CARDIO PULMONORY RESUSCITATION IN THE PREGNANT PATIENT SALSO COURSE
INTRODUCTION <ul><li>Cardiac arrest is fortunately a rare event in pregnancy.  </li></ul><ul><li>In the UK Report for Conf...
INTRODUCTION <ul><li>CAUSES OF COLLAPSE </li></ul><ul><ul><ul><li>THROMBOEMBOLISM </li></ul></ul></ul><ul><ul><ul><li>AMNI...
MANAGEMENT <ul><li>SAFE ENVIRONMENT </li></ul><ul><li>AROUSE PATINET </li></ul><ul><li>IF NO RESPONSE, CALL FOR HELP </li>...
AIRWAY <ul><li>OPEN AIRWAY </li></ul><ul><li>HEAD TILT, CHIN LIFT OR JAW THRUST </li></ul>
ASSESS BREATHING <ul><li>LOOK , LISTEN & FEEL FOR BREATHING </li></ul>
GIVE 2 RESCUE BREATHS <ul><li>RESCUE BREATHS OVER 1.5 – 2 SECONDS </li></ul><ul><li>WATCH FOR CHEST RISE </li></ul><ul><li...
RESCUE BREATHS <ul><li>IF CIRCULATION PRESENT BUT NO BREATHING CONTINUE RESCUE BREATHING AT A RATE OF TEN BREATHS PER MINU...
CIRCULATION <ul><li>IF NO CIRCULATION, START CHEST COMPRESSION AFTER 2 INITIAL BREATHS  </li></ul><ul><li>TILT PATIENT TO ...
BASIC LIFE SUPPORT FLOW CHART SAFE ENVIRONMENT ARE YOU ALL RIGHT? IF PATIENT RESPONDS IF NO RESPONDS… CALL FOR HELP OPEN A...
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CPR in Pregnant Patients

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SALSO Series - CPR in Pregnant Patients

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CPR in Pregnant Patients

  1. 1. CARDIO PULMONORY RESUSCITATION IN THE PREGNANT PATIENT SALSO COURSE
  2. 2. INTRODUCTION <ul><li>Cardiac arrest is fortunately a rare event in pregnancy. </li></ul><ul><li>In the UK Report for Confidential Enquiry into Maternal Deaths (CEMD) for the last triennium (1997-99) the most common direct cause of maternal death was thromboembolism, which results in cardiac arrest. </li></ul>
  3. 3. INTRODUCTION <ul><li>CAUSES OF COLLAPSE </li></ul><ul><ul><ul><li>THROMBOEMBOLISM </li></ul></ul></ul><ul><ul><ul><li>AMNIOTIC FLUID EMBOLISM </li></ul></ul></ul><ul><ul><ul><li>ANAPHYLAXIS SHOCK </li></ul></ul></ul><ul><ul><ul><li>HYPOVOLEMIC SHOCK </li></ul></ul></ul><ul><ul><ul><li>HEART FAILURE </li></ul></ul></ul>
  4. 4. MANAGEMENT <ul><li>SAFE ENVIRONMENT </li></ul><ul><li>AROUSE PATINET </li></ul><ul><li>IF NO RESPONSE, CALL FOR HELP </li></ul>
  5. 5. AIRWAY <ul><li>OPEN AIRWAY </li></ul><ul><li>HEAD TILT, CHIN LIFT OR JAW THRUST </li></ul>
  6. 6. ASSESS BREATHING <ul><li>LOOK , LISTEN & FEEL FOR BREATHING </li></ul>
  7. 7. GIVE 2 RESCUE BREATHS <ul><li>RESCUE BREATHS OVER 1.5 – 2 SECONDS </li></ul><ul><li>WATCH FOR CHEST RISE </li></ul><ul><li>USE ADEQUATE SIZE AMBUBAG </li></ul>
  8. 8. RESCUE BREATHS <ul><li>IF CIRCULATION PRESENT BUT NO BREATHING CONTINUE RESCUE BREATHING AT A RATE OF TEN BREATHS PER MINUTE </li></ul><ul><li>IF BREATHING BUT UNCONCIOUS, TURN TO LEFT LATERAL AND GIVE OXYGEN </li></ul>
  9. 9. CIRCULATION <ul><li>IF NO CIRCULATION, START CHEST COMPRESSION AFTER 2 INITIAL BREATHS </li></ul><ul><li>TILT PATIENT TO LEFT WITH WEDGE PILLOW </li></ul><ul><li>COMBINE RESCUE BREATHING WITH A RATIO OF 2 BREATHS TO 15 COMPRESSION </li></ul><ul><li>CONTINUE TILL ADVANCED LIFE SUPPORT ARRIVES </li></ul>
  10. 10. BASIC LIFE SUPPORT FLOW CHART SAFE ENVIRONMENT ARE YOU ALL RIGHT? IF PATIENT RESPONDS IF NO RESPONDS… CALL FOR HELP OPEN AIRWAY IF BREATHING… IF NOT BREATHING… GIVE 2 RESCUE BREATHS ASSESS CIRCULATION IF CIRCULATION PRESENT, NO BREATHING IF NO CIRCULATION CONTINUE UNTIL ALS LEFT LATERAL POSITION LEFT LATERAL POSITION SEND FOR HELP ASSESS BREATHING,PR,BP & FHR REGULARLY REASSESS HEAD TILT, CHIN LIFT & ASSESS BREATHING-10 S LOOK – CHEST MOVEMENT LISTEN-BREATH SOUNDS FEEL – AIR MOVEMENT MAKE NO MORE THAN 5 ATTEMPTS TO ACHIEVE 2 BREATHS; IF UNSUCESSFUL MOVE ON TO LOOK FOR SIGNS OF CIRCULATION CONTINUE RESCUE BREATHING AT 10 BREATHS PER MINUTE RECHECK CIRCULATION EVERY 10 BREATHS IF ALONE CALL FOR HELP BEFORE ATTENDING PT LATERAL POSITION ENSURE HELP ON THE WAY ASSURE BREATHING,PR,BP AND FHR REASSESS REGULARLY ENSURE HELP ON THE WAY TURN PT ON TO BACK OPEN AIRWAY REMOVE OBSTRUCTION FROM PATIENT’S MOUTH CHECK CAROTID PULSE LOOK FOR MOVEMENT INCLUDING SWALLOWING & BREATHING START CHEST COMPRESSIONS AFTER 2 INITIAL BREATHS PERFORM 15 CHEST COMPRESSION CONTINUE CYCLE 2: 15 CALL OBSTETRICIAN & ANAES.

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