CPR involves chest compressions and rescue breaths to manually pump the heart and provide oxygen to the brain until medical treatment can restore normal heart function. When the heart stops, CPR can buy crucial time by mimicking the heart's pumping action to circulate blood to vital organs. The key steps of CPR are checking for response, calling for help, opening the airway, checking breathing, performing chest compressions at 100 per minute with a depth of 4-5cm, and providing two rescue breaths before resuming compressions. Drugs like adrenaline, atropine, and amiodarone may also be used during resuscitation attempts to treat cardiac arrest.
1. CPR: Cardiopulmonary Resuscitation
Asst. Lec. Dr. Mustafa A. Zainel
Human anatomist / HMU-College of Medicine
Topic: Physiology - 5 Semester: II Duration: 2 hrs. Grade: 2nd Year
2. 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.
3. The heart is
a muscular organ in
humans and other
animals, which pumps
blood through the blood
vessels of the
circulatory system.
4. When a person's heart stops beating, they are in cardiac arrest. During cardiac
arrest, the heart cannot pump blood to the rest of the body, including the brain
and lungs. Death can happen in minutes without treatment. CPR uses chest
compressions to mimic how the heart pumps.
8. • To maintain Blood circulation
by external cardiac massages
(C).
• To maintain an open and clear
airway (A).
• To maintain breathing
by external ventilation
(B).
• To save life of the Patient.
• To provide basic life support till
medical and advanced life
support arrives.
9.
10. 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.
12. APPROACH SAFELY!
• WATCH
• OBSERVE
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
13. CHECK RESPONSE
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
Shake shoulders gently
Ask “Are you all right?”
If he responds
• Leave as you find him.
• Find out what is wrong.
• Reassess regularly.
14. SHOUT FOR HELP
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
15. Approach safely
Check response
Shout for help
Chest compression
Check breathing
Call 112
30 chest compressions
2 rescue breaths
Chest Compression
• 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
– Depth 4-5 cm (1.5 to 2 inch)
– Equal compression :
relaxation
• When possible change
CPR operator every 2
min
16. OPEN AIRWAY
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
Head tilt and chin lift
- Knell rescuer
No need for finger
sweep
unless solid material
can be seen in the
airway
18. CHECK BREATHING
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
• Look, listen and feel
for NORMAL
breathing
• Do not confuse agonal
breathing with
NORMALbreathing
20. RESCUEBREATHS
Approach safely
Check response
Shout for help
Chest compression
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
• Pinch the nose
• Take a normal breath
• Place lips over mouth
• Blow until the chest
rises
• Take about 1 second
• Allow chest to fall
• Repeat
22. Adrenaline
• Adrenaline (epinephrine) is the main drug used during
resuscitation from cardiac arrest.
Atropine
• Atropine as a single dose of 3mg is sufficient to block vagal tone
completely and should be used once in cases of asystole. It is also
indicated for symptomatic bradycardia in a dose of 0.5mg - 1mg.
Amiodarone
• It is an antiarrhythmic drug.