When the thoracic cavity is opened and the heart is compressed
manually with your hands. Also known as internal massage.
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lower 1/3 of sternum
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between 40 and 60 percent effective -
but the complications are horrendous.
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It depends on the type of cardiac condition of the client. The
best course of action is to be cautious and well informed. It would
also be a good idea to get clearance from their physician.