Home » Blog » General » CPR Skills: How to Perform Rescue Breathing Correctly

CPR Skills: How to Perform Rescue Breathing Correctly

Last Updated on: October 15, 2024

Table of Contents:

  • Introduction
  • The Science Behind Rescue Breathing
  • What is the purpose of Rescue Breaths in CPR?
  • Step-by-step Guide to Performing Rescue Breathing
  • Rescue Breathing in Special Situations
  • Common Mistakes and How To Avoid Them
  • Wrapping Up

 

Introduction

Within the field of lifesaving methods, Cardiopulmonary Resuscitation (CPR) depends critically on rescue breathing. This key technique is delivering breath directly into a victim’s lungs, giving critical oxygen when their own breathing stops. Mastering rescue breathing may make the difference between life and death in crucial circumstances.

It was shown that less than 10% of children who have out-of-hospital cardiac arrest survive; however, administering CPR with rescue breathing may greatly increase survival odds. This startling number emphasizes the need not just to study CPR but also to hone the skill of rescue breaths for adults and children.

As we explore the nuances of this life-saving method, be ready to learn the right rescue breathing techniques. Be ready to learn the correct rescue breathing technique as we delve into the subtleties of this life-saving technique. 

 

The Science Behind Rescue Breathing

Rescue breathing is more than just passing air into someone’s lungs; it’s a scientifically grounded method that mimics the body’s natural breathing process. When we perform rescue breathing for adults,  we essentially take over their respiratory function.

Here’s how it works:

  • The function of our cells depends on oxygen.
  • Cells use oxygen to break down glucose, releasing energy in a process called cellular respiration.
  • As a waste product, cellular respiration produces carbon dioxide.
  • Normally, our lungs manage the exchange of these gasses.
  • When breathing stops, this crucial process ceases as well.

Rescue breathing steps in to restart this vital cycle. By breathing into the patient’s lungs, we provide fresh oxygen for the cells. This oxygen-rich air then diffuses into the bloodstream and reaches essential organs like the brain and heart.

Some people believe rescue breathing is ineffective because exhaled air contains less oxygen. While it’s true that exhaled air has only about 16% oxygen, plenty to sustain life. Another myth is that rescue breathing is always necessary for CPR. Sometimes, for brief intervals, chest compressions by themselves might be very successful.

 

What is the Purpose of Rescue Breaths in CPR?

Rescue breaths play a vital role in CPR, serving as a lifeline for those in cardiac arrest. They cooperate closely with chest compressions to maintain bodily functions. Let us explore the main goals of this method.

Oxygen Delivery

The main goal of rescue breaths for adults is to supply oxygen to the lungs. When someone’s heart stops, their body loses its ability to pump blood efficiently, preventing oxygen from reaching vital organs. Rescue breaths step in to bridge this gap by forcing oxygen-rich air into the lungs, where it is absorbed into the bloodstream. This oxygen then travels to essential organs like the brain and heart. Without this supply, cells quickly die, leading to permanent damage or death.

Carbon Dioxide Removal

Rescue breaths help expel carbon dioxide in addition to delivering oxygen. During respiratory failure, carbon dioxide builds up in the body, which can be dangerous as it disrupts the body’s pH balance and leads to various complications. Mouth-to-mouth breathing in CPR helps expel this waste gas, promoting better gas exchange in the lungs. Maintaining the body’s delicate chemical balance in an emergency depends on this procedure.

Improved Resuscitation Outcomes

While chest compressions are crucial, adding rescue breaths enhances the effectiveness of CPR. Studies demonstrate that the combined use of rescue breaths and chest compressions considerably increases survival rates. For certain groups, like young children or drowning victims, rescue breaths are very crucial.

Maintaining Airway Patency

Another crucial function of rescue breaths is maintaining open airways. The rescuer should tilt the head back and raise the chin while doing rescue breathing. This posture helps to clear the airway by preventing the tongue from obstructing it. Effective ventilation depends on open airways as they guarantee that the air provided during rescue breathing reaches the lungs, where it may offer the greatest advantage.

Read More: Adult CPR: How to Give CPR to an Adult

 

Step-by-Step Guide to Performing Rescue Breathing

Rescue breathing is an essential CPR technique that may save lives. Let’s guide you through the procedure, making sure you are ready for an emergency. 

Ensuring Safety and Assessing the Situation

Before starting mouth-to-mouth rescue breaths, check the surroundings to ensure safety. Look for any hazards that could endanger the victim or yourself. Once you’ve ensured the area is safe, check if the person is responsive. Tap their shoulder gently and then loudly ask, “Are you okay?” If the person is not regularly breathing and there is no response, it is time to step in.

Calling for Help

Immediately call for emergency help. If you are alone, make the call yourself. In a group, designate someone specific to make the call while you begin rescue breathing. Quick, professional intervention can greatly improve survival rates.

Preparing the Airway

Opening the airway will help you to execute successful breaths for CPR. Place the individual on their back on a hard surface. Place one hand on their forehead and gently tilt their head backwards while using your other hand to lift their chin slightly. This posture opens the airway, enhancing the effectiveness of your rescue breaths.

Checking for Breathing

Before starting rescue breathing, check if the person is breathing. Place your ear close to their nose and mouth, watching for chest movement, listening for breath sounds, and feeling for air on your cheek. Spend no more than 10 seconds on this check. If the person isn’t breathing normally, proceed with rescue breathing.

