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CPR MY PRESENTATION
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CPR MY PRESENTATION

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  • 1. PRACTICE TEACHING ON CPR GUIDED BY: MR.PAVANKUMAR JAIN PRESENTED BY: MS.SONALPATEL
  • 2. INTRODUCTION: CPR (or cardiopulmonary resuscitation) is a combination of rescue breathing (mouth-to-mouth resuscitation) and chest compressions. If someone isn't breathing or circulating blood adequately, CPR can restore circulation of oxygen-rich blood to the brain. Without oxygen, permanent brain damage or death can occur in less than 8 minutes. CPR alone is unlikely to restart the heart; its main purpose is to restore partial flow of oxygenated blood to the brain and heart. It may delay tissue death and extend the brief window of opportunity for a successful resuscitation without permanent brain damage. CPR may however induce a shockable rhythm. CPR is generally continued until the person regains return of spontaneous circulation (ROSC) or is declared dead .
  • 3. DEFINITION: “Cardiopulmonary resuscitation (CPR) is a combination of mouth-to-mouth resuscitation and chest compressions that delivers oxygen and artificial blood circulation to a person who is in cardiac arrest. It can be life-saving first aid.” OR “Cardiopulmonary resuscitation (CPR) is a procedure used when a patient's heart stops beating and breathing stops. It can involve compressions of the chest or electrical shocks along with rescue breathing” - (Acc. To AHA)
  • 4. OR “An emergency procedure in which the heart and lungs are made to work by manually compressing the chest overlying the heart and forcing air into the lungs. CPR is used to maintain circulation when the heart stops pumping, usually because of disease, drugs, or trauma.”
  • 5. 1. To maintain an open and clear airway (A). 2. To maintain breathing by external ventilation (B). 3. To maintain Blood circulation by external cardiac massages (C). 4. To save life of the Patient. 5. To provide basic life support till medical and advanced life support arrives PURPOSE:
  • 6. PRINCIPLES OF CPR: 1.To restore effective circulation and ventilation. 2.To prevent irreversible cerebral damage due to anoxia. When the heart fails to maintain the cerebral circulation for approximately four minutes the brain may suffer irreversible damage.
  • 7. PROCEDURE: PREPRATION: 1. To recognize the signs of cardiac arrest 2. Protect the patient’s brain from anoxia by immediately starting artificial ventilation of the lungs and external cardiac massage. 3. Call for help. 4. The Cardio Pulmonary Resuscitation must be initiated within three to four minutes in order to prevent permanent brain damage. 5. Strike the centre of the chest sharply with the side of the clenched fist twice. 6. Call for assistance.
  • 8. 7. Clear the airway of false teeth vomits food material etc. 8. Initiate ventilation and external cardiac massage without wasting time. 9. The CPR techniques should not be discontinued for more than five seconds before normal circulation and ventilation of lungs are established except 10.When the patient is moved to a hard surface. 11.When endotracheal intubation is being carried out (maximum time allowed for these two procedures is 15 seconds). 12.Before CPR is attempted in a patient, make sure that the airway is clear. It may be obstructed due to many reasons; so keep the patient’s neck hyper extended after confirming that he is having any cervical injury. Cont….
  • 9. ARTICLES USED IN CPR: 1.ENDOTRACHEAL TUBE 2. AMBU BAG WITH MASK
  • 10. 3.SUCTION TUBE OR CATHETER 4.NASALAIRWAY/ORALAIRWAY
  • 11. 5.LUBRICATING JELLY:
  • 12. CPR KIT:
  • 13. 1. OXYGEN ADMINISTRATION SET 2. LARYNGOSCOPE WITH DIFFERENT SIZE 3. I.V. INFUSION SET, CUT DOWN SETS AND IV FLUIDS 4. CARDIAC MONITOR WITH DEFIBRILLATOR 5. MECHANICAL VENTILATOR 6. TRACHEOSTOMY SET 7. GAUZE COTTON ETC. 8. STERILE SYRINGES AND NEEDLES. OTHER…..
  • 14. AIRWAY BREATHING CIRCULAT- ION DEFIBR- ILATIO N
  • 15. • It is critical to remember to dial 108. Lets begin by very first step to basic life support. • Your location and phone number. • Types of emergency and victims condition Provide operation with • If you alone with victim try to call for help. Provide to starting CPR on an adult
  • 16. What to do in an emergency, we must first emphasize what not to do: -Do not leave the victim alone. -Do not try to victim drink water. -Do not throw water on victims face. -Do not prompt the victim in sitting position. -Do not try to revive the victim by slapping his face.
  • 17. Look, Listen And Feel For Any Sign Of Breathing. If You Determine That The Victim Is Not Breathing, than The Tongue Is Most Common Airway Obstruction In An Unconscious patient With The Victim Lying Flat On His Back, Place Your Hand His Forehead And Your Another Hand Under The Tip Of The Chin
  • 18. Gently Tilt The Victim’s Head Backward. In This The Position Te Weight Of The Tongue Will Force It To Shift Away From Back Of The Throat, Opening The Airway.  If The Person Is Still Not Breathing On His Own After The Airway His Cleared, You Will Have Assist Him BREATHING.
  • 19. BREATHING: Gently Support His Chin So As To Keep It Lift Up And Head Tilled Back Pinch His Nose With Your Finger To Prevent Air From Escaping Once You Being To Ventilate And Your Mouth Over The Victim’s , Creating A Tight Seal
  • 20. If the first two don’t go in, re-tilt and give two more breaths. Give TWO Full Breath Allow Victim’s Lungs To Relax- Place Your Ear Near His Mouth And Listen For Air To Escape The Chest Fall As The Victims Inhales It Should Be Done More Than 10 Second.
  • 21. CIRCULATION In Order To Determine If The Victim’s Heart Is Beating, Place Two Fingertips On His Carotid Artery, Locate In His Depression Between The Windpipe And Neck Muscles And Apply Slight Pressure Several Second. If There Is No Pulse Than Victim’s Heart Is Not Beating, And You Will Have Perform Chest Compression.
  • 22. COMPRESSIONS • Place the heel of one hand in the centre of the chest • Place other hand on top • Interlock fingers • Compress the chest – Rate 80-100 min-1 – Depth 4-5 cm – Equal compression : relaxation • When possible change CPR operator every 2 min
  • 23. THE RECOVERY POSITION If the victim starts to breath normally 1 2 3 4
  • 24. CAUSES OF FAILURE OF CPR: 1. Massive myocardial infraction 2. Cardiac temponade 3. Enlarged heart with incompetent valves 4. Obstructed airway 5. Severely diseased or damaged lung 6. Pulmonary embolism 7. Chest deformity 8. Fractured rib cage 9. Faulty techniques of CPR - Inadequate airway opening - Placement of patient on soft yielding surface - Inadequate chest compression - Improper seal around the patient mouth - Improper defibrillation - Inadequate / improper drug therapy - Prolonged interruptions.
  • 25. CONTRAINDICATIONS : 1.Patient Dying With An Expected Death From Chronic Life Limiting Medical Illness 2.Predictors of near 0% survival and never leaving the hospital include: metastatic cancer, Pneumonia, renal failure, sepsis, multiple organ failure, acute stroke, and CPR event>30 min 3.Consider ‘do not attempt resuscitation” (DNAR) when the patient do not wish to have CPR.
  • 26. COMPLICATIONS OF CPR: 1.Rib fracture/ sturnal fractures 2.Anterior Mediastinum 3.Hemopericardium 4.Upper airway complications 5.Abdominal viscus 6.Iatrogenic injuries 7. Pulmonary complications