Sudden death occur when heartbeat &
breathing stop suddenly or unexpectedly.
the major role of CPR is to provide oxygen to
heart ,brain,& the other vital organ until
medical treatment (advance cardiac life
support-ACLS) can restore normal heart
Angela Morrow RN
(CPR) is a procedure used when a patient's heart stops
beating and breathing stops. It can involve
compressions of the chest or electrical shocks along
with rescue breathing.
Mosby medical dictionary
CPR is a basic emergency
procedure for life support consisting of artificial and
manual external cardiac massage
i. Ambu bag and masks with different size.
ii. Oropharyngeal airways.
iii. Endotracheal tubes of appropriate
sizes and stillet.
iv. Paediatric laryngoscope
with straight (Miller) and
blade – Appropriate sizes.
v. Suction apparatus.
vi. NG tube.
i. IV equipments & fluids
iii. Oxygen sources
iv. Automated external defibrillator
v. Emergency drugs
vi. Cardiac monitor
STEPS FOR CPR:-
Airway:-Maintaining an open airway.
Breathing:-Providing artificial ventilation by rescue
Circulation:-Promoting artificial circulation by
external cardiac compression.
Defibrillation:-Restoring the heart beat.
Shake shoulders gently
Ask “Are you all right?”
If he responds
• Leave as you find him.
• Find out what is wrong.
• Reassess regularly.
• Place the heel of one hand in
the centre of the chest
• Place other hand on top
• Interlock fingers
• Compress the chest
– Rate 100 min-1
– Depth 3-5 cm(1.5 to 2 inches)
– Equal compression : relaxation
• When possible change CPR
operator every 2 min
Device that delivers direct electrical current
across the myocardium. The aim is to produce
synchronous depolarization of cardiac muscle
Test defibrillate for
full battery charge
switch on power button
change paddle mode
Paddle site: Rt intraclavicular region
lt lower axillary region
Paddle size: 8cm -12 cm
wave form patterns :
biphasic truncated exponential
select paddle mode
press paddles firmly over the chest
deliver the shock
Intensive care:-(shifting in ICU)
transfer to ICU
monitor closely and continuously
monitor vital signs every hour
watch for convulsions
intubate if necessary
catheterize the patient and monitor output
record the procedure
POST CARDIAC ARREST MANAGEMENT:-
To ensure hemodynamic monitoring
To minimize the effect of loss of spontaneous
circulation of various organs
To recognize and treat recurrent cardiac arrests
Optimize cardio pulmonary function& systemic
Transport victim out of hospital
Identify and treat thre precipating factor
Intitute measure to prevent recurrence and improve
Intubate & mechanically ventilate until they are stable
Administer supplemental oxygen
Obtain chest x ray
Cardio vascular system:
Obtain expert consultation
Monitor ecg , x-ray, lab analysis,
Monitor intra arterial blood pressure
COMPLICATIONS OF CPR:-:-
Laceration related to the tip of the
Liver, lung, spleen