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IN PARTNERSHIP WITHLiverpool School of Tropical MedicineLiverpool Associates in Tropical HealthAirway, Breathing andAirway...
AimsAimsTo understand the ABC and D approachTo understand the ABC and D approachTo develop and practise the skills ofTo ...
Airway, Breathing and CirculationAirway, Breathing and Circulation Assessment of any sick patient begins with ABCAssessme...
Airway and BreathingAirway and Breathing‘‘Hello how are you MrsHello how are you MrsTilt?’Tilt?’If no response:If no respo...
Airway and BreathingAirway and Breathing LookLook for breathing byfor breathing bylooking for movementlooking for movemen...
Airway and BreathingAirway and BreathingIf not breathing orIf not breathing ordifficult breathing:difficult breathing: Op...
Airway and BreathingAirway and Breathing Open airway byOpen airway byjaw thrustjaw thrust
Airway and BreathingAirway and Breathing Gentle suctionGentle suction if necessary under direct visionif necessary under ...
Airway and BreathingAirway and Breathing If still not breathing:If still not breathing: place oropharyngeal airwayplace ...
Airway and BreathingAirway and BreathingIf still not breathing:If still not breathing: give rescue breathsgive rescue bre...
Airway and BreathingAirway and BreathingIf breathing:If breathing: givegive oxygenoxygen(if available)(if available) Sit...
CirculationCirculationHow do we assess circulation?How do we assess circulation?
CirculationCirculation Colour-Colour-?pale ?greyish?pale ?greyish Skin-Skin-?cold, ?hot ?sweaty?cold, ?hot ?sweaty Ment...
CirculationCirculation Pregnant uterus compresses vena cavaPregnant uterus compresses vena cavacausing BP to dropcausing ...
CirculationCirculation Place iv lines, take bloods, start iv fluidsPlace iv lines, take bloods, start iv fluids Why is t...
Cardiopulmonary resuscitationCardiopulmonary resuscitation(CPR)(CPR) This is the approach to an apparentlyThis is the app...
 Ensure you are not putting yourself atEnsure you are not putting yourself atrisk!risk! Is it safe to approach?Is it saf...
Shake and shoutShake and shout Hello how are you?Hello how are you? If no response, callIf no response, callor send for ...
Open the AirwayOpen the Airway Turn onto back andTurn onto back andopen airwayopen airway Head tilt or chin lift orHead ...
No breathing, No pulseNo breathing, No pulse Start chestStart chestcompressionscompressions
Chest compressionsChest compressions place heel of firstplace heel of firsthand on lower part ofhand on lower part ofster...
Chest compressionsChest compressions Keep arms straightKeep arms straightand depress sternumand depress sternum4-5 cm at ...
Give 30 compressions:2 breathsGive 30 compressions:2 breaths Give 2 slow breathsGive 2 slow breathseach lasting about 1ea...
If breathingIf breathingTurn into recovery positionTurn into recovery positionCheck pulse, BP and FHCheck pulse, BP and ...
Think of Reversible CausesThink of Reversible Causes• 4 H’s, 4 T’s4 H’s, 4 T’sHypovoleamiaHypovoleamiaHypothermiaHypotherm...
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AAirway beforeirway before BBreathing beforereathing before CCirculationirculationOpenOpen AAirway and maintain, give ox...
IN PARTNERSHIP WITHLiverpool School of Tropical MedicineLiverpool Associates in Tropical HealthRECAP-2RECAP-2The approach ...
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6. abc and maternal resusctation rev_19.5.10

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Transcript of "6. abc and maternal resusctation rev_19.5.10"

  1. 1. IN PARTNERSHIP WITHLiverpool School of Tropical MedicineLiverpool Associates in Tropical HealthAirway, Breathing andAirway, Breathing andCirculationCirculation
  2. 2. AimsAimsTo understand the ABC and D approachTo understand the ABC and D approachTo develop and practise the skills ofTo develop and practise the skills ofcardiopulmonary resuscitation using the ABCcardiopulmonary resuscitation using the ABCapproachapproachTo achieve competence in those skillsTo achieve competence in those skills
  3. 3. Airway, Breathing and CirculationAirway, Breathing and Circulation Assessment of any sick patient begins with ABCAssessment of any sick patient begins with ABC Done in this order because airway and/orDone in this order because airway and/orbreathing problem will kill before a circulationbreathing problem will kill before a circulationproblemproblem You assess airway and breathing,You assess airway and breathing, and treatand treat,,and then assess circulationand then assess circulation and treatand treat
  4. 4. Airway and BreathingAirway and Breathing‘‘Hello how are you MrsHello how are you MrsTilt?’Tilt?’If no response:If no response: Assess if patient isAssess if patient isbreathing or notbreathing or not
  5. 5. Airway and BreathingAirway and Breathing LookLook for breathing byfor breathing bylooking for movementlooking for movementof the chestof the chest ListenListen for breathingfor breathingor noisy breathingor noisy breathing FeelFeel for breathingfor breathing
  6. 6. Airway and BreathingAirway and BreathingIf not breathing orIf not breathing ordifficult breathing:difficult breathing: Open airway byOpen airway byhead tilthead tilt andand chinchinliftlift
  7. 7. Airway and BreathingAirway and Breathing Open airway byOpen airway byjaw thrustjaw thrust
  8. 8. Airway and BreathingAirway and Breathing Gentle suctionGentle suction if necessary under direct visionif necessary under direct vision
  9. 9. Airway and BreathingAirway and Breathing If still not breathing:If still not breathing: place oropharyngeal airwayplace oropharyngeal airway
  10. 10. Airway and BreathingAirway and BreathingIf still not breathing:If still not breathing: give rescue breathsgive rescue breaths
  11. 11. Airway and BreathingAirway and BreathingIf breathing:If breathing: givegive oxygenoxygen(if available)(if available) Sit patient upSit patient up (if alert)(if alert)or place inor place in recoveryrecoverypositionposition
  12. 12. CirculationCirculationHow do we assess circulation?How do we assess circulation?
