CPR

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CPR

  1. 1. MODUL 10
  2. 2. THANKS TO………
  3. 3. ILCOR current membership American Heart Association Australian Resuscitation Council European Resuscitation Council Heart and Stroke Foundation of Canada New Zealand Resuscitation Council Resuscitation Council of Latin America Resuscitation Councils of Southern Africa
  4. 4. Class I Recommendations High-level prospective studies support the action or therapy, and the risk substantially outweighs the potential for harm. .
  5. 5. Class II A Recommendations The weight of evidence supports the action or therapy and the therapy is considered acceptable and useful
  6. 6. Class II b Optional Interventions are identified by terms such as "can be considered" or "may be useful." Recommended - Interventions that out are identified with terms such as "we recommend" .
  7. 7. Easy to Learn Easy to Remember Easy to Perform RATIONALE FOR CHANGE
  8. 8. BRAIN IS THE MOST VITAL ORGAN IN OUR BODY
  9. 9. IT CONTROLS ALMOST ALL THE FUNCTIONS IN OUR BODY BRAIN NEEDS A RICH SUPPLY OF OXYGENATED BLOOD TO PERFORM THESE FUNCTIONS
  10. 10. BRAIN CELLS CAN LIVE FOR ABOUT 4 – 6 MINUTES WITHOUT OXYGEN SUPPLY, AFTER WHICH THEY WILL DIE OR SUFFER PERMANENT DAMAGE
  11. 11. WHEN SOMEONE COLLAPSES AND BREATHING STOPS………………..
  12. 12. CARDIAC ARREST WILL OCCUR WITHIN MINUTES
  13. 13. WHEN CARDIAC ARREST IS PRESENT, THERE IS NO BLOOD FLOW TO VITAL ORGANS AMONG THE VITAL ORGANS BRAIN 4 – 6 MINUTES
  14. 14. WHEN BREATHING STOPS ….. THE BODY ONLY HAS THE OXYGEN REMAINING IN THE BLOOD STREAM AND LUNGS BODY HAS NO OXYGEN RESERVE
  15. 15. CARDIAC ARREST AND DEATH WILL FOLLOW SOON
  16. 16. CPR STARTED… IMMEDIATELY WILL RESTORE VITAL BLOOD SUPPLY TO THE BRAIN AND OTHER VITAL ORGANS TILL PROFESSIONAL HELP IS AVAILABLE
  17. 17. CPR ALONE IS NOT ENOUGH <ul><li>- EARLY ACTIVATION OF ERS </li></ul><ul><li>QUALITY CPR </li></ul><ul><li>EARLY DEFIBRILLATION </li></ul><ul><li>EARLY ADVANCED CARE </li></ul>
  18. 18. CPR BEGINS WITH AN ASSESSMENT TAP ON SHOULDERS OF VICTIM AND SHOUT ‘ARE YOU OKAY’?
  19. 19. ACTIVATE THE EMS
  20. 20. WHERE ? PHONE NO.? WHAT HAPPENED ? HOW MANY PERSONS ? CONDITION OF VICTIM ? WHAT IS BEING DONE ? YOU HANG UP LAST
  21. 21. TURN VICTIM TO SUPINE POSITION
  22. 23. OPEN THE AIRWAY HEAD TILT - CHIN LIFT MAKE SURE FINGERS ARE NOT ON THE SOFT SPOT
  23. 24. IF NECK OR SPINAL INJURY IS SUSPECTED MANUAL STABILIZATION OF HEAD IS PREFERRED. IMMOBILIZATION DEVICES INTERFERE WITH EFFECTIVE CPR WHILE TRANSPORTING VICTIM ON SPINE BOARD A CERVICAL COLLAR IS NECESSARY
  24. 25. JAW THRUST -
  25. 26. * DIFFICULT MANEUVER TO LEARN AND PERFORM * MAY NOT EFFECTIVELY OPEN THE AIRWAY * THERE WILL BE SPINAL MOVEMENT JAW THRUST
  26. 27. LOOK – LISTEN – FEEL FOR BREATHING - 10 SEC.
