The recovery of the organism

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The recovery of the organism (reanimation) - restoration of severely disrupted or lost vital functions of the organism. Clinical death is the latest in a reversible phase of dying of the body from the moment of cessation of breathing and blood circulation before emerging in the Central nervous system irreversible changes when death becomes biological. The duration of clinical death at the person depends on the cause of development of terminal States, duration of dying, age, etc., In the normal temperature conditions of clinical death lasts 4-6 minutes, and then restore the normal functioning of the Central nervous system is impossible. Resuscitation should begin immediately on the establishment of a sudden death, and even better - not allowing complete cessation of respiration and heart activity.
Signs of clinical death: consciousness, spontaneous respiration and heart activity are missing, most pupils dilated. To identify the lack of breathing should not resort to any special methods of examination (auscultation, use mirrors to her lips, and so on); if within 10 - 15 seconds. not seen a clear and coordinated work of breathing, the patient should be given immediate energetic assistance. Cessation of cardiac activity is determined by the lack of momentum in the carotid arteries, which probed ahead sternoclavicular-liners muscles at the level of the thyroid cartilage.
During clinical death, you should immediately apply heart massage and artificial respiration, intra-arterial blood transfusion, and on the testimony - intracardiac injection and defibrillation. Heart massage should be done not only with cardiac arrest, but with a sharp weakening of the heart activity (in the agonal period). For carrying out the indirect heart massage the patient should be put on a firm, hard surface. Assisting becomes the side of the victim and puts one hand proximal part of the lower third of the sternum, another imposes on top of the first. Massage is carried out energetic, sharp pressure on the chest so that she was shifted to 3-4 cm to the spine, 50-60 times per minute the Most common errors: massage the patient on a soft surface, pressing his hands to the side of the sternum, insufficient or too much power compression, long (more than 2-3 sec.) breaks massage. Direct massage of the heart may be applied only by a physician in a hospital.
Massage of the heart must necessarily be combined with artificial respiration (see). These activities, eliminating hypoxia and normalizing metabolism, leading to the restoration of breathing and heart rate, and later the functions of the Central nervous system of Artificial respiration shown not only in the absence of spontaneous respiration, but when his rough violations - arrhythmias, Hypo-ventilation with signs of hypoxia (see), i.e. in preagonal and agonistic condition. In emergency conditions apply breath on the way "the mouth in a mouth" or "the mouth in a nose". The main condition is the head of the patient should be as thrown backwards; assisting becomes the side of the patient. When breathing on the way "the mouth in a mouth" with one hand, grip the wings of the nose, the other slightly open mouth over his chin. Taking a deep breath, assisting tightly pressed his lips to the mouth of the patient (through a gauze or cloth) and makes a sharp energetic exhale, then pulls his head to the side. When breathing on the way "the mouth in a nose" blowing do in the nasal passages of the patient, covering his mouth with his palm. When combined with indirect heart massage and artificial respiration should be carried out with a frequency of 12-15 in minutes - one breath on 4-5 presses on the chest. At the time of inhalation, massage suspend (not more than 2-3 seconds). If cardiac activity saved, frequency artificial respiration should be more-20 - 25 minutes the Most common errors: direct location of a patient's head, leaving open the nasal passages (with the method of respiration "mouth to mouth"), asynchronous respiration and heart massage.