If the chest does not rise on the first and second breaths, there could be several reasons for this:
1. The person may be breathing shallowly on their own, which means they are not taking deep breaths that would cause their chest to rise visibly. In this case, it might be challenging to assess their breathing by just observing the chest movement.
2. It may be too difficult to see the chest rise through their clothing. Sometimes, bulky clothing or layers can obstruct the view of the chest rising, making it hard to determine if the breaths are being effective.
3. The person might have stiff lungs that don't expand properly. This can happen due to various conditions such as respiratory diseases or injuries that restrict the lungs' ability to expand fully, leading to a lack of visible chest rise.
4. An object might be blocking the airway, preventing the air from reaching the lungs and causing the chest not to rise despite attempts to provide breaths. In such cases, clearing the airway obstruction is crucial for effective resuscitation.
These are some possible reasons why the chest may not rise even after giving multiple breaths, and each situation may require specific actions to address the underlying cause.
