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- 1. BASIC LIFE SUPPORT-CPR/AED (AHA 2020) (Adult/Child/Baby) Sivagamy Sicken Training Manager-Clinical SRN,OHN, B.Sc., M.Ed. (Nursing),Trainer (HRDF), BLS Trainer (NHAM)
- 2. Pemulihan Pernafasan Dan Jantung
- 3. OXYGEN CONTENT ATMOSPHERE has % O2 Absorbed by our lungs % O2 Air we breathed out has % O2 21 16 5
- 4. DEATH SORRY! Brain Cells Die SAFE Without O2 irreversible brain damage will occur after 4 minutes BRAIN DEAD
- 6. Common Causes of SUDDEN DEATH Heart Attack Electrocution Drowning Overdose Suffocation Allergic Reaction Trauma Stroke
- 8. Basic Life Support Prinsip-prinsip bantuan kecemasan D –Danger R - Response C - Compression A - Airway B - Breathing
- 10. BLS Health Care Provider AdultCardiac ArrestAlgorithm Verify Scene Safety Check for Unresponsiveness and breathing Shout for HELP!! Activate Emergency Response System AED & Emergency Equipment Look for PULSE – is it definitive felt in10 seconds Start CHEST COMPRESSIONS Maintain AIRWAY&VENTILATION Early Defibrillation orAED
- 11. ALGORITHM Verify Scene Safety Check for Unresponsiveness and breathing Shout for HELP!! Activate Emergency Response System AED & Emergency Equipment Look for PULSE – is it definitive felt in10 seconds Start CHEST COMPRESSIONS Maintain AIRWAY &VENTILATION Early Defibrillation orAED
- 12. ALGORITHM Verify Scene Safety Check for Unresponsiveness and breathing Shout for HELP!! Activate Emergency Response System AED & Emergency Equipment Look for PULSE – is it definitive felt in10 seconds Start CHEST COMPRESSIONS Maintain AIRWAY &VENTILATION Early Defibrillation orAED
- 13. ALGORITHM Verify Scene Safety Check for Unresponsiveness Shout for HELP!! Activate Emergency Response System AED & Emergency Equipment Look for PULSE – is it definitive felt in10 seconds Start CHEST COMPRESSIONS Maintain AIRWAY &VENTILATION Early Defibrillation orAED
- 14. ALGORITHM Verify Scene Safety Check for Unresponsiveness Shout for HELP!! Activate Emergency Response System AED & Emergency Equipment Look for PULSE – is it definitive feltin 10 seconds Start CHEST COMPRESSIONS Maintain AIRWAY &VENTILATION Early Defibrillation orAED
- 15. ALGORITHM Verify Scene Safety Check for Unresponsiveness Shout for HELP!! Activate Emergency Response System AED & Emergency Equipment Look for PULSE – is it definitive felt in10 seconds Start CHEST COMPRESSIONS Maintain AIRWAY &VENTILATION Early Defibrillation orAED
- 16. ALGORITHM Verify Scene Safety Check for Unresponsiveness Shout for HELP!! Activate Emergency Response System AED & Emergency Equipment Look for BREATHING Look for PULSE – is it definitive felt in10 seconds Start CHEST COMPRESSIONS Maintain AIRWAY &VENTILATION Early Defibrillation orAED
- 17. • Site- 2 hands on the lower half of the breastbone (sternum) • Rate- 100-120 per ALGORITHM Verify Scene Safety Check for Unresponsiveness Shout for HELP!! Activate Emergency Response System AED & Emergency Equipment Look for BREATHING Look for PULSE – is it definitivefelt in 10 seconds Start CHEST COMPRESSIONS Maintain AIRWAY& VENTILATION Early Defibrillation orAED
- 18. • Chest compressions of adequate rate, 100- 120, with 120/min being the maximum • Chest compressions of adequate depth (maximum of 6cm or 2.4 inches) • Allowing full chest recoil in between compressions, avoid leaning on victims chest Increased emphasis on high quality CPR
- 19. Increased emphasis on high quality CPR • Minimizing interruptions in between compressions as shorter pauses are associated with greater success • Avoiding excessive ventilation
- 20. • Head tilt • Chin lift • Jaw thrust ALGORITHM Verify Scene Safety Check for Unresponsiveness Shout for HELP!! Activate Emergency Response System AED & Emergency Equipment Look for BREATHING Look for PULSE – is it definitive felt in 10 seconds Start CHEST COMPRESSIONS Maintain AIRWAY& VENTILATION Early Defibrillation orAED
- 21. Ventilation
- 22. Ratio of Compression to Ventilation
- 23. Switching Rescuers Switch Rescuers every 2 minutes or 5 Cycles
- 24. ALGORITHM Verify Scene Safety Check for Unresponsiveness Shout for HELP!! Activate Emergency Response System AED & Emergency Equipment Look for BREATHING Look for PULSE – is it definitive felt in 10 seconds Start CHEST COMPRESSIONS Maintain AIRWAY& VENTILATION Early Defibrillation orAED
- 25. SHOCK first OR CPR first • In an witnessed cardiac arrest, if AED is immediately available, reasonable to use AED as soon as possible
- 26. When to STOP!! • Return of spontaneous circulation • Until help arrives • Physical fatigue. • Obivious Death
- 27. Possible Complications 1. Rib fractures 2. Hemothorax 3. Hemopericardium 4. Coronary Vessel injury 5. Sternal fracture 6. Spleen Injury
- 29. Paediatric CPR Age groups – Child – age 1 – puberty Infant – newborn to 1 year old
- 30. PEDIATRIC CHAIN OF SURVIVAL
- 32. RESCUE BREATHING
- 34. CHEST COMPRESSIONS RATE: DEPTH: 100 to 120 / min (≥ 1/3 of anteroposterior diameter of chest) Infants – 1.5 inches (4 cm) Children – 2 inches (5 cm) Adolescents – at least 2 inches (5 cm) but not greater than 2.4 inches (6 cm).
- 35. CHEST COMPRESSIONS IN INFANT
- 36. CHEST COMPRESSIONS IN INFANT
- 37. CHEST COMPRESSIONS IN CHILDREN
- 38. AUTOMATED EXTERNAL DEFIBRILLATOR (AED) < 8 yrs; < 25 kg AED with dose attenuator
- 39. PLACEMENT OF PADS OR PADDLES Children (>1 yr; >10 kg – adult size) Right upper chest below the clavicle Lateral to the left nipple below the axilla Infants (<1 yr; <10kg – infant size) Sternum below the mammary line Back between two scapulae
- 44. Choking Emergency Adult Heimlich/Abdominal Thrusts
- 45. Choking – unconscious casualty Start CPR!