CPR( Cardiopulmonary Resuscitation


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about basic skills in CPR ( cardiopulmonary resuscitation

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CPR( Cardiopulmonary Resuscitation

  1. 1. Adult Basic Life Support (BLS ) ofCardiopulmonary Resuscitation (CPR) Clinicalstudio.blogspot.com
  2. 2. Our job includes:(1.) Look for safety(2.) Check for response(3.) Call for help(4.) Airway(5.)Breathing(6.) Check Carotid Pulse(7.) Chest Compression(8.) Defibrillation(9.) Medication
  3. 3. (1.)Look for Safety-Before approaching the victim, the rescuer must ensure that the scene is safe- See your surroundings carefully .Make sure that you are not going to be responsible incase the patient dies.
  4. 4. (2.) Check for Response Tap the victim on the shoulder. And ask him 2 questions: “Are you all right?” “Can you hear me?”
  5. 5. (3.) Call for help
  6. 6. -Dial Phone number 911,120-Inform your location-Tell What has happened-Tell to bring defibrillator and medicines
  7. 7. (4.)AirwayHead tilt-chin lift*Place one hand on the victim’s forehead and push with your palm to tilt the head back*Place the fingers of the other hand under the bony part of the lower jaw near the chin*Lift the jaw to bring the chin forwardJaw thrust
  8. 8. Head tilt-chin lift
  9. 9. (5.)Breathing-Look-Listen-Feel -Total time : 5-10 seconds
  10. 10. Give Rescue BreathsGive 2 rescue breaths Each over 1 second Produce visible chest riseMouth-to-mouth/nose/barrier deviceBag-mask ventilationAdvanced airway
  11. 11. Mouth to mask
  12. 12. Ventilation with bag and mask
  13. 13. Cricoid pressure
  14. 14. (6.) Check Carotid Pulse-Check for 5 to 10 seconds
  15. 15. Checking carotid pulse
  16. 16. (7.) Chest CompressionThe low half of the victim’s sternumDepress the sternum 1/2 to 2 inches ( 4to 5 cm )Allow the chest to return to its normal positionCompression and chest recoil/relaxation times should be approximately equalTo limit interruptions to no longer than 10 seconds
  17. 17. Compression-Ventilation Ratio -If the patient is adult the ratio shoul be 30:2 .It means that you have to give the victim 2 complete breathings and 30 chest compressions. -If the victim is Children and infants, the ration should be: 15:2
  18. 18. Chest Compression
  19. 19. -Your hand-You shouldcompress should be the lower middle perpendicularOf the victim’s to the chestchest wall of thewall victim
  20. 20. -Every 30compressionsshould be followedby 2 completebreathings .-You should checkif there is carotidpulse after 2-3cycles.- You should keepon repeating thecycle until carotidpulse is seen.
  21. 21. Recovery PositionUnresponsive adult victims who have normal breathing and effective circulationMaintain a patent airwayReduce the risk of airway obstruction and aspiration
  22. 22. Recovery Position
  23. 23. (8.)Automated External Defibrillator ( AED )Sophisticated, reliable computerized devicesUse voice and visual prompts to guide lay rescuers and healthcare provider to safely defibrillate VF SCAAEDs are of no value for arrest not caused by VF/pulseless VT, and they are not effective for treatment of nonshockable rhythms
  24. 24. Relationship between survival and interruption of shock in victims VF SCA
  25. 25. Use of AEDPower on the AED and follow voice promptAttach the adhesive pads to the bare skin of the victim’s chestAllow the AED to analyze the victim’s rhythmDeliver a “shock” if neededIf no shock is needed and after any shock delivery, resume CPR beginning with chest compression
  26. 26. Roadmap: -Defibrillate with 200 joules -Defibrillate with 200-300 joules -Establish IV access, intubate -Adrenaline 1 mg push -Defibrillate with 360 joules-Lidocaine 1 mg/kg IV, ET -Defibrillate with 360 joules
  27. 27. (9.)Drugs used in CPR:Atropine – can be injected bolus, max 3 mg toblock vagal tone, which plays significant role insome cases of cardiac arrestAdrenaline – large doses have been withdrawnfrom the algorithm. The recommended dose is 1mg in each 3-5 min.Vasopresine – in some cases 40 U can replaceadrenalineAmiodarone - should be included in algorithmLidocaine – should be used only in ventricularfibrillation
  28. 28. io