Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

1. 2015 American Heart Association Guidelines for2015 American Heart Association Guidelines for
Cardiopulmonary Resuscitation and EmergencyCardiopulmonary Resuscitation and Emergency
Cardiovascular CareCardiovascular Care
Presented ByPresented By
Dr . JaliliDr . Jalili
Assistant Porofesor of Emergency MedicineAssistant Porofesor of Emergency Medicine
MD.MPHMD.MPH
jalili.dr@umsha.ac.ir

2. jalili.dr@umsha.ac.ir

3. INTRODUCTIONINTRODUCTION
Editorial
Resuscitation guidelines 2015:
a scientific consensus
jalili.dr@umsha.ac.ir

4. 19601960196019601974197419801980198619861992199220002000200520052010201020152015
CPRCPR
AHAAHA

ILCORILCOR ((((International Liaison Committee on Resuscitation
CPRCPR
jalili.dr@umsha.ac.ir

5. ::CPRCPR
ROSCROSC ((Return Of Spontaneous CirculationReturn Of Spontaneous Circulation((
CPRCPR
::
jalili.dr@umsha.ac.ir

6. 1.1.New bornNew born
2.2.NeonateNeonate
3.3.InfantInfant
4.4.Pediatric/ChildPediatric/Child
5.5.AdultAdult88
::
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7. CCPPCCRR
1)C:Cardiovascular1)C:Cardiovascular
2)P:Pulmonary2)P:Pulmonary
3)C:Cerebral3)C:Cerebral
4)R:Resuscitation4)R:Resuscitation
jalili.dr@umsha.ac.ir

8. CPRCPR
1)1) BasicBasic cardiac life supportcardiac life support
 CirculationCirculation
 Airway controlAirway control
 BreathingBreathing
2)2) AdvanceAdvance cardiac life supportcardiac life support
 Drug and fluidsDrug and fluids
 ElectrocardiographyElectrocardiography
 Fibrillation treatmentFibrillation treatment
3)3) ProlongedProlonged cardiac life supportcardiac life support
 GaugingGauging
 Human mentationHuman mentation
 Intensive careIntensive care jalili.dr@umsha.ac.ir

9. 20102005
‫ممممم‬ ‫مم‬ ‫مممم‬ ‫ممممم‬CPR‫مم‬
‫مم‬ ‫ممم‬ ‫ممممم‬ ‫مممم‬ ‫مم‬ ‫ممممم‬
:‫ممم‬
1.‫ممممم‬‫ممممم‬‫ممممم‬100
‫مممم‬ ‫ممممم‬ ‫ممممم‬ ‫مم‬ ‫ممم‬
‫ممممم‬ ‫)مم‬‫مممممم‬100(‫ممم‬
2.‫ممممم‬ ‫ممم‬‫ممممم‬5
‫ممممممممم‬ ‫مم‬ ‫ممم‬ ‫ممممم‬
‫ممم‬ ‫ممم‬ ‫مم‬ ‫ممممم‬ ‫م‬
jalili.dr@umsha.ac.ir

10. 3‫مممم‬ ‫مممم‬ ‫مم‬ ‫ممممم‬ .
‫مممم‬‫مممم‬ ‫ممممم‬‫مم‬ ‫ممم‬
‫ممممم‬ ‫مم‬
4.‫مممممم‬ ‫ممممم‬ ‫مم‬
‫ممممم‬ ‫ممم‬ ‫ممممم‬
5.‫مممممممممم‬ ‫مم‬ ‫ممممم‬
‫مم‬ ‫مم‬ ‫ممم‬
6.‫ممممم‬ ‫مم‬ ‫ممممم‬ ‫مممم‬
30‫مم‬2(‫ممممم‬ ‫)مممم‬‫مم‬
‫مممم‬ ‫مممم‬ ‫مم‬ ‫ممممم‬jalili.dr@umsha.ac.ir

11. 8.‫ممممم‬ ‫ممم‬ ‫مم‬ ‫ممممم‬ ‫مم‬
‫مممم‬ ‫ممممم‬ ‫ممم‬ ‫مم‬ ‫ممممممم‬
‫مممم‬ ‫مممم‬ ‫ممم‬ ‫ممممم‬ ‫مممم‬
‫ممممم‬ ‫ممم‬ ‫)مم‬ ‫ممم‬ ‫مم‬ ‫ممممم‬
100‫مممم‬ ‫ممممم‬ ‫م‬ (‫ممم‬
‫مم‬ .‫ممممم‬ ‫ممممم‬ ‫مم‬ ‫ممممممم‬
‫مم‬ ‫مممم‬ ‫مم‬ ‫مم‬ ‫مممم‬ ‫ممم‬6‫ممم‬
8‫مممم‬ ‫)مم‬ ‫ممممم‬8‫مم‬10‫مممم‬
‫مممم‬ ‫ممممم‬ ‫مم‬ (‫ممممم‬ ‫مم‬
‫مم‬ ‫مم‬ ‫ممم‬ ‫مممم‬ ‫مممم‬ .‫ممممم‬
.‫ممم‬ ‫ممممم‬ ‫مم‬ ‫مم‬ ‫ممم‬ ‫ممممم‬
jalili.dr@umsha.ac.ir

12. Minimizing of disruption in the
compression sequence
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13.  Defibrillation should take a maximum period of
five seconds, with charging during chest
compressions.
 For tracheal intubation, ten seconds’ hands-
off time for the passage of the tube is the
onlypoint at which compressions are
paused.
 Pulse checks are only undertaken where there
are signs suggestive of Return Of SpontaneousReturn Of Spontaneous
Circulation (Circulation (ROSC).
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14. Management of Cardiac Arrest
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15.  Cardiac arrest can be caused by 4 rhythms :
 1. ventricular fibrillation (VF),
 2. pulseless ventricular tachycardia (VT),
 3. pulseless electric activity (PEA),
 4.4. asystole.asystole.
jalili.dr@umsha.ac.ir

16.  VF represents disorganized electric activity,
whereas pulseless
 VT represents organized electric activity of the
ventricular myocardium. Neither generates
significant forward blood flow.
jalili.dr@umsha.ac.ir

17.  PEA encompasses a heterogeneous group of
organized electric rhythms associated with either
absence of mechanical ventricular activity or
mechanical ventricular activity that iinsufficient
to generate a clinically detectable pulse.
 Asystole ( ventricular asystole ) represents
absence of detectable ventricular electric activity
with or without atrial electric activity.
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22. Cardiac Arrest, 4 rhythmsCardiac Arrest, 4 rhythms
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23. ARREST ALGORITHMADULT CARDIACARREST ALGORITHMADULT CARDIAC
BLSBLS
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26. ADULT CARDIAC ARREST ALGORITHMADULT CARDIAC ARREST ALGORITHM
ACLSACLS
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39. MANAGEMENT OF SYMPTOMATIC
BRADYCARDIA & TACHYCARDIA
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40. BRADYARRHYTHMIABRADYARRHYTHMIA
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44. TACHYARRHYTHMIATACHYARRHYTHMIA
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48. DRUGS & DOSAGE →
CARDIOVERSION
↓
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49. THANK YOUTHANK YOU
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