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Symposium 1 medical & trauma cme
- 1. Medical Emergencies Approach (SCABDE) Prepared by: Brian Malunga Emergency Medical Technician (EMT) Environmental Health & Safety Management (EHSM) Allied Health Practitioners Council of Zimbabwe (Registered) Private Ambulance Services Association of Zimbabwe (V - Secretary) Zimbabwe Emergency Medical Services Practitioners Association (V. Chairman)
- 3. Terminology
- 7. Anatomy of the Respiratory System
- 10. Anatomy of the Heart
- 11. Coronary Arteries of Heart
- 12. Major Arteries
- 15. Heart Attack Drowning Suffocation Allergic reactions Drug Overdose Electric Shock Severe bleeding Prolonged Seizures Stroke Causes - SCA
- 18. How CPR Works
- 21. C - A - B (Updated): Sequence 2015 Although the amount and quality of supporting data are limited, it may be reasonable to maintain the sequence from the 2010 Guidelines by initiating CPR with C-A-B over A-B-C. Knowledge gaps exist, and specific research is required to examine the best sequence for CPR in children.
- 22. CCirculation - Check pulse Compression - Locate centre of chest - 30 Chest compressions
- 24. AAirway - Use head tilt chin lift - (if you do not suspect trauma) - Maintain position and, Open mouth - Check for any foreign objects
- 25. BBreathing - Look, listen and feel - (Not more than 10sec) - Look - Rise & fall of Chest - Listen – breath sounds - Feel – breath warmth Corrective Action plan - If breathing Absent - Give 2 Artificial respirations
- 26. Mouth to Mouth Barrier Devices
- 28. 8
- 29. “look, listen, and feel for breathing”X Simplified Adult BLS
- 30. BLS healthcare provider algorithm
- 31. BLS healthcare provider algorithmBLS healthcare provider algorithm
- 38. Activate EMS (If Unresponsive) 1. EMRAS - 250011 2. BMC – 0732 111 911 3. Mars - 771221 4. St John - 5. Netstar 6. Ace & Air Ambulance 7. Ambulance Care & Evacuation 8. Rubastiro/ Ncediso Emergency Medical Services 9. City of Harare Emergency Rescue Services Activate EMS
- 39. Position on back & hard surface
- 40. Adult CPR
- 41. CPR for Children
- 42. CPR for Children
- 43. Children CPR
- 44. CPR for Infants
- 45. CCirculation - Check pulse Compression - Locate centre of chest - 30 Chest compressions
- 46. AAirway - Sniff neutral position, Maintain and, Open mouth - Check for any foreign objects BBreathing - Look, listen and feel - (Not more than 10sec) - Look - Rise & fall of Chest - Listen – breath sounds - Feel – breath warmth Corrective Action plan - If breathing Absent - Give 2 Artificial puffs
- 48. 7 March 2018 52 Rescue Breathing Mouth to mouth Chest compressions with Fingers
- 49. When can I stop CPR
- 50. Checking for CPR Effectiveness
- 51. Why CPR may Fail?
- 54. CPR Summary CPR steps Adult & older child (9 years +) Younger child (1 to 8 years) Infant (Up to 1 year) Head tilt Fully tilted back Partial – to suit age No – head in neutral position Chin lift Yes Yes Yes Breaths 2 full breaths 2 small breaths 2 puffs Chest compressions 2 hands 1 or 2 hands 2 fingers Compression depth 1/3 of chest depth – more than 5cm 1/3 of chest depth – approx 5cm 1/3 of chest depth – approx 4cm Compression rate Approx 100 per minute Approx 100 per minute Approx 100 per minute Compression to breath ratio (applies to 1 or 2 first aiders performing CPR) 30 compressions: 2 rescue breaths 30 compressions: 2 rescue breaths 30 compressions: 2 rescue breaths Compression to breath ratio (applies to 1 or 2 first aiders performing CPR) 5 cycles of 30:2 every 2 minutes 5 cycles of 30:2 every 2 minutes 5 cycles of 30:2 every 2 minutes
- 55. Infants CPR