Basic Life Support

1. CPR
Emergency medicine department
Dr. Jalili.MD – MPHDr. Jalili.MD – MPH
Emergency MedicineEmergency Medicine

2. Basic Life Support

3. 07/18/17

4. 07/18/17

5. Adult Basic Life Support
and Cardiopulmonary
Resuscitation Quality
2015 American Heart Association Guidelines Update for
Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

6. Adult BLS and CPR Quality Overview
• Only 10.8% of adult patients with nontraumatic
cardiac arrest who have received resuscitative
efforts from emergency medical services (EMS)
survive to hospital discharge.
• In-hospital cardiac arrest (IHCA) has a better
outcome, with 22.3% to 25.5% of adults surviving to
discharge.

7. BASIC LIFE SUPPORT (BLS
Airway
Breathing
Circulation
07/18/17
Circulation
Airway
Breathing
Circulation
Airway
Breathing

8. ‫مممممم‬ ‫مم‬ ‫ممم‬
‫:ممممم‬
•‫مم‬ ‫ممممم‬ - ‫مممم‬ ‫مممم‬
‫ممممم‬ ‫ممممم‬ ‫ممممم‬
•‫مممم‬‫مممم‬ ‫ممممممم‬
‫ممممم‬‫مممم‬ ‫مممممم‬ ‫مم‬
‫ممممم‬ ‫ممممم‬ - ‫مممم‬
•‫مم‬ ‫ممممم‬‫ممم‬ ‫مممممم‬
‫مممممم‬‫ممممم‬ ‫مم‬
‫ممممممم‬ ‫ممم‬ ‫مممممممم‬
07/18/17

9. - ‫مممم‬ ‫مممم‬ ‫ممممم‬
‫ممممم‬
•‫مممممممم‬ ‫م‬ ‫ممممممم‬ ‫ممم‬
– ‫مممم‬ ‫مممم‬ ‫مم‬ ‫مم‬ ‫ممم‬ ‫مممم‬
.‫مممم‬ ‫مم‬ ‫مممم‬ ‫ممممم‬
•‫مممم‬ ‫ممممم‬ ‫مم‬ ‫مممم‬ ‫مممم‬
‫ممم‬ ‫ممممم‬ ‫مم‬ ‫م‬ ‫مممم‬ ‫ممم‬ ‫مم‬
.‫ممم‬
•‫مم‬ ‫ممم‬ ‫مم‬ ‫مممممممم‬ ‫مممم‬
‫ممم‬4‫مم‬5‫مممم‬ ‫مممم‬ ‫ممممم‬
.‫ممم‬ ‫مم‬ ‫ممممم‬
07/18/17

10. •‫مم‬ ‫ممممم‬ ‫ممممم‬ ‫مم‬ ‫مم‬
‫مممم‬ ‫ممممممم‬ ‫مممم‬
‫مممم‬ ‫ممممم‬7‫مم‬10‫مممم‬ %
.‫ممم‬ ‫مم‬ ‫ممم‬ ‫مممممم‬
•‫م‬ ‫ممم‬ ‫مممم‬ ‫مممم‬ ‫ممممممم‬
‫مم‬ ‫مممم‬ ‫مممم‬ ‫مم‬ ‫ممممممم‬
‫ممممممم‬ ‫مممممم‬ ‫ممممم‬
‫مممممم‬ ‫مممم‬ ‫مم‬ ‫ممممم‬
.‫مممم‬ ‫مم‬ ‫ممم‬
•‫مم‬ ‫ممممم‬ ‫مممم‬ ‫ممممم‬
‫مم‬ ‫مم‬ ‫ممم‬ ‫مممممم‬ ‫ممممم‬
‫ممممم‬ ‫ممممم‬
‫ممممم‬ - ‫مممم‬
07/18/17

11. ‫مممم‬ ‫ممم‬ ‫ممممم‬
•‫ممممم‬ ‫مممممممم‬ ‫مممم‬ ‫ممم‬
‫ممممممم‬ ‫ممممممممممم‬
.‫ممم‬ ‫ممم‬ ‫مممممممم‬
•‫مم‬70‫مم‬ ‫مممم‬ ‫مممم‬ ‫ممممم‬ %
‫مممم‬ ‫ممم‬ ‫مم‬ ‫ممممممممم‬
.‫ممم‬ ‫مم‬ ‫مممم‬
•‫مممم‬ ‫مممم‬ ‫ممم‬ ‫ممممم‬ ‫ممممم‬
‫مممم‬ ‫مم‬ ‫ممممم‬ ‫مم‬ ‫ممم‬ ‫مممم‬ ‫م‬
‫ممممم‬ ‫ممممم‬ ‫ممممم‬ ‫مممم‬
.‫ممم‬
•‫مم‬ ‫م‬ ‫مممم‬ ‫مم‬ ‫مممم‬ ‫ممم‬ ‫مم‬ ‫مم‬
‫مممممممم‬ ‫مممممم‬ ‫ممم‬07/18/17

16. Approach safely
Check pulse
Open airway
2 rescue breaths
Check response
Call 115 - AED
30 chest compressions
Approach safely
AED
30 chest compressions
2
115

17. Approach safely
115
AED
30 chest compressions
2 rescue breaths

18. Approach safely
AED
30 chest compressions
Call 115
2 rescue breaths

19. :
:
.
.
.

20. :
.
.

