3. Chest Compressions:
If the patient does not respond to above mentioned maneuver then shout for help turn the patient to his back and look, listen and feel for normal breath by taking your face near patient’s mouth. Look for chest movement, feel breath over your cheek and listen to patient’s breath sounds from the mouth. If the victim is breathing then keep a close eye on the patient until help arrives or the patient has completely recovered.
If there is no breathing or even if you are doubtful about breathing, start resuscitation immediately with chest compressions. Kneel down over patient vertically and place heel of one hand over the center of chest i.e over the lower half of the sternum with second hand placed over the first and fingers interlocked. Start chest compressions that should be 5-6 cm deep and chest should be allowed to recoil completely in between the compressions. Chest compressions should be given at a rate of 100 to 120 per minute.
4. Rescue Breaths:
Rescue breaths are given by holding the nostrils of the victim and placing the lips by resuscitator over those of the victim making a lip seal then blowing air into victim’s airways while looking at the victim’s chest at the same time whether it expands with air or not. Two rescue breaths should be given for every 30 chest compressions. If resuscitator does not want to give rescue breath due to fear of infection or if merely not feeling like it then one can continue with compressions only resuscitation. Compressions only resuscitation should also be carried out by those who are not trained in delivering basic life support and are receiving instructions via phone from professional health carer.
5. When to Discontinue:
Basic life support should be continued until qualified help arrives or the affected person starts regaining consciousness judged by certain signs such as coughing, opening eyes, moving around purposefully or breathing normally. It can also be discontinued if the person providing help becomes exhausted.