  13. 13. CirculationCirculation Colour-Colour-?pale ?greyish?pale ?greyish Skin-Skin-?cold, ?hot ?sweaty?cold, ?hot ?sweaty Mental State-Mental State- ? confused ?aggressive ?not alert? confused ?aggressive ?not alert Urine output-Urine output-?reduced?reduced Heart rateHeart rate- ? High ? low- ? High ? low Blood pressureBlood pressure-low-low Fetal heart RateFetal heart Rate - ? High ? low- ? High ? low
  14. 14. CirculationCirculation Pregnant uterus compresses vena cavaPregnant uterus compresses vena cavacausing BP to dropcausing BP to drop ‘‘Hello Mrs Tilt’……..Hello Mrs Tilt’……..
  15. 15. CirculationCirculation Place iv lines, take bloods, start iv fluidsPlace iv lines, take bloods, start iv fluids Why is there a circulation problem?Why is there a circulation problem? Stop bleedingStop bleeding Treat infectionTreat infection
  16. 16. Cardiopulmonary resuscitationCardiopulmonary resuscitation(CPR)(CPR) This is the approach to an apparentlyThis is the approach to an apparentlylifeless patientlifeless patient It is a rapid assessment ofIt is a rapid assessment of AAirway andirway and BBreathing andreathing and CCirculationirculation starting treatment quicklystarting treatment quickly
  17. 17.  Ensure you are not putting yourself atEnsure you are not putting yourself atrisk!risk! Is it safe to approach?Is it safe to approach?
  18. 18. Shake and shoutShake and shout Hello how are you?Hello how are you? If no response, callIf no response, callor send for helpor send for help Tilt to left lateralTilt to left lateralposition if greaterposition if greaterthan 20 weeksthan 20 weekspregnantpregnant
  19. 19. Open the AirwayOpen the Airway Turn onto back andTurn onto back andopen airwayopen airway Head tilt or chin lift orHead tilt or chin lift orjaw thrustjaw thrust Assess breathing andAssess breathing andfeel for a pulse for 10feel for a pulse for 10secondsseconds Look, listen, feel Palpate carotid pulsefor 10 seconds
  20. 20. No breathing, No pulseNo breathing, No pulse Start chestStart chestcompressionscompressions
  21. 21. Chest compressionsChest compressions place heel of firstplace heel of firsthand on lower part ofhand on lower part ofsternumsternum place heel of secondplace heel of secondhand on top of firsthand on top of first interlock fingersinterlock fingers
  22. 22. Chest compressionsChest compressions Keep arms straightKeep arms straightand depress sternumand depress sternum4-5 cm at a rate of4-5 cm at a rate of100 compressions per100 compressions perminuteminute Change the personChange the persondelivering thedelivering thecompressions tocompressions toavoid getting tiredavoid getting tired
  23. 23. Give 30 compressions:2 breathsGive 30 compressions:2 breaths Give 2 slow breathsGive 2 slow breathseach lasting about 1each lasting about 1secondsecond Watch for chest riseWatch for chest rise Give oxygen ifGive oxygen ifavailableavailable
  24. 24. If breathingIf breathingTurn into recovery positionTurn into recovery positionCheck pulse, BP and FHCheck pulse, BP and FHRegularly reassessRegularly reassessAssessAssess DD, DISABILITY (level of consciousness), DISABILITY (level of consciousness)AA-Alert,-Alert, VV-respond to voice,-respond to voice, PP-respond to pain,-respond to pain,UU - Unresponsive- Unresponsive
  25. 25. Think of Reversible CausesThink of Reversible Causes• 4 H’s, 4 T’s4 H’s, 4 T’sHypovoleamiaHypovoleamiaHypothermiaHypothermiaHypo/HyperkalaemiaHypo/HyperkalaemiaHypoxiaHypoxiaTension PneumothoraxTension PneumothoraxTamponadeTamponadeThromboembolismThromboembolismToxinsToxins
  26. 26. ??
  27. 27. AAirway beforeirway before BBreathing beforereathing before CCirculationirculationOpenOpen AAirway and maintain, give oxygenirway and maintain, give oxygen Check forCheck for BBreathing, assist if necessaryreathing, assist if necessaryAssessAssess C and don’t forget left lateral tiltC and don’t forget left lateral tiltTreatTreat CC problemproblemRECAP-1RECAP-1
  28. 28. IN PARTNERSHIP WITHLiverpool School of Tropical MedicineLiverpool Associates in Tropical HealthRECAP-2RECAP-2The approach to an apparently lifelesspatientRemember: CALL FOR HELP!ABC approachCPR 30:2Left lateral tiltThink about causes - 4 H’s, 4 T’s4 H’s, 4 T’s
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