  27. 28. NO BREATHING, GIVE 2 BREATHS PINCH THE NOSE, SEAL YOUR MOUTH OVER VICTIMS MOUTH DELIVER 2 BREATHS THAT MAKE CHEST RISE
  28. 29. DO NOT TAKE DEEP BREATHS ONE VENTILATION……. VISIBLE CHEST RISE NO CHEST RISE AFTER FIRST VENTILATION – TILT HEAD AGAIN TO DELIVER ANOTHER BREATH
  29. 30. <ul><li>YOU CAN AND SHOULD </li></ul><ul><li>USE BARRIER DEVICES </li></ul><ul><li>IF AVAILABLE TO </li></ul><ul><li>PROVIDE VENTILATION </li></ul><ul><li>POCKET MASK </li></ul><ul><li>FACE SHIELD </li></ul><ul><li>BAG VALVE MASK </li></ul>
  30. 31. MOUTH TO NOSE VENTILATION IF UNABLE TO OPEN MOUTH DUE TO SERIOUS INJURY UNABLE TO SEAL EFFECTIVELY VICTIM IS IN WATER
  31. 32. BREATHS THAT ARE TOO LARGE AND FORCEFUL.. INCREASES INTRA THORACIC PRESSURE IN THE LUNGS THUS DECREASING VENOUS RETURN TO THE HEART FORCEFUL BREATHS CAUSE GASTRIC INFLATION AND ITS COMPLICATIONS VOMITING, PNEUMONIA, ASPIRATION
  32. 33. POSITION YOURSELF AT THE VICTIM’S SIDE VICTIM MUST BE LYING ON A FIRM FLAT SURFACE FOR A MALE VICTIM, REMOVE ALL CLOTHING AND EXPOSE CHEST FOR A FEMALE VICTIM, DO NOT REMOVE HER LAST GARMENT
  33. 34. MALE: PLACE HEAL OF ONE HAND, LOWER HALF OF STERNUM AT THE NIPPLE LINE. PLACE OTHER HAND ON TOP, INTERLOCK FINGERS, ELBOW LOCK. FEMALE: LOWER HALF OF STERNUM
  34. 35. BEGIN CHEST COMPRESSIONS
  35. 37. COMPRESSIONS NO PULSE CHECK FOR LAY RESCUERS IN 40% OF VICTIMS WITH A PULSE THEY FAILED TO DETECT IT IN 10% OF VICTIMS WITHOUT A PULSE THEY FAILED TO DETECT IT TAKING TOO LONG TO CHECK PULSE
  36. 38. PUSH HARD….. PUSH FAST……… PRESS DOWN 1 ½ - 2 INCHES COMPRESSION – RELAXATION - COMPRESSION COMPRESSION RATE 100/MIN. COMPRESSION RATIO 30 : 2 VENTILATION
  37. 41. REMEMBER…… SHALLOW CHEST COMPRESSIONS WILL NOT PRODUCE ADEQUATE BLOOD FLOW ALLOW CHEST TO RECOIL (RELAX) AFTER EACH COMPRESSION TO FACILITATE BLOOD FLOW MINIMUM INTERUPTIONS TO CHEST COMPRESSIONS. BLOOD WILL NOT FLOW IF CHEST IS NOT COMPRESSED.
