Cardiac massage

During the first 30-60 with resuscitation should establish the effectiveness of cardiac massage, as evidenced synchronous with massage push pulsation carotid and peripheral arteries, when measuring blood pressure - the disappearance of such a ripple in systolic pressure of not less than 60 mm Art. Art. , Narrowing pupils, porozovenie patient's skin and other signs of recovery in peripheral blood circulation. Evidence of high efficiency cardiac massage is the restoration of consciousness and breathing.
Effective cardiac massage and allow IVL sustain life without the patient's cardiac activity sufficiently long time needed for ambulance crews arrived and the delivery of patient in a hospital, not allowing the development of irreversible changes in the body, primarily in the cerebral cortex. We should not stop the heart massage and IVL, if not managed to quickly restore heartfelt work and self-breathing, heart massage while longer - heavy physical work, quickly tire reanimatora. It is desirable therefore perform cardiac massage alternately by 2-3 medical workers, providing optimum conditions for the effectiveness of massage, if necessary, carry out its long (there are special devices for automatic external cardiac massage). If a closed heart massage can not quickly restore the peripheral blood circulation, it should be immediately give reasons for its ineffectiveness, the easiest way to do that with the help of electrocardiography. Part of the reason is the inefficiency of heart massage ventricular fibrillation, successfully fight that I can, using only electrical defibrillyatsiyu.