14 Tips on Proper Artificial Respiration

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Mouth-to-Mouth Method
1. Place the person who has stopped breathing on his back.

2. Clean the mouth and throat completely to insure an open airway to the lungs.

3. Tilt the head back so that the chin points upward and lift his lower jaw from beneath and behind so that it juts out.

4. Start artificial respiration immediately. The most important life-saving action is to get air into the person's lungs either through his mouth or his nose. Open your mouth wide and place it tightly over the person's mouth. Pinch his nose shut. Or you may close the victim's mouth and place your mouth over his nose. With an infant or small child. — Place your mouth over both his nose and mouth, making an airproof seal.

5. Blow into the mouth or nose, continuing to hold the unconscious person's lower jaw, so that it juts out to keep the air passage open.

6. Remove your mouth from the patient's mouth. Turn your head to the side and listen for the return of outflowing air coming from the patient's lungs. If you hear it, you will know that an exchange of air has occurred.

7. You can then continue your breathing for the patient. Blow vigorously into his mouth or nose 12 times a minute for an adult and about 20 times a minute for an infant.

8. If you are not getting an exchange of air, turn the person on his side and strike him several times between the shoulder blades. This will help to dislodge any obstruction in the air passages.

9. Normal breathing may start anytime. If it does not, ^you should continue the artificial respiration until you are positive life is gone.

Back Pressure-Arm Lift Method:
1. Position of the subject. — Place the subject in the face-down, prone position. Bend his elbow and place the hands one upon the other. Turn his face to one side, placing his cheek upon his hand.

2. Position of the operator — Kneel on either the right or the left knee at the head of the subject facing him. Place the knee at the side of the subject's head close to the forearm. If it is more comfortable, kneel on both knees, one on either side of the subject's head. Place your hands upon the flat of the subject's back in such a way that the wrists lie just below a line running between the armpits. With the tips of his thumbs just touching, spread fingers downward and outward.

3. Compression Phase — Rock forward until the arms approximately vertical and allow the weight "of the upper part of your body to exert slow, steady, even pressure downward upon the hands. This forces air out of the lungs. Your elbow should be kept straight and the pressure exerted almost directly downward on the back.

4. Position for Expansion Phase — Release the pressure, avoiding a final thrust, commence to rock slowly, backward. Place your hand upon the subject's arm just above his elbow.

5. Expansion Phase — Draw his arms upward and toward you. Apply just enough lift to feel resistance and tension at the subject's shoulders. Do not bend your elbow, and as you rock backward, the subject's arms will be drawn towards you. Then drop the arms to the ground. This completes the full cycles. The arm lift expands the chest by pulling on the chest muscles, arching the back and relieving the weight on the chest.

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