Wed, 26 Feb 2020 14:04:28 +0000

生存训练：成人心肺复苏 -Adult CPR
字幕：Yeah. Now in this segment, we're gonna cover adult cpr. Now this is about an 18 year old male witnesses say that he was playing basketball when suddenly he started to lose his balance. He crushed his chest and collapsed to the floor and was not responsive. We find him on the floor the same way they described it. Now before we get into actually doing the cpr skills, we still want to make sure that the scene is safe. He did not step on electric cord. There were no gases in the area that made him collapse.
是的现在，在这一部分中，我们将介绍成人心肺复苏术。现在大约有一个18岁的男性目击者说他突然间失去平衡时正在打篮球。他压扁了胸膛，摔倒在地，反应迟钝。我们在地板上找到他的方式与他们描述时一样。现在，在我们开始练习cpr技能之前，我们仍然要确保场景安全。他没有踩电线。该地区没有气体使他崩溃。

Once we can be sure that the scene is safe. We make sure our gloves are on our cpr shield with a 1 way valve is available. And now we can begin with our taps and shouts. So we tap and shout on the collar bone. Sir, alright, are you he does not respond to our taps and shelves and he's not apparently breathing normally at all. So we're gonna go ahead and activate EMS. You in the plaid shirt, go call 911 and come back. If you see an AD please bring it back with you.

一旦我们可以确定场景是安全的。我们确保我们的手套在我们的cpr防护罩上，并带有1通阀。现在我们可以从水龙头开始。因此，我们点击并在颈骨上大喊。先生，好吧，你是不是他对我们的水龙头和架子没有反应，他显然根本没有正常呼吸因此，我们将继续激活EMS。您身穿格子衬衫，请拨打911，然后再回来。如果您看到广告，请随身携带。

If there's nobody to go, call 911 for you, and you have a cell phone, dial 91, one, hit the speakerphone button and leave it on so that the dispatcher can Coach you through the cpr along the way. But now, because we know he's unresponsive, not breathing, normally I'm gonna go straight into my cpr compression. A few pieces to note here. When we talk about the chest compression, the landmark we're looking for to do chest compression is the first palm between the center of the chest between the nipple line and the lower 3rd of the sternum.
如果没有人去，请给您拨打911，然后您有一部手机，拨打91，一个，按免提电话按钮，然后将其保持打开状态，以便调度员可以在整个过程中指导您完成cpr。但是现在，因为我们知道他的反应迟钝，没有呼吸，所以通常我会直接进行cpr压缩。这里需要注意几件事。当我们谈论胸部按压时，我们要进行胸部按压的标志是乳头线与胸骨下部3之间的胸部中心之间的第一手掌。

We wanna be sure to interlock our Top hand over the first hand, keeping our elbows locked and leaning over the patient. We want to use our upper body weight to help us do that consistent chest compression for a longer period of time than if we're trying to use our upper body strength. The second piece of that, when we do our full two to 2.4 inch deep compression, we wanna make sure that we come all the way back up and allow the chest to fully recoil. Before we give our second, 3rd and consecutive chest compression, the rate by which we're going to do these chest compression zizz between a hundred and 120 times per minute.
我们要确保第一只手的上手联锁，保持肘部锁定并倚靠患者。与尝试使用上身力量相比，我们希望使用上身重量来帮助我们进行持续的胸部按压。第二部分，当我们进行两到2.4英寸的深度压缩时，我们要确保我们一直向上恢复并让胸部完全后坐。在我们进行第二次，第三次和连续的胸部按压之前，我们进行这些胸部按压的速度为每分钟100至120次。

That means we're gonna be delivering at least two chest compression every second. And this is what it looks like, one and two, and three, and four, and five, and six and seven, and eight, nine, 10, 11, 12, 13, 14, 15, 16, 17, 18, 1921, 22, 23, 24, 25, 26, 27, 28, 2093. Now I'm gonna do a head tilt, chin lift. I'm gonna cover his nose and mouth with my mask, pinching his nose, opening his mouth.
这意味着我们将每秒至少提供两次胸部按压。这就是它的样子，一，二，三，四，五，六，七，八，九，10、11、12、13、14、15、16、17、18、1921 ，22、23、24、25、26、27、28、2093。现在，我要倾斜头部，抬起下巴。我要用口罩遮住他的鼻子和嘴，捏他的鼻子，张开他的嘴。

Now I deliver two rescue breaths. Now I know the two breaths went in because I saw a good chest rise and fall. Now I'm going straight back into my 32 inch to 2.4 inch deep compression at a rate of 100 to 120 times two and three and four and five, six and seven and eight intent on and so on, up to 30 followed by two more rescue rests, and we're gonna continue this 30. Compression is to two rescue breaths until EMS arrives, until an a e d arrives on scene, or until the patient starts to respond and breathe normally.
现在，我进行两次急救。现在我知道两次呼吸都进入了，因为我看到了良好的胸部起伏。现在，我将以200到120倍的速度直接回到32英寸至2.4英寸的深度压缩中，两个，三个，四个，五个，六个，七个和八个意图等等，以此类推，最多30个，然后再增加两个急救休息，我们将继续进行30次。压缩过程是两次急救呼吸，直到EMS到达，直至aed到达现场，或直到患者开始响应并正常呼吸为止。