21. AGONAL BREATHING
40 .
.

22. SHOUT FOR HELP – CALL 115
Approach safely
AED
30 chest compressions
Call 115
2 rescue breaths

23. AED
Approach safely
AED
30 chest compressions
2 rescue breath
Call 115

24. CHECK PULSE
Approach safely
AED
30 chest compressions
2 rescue breath
Call 115
10 seconds

25. .

26. •
–10
–‫هه‬ ‫هههه‬ ‫هههههه‬ ‫ههههه‬
‫هههههه‬ ‫ههه‬ ‫ههههه‬
07/18/17

27. Approach safely
AED
30 chest compressions
Call 115
2 rescue breaths
CHEST COMPRESSIONS

28. .
:
100
51/3 )
.
.
CHEST COMPRESSIONS

29. ‫ههه‬ ‫هههه‬ ‫ههههه‬
‫هههه‬ ‫ههههه‬ ‫هههه‬
‫هههه‬
07/18/17

30. ‫ههه‬ ‫هههه‬ ‫ههههه‬
‫هههه‬ ‫ههههه‬ ‫هههه‬
‫هههه‬
•
•
07/18/17

31. ‫ه‬‫ه‬‫ه‬‫ه‬‫ه‬‫ه‬‫ه‬‫ه‬‫ه‬‫ه‬‫ه‬‫ه‬‫ه‬‫ه‬‫ه‬‫ه‬‫ه‬
•‫هههه‬ ‫ههههه‬
–‫هههه‬ ‫ههه‬1/3‫ه‬1/2‫ههههه-هههه‬ ‫ههه‬‫هههه‬
) ‫هههه‬2/ ‫هههه‬5(‫ههههههه‬
•‫هههه‬ ‫ههههه‬
–‫هههه‬ ‫هههه‬ ‫هه‬100‫ههههه‬ ‫هه‬ ‫ههه‬
•‫هه‬ ‫هه‬ ‫هه‬ ‫هههه‬ ‫هههه‬ ‫هههه‬ ‫ههه‬ ‫ههه‬ ‫ههههه‬
‫ههههه‬
•‫ههههههه‬ ‫ه‬ ‫ههههه‬ ‫هه‬ ‫هه‬ ‫ههههه‬ ‫هههه‬ ‫هههه‬
‫هههه‬
•‫هههههه‬ ‫ههههه‬‫هههه‬ ‫هههه‬ ‫ههههههه‬
07/18/17

32. More data are available showing that high-quality
CPR improves survival from cardiac arrest, including
– Ensuring chest compressions of adequate rate
– Ensuring chest compressions of adequate depth
– Allowing full chest recoil between compressions
– Minimizing interruptions in chest compressions
– Avoiding excessive ventilation

33. 07/18/17

34. 2
•22
07/18/17

35. 1
•‫هههه‬ ‫ههههه‬
‫هه‬ ‫هههه‬
‫هههه‬ ‫هههه‬100
‫هه‬ ‫ههه‬
‫ههههه‬
•‫ههههه‬ ‫هههه‬
‫هههه‬ ‫هههه‬
‫هههه‬ ‫هه‬
:‫هههههه‬30‫هه‬
2
07/18/17

36. ‫ههههه‬2‫هههه‬
•‫هههه‬ ‫هه‬ ‫هههه‬ ‫هههه‬ ‫ههههه‬
‫هه‬ ‫ههه‬100‫ههههه‬ ‫هه‬ ‫ههه‬
•‫هه‬ ‫هههه‬ ‫هههه‬ ‫ههههه‬ ‫هههه‬
:‫هههههه‬ ‫هههه‬30‫هه‬2
•‫ههه‬ ‫ههههه‬2‫هه‬ ‫ههه‬2
‫هه‬ ‫هههه‬ ‫هه‬ ‫ههههه‬5‫ههههه‬
07/18/17

37. OPEN AIRWAY
Approach safely
AED
30 chest compressions
2 rescue breaths
Call 115

38. :
HEAD TILT – CHIN LIFT
:
chest compressions

39. OPEN AIRWAY
Head tilt and chin lift
- lay rescuers
- non-healthcare rescuers
No need for finger sweep
unless solid material can be seen
in the airway

40. Jaw thrust

41. OPEN AIRWAY
Head tilt, chin lift + jaw thrust
- healthcare professionals

42. Managing the Airway
• Open the Airway
• head tilt–chin lift maneuver
• Rescue Breathing
• Mouth-to-Mouth Rescue Breathing
• Mouth–to–Barrier Device Breathing
• Mouth-to-Nose and Mouth-to-Stoma
Ventilation
• Ventilation With Bag-Mask Device

43. RESCUE BREATHS
Approach safely
AED
30 chest compressions
2 rescue breaths
Call 115

44. RESCUE BREATHS
.
.
.
.
.
1

45. Breathing: Mouth To Nose
(when to use)
–Can’t open mouth
–Can’t make a good seal
–Severely injured mouth
–Stomach distension
• Mouth to stoma (tracheotomy)

46. CONTINUE CPR
30 2

47. • One rescuer: 30 compressions 2 breaths
• Two rescuer: 15 compressions 2 breaths

48. • compressions : 100 / min
• Venthlation : 8-10 / min

49. Approach safely
2 rescue breaths
Call 115
AED
30 chest compressions

50. Chest compression only