4. At the end of the session
Students will able to ,
Define CPR
Enlist steps of procedure
Understand BLS , ACLS , management
of CPR
Demonstrate CPR
5. INTRODUCTION
Cardiopulmonary Resuscitation (CPR) is a
lifesaving technique useful in many
emergencies, including heart attack or near
drowning, in which someone's breathing or
heartbeat has stopped.
6.
7. DEFINITION
CARDIO PULMONARY RESUSCITATION (CPR)
is a technique of basic life support for
oxygenating the brain and heart until appropriate,
definitive medical treatment can restore normal
heart and ventilatory action.
8. PURPOSE
To maintain an open and clear airway (A)
To maintain breathing by external ventilation (B)
To maintain Blood circulation (C)
To SAVE LIFE of the Patient.
To provide basic life support till medical and advanced life support arrives
11. PRINCIPLES
•To restore effective
circulation and
ventilation.
•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.
18. CHECK RESPONSE
Shake shoulders gently
Ask “Are you all right?”
If he responds
Leave as you find him.
Find out what is wrong.
Reassess regularly.
IF NOT GO TO NEXT STEP
19. SHOUT FOR HELP
Approach safely
Check response
Shout for help
30 chest compressions
2 rescue breaths
Open airway
Check breathing
21. CHEST COMPRESSIONS
• Place the heel of one hand in the
centre of the chest
• Place other hand on top
• Interlock fingers
• Compress the chest
• Rate 100 min-1
• Depth 4-5 cm (1.5 to 2 inch)
• Equal compression : Relaxation
• 30:2 Compressions-to-Breaths.
• When possible change CPR operator
every 2 min
22.
23. 2 RESCUE BREATHS
Approach safely
Check response
Shout for help
Chest compressions
2 rescue breaths
Check Breathing
Airway
24. 2 RESCUE BREATHS
RECOMMENDATIONS:
Tidal volume - 500 – 600 ml
RESPIRATORY RATE
give each breaths over about 1s with enough volume to make
the victim’s chest rise
CHEST-COMPRESSION-ONLY - continuously at a rate of 100 min
40. A corrective procedure where an
electrical shock is delivered to the
heart to convert or change
abnormal heart rhythm back to
normal sinus rhythm
CARDIOVERSION
41.
42.
43.
44.
45. Electrode Placement :
Antero-apical position:
one paddle is placed to the right of the
sternum just below the clavicle. Another
paddle is placed to the normal cardiac
apex .
Antero-posterior position: the anterior
paddle placed over the apex, and the
posterior paddle on the back in the left or
right infrascapular region.
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Proper position of the paddles
46. Procedure of Electrical defibrillation :
(1)Perform CPR until the equipment arrive.
(2)Assess the patient’s pulse and ecg.
(3)Selection of proper energy level
(4)Apply electrode gel between paddles and
skin
(5)Proper position of the paddles
(6)Clear the area. No contact with anyone
other than the victim.
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47. (7)Recheck the ECG
(8)Activate the firing button.
(9)If no skeletal muscle spasm has
occurred ，you should check the
equipment，contacts，and
synchronizer switch.
(10)The rhythm should be assessed
after each countershock and the
patient should be checked for a pulse
at appropriate time.
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