Artificial Respiration

Performed artificial respiration if the victim finds relief by stopping breath, breathing too slowly or too fast, or if the victim's breathing is too shallow. Artificial respiration if enough votes left and right chest moving up and down together, feel and hear the flow of air out when the victim expired.

• artificial respiration mouths
Immediate resuscitation mouth to mouth is at risk. Possible contact with body fluids including vomit very large. To perform CPR mouth barrier use protective equipment devices, face shield. This protective device in the form of a sheet of flexible plastic film and covered the victim's face especially the mouth of the victim, equipped with a one-way valve so that the body fluids of victims did not help. Can be folded so that practically carried everywhere.

The steps provide artificial breathing mouth to mouth:
1) Make sure the security themselves and the environment, and activate SPGDT.
2) Lay the victim in the supine position.
3) Set the helper position. Kneel beside the victim's head.
4) Do these steps airway management.
5) Place the protective device; barrier devices, face shield.
6) Helper when breathed in will provide artificial breathing, tidal volume to be fulfilled.
7) Brace the victim's nostrils with thumb and forefinger.
8) Cover the mouth with the mouth rescue victims. Mouth helper should cover the entire mouth can be the victim in order to avoid leakage.
9) Give breaths 2 times, while keeping the airway open. Give a chance to expiration. The time required for each puff from 1.5 to 2 seconds. Given volume of air for the tidal volume of 10 mL / mL kgBB or 700-1000, or until the victim's chest looked swell. Be careful, do not be too strong or too much because it could hurt the victim's lungs or into the stomach.
10) Do re-evaluation of A and B. If while doing CPR or felt there was heavy resistance, or the chest is not up and down with good, correct the victim's airway opening techniques such as by improving the position of the head. If after improved position still feels heavy, suspected of airway obstruction. Free action airway.
11) If there are no other distractions, continue artificial respiration with the speed of 12-15 times / minute.

• artificial respiration mouth - nose
Mouth resuscitation techniques to do when your nose is not possible to do mouth to mouth breathing, for example mouth clenched victims and can not be opened (trismus), or the mouth of the victim suffered serious injury. The steps to do the same as artificial breathing mouth to mouth. The difference is made to resuscitate the victim's nose. In this technique the victim's mouth should be closed.

• Breath-stoma artificial mouth.
In victims who have experienced acts of breathing holes for it in the neck, the entry is no longer breathing air through the mouth or nose. Air in through a hole made in the neck called a stoma. The steps to mouth resuscitation to a stoma is essentially the same with the mouth to mouth or mouth to nose.

• mouth artificial respiration mask / face shield.
Mouth resuscitation techniques to mask more effective and safer than breathing methods described previously. Masks that are used have a one-way valves so that fluid or expiratory air to exit from unlikely victim of helpers. Mask covering the nose and mouth of the victim, so there is no contact / direct relationship between the helper with the victim. The effectiveness obtained for a mask used to cover both mouth and nose of victims and more controlled.
A good mask for CPR has the appropriate size, made of transparent / translucent, and includes a one-way valve or may be associated with one-way valve at the top. Masks are available in various sizes. Suitability measures can mask important to stick closely to the face so that no leakage occurs. Transparent materials allows the helper can see the liquid coming out mapun vomit from victims.

The steps to mouth resuscitation masks:
1) Make sure the security themselves and the environment, and activate SPGDT.
2) Lay the victim in the supine position.
3) Set the helper position. If the helper is only one, kneeling beside the victim's head. If the helper is more than one person, one helper who was holding a mask to his knees on the victim's head facing the foot of the victim.
4) Do these steps airway management.
5) Install the appropriate size mask with a size suitable korban.Masker will cover the victim's nose and mouth at once. CPR mask shaped like a water fruit split in two equal-sized, there is a narrowing and widening a section. Place the narrowing in the victim's nose, and part of the widening of the chin.
6) Maintain the position of mask and Squeeze.
Masks the true position and an important meeting for the success of artificial respiration. Maintaining the position of a mask can be done in two ways, namely:
 Maintain the position of the mask with both hands as the position when making a jaw thrust or triple airway manauver. Holding thumbs its nose mask, while the other fingers hold the chin and merapatkannya by holding a mask of the victim's lower jaw, while taking action to open airway.
 Maintain the position of a mask with one hand holding the nose, another hand holding the chin as he opened the victim's airway.
7) Helper when breathed in will provide artificial breathing, tidal volume to be fulfilled.
8) Give breaths 2 times, while keeping the airway open. Give a chance to expiration. The time required for each breath of 1.5-2 seconds. Given volume of air that tidal volume 10 mL / kgBB, or until the victim's chest looked swell.
9) Do re-evaluation of A and B. If while doing CPR or felt there was heavy resistance, or chest is not up and down with good, correct the position of the victim's head. Improve the victims airway opening techniques. If after improved position still feels heavy, suspected of airway obstruction. Free action airway.
10) If there are no other distractions, continue artificial respiration with the speed of 12-15 times / minute.


• BVM (Bag Valve Mask)
CPR is done with the help of BVM is preferred, because it has more advantages. In addition to such benefits obtained by using a mask, BVM provides oxygen to the higher concentration on the victim because it can be connected with a source of oxygen. BVM use is recommended by two helpers. Be too hard when used by a helper.
As the name implies bag valve mask (BVM) consists of bags, one-way valve, and mask / face shield. Fill the bag approximately 1600 mL and can be connected to the source of oxygen. BVM masks in the same shape as described previously. Masks available in various sizes for adults, children and babies. BVM for the use of artificial respiration will not elaborate further, because its use requires skill level of paramedics.

Attention!:
 Pumping breathing air when the victim is an inspiration.
 Providing breathing assistance tailored to the needs of victims. Note the tidal volume and respiratory rate needed victim.
 Installation of masks must be compatible with the required size of the victim and tight.
 If the victim has false teeth, dentures let it remain in place, because it will facilitate the achievement of a tight mask position. But if the tooth is loose, immediately remove from the mouth of the victim and secure. Loss of false teeth is a serious blockage of the airway. Conduct periodic assessment of the existence of false teeth for helping victims.