Distress ventilatoire

When?

In the presence of a victim who does not bleed, does not speak, does not breathe but has a present pouls.

How?

The rescuer, having noticed the absence of ventilation, stays in place in the head of the victim.

With the hand which stays on the forehead , the rescuer pinches between the thumb and the Accueil the nose of the victim. The other hand continues to lift the chin.

It(he) applies its mouth widely opened around the mouth of the victim.

It blows out gradually between 0,6 and 1,2 L of air(sight) (for an adult).

If it does not manage to breathe, the rescuer assures the désobstruction of air traffics, for example by means of the technique of Heimlich

It(he) stands up(recovers) by resuming its(his) breath and by verifying the movement of the breast.

It(he) practises a second insufflation.

It(he) controls the hanging pouls carotidien 4 in 6 seconds.

It makes alert the help (EMERGENCY MEDICAL SERVICE) by a witness.

He pursues the insufflations at the rate of 12 in 15 times per minute (for an adult), up to the relay of the help.

The rescuer controls the pouls carotidien both minutes.

Why?

The position of the rescuer at the level of the head allows an easy(well-to-do) access to the mouth of the victim.

To avoid that the administered air(sight) goes out by the nose.

To avoid the flights

To bring of the air to lungs and supply the oxygen indispensable to the survival of the victim.

To free the passage of the air(sight) towards lungs.

To notice the passive expiration of the victim, indicating the efficiency of the insufflation.

To complete the contribution of oxygen.

To verify that the traffic (who allows to transport the oxygen breathed towards cells) is effective.

A fast medical relay is needed.

To make sure that the circulatory function(office) is always effective.

When?

1-In the presence of a victim who does not bleed, does not speak, does not breathe but has a present pouls,

2-And when the mouth-to-mouth resuscitation is impossible (too big mouth, crash of the jaw, wounds, burns...).

How?

After the control of the breath, the rescuer maintains the head tipped over behind with the hand on the forehead(front).

The other hand lifts the chin, and by means of the thumb, applies the lower lip of the victim against its superior lip.

The rescuer applies its mouth widely opened around the nose of the victim to realize there the insufflations.

The rest of the technique is identical to the mouth-to-mouth resuscitation

Why?

To maintain the liberation of air traffics.

To avoid the exit(release) of the air(sight) by the mouth.

To avoid the flights(leaks).

When?

In the presence of an infant who does not bleed, is unconscious, does not ventilate and has a pouls.

How?

Having noticed the absence of ventilation, the rescuer contains with its mouth the mouth and the nose of the infant.

It blows out the contents of its mouth, twice.

It(he) controls the pouls huméral

The rescuer makes alert(notify) the help (EMERGENCY MEDICAL SERVICE) and continues to breathe up to the relay of the help. The rhythm of the insufflations is from 25 to 30 per minute.

It(he) verifies the presence of the pouls both minutes.

Why?

The mouth-to-mouth resuscitation and the nose is easier than to try to pinch the nose. Of more the infant the air(sight) has a tall language and passes more easily by the nose.

To bring the oxygen necessary for the survival of the baby.

To verify the presence of the circulatory function(office).

A fast medical relay is needed.

To watch the traffic.

When?

In the presence of a person who does not speak, fills(blocks) opened, having made(done) efforts to breathe having choked.

How?

The rescuer takes place behind the victim, crosses(spends) the arms under those of the victim, puts its closed and horizontal fist back towards the sky, over the navel of the victim, in the hollow of the stomach, under the breastbone. The other hand takes place on the first.

Forearm of the rescuer should be untied(removed) from the trunk of the victim.

The victim was stuck to him, the rescuer exercises a strong pressure by firing towards one and upward, by salvoes of 3 successive, powerful knocks but without excessive brutality. The operation should be repeated if the foreign body does not go out.

Once the foreign body was loosened(kicked away), the rescuer makes him(it) take out of the mouth of the victim, in case it was not expelled.

The rescuer controls the ventilation of the victim. In absence of breath, needs to proceed at once to an artificial ventilation.

The rescuer prevents(warns) the help or the doctor of the victim.

Why?

This position will allow to make Heimlich's operation and so to restore the passage of the air(sight).

To avoid breaking the coasts of the victim.

The pressure in the chest will allow to expel the foreign body as the cork of a plastic bottle on which one rests(supports). It is necessary to avoid being too rough not to create grave internal hurts on the victim.

It is not necessary that the victim suffocates(suppresses) again with the foreign body.

Even if she(it) finds a normal consciousness, the victim should undergo a medical examination to verify that Heimlich's operation provoked no hurt in the belly or the chest.

When? In the presence of a sat(based) person who does not speak, fills(blocks) opened, making(doing) efforts to breathe having choked.
How? The operation of sat(based) Heimlich takes place as the technique up, but this time the rescuer takes place at the level of the victim, for example by squatting behind the chair where she sits.	Why?

When?

1-In the presence of a slept person who does not speak, fills(blocks) opened, making(doing) efforts to breathe having choked,

2-Or for an unconscious victim, who does not ventilate, when the rescuer does not succeed in realizing insufflations.

How?

The rescuer takes place astride on the thighs of the victim. It(he) places the palm of one of the hands over the navel of the victim, and places the other hand by above.

It rests(supports) obliquely at the same moment in the direction of the head of the victim and the ground. The operation should be repeated several times if the foreign body does not go out.

The rest of the technique is similar to the operation up

Why?

When? For a young child (of more than 1 year), in the same circumstances as for the adult
How? The operation can be realized as for the adult in position up, sat(based, or slept. However, one rests(supports) with precaution.	Why? It is necessary to adapt the force to the size of the victim.

When?

1-At the infant of less than 1 year,

2-When it(he) suffocates(suppresses) with a small object (toy...) a food (peanut...) or that it(he) does not inhale any more and that the rescuer does not succeed in realizing the mouth-to-mouth resuscitation and the nose.

How?

The rescuer places the infant astride on its forearm, the head slightly downward, by maintaining well the head.

It gives 4 pats with the hand between both shoulder blades.

If the object does not go out, it repeats this operation several times.

If the technique fails, it turns(returns) the infant, and with 3 fingers, it makes 4 pushes on the intermamelonnaire line.

Once the object was taken out, it is going to look for him(it) in the mouth of the infant by taking care of not pushing him(it) towards air traffics.

Alert(notify) the medical aid and watch the infant.

Why?

Heimlich's operation should not be realized at the infant's because it would provoke grave hurts in the liver of the baby.

It is necessary to avoid that the baby suffocates(suppresses) again.

Mouth-to-mouth resuscitation	Mouth with nose	Mouth -to -mouth resuscitation and nose	Operation of standing Heimlich
Operation of sat (based) Heimlich	Operation of slept Heimlich	Heimlich's operation at the child	Mofenson's operation of the nourisson