it on annie doll thingy but then 1 of us lied down and we tried it on eachother

[TRIXSTER03]

This is partially true. However the ribs can actually puncture lungs and other vital organs. For this sort of incident to occur is rare, it can still happen. This depends on where the initial break in the ribs occurs. But even if this happens the good samaritan law protects you.

[RJN0607]

bear in mind that the united states has good samaritan laws that protect u from a lawsuit if u break ribs

[TRIXSTER03]

This is true, the United States, Canada and other countries do have Good Samaritan lwas which protect people when they offer to help a person in need. However, this law only protects you if you Identify yourself as a person trained in first aid/ offer to help, use only protocol that DOES NOT go against your scope of training, you act in good faith, and you do not abandon or leave the patient.

[misha55490]

yes he said that as well :D

[Smejo46]

when you are trying to give first aid to someone who is not breathing or has no pulse you can actually hear some nasty cracking inside their body.. my P.E. theory teacher told me

[decimuscarrerus]

how cna u push on the chest? isnt it bone? would it NOT go down?

[Genna1854]

between the two bones.. almost the stomache

[mattrox100]

2 breaths and 30compressions is one cycle

[Bcboi92]

every 2 breath 30 compression. o ya i learned this in school for first aid required to graduate and guess what those dolls are 500 bucks

[TRIXSTER03]

actually those dolls, are really a couple thousand dollars. Of course this depends on if you have dolls that can actually have simulated breathing, pulse rates, etc.

[shadow64857]

same here but we didnt do it on the doll we did it on someone

[TRIXSTER03]

You practiced CPR on a live person?

If you did that you could kill them

[cwhjr1]

@TRIXSTER03 You need to take CPR. If she did not do it like that there would be little likelyhood that the casualty would come back. She is trying to get the heart to pump from outside of the body. Very few actually survive at this point. You may even here the catilage breaking while administering, but they will heal if you can get them back.

[TRIXSTER03]

@cwhjr1--Yes if the patient has no pulses and no breathing then yes you do CPR...what are you confused about? Perhaps because I said practicing CPR on a live person? If the patient is alive and you do CPR (i.e. they have breathing) then you can injure of in severe cases kill them. This is why you need to ensure that the patient is indeed in cardiac arrest.

Mike

First Responder,

Paramedic

[TRIXSTER03]

@cwhjr1--Your comment isn't even relevant to anything I said...

[MsRiaCa]

@TRIXSTER03 of course, do don't do CPR to a dead person... xD funny...

[TRIXSTER03]

@MsRiaCa---What?

[TRIXSTER03]

@MsRiaCa-By the way.....when you are performing C.P.R., the patient is considered clinically dead....

[TRIXSTER03]

She needs to lock her arms just a bit more

[hamsterbaby6]

what does WARTS stand for?

[TRIXSTER03]

The chances of you breaking a persons ribs are high. This is if you do C.P.R. right and at the right depth, 1.5-2 inches

[TRIXSTER03]

You are absolutely right, the patient would be most likely thankful that you broke their ribs and didn't just let them die. But broken ribs can actually be a hazard to the patient. If the ribs break in the right place, they could puncture the lungs and other vital organs. The bad thing with this is, {epspecially with the lungs,} is fluid can start to fill the internal wall of the lungs. This also leaves the patient at risk for infection & possible death.

[DH2020]

what are the dangers of you breaking a person chest cavity when you do this?!

[kimopicasso]

transplant - yeah u would go down well as a trainer eh? about 7% success o.o.h.

[TRIXSTER03]

As a matter of fact I am a trainer. Generally, depending on what tools you use in the field, the chances of the patient being revived are not really 7% but usually 20%. You also have to consider the patients age. If they are elderly, they probably will not survive anyways. But, you can also you an A.E.D. aswell, which in turn, actually can increase the chance of the patient surviving. You could use oxygen with a BVM or a Bag Valve Mask which again helps the patient.

[TRIXSTER03]

Once again, the main objective of C.P.R. is to keep the vital organs alive for transplant in case the patient is a donor. Due to the low percentage of surviving the patient will most likely die in front of you.

[johnny102marvin]

After reading these comments, I have come to the conclusion that discussing CPR is like discussing religion. Different authorities have varied opinions. For example, one group favors chest compressions without ventilations.

[TRIXSTER03]

Finally, I dislike how this instructor says "medical help should be about 15-20 minutes," before they arrive. That is not true. Generally, if you live in the city then help should be there in 6-8 minutes of the call coming in unless delayed. But what if you are out in the back country, help could be 40 minutes to an hour, depending on your location and where stations are based.

[TRIXSTER03]

Perform C.P.R. until medical help takes over, another rescuer takes over or you are to physically *exhausted* to continue.

The main objective or the aim of C.P.R. is not necessarily, to revive the patient. The patient only has about a 20-30 % chance of being revived. Basically you are trying to keep the vital organs alive for transplant.

[TRIXSTER03]

Actually,for an adult & child, C.P.R. is done at a rate of 30 compressions to 2 ventilations (30:2). You no longer landmark, but rather place your hands just off of the breastbone near the midline of the body. Then spread your legs far apart to maintain your stamina, so you don't get tired so quickly. Then lock your arms & go about 1 1/2-2 in. of the patients body depth. Ribs are most likely going to break. If this happens use caution but continue C.P.R. .

[djseal]

The new protocol recommends 30 chest compressions to every two breaths when resuscitating infants, children or adults.

The pattern of two ventilations then 30 compressions should continue, to achieve a rate of 100 compressions a minute

hope this helps

[michluvshim]

im in cpr and this is not rite! sorry but i just got my sertification! and 30 compressions to 2 breaths for 2 min!

[thebeasteryass]

its 1 hand on a child

[angelicMisha]

But to be honest it'd be a whole lot better if people went and sought out first aid lessons rather than relying solely on internet vids. : )

*student nurse at uni*

[angelicMisha]

You're meant to lift your fingers up as you do the compressions to lessen the risk of breaking the ribs. The ratio of compressions:breaths for an adult is 30:2 aiming for about 2 compressions every second. For a child between the ages of 1 till puberty it's a ratio of 15:2 using either one hand or two (depending on the size of the child). For a child/infant under the age of one you only use two fingers.

[egomike88]

Mam I'm sorry to correct you but you need to be informed of the right information. CPR cmpressions to ventilation ratio is only 15:2 when it is two rescuer cpr with and infant. Also the reasoning for coming completely off the chest is to reduce leaning on the patient and not letting the heart completely inflate with blood. You are bound to break ribs on an adult doing cpr going to the apporiate depth.

[angelicMisha]

yes, but it still lessens the risk of breaking the ribs, it doesn't completely get rid of that risk, plus what I was taught at uni (only a few months back) was how to do CPR with just one rescuer, so I dunno if different methods apply elsewhere etc, but that's what my nursing cohort have been taught :)

[egomike88]

I just don't believe in leesen the rish your pushing the sternum down 2 inches push on your chest and try to go a 1/4 that depth. Cpr on avg last at least 10 mins for enroute time to the hospital it will break a rib 100% chance. As for single rescuer, Double, If you live in america it is 30:2 the only time this will change is 2 people on an infant bumps down to 15:2

[angelicMisha]

*shrugs* well I'm going on what a senior and experienced nurse told me, so if that's wrong then so be it. and I'm in the UK, dunno if youtube will allow me to post the link to the algorithm we're using:

resus dot org dot uk slash pages slash pblsalgo dot pdf

to be honest I think it'd be easier if there was just a standard resuscitation guideline around the world, cos from your comments, it seems at least the US and UK differ somewhat

[egomike88]

Yes american, UK standards are much differen't makes sense... No by all means go with your training so you don't get held with going out of "scope of practice" and getting in trouble but i have heard of them trying to figure out national standards. I mean in japan their doing a study with no ventilations and only blow by oxygen via N.R.B so go figure

[jcyap888]

that wrong using two hand for child! one hand you can kill the person instead of saving his life!

[ramdomcameleon]

Yeah i know i passed my bronze med im going for cross and nationnal. Well at least in Canada. Those are the names of the certificates.

[egomike88]

yes the two thumbs technique works good i know your right about the single hand thing and i wasnt making a remark about that good to see more people learning cpr

[egomike88]

< american heart association instructor i do this for a living i dont just take a class and think i know everything also your from the uk which is much different

[egomike88]

i think your wrong lol 30-2 for all infant adult child the only thing that changes is the depth of compression. 2 rescuer infant cpr is 15-2

[ramdomcameleon]

wouldn't five rescue breath blow up to lungs? because childs have smaller lungs?

[CactusJackSlade]

Medicine changes frequently as more studies are done there are better results. Currently 12/07 the recommended Adult ratio is 2 breaths and 30 comp's (at the 100/minute rate) - meaning 50 comp's in 30 seconds, 2 breaths and so on). Do this for 5 cycles, check for breathing and pulse on the carotid artery (on the neck). Broken ribs and bruised lungs are frequent. You want to compress to 1/4 to 1/3 the chest height. 1-1/2" - 2" comp' will do little on a large or obese person.

[lauweroos]

she's doing it too slow, aren't you supposed to make 100 compressions per minute?

[NjRetard13]

it's 30 compressions for 2 breaths

[lauweroos]

it changes almost every year, i also believe its 30 over 2 now.

[egomike88]

the american heart association makes 1 big change every 5 yrs. yes its 30-2

[plokkum]

I think she can stop, he turned white already :(

[rasiteskar]

realy very important trainig!!!!!

[glensgurl07]

dat video is a hole big pile of shit i go 2 st johns ambulance n we have pro's com in n teach us n thats all rong n u dont jus dive straight in 4 cpr

[Freezeexp]

if they show no signs of consciousness, you are not sure how long they have been there, you see that they are not breathing. Then you start the CPR. P.S, expect a few riibs to break.

[glensgurl07]

yea i no how 2 do it thicko but that video is a big pack of crap

[plokkum]

Aren't your ribs flexible enough, if you have to compress it by just 2 inches?

[egomike88]

push on your sternum 2 inches? you can just about get 1/4" down you'll most likely break ribs on older people kids are more flexible

[TRIXSTER03]

St. John Ambulance*

Ya, you wouldn't jump right into CPR. You would do a scene survey, then primary survey, etc.

[ananse77]

Umm. Wow. Obviously this is part of a series. This particular episode was just detail on how to correctly do the compressions.

[TRIXSTER03]

lol ya. Each aspect of first aid and/ or CPR leads into other steps.