Delivering Rescue Breaths

Now it’s time for the actual mouth to mouth rescue breaths. the person’s nose shut with your thumb and index finger. Take a normal breath and then seal your mouth completely over theirs. Deliver two rescue breaths, each lasting about one second. Watch for the chest to rise with each breath, ensuring you are effectively delivering air.

Monitoring Chest Movement

After delivering two breaths, observe if the chest rises and falls. This indicates that your breaths are reaching the lungs. If the chest does not rise, recheck the head tilt and chin lift before trying again. Effective breathing is crucial for oxygenating the body.

Continuing CPR

If the person does not begin breathing on their own, continue performing CPR. The recommended CPR rescue breathing rate is two breaths after every 30 chest compressions, following the 30:2 ratio. Continue this procedure until the person starts breathing normally or help arrives.

Understanding Ventilation Rate

The ventilation rate of rescue breathing is important to maintain. When providing rescue breaths to an adult, aim to deliver breaths at a rate of 10 to 12 breaths per minute. This rhythm prevents overinflation of the lungs while ensuring adequate oxygenation.

Read More: How To Perform CPR On a Pregnant Woman

 

Rescue Breathing in Special Situations

Rescue breathing and CPR techniques sometimes need to be adapted for specific scenarios. Different situations may require minor modifications to the standard method. Let’s explore how to modify rescue breathing for drowning victims, choking individuals, and young children.

Drowning Victims

Rescue breathing for drowning victims can present particular challenges. First, ensure that the person is lying on their back on a solid, level surface. To open their airway, tilt their head back and lift their chin. Turning their head to the side can help drain water from the mouth. Start with two rescue breaths immediately, even before chest compressions, as drowning victims rely on rapid oxygen delivery. Continue with standard CPR, providing two breaths followed by thirty chest compressions. Don’t give up easily; drowning victims can sometimes respond successfully to CPR and rescue breathing.

Choking Victims

When dealing with a choking victim, the first step is to determine if the airway is still obstructed. Check inside the mouth for any visible obstruction. If you see something, gently try to remove it with your fingertips. If the airway appears clear, proceed with rescue breathing by giving two breaths and watching for the chest to rise. If the chest doesn’t rise, the airway may still be partially blocked. In this case, resume chest compressions, as they may help dislodge the obstruction. Recheck the mouth and attempt rescue breaths after each set of compressions.

Infants and Small Children

CPR and rescue breathing for infants and small children require a gentler approach. For infants (under one year), cover both their nose and mouth with your mouth when providing breaths. Use gentle puffs of air from your cheeks rather than full breaths from your lungs. For small children, pinch the nose and cover only the mouth with yours. Apply less force during chest compressions—use two fingers for infants and one hand for small children. For single rescuers, the compression-to-breath ratio is 30:2; however, it changes to 15:2 if two qualified rescuers are present. These modifications protect the child’s smaller, more fragile body and ensure effective CPR.

 

Common Mistakes and How to Avoid Them

Even small mistakes might have major effects when doing resuscitation mouth to mouth. It is always helpful to know what mistakes are made so that you do not make them and work more efficiently. It is time to discuss these mistakes and look at some tips regarding correct techniques of rescue breathing.

Overinflation

Overinflation, or giving too much air during rescue breathing, is a common mistake. This can create major issues like blowing air into the stomach, which results in vomiting or raising the pressure in the chest cavity, making it close to impossible for blood to be pumped back into the heart. To avoid this, use gentle breaths and watch for the chest to rise. You only need a slight chest rise; if the stomach protrudes, you’re using too much force. Remember, it’s not about how much air you give but how effectively you deliver it.

Ineffective Airway Management

Effective mouth-to-mouth resuscitation depends on proper airway management. Common mistakes include not tilting the head back enough or not lifting the chin properly, which can cause the tongue to partially block the airway. To prevent this, use the head-tilt, chin-lift technique. Place one hand on the forehead and tilt the head slightly backwards. Use two fingers of your other hand to lift the chin. This simple motion can significantly improve airway opening. Ensure the chest rises with each breath to confirm the airway is clear.

Ignoring Signs of Airway Obstruction

Sometimes, rescuers overlook signs of airway obstruction, such as when the tongue falls back or an object blocks the throat. Indicators include gurgling sounds, difficulty inhaling, or no chest rise with rescue breaths. If you notice these signs, recheck the head position. If that doesn’t work, look inside the mouth for any visible obstructions. If there is a partial blockage, encourage the person to cough. For a complete blockage, you may need to perform abdominal thrusts. By recognizing these signs, you can act quickly to clear the airway and continue effective rescue breathing.

 

Wrapping Up

Rescue breathing is a necessary skill that could make all the difference between life and death. From knowing appropriate airway management to adjusting for particular situations, mastery in rescue breathing calls for knowledge and experience. Don’t let this life saving skill fade – consider taking a certified CPR course or refreshing your existing knowledge. 

Now, if you are still wondering if rescue breaths are still used in CPR, then you have your answer. Exercise is important so that one is always prepared for an emergency. Your practice in developing your rescue breathing techniques helps teach a method and thus help save lives.

Recent Posts