Cpr rs agung
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Cpr rs agung

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CPR

CPR

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    Cpr rs agung Cpr rs agung Presentation Transcript

    • Basic Life Support CPR
    • CPR Training Precautions Jangan berlatih pada manusia Bersihkan alat setelah training Alcohol Bleach wash
    • Jangan menggunakan manekin bila: Cold or sore throat Known positive hepatitis B or C Infected by HIV or AIDS You have an infection
    • CPR Kombinasi bantuan nafas dan chest compressions Mengembalikan fungsi heart (cardio) and lung (pulmonary) Saat tidak ada nafas dan denyut nadi Memberikan Pasokan O2 sementara sampai penanganan lanjutan (ACLS)
    • Kerja CPR Effective CPR provides 1/4 to 1/3 normal blood flow Rescue breaths contain 16% oxygen (21%)
    • Start CPR Secepatnya Better chance of survival Kerusakan otak dimulai dalam 4-6 minutes  Kerusakan otak  10 mnt tanpa CPR
    • Walaupun CPR dilakukan dengan baik tetapi tidak akan berhasil tnp ACLS ACLS (Advanced Cardiac Life Support) ACLS includes defibrillation, oxygen, drug therapy
    • Pengamanan diri dan situasi, lalu: RAP R - Responsiveness Tap shoulder and shout “Are you ok?”
    • RAP A - Aktifkan EMS ( if unresponsive)  Panggil bantuan  code blue
    • RAP P - Position on back Posisi badan dibuat terlentang Hati-hati cidera kepala dan spinal Support neck and spinal column
    • ABCD Airway Breathing Circulation - Bleeding Disability (keep this in mind from the beginning) If victim is unconscious but does display vital signs, place on left side
    • Checking Vital Signs A – Airway Open the airway Head tilt chin lift
    • B – Check For Breathing Look, listen and feel for breathing  No longer than 10 seconds seconds
    • Breathing  Bila tidak bernafas, berikan 2x bantuan nafas (1 detik atau lebih lama) dengan alat bagging  kalau tidak masuk, ulangi.. Kalau tetap tidak masuk, curiga obstruksi jalan nafas
    • Compressions Setelah memberikan Bantuan Nafas  POSISI TANGAN Place heel of one hand on center of chest between the nipples OR
    • Compressions Using both hands, give 30 chest compressions Count 1, 2, 3 … Depth of compressions: 1 .5 to 2 inches For children: ½ to 1/3 of chest depth and use 1 or 2 hands (keep one hand on forehead if possible)
    • CPR Setelah 30 chest compressions berikan: 2 slow breaths Continue until help arrives or victim recovers If the victim starts moving: check breathing
    • Kapan Stop CPR?  Pasien sadar  Trained help arrives  Terlalu lelah  Keadaaan tidak aman  Physician directed (do not resuscitate orders)  Henti jantung lebih dari 30 menit (controversial)
    • Efektifitas CPR Apakah dada mengembang dengan baik saat pemberian bantuan nafas? Penolong lain mencek denyut saat dilakukan kompresi dada
    • Kegagalan CPR terlambat kesalahan prosedur ( salah memasang mask,dll) Tidak diikuti oleh ACLS follow-up dan terlambat dilakukan defibrilasi Only 15% who receive CPR live to go home Improper techniques Terminal disease or unmanageable disease (massive heart attack)
    • Cidera yang berkaitan dgn CPR Fraktur iga Laserasi di dada atau Liver, lung, spleen
    • Komplikasi CPR Muntah Aspiration Place victim on left side Wipe vomit from mouth with fingers wrapped in a cloth Reposition and resume CPR
    • Distensi lambung Air in the stomach  Creates pressure against the lungs Prevention of Stomach Distension Don’t blow too hard Slow rescue breathing Re-tilt the head to make sure the airway is open Use mouth to nose method
    • Mouth to Mouth Barrier Devices Masks Shields
    • If You Are Afraid to Perform CPR Call EMS Open the airway Give chest compressions
    • CPR for Infants (Under 1 Year of Age) Same procedures (RAPAB) except: Seal nose and mouth or nose only Give shallow “puffs” 
    • CPR: Infants RAPAB Give CPR Press sternum 1/2 to 1/3 depth of the chest Use middle and ring finger 30 compressions to 2 If alone, resuscitate for 2 minutes then call 911
    • CPR 2010 Terbaru Terjadi beberapa perubahan agar CPR lebih efektif
    • HIGH QUALITY CPR "Untuk memberikan penekanan dada yang efektif, kompresi keras dan cepat. ... Kompres dada orang dewasa frekuensi 100 kompresi per menit dengan kedalaman kompresi minimal 2 inci / 5 cm. Dan recoil lengkap dada setelah kompresi masing- masing, untuk memungkinkan jantung untuk mengisi sepenuhnya sebelum kompresi berikutnya. ... Meminimalkan frekuensi dan durasi gangguan di kompresi
    • CPR 2010 CAB bukan ABC
    • Highlights  Initial assessment approach:  Assess responsiveness and breathing  Activate EMS  Assess pulse  Perform CPR  CAB – begin CPR cycles with compressions, followed by airway and breathing.
    • Rationale For Change  Sangat penting untuk tidak menunda kompresi jantung untuk pemberian nafas.  Kompresi dada awal dapat memberikan oksigen yg masih ada di dalam darah melalui proses sirkulasi.