  38. 42. 30 COMPRESSIONS + 2 VENTILATIONS = 1 CYCLE DO 5 CYCLES OF CPR CHANGE RESCUER TO AVOID RESCUER FATIGUE INADEQUATE CHEST COMPRESSIONS
  39. 43. CONTINUE CPR TILL SIGNS OF LIFE ARE NOTED BODY MOVEMENTS - COUGHING - RETURN OF NORMAL BREATHING - ARRIVAL OF AED OR AMBULANCE
  40. 44. TWO RESCUER CPR CHANGE COMPRESSOR AND VENTILATOR POSITIONS ( ADULTS) 30 COMPRESSIONS + 2 VENTILATIONS AFTER 5 CYCLES
  41. 45. WHEN NOT TO DO CPR 5 D.R 5DR
  42. 46. DANGER DNAR DECAPITATION DECOMPOSED DEPENDENT LIVIDITY RIGOR MORTIS
  43. 47. CPR FOR PREGNANT LADY CPR IN ADVANCED PREGNANCY
  44. 48. CHILD 1 - 8 YEARS CPR
  45. 49. CHILD CPR 1 – 8 YEARS <ul><li>SCENE SAFETY </li></ul><ul><li>- CHECK FOR HAZARDS </li></ul><ul><li>- NEUTRALIZE THEM </li></ul><ul><li>- REMOVE VICTIM FROM DANGER </li></ul><ul><li>OR DANGER FROM VICTIM </li></ul>
  46. 50. 2. CHECK FOR UNRESPONSIVENESS NO RESPONSE CALL FOR AMBULANCE NO ONE AROUND DO 5 CYCLES OF CPR 30 COMPRESSIONS + 2 VENTILATIONS CALL FOR AMBULANCE
  47. 51. 3. OPENING THE AIRWAY HEAD TILT – CHIN LIFT
  48. 52. 4. LOOK – LISTEN - FEEL 10 SEC.
  49. 53. 5. NO BREATHING PROVIDE 2 VENTILATIONS
  50. 54. 6. START CHEST COMPRESSIONS SMALL CHILD 1 HAND LARGE CHILD BOTH HANDS
  51. 55. COMPRESSION DEPTH 1 - 1½ INCHES COMPRESSION RATIO 30: 2 COMPRESSION RATE 100 / MINUTE
  52. 56. INFANT (BELOW 1 YEAR) CPR
  53. 57. <ul><li>SCENE SURVEY </li></ul><ul><li>CHECK FOR RESPONSE </li></ul><ul><li>NO RESPONSE – CALL FOR </li></ul><ul><li>AMBULANCE </li></ul>4. OPEN AIRWAY HEAD TILT – CHIN LIFT 5. LOOK – LISTEN – FEEL 10 SECONDS
  54. 58. HEAD TILT-CHIN LIFT, LOOK-LISTEN-FEEL 10 SECONDS
  55. 59. GIVE 2 BREATHS LOOK FOR CHEST RISE
  56. 60. LANDMARK FOR CHEST COMPRESSION JUST BELOW NIPPLE LINE USE 2 FINGERS ONLY DEPRESS STERNUM ½-1 INCH
  57. 62. CHOKING HELP!! I AM CHOKING
  58. 64. UNIVERSAL DISTRESS SIGNAL FOR ‘ HELP, I AM CHOCKING’
  59. 66. SELF ADMINISTERED HEMLICH MANEUVER
  60. 67. IF VICTIM BECOMES UNCONSCIOUS PERFORM CPR WITH AN EXTRA STEP OPEN VICTIM’S MOUTH, LOOK FOR FB GIVE 2 BREATHS 30 COMP.
  61. 69. MILD AIRWAY OBSTRUCTION CHOKING VICTIM COUGHING FORCEFULLY DO NOT INTERFERE STAY WITH HIM AND ENCOURAGE HIM TO COUGH
  62. 70. FOR CHILD CHOCKING FOLLOW ADULT’S GUIDELINES
  63. 71. 5 BACK SLAPS
  64. 72. 5 CHEST THRUSTS
  65. 73. 5 BACK SLAPS
  66. 74. 5 CHEST THRUSTS
  67. 75. IF INFANT BECOMES UNCONSCIOUS….. 1. PLACE INFANT ON A FLAT FIRM SURFACE 2. OPEN AIRWAY, LOOK FOR OBJECT IN THE MOUTH DO NOT PERFORM BLIND FINGER SWEEP
  68. 76. BEGIN CPR WITH ONE EXTRA STEP LOOK FOR FB AT BACK OF THROAT 1 2 3
  69. 77. AFTER 5 CYCLES ACTIVATE EMS
  70. 78. ACTION AFTER RELIEF OF CHOKING AFTER FB IS EXPELLED…. LOOK – LISTEN – FEEL NO BREATHING PROVIDE 2 BREATHS START CHEST COMPRESSIONS ACTIVATE EMS
  71. 79. CPR IS MADE SO EASY, EVEN MINISTERS TAKE TIME TO LEARN CPR
  72. 80. TERIMA KASIH THANK YOU

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