How to Perform CPR on Someone With Possible Internal Injuries

Cardiopulmonary resuscitation is a set of emergency procedures to revive a victim of cardiac arrest. Its primary purpose is not to start the heart but maintain the flow of oxygenated blood through the body for as long as possible. Chest compressions are part of CPR and become more difficult when the victim has other injuries.

Difficulty: Challenging

Instructions

1. Apply the correct pressure for manual chest compression on adults. The CPR guidelines published by the International Resuscitation Councils in 2005 recommend that only adults should receive compressions with both hands.

2. Use one hand to perform compressions on children between the ages of 1 and puberty. Infants less than 1 year old should receive chest compressions with only two fingers.

3. Employ a device to perform the compressions. These devices may be classified as timing devices, devices which help the rescuer perform the correct technique and devices which automate the process completely. Devices that control the depth of the compression are especially helpful in minimizing additional internal injuries.

4. Perform chest compressions with a device that provides needed information on the force of the compression. Some devices such as CPREzy may be worn like a glove.

5. Administer compressions with a device such as the LUCAS. These units employ pneumatics to execute the compressions automatically so that the pressure does not exceed the recommended limits. The AutoPulse is electrically powered and uses a band wrapped around the chest to perform the compressions.

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Resources

• Learn more about administering first aid at Medi-smart.