This document provides an overview of cardio pulmonary resuscitation (CPR) presented by Mr. Sudhir Khuntia. It defines CPR as a basic life support technique used to oxygenate the brain and heart until medical treatment can restore normal function. The goals of CPR are to promote circulation through chest compressions and maintain an open airway through breathing efforts. Proper CPR involves assessing for responsiveness, calling emergency services, performing chest compressions at a rate of 100 per minute combined with rescue breathing at a ratio of 30 compressions to 2 breaths.

1. PRESENTATION ON:
CARDIO PULMONARY
RESUSCITATION
PRESENTED BY:
MR. SUDHIR KHUNTIA

3. INTRODUCTION
CARDIO PULMONARY RESUSCITATION
Cardio pulmonary resuscitation is a technique of basic life
support for the purpose of oxygenating the brain and heart
until appropriate, definitive medical treatment can restore
normal heart and ventilator action.

5. GOALS

6. GOALS
Basic life support promotes adequate blood circulation
in addition to breathing through a clean airway:
1.COMPRESSION: Providing an adequate blood
supply to tissue, especially critical organs, so as to
deliver oxygen to all cells and remove metabolic
waste, via the perfusion of blood throughout the
body.

7. CONTI……….
2.AIRWAY: The protection and maintenance of a clear
passageway for gases to pass between the lungs and the
atmosphere.
3.BREATHING: Inflation and deflation of the lungs via the
airway
• These goals are confined in mnemonics such as ABC and
CAB. The American heart association (AHA) endores CAB
in order to emphasize the primary importance of chest
compression in cardiopulmonary resuscitation. AHA did so
on 2010.

8. FUNCTIONS
The three major functions of CPR are:
1. Circulation
2. Airway
3. Breathing
4. Keep oxygenated blood flowing to the brain and other vital
organs

9. TEAM INCLUDES
It includes:
•Cardiologist
•Anesthetists
•Medical officer
•Medical assistants
•Staff nurses
•Ventilator technician
•Para medical

10. DEFIBRILLATION

11. Ventricular tachycardia (V-tach or VT) is a type
of tachycardia, or a rapid heart beat that arises from
improper electrical activity of the heart presenting as
a rapid heart rhythm, that starts in the bottom
chambers of the heart, called the ventricles.
The ventricles are the main pumping chambers of the
heart.

12. INDICATIONS OF CPR
CPR is indicated for any
person unresponsive with no
breathing or breathing only
in occasional agonal gasps,
as it is most likely that they
are in cardiac arrest.
If a person still has a
pulse but is not breathing
artificial respiration may
be more appropriate.

13. I
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I N D I C T I O N S

14. INDICATIONS
1. CARDIAC
ARREST
2. CHOKING
3. DROWSINESS
4.
HYPOTHERMIA
5.
HYPERTENSION

17. PROCEDURE
1. Determine unresponsiveness: tap or gently shake patient
while shouting, “Are you okay”?
2. Activate emergency medical service
3. Place the patient supine or firm, flat surface. Kneel at the
level of the patient’s shoulders.
4. Open the airway:

18.  Head-tilt/chin-lift maneuver: place one hand on the
patient’s forehead and apply firm backward pressure
with the palm to tilt the head back. Then place, the
fingers of the other hand under the bony part of the
lower jaw near the chin and lift up to bring the jaw
forward and the teeth almost to occlusion.
 Jaw- thrust maneuver: grasp the angles of the
Patient’s lower jaw and lifting with both hands, one on
each side, displace the mandible forward, while tilting
the head backward.

20. BREATHING
 Place ear over patient’s mouth and nose while
observing the chest, look for chest to rise and fall,
listen for air escaping during exhalation, and feel for
the flow of air.
 Perform rescue breathing by mouth-to-mouth, using
a ventilation barrier device.

21. CIRCULATION
 While maintaining head-tilt with one hand on the patient’s
forehead , palpate the carotid or femoral pulse for no more
than 10seconds. If pulse is not palpable, start external chest
compression.
 Kneel as close to side of patient’s chest as possible. Place
the heel of one hand on the lower half of the sternum, 1
and half inches (3.8cm) from the tip of the xiphoid.
While keeping your arms straight, elbows locked, and
shoulders positioned directly over your hands, quickly and
forcefully depress the lower half of the patient’s sternum
straight down one-third the depth of the chest or, 1 and half to
two inches (3.8-5cm).

22. CONTI…..
 For CPR performed by one rescuer, do 30compression at
rate of 100per minute and then perform two ventilations,
reevaluate the patient.
 For CPR performed by two rescuers, the compression rate is
100per minute. The compression-ventilation ratio is 30:2. The
rescuer delivering ventilation provides 8 to 10 breaths per
minute
Utilize the automated external defibrillator (AED) as
soon As possible.

23. ASSESSMENT
1. Immediate loss of consciousness.
2. Absence of breath sounds or air movement through nose or
mouth.
3. Absence of palpable carotid or femoral pulse, pulselessness
in large arteries.
MANAGEMENT
Management of foreign-body airway obstruction or
corticothyroidotomy may be necessary to open the airway
before CPR can be performed.

24. COMPLICATUONS

25. COMPLICATIONS
POST RESUSCITATION
DISTRESS SYNDROME
RIBS OR STERNUM
FRACTURE
BRAIN DAMAGE