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“On average 30 people a day go into cardiac arrest”: this is how you approach CPR | MyGuide

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Festivals, open air swimming pools and lively bars. This summer we will all be outside again en masse. Unfortunately, that also means that we sometimes see someone who becomes unwell more quickly. But what exactly should you do if someone goes into cardiac arrest? And are ventilators still recommended, even after the pandemic? We asked Marlie van Gils, trainer at Red Cross Flanders. “An AED device will never give a shock if it is not necessary.”

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An average of 30 Belgians per day suffer a cardiac arrest. “Every year, about 10,000 people are involved, not counting patients in hospitals,” says Walter Renier of the Belgian Resuscitation Council. “The chance of survival also decreases by 10 percent every minute. After 6 minutes, the chance of survival is therefore only 40 percent. There is therefore not much time for the emergency services, which are on average 8 minutes on the road.”

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“It is therefore extremely important for citizens to always intervene,” says Marlie van Gils, corporate training trainer at the Belgian Red Cross Flanders. “Even though your technique may not be quite right, it’s better to do something. Otherwise, the person will die anyway. By the way, a handy tip is to the app 112BE to install. It can determine your exact location. This way, the emergency services certainly don’t lose any time.”

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STEP 1: ensure safety

Your own safety always comes first. “Check, for example, whether there are any obstacles in the way that could injure you. One victim is enough, you don’t want anything to happen to yourself.”

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STEP 2: Assess the victim’s condition

Check consciousness first. You do this by gently shaking both shoulders and asking loudly how you are doing. Also make sure to clear the airway: to do this, tilt the head back and lift the chin. Then check your breathing. “You do that by looking, listening and feeling. Does the chest rise and fall, for example? And do you feel a flow of air in the mouth or nose?”

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If you notice irregular breathing, it could be agonal breathing. This is an impulse response of the body during a cardiac arrest. The victim is barely breathing, irregularly or gasping for breath. He makes breathing movements, while no airflow can be felt at the nose and mouth. “A sign that you should start CPR as soon as possible.”

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STEP 3: consult specialist help

If the victim remains unconscious and not breathing, get the help of two other people. “One calls the emergency services, the other looks for an AED device if it is nearby. Are you alone? Then put your mobile phone on loudspeaker function and start CPR.”

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STEP 4: provide further first aid

During CPR, you alternate 30 chest compressions with 2 rescue breaths. “Immediately chest compression take over the pumping function of the heart. To do this properly, sit on both knees at chest level. Place the heel of one hand on the center of the chest. Place your other hand on top of the first and interlock the fingers. Push in the chest at least 5 cm, but no more than 6 cm. Allow the chest to spring up again and again after each compression.” This is allowed at a brisk pace of 100 to 120 times per minute or twice per second.

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Read more below the photo.

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During CPR, place the heel of one hand on the center of the chest. © Getty Images/EyeEm


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“A ventilator is only recommended due to the pandemic when it comes to someone in your contact bubble. We do not recommend it to complete strangers for the time being.” On a rescue breath, tilt your head back again and lift your chin up. Then pinch the nostrils shut and place your mouth over the victim’s mouth. Blow out deeply once. Look closely to see if the chest rises. Breathe again.

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Repeat chest compressions and possible rescue breaths until the victim wakes with certainty (eyes open and breathing normal), the emergency services have arrived, or until you are exhausted. “Again, your own safety must not be compromised.”

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AND use an AED device (if possible)

You do not need any knowledge to use an AED device. “The device itself gives instructions. It will itself tell you to cut open the victim’s clothing and where to place the electrodes. You can’t do anything wrong with the device. The AED device will never deliver a shock when it is not necessary. Another reason to use the device: if a victim receives an electric shock with an AED within three to four minutes, he or she has a 60 to 70% chance of survival.”

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