66 F isioterapie, S e p te m b e r 1982, deeI 38, n r 3 HE A R T F O U N D A T I O N HEART WEEK 1 - 8 SEPT. 1982 HO W TO APPLY CARDI OPU LM ON AR Y RESUS CIT AT ION (CPR) C a r d i o p u l m o n a r y Resu sc ita tio n, or C P R can save lives. A ny healthy a d u lt o r child can learn this simple tec hnique whic h involves m o u t h - t o - m o u t h b r e a t h in g c o m b i n e d with m an u a l external h e ar t massage. Fo l l ow these three easy steps (illustrated in the diag rams ). HA R TS TIG T IN G HARTWEEK 1 - 8 SEPT. 1982 H O E O M KARDIOPULMONERE RES USSITERING (KPR) TOE TE PAS K a r d i o p u l m o n e r e Resussitering of K P R kan lewens red. Enige g e so n d e vo lwassen e o f kind kan hierdie eenvoudige t e a n i e k a a n l e e r , w a t m o n d - t o t - m o n d - a s e m h a l i n g en h a n d m a s s e r i n g van die h a r t behels. Volg hierdie drie een v o ud ig e aanwysings, wat in die d i a g r a m m e gei'llustreer word: ONE Assess the c o n d it i o n o f the pa tient. If he h a s no pulse, gasps for b r e a t h o r do e s n o t b r e at h e at all, is u n co nsc iou s a n d do e s no t imm e d ia te ly r e s p o n d to being sh a k e n, has di lated pupils a n d a grey o r b lu is h skin, p r e p a r e to apply C P R im mediately. D o not delay. T he he art a n d br a in must receive sufficient oxy ge n as s oo n as possible. Roll the patient o n t o his back , kneel beside him, place one h a n d u nd e r his neck a n d the o t h e r h a n d on his fo rehead . Tilt his head ba ck gently to o pe n the airway. Re mo ve an y foreign mate rial or false teeth f r om his m o ut h . TWO Pinch the p a t i e n t ’s nose to keep it closed. T ak e a deep br e a t h , seal y o u r m o u t h over the p a t i e n t ’s m o u t h a n d blow fou r full b r e a t h s into his lungs. Repeat. THREE Kneel o p p o si t e the p a t i e n t ’s chest. Place the heel o f your right h a n d o ve r the lower h a lf o f the p a t i e n t ’s breast bone. Place y o ur left h a n d over the ba ck o f y o u r right h a n d a n d cla sp y o u r fingers so that they d o not t ou ch the p a t i e n t ’s chest wall. Keep y o u r a r m s str aight. W ith the heel o f y ou r h a n d , depress the p a ti e n t ’s br e as t b o n e f o ur or five cent im etr es for fifteen c o u n ts , c o u n ti n g one a n d tw o an d three a n d . . . Move back to the p a t i e n t ’s h e ad a n d rep eat the two lung inflations. C o n t in u e in flating the lungs a n d de pr ess in g the h ear t rhy thmic ally until the p a ti e n t regains co nsc iou sn es s or begins b r e a t h in g nor mally. EEN Stel die to e s ta n d van die pasient vas. A s d a a r g e e n polsslag is nie, hy n a asem sn a k o f glad nie ase mha al nie, as hy be wus teloo s is en n i e o n m i d d e l l ik re ageer w a n n e e r h y geskud w o r d nie, as die pupille wyd o o p e n die vel grys o f blo uer ig is , mo et K P R o n m id de lli k toege pas wo rd . Moenie uitstel nie. Die ha r t en br ein moet so g ou mo on tli k genoeg s u u r s to f o n t v an g . Rol die pasient o p sy rug, kniel l a n g s h o m , e n plaas een h a n d o n d e r sy nek en die a n d e r h a n d op sy v oo rk op . Kan tel sy k o p versigtig na ag ter om die l u g g a n g o o p t e m aa k . Verwy de r enige vr e em d e v o o r w e r p e o f vals tand e uit sy m ond. TWEE K n y p die pasient se neus toe. Ha al diep asem, pl aas u m o n d styf o o r die van die pa sien t, en bl aas vier a se mt eue in sy longe. He rh aa l. DRIE Kniel te e n o o r die pas ient se b or ska s. P l a a s d ie k u s s in g v a n u r e g te r h a n d o o r die o n de r st e deel van die pasient se bor sbe en. Pla as u li n k e r h a n d o p u re g te r h an d en h o u u vingers vas so d at hulle nie a an die pas ient se b o r sw a n d ra ak nie. H o u u a r m s reguit. D r u k die pasient se bo rsbeen met die kus sing van u h a n d vir vyftien tellings sow at vier o f vyf se n t im e te r in, tervvyl u een en twee en drie en . . . tel. Beweeg ter ug na die pasient se k o p en her haa l die m o n d - to t- m o n d - a s e m h a li n g twee keer. G a a n ritmies vo ort met die a s e m ha li n g en d r u k o p die h a r t tot die pasient sy bewussyn herwin o f begin o m n o r m a a l asem te haal. R ep ro du ce d by S ab in et G at ew ay u nd er li ce nc e gr an te d by th e P ub lis he r (d at ed 2 01 3. )