Triple Safar in Medicine

The beginning of cardiopulmonary resuscitation in any conditions is a triple reception of Safar, which ensures the entry of air into the respiratory tract of the victim. This method has already saved many lives, and its value is invaluable.

Why is breathing so important?

Without oxygen, the life of a person is interrupted for several minutes. The greatest danger is oxygen starvation for brain cells. After 3-5 minutes of lack of breathing, it is possible to restore basic vital functions, but the brain during this time dies irretrievably, and with it everything that makes up the human person - memory, perception, speech, emotions and thinking.

That is why the triple reception of Safar should be mastered by every person, because from accidents and accidents no one is insured. The actions of one who is close at a critical moment can save or interrupt the life hanging by a thread. A person who is in a state of clinical death, to go to another world or return to this nature, took no more than 5 minutes.

History of resuscitation

Resuscitation as a science conducts its account since the 50s of last century. Up to this time, attempts to revitalize man were of an unsystematic nature, and only isolated cases ended in success. The success of earlier resuscitation can only be explained by a lucky coincidence, rather than by thought-out turn-based actions. All that was used before - chest compression, siphon over the tongue, sharp cooling and other methods, or brought success, or not. Since the second half of the last century, the triple reception of Safar became mandatory first for physicians, and then for every adult.

This method is named after the Austrian doctor Peter Safar, who is considered the "father" of reanimatology all over the world. The development of this vital science of saving lives was made possible by the success of anesthesiology. The pain relief, the resumption of breathing and palpitation became the basis on which all the world's medical achievements could rely. After decades, this method does not become less relevant. The ways of diagnosis and treatment change, but every revival in any country begins with this method.

How Safar is received

It is performed completely only in the case when there is no damage to the spine in the cervical region. Before you begin to perform a salutary reception, you need to remove from the mouth and nose visible foreign bodies and vomit.

The recognized method of initiating resuscitation or triple reception of Safar is performed as follows:

• The head of a person lying on a hard surface throws back.
• Hands open his mouth.
• The lower jaw is projected.

These sequential actions open the airways, cardiopulmonary resuscitation becomes possible. The triple reception of Safar on the airways involves not only opening the way for air, but also giving the necessary body to revitalize the body. If people who accidentally turn out to be the next people come to life, the doctors who arrived later do not change the position of the victim's body, but continue their work until the result.

Why the sequence of actions is such

In case of traumatic shock, acute pain of other origin, heart or lung infarction, as well as other urgent conditions, a person loses consciousness and falls. All his muscles relax. This also applies to the muscles of the pharynx. Relaxes the root of the tongue and is adjacent to the back wall of the larynx, which never happens in a healthy person. The sunken root of the tongue blocks the entrance to the trachea, and oxygen ceases to flow into the lungs. If the heart continues to beat, then only the reception of Safar opens the airways, and a person can recover spontaneously. When the head is rolled back, the tissues between the lower jaw and the larynx are stretched, and the root of the tongue is moved away from the back wall of the pharynx. The extension of the lower jaw increases the air passage even more. Even if cardiac activity has ceased, there is still an opportunity for further revitalization of the person.

The subtleties of the reception

There are several nuances that you need to know. First of all, Safar's reception is performed only in the lying position of the victim. Clothes should be unbuttoned, belts and fasteners loosen. It is necessary to weaken everything that is on the chest. If there are removable dentures, they are removed.

Lay the person you need on a hard surface, the easiest way to the floor or asphalt. In winter it is desirable to put a blanket, if it is and time allows, but it is not necessary. Then you need to kneel on the side of the victim, closer to the head. The palm of one hand is placed under the neck and raised as high as possible. Another hand is put on the forehead and pressed against the head. These two movements should lead to the fact that the victim's mouth will open wide. If the mouth is well opened, the reception is done correctly.

How to push the lower jaw

Considering that the triple reception of Safar is used for further resuscitation, the jaw must always be put forward. After the victim's mouth has opened, both open palms should be shifted to the forehead in such a way that the thumbs are on it. The palms cover the corners of the lower jaw. The jaw must be pushed forward until the lower teeth move to the same level as the upper teeth or even stand slightly in front of them. If the mouth is still not wide enough, the thumb and index finger fold crosswise and push the jaws apart. In this case, the index fingers press on the upper teeth, and the large ones on the lower teeth.

The jaw can be pushed out and otherwise - press the forehead with one hand, and in the mouth enter the thumb of the other hand and pull well. The thumb is best wrapped around the fabric to prevent it from being injured.

What to do if the head can not be thrown back

If you suspect a fracture of the cervical spine, the head can not be thrown back in any case. Any movement in the area of the fracture can worsen the condition. But since triple reception of Safar is necessary for carrying out resuscitation measures, it is possible to be limited only to the extension of the jaw. It is necessary to pay attention to the position of the language. If there is no way to fully open the mouth, then the tongue is simply held by the hand in the protruding position. You can use an S-tube or other resuscitation equipment.

Who can use Safar's method?

Any person who has taken short-term courses or instruction. Today, Safar's medicine is used in medicine directly in the intensive care units, during rescue operations and any catastrophes. The police, volunteers, public figures and other people far from medicine are engaged in studying this method. Every parent and every adult should know this technique. Especially it concerns drivers. Anyone who drives a vehicle at any time can witness an accident. If a person has lost consciousness and does not show signs of life, the countdown of his earthly time has gone by seconds. In order to extend his life, it is enough to perform a few simple steps.

What to do after the extension of the jaw

The triple reception of Safar includes only the release of the respiratory tract, and then you need to begin the actual resuscitation. First of all, you need to pinch your nose with your fingers and blow air into your lungs - at least with your mouth. At the same time the chest cell should expand. If, after the exhalation of the rescuer, the victim's thorax does not expand, it means that there is a foreign body in the air path. You need to once again carefully examine the oral cavity and remove anything that interferes - mucus, vomit or foreign objects. It is enough to wipe the mouth with any tissue. After that, the air usually begins to pass. After completing the exhalation, the rescuer unclenches his fingers on the nose so that the air passively leaves.

The triple reception of Safar is a matter of a few seconds, and then the rescuer should do 12 blows per minute, so natural breathing is replaced. At the same time, you need to do indirect heart massage, replacing his work. The uniqueness of manual resuscitation is that it is possible to replace breathing and palpitation for a very long time. Medicine knows cases when rescuers breathed for the victim for about an hour, and the person after that not only remained alive, but also completely retained a sound mind and all the other functions.

Which victims can be saved

At all, triple reception of Safar is intended for adults and for children. In adults with a jaw fracture, air is blown into the nose, and in children, because of the small size of the face, air is blown into the mouth and nose at the same time. The artificial mouth-to-mouth method is poetically called "the kiss of life", and it fully justifies its name.

Every adult should be trained on a dummy or simulator, so as not to get lost in a critical situation. Actions need to be worked out to automatism, then minor details do not distract from the main thing. A person who has been trained acts confidently and calmly, and this is one of the most important conditions for saving lives. The reception of Safar, the testimony to which is extensive, is mastered by firefighters, policemen and rescuers in the first place. This is an integral part of their functional duties.