A procedure of the cardiopulmonary resuscitation (CPR)

1.I examine consciousness

examine consciousness ●I tap a shoulder of the disabled while I approach the disabled, and, ”hello”, or ”I am all right” or calling you at the ear and watch it whether a reaction does not walk.

 ○I open eyes for appeals and if there are some kind of reactions, there is consciousness and judges it when there is no consciousness without any reaction.

 ○In traffic accidents to a head and a neck the case with the injury when it is suspected that the, shake a body, and must not move a neck.

 ○If there is consciousness, I hear a suit of the disabled and give necessary first aid treatment.

2.I call for help

call for help ●I demand help when I call an ambulance in a loud voice without consciousness.
⇒If a cooperator comes, I have I report it to the 119th and call for an ambulance.
 At first I perform the 119th report if there is nobody.

 ○If a cooperator comes, I have I report it to the 119th and call for an ambulance.
  I give priority to a report to the 119th if there is nobody.

3.The securing of respiratory tract

The securing of respiratory tract ●I put one hand on the forehead and expose two of them of other forefinger and middle finger of the hand to the chin point and I lift this and find the respiratory tract.

○I do not press the soft part of the chin with a finger.
○I do not bend a head behind forcibly.

4.I examine breathing

Examine breathing
The recovery physique
●In the state that secured the respiratory tract, I apply one’s face to the chest side of the disabled.
●I bring cheeks close to a mouth / a nose of the disabled and confirm a sound of the breathing. 
●I watch the stomach chest of the disabled closely and watch movement of a chest and the abdominal top and bottom.
●I examine it within ten seconds.

○I bring the cheeks close to a mouth / a nose of the disabled as much as possible.
○I judge it with ”breathing composure” without I do not hear the respiratory sound, and the breath to vomit being felt when there is not thoracoabdominal movement, and they are insufficient.

[reference] The recovery physique
・There is not the consciousness, but makes the disabled the recovery physique to prevent suffocation by the vomitus when I breathe enough.
・I push the lower jaw forward and I bend both elbows and bend a knee of the upper part approximately 90 degrees, and the disabled does not fall down behind.

5.Artificial respiration

The respiratory tract
blow twice slowly for approximately two seconds.
check the movement of chest and breath
●I start artificial respiration without breathing.
●I pick up a nose of the disabled in the thumb and first finger which I hit the frame with of the hand with securing the respiratory tract.

●I open a mouth greatly and cover the mouth of the disabled, and air cannot leak and records breath twice slowly.

○I blow twice slowly for approximately two seconds.
○The quantity to blow grows a chest of the disabled lightly; [500mL - 800mL (10ml/ 1kg in weight does it with )].)
○When having a thing recorded is not possible smoothly when I blew, I return a neck once again and find the respiratory tract again and record breath.
○When there is resistance in doing the mouth vs. the mouth artificial respiration by all means, you may leave a handkerchief in a mouth of the disabled. In addition, it is convenient when I have a temporarily-shaped artificial inhaler (an expiration having a thing recorded tool with valve for one) which I can carry.
○You may perform only chest compression when there is a wound around skin and the mouth of a case and the rescuer which the disabled has a wound and bleeding, and there is not without the mouth vs. the mouth practicing artificial respiration.

6.I examine a circulatory signature.

●I bring an ear close to a mouth of the disabled and examine having next sign (”a circulatory signature”) or not.
  ・Do you breathe? (I watch the movement of the chest with eyes and hear a sound of the expiration)
  ・Do you cough?
  ・Is some kind of movement seen in a body?
 I examine the circulatory signature within ten seconds.

○When there are not these signs and is not clear, I judge that there is no circulatory signature and start chest compression promptly.
○When either symptomatic is seen, there is a circulatory signature and judges that it is not a cardiac arrest.

7.Chest compression

When there is not a circulatory signature, I start chest compression promptly.
○I put the other way on such top (you may cross the finger of both hands in turn.)
○I grow straight an elbow and take the weight and press a chest 3.5-5cm.  
○I press 15 times with 100 times of speed between one minute.
Straighten an elbow Put the other way on such top

※How to find the position to put a hand of the chest compression

○I touch it with the finger of two of a forefinger and the middle finger with the bottom rib of the chest.
○I just move two fingers along the relationship of the breastbone until the middle of the chest to slip.
○I stop a finger at a top of the mountains of middle form and put the root of one of the hand to set it to miss it. The position of the root of this put hand becomes the pressure part.

※A method to know the position to put a hand roughly
○I put one root of the hand in (for the lower half of the breastbone) on the middle chest of the nipple of right and left.
the position of the chest compression

8.Enforcement of cardiopulmonary resuscitation

repeat of heart massages and artificial respiration ●15 heart massages and the cycle (15: 2) of two artificial respiration are repeated.
●It carries out with 1 time of speed at 5 seconds, applying it to 1 time of blowing-in time for 2 seconds.
●First, the existence of the sign of circulation by the cycle of 15 heart massages and two artificial respiration after 4 cycle enforcement is investigated within 10 seconds. After that, the cycle of 15 heart massages and two artificial respiration is repeated, and the existence of the sign of circulation is investigated within 10 seconds every 2=3 minutes.

○I continue 15 times of chest compression and cycle of two times of artificial respiration until an ambulancecrew arrives.
○When there is a rescuer more than two people, one dials 119 and reports it, and another one performs cardiopulmonary resuscitation. And other people change and continue cardiopulmonary resuscitation when a person carrying out cardiopulmonary resuscitation is tired.
○I do it in the recovery physique if I continue only artificial respiration when a circulatory signature is seen on the way if breathing is insufficient, and enough breathing is seen while finding the respiratory tract.