Heart massage

The cause of inefficiency closed cardiac massage is the loss of cardiac muscle tone. In such cases it is necessary vnutriserdechnoe introduction of drugs, eliminates atoniyu myocardium. Needle length of 10-12 cm, put on the syringe, dotted heart in the third or fourth mezhrebere, retreated 2 cm from the edge of the sternum. Heading vkola needles strictly vertical. It should establish that the needle is in the heart cavity (in the syringe should be easy to do blood) and there is no danger to introduce the drug in the column myocardium. Only then impose vnutriserdechno 0.3 - 1 ml 0.1% solution of adrenaline or noradrenaline, divorced in 10-15 ml isotonic solution of sodium chloride, and 5-10 ml 10% solution chloride or calcium gluconate.
Open heart massage shown in severe chest trauma and multiple rib fractures, sometimes with myocardial atonii if vnutriserdechnoe introduction of the above drugs did not lead to recovery of peripheral blood circulation. Industrial perednebokovuyu torakotomiyu left in the fourth or fifth mezhrebere. Heart compress between palms of hands or surfaces of two palm and palm surface 1 fingers of one hand. It is necessary to avoid contraction of heart ends of fingers, as well as with the traumatic myocardium.
Cessation of heart massage and resuscitation of other activities can be considered justified if a patient who is in a state of clinical death, can not be achieved through the restoration of cardiac massage peripheral blood circulation within 20-30 minutes. If properly implemented massage IVL pulsation of the heart and carotid arteries and peripheral absent pupils remain extended, breathing and cardiac activity is not restored, skin pale patient remained sharply tsianotichnymi or may be ascertained biological death and resuscitation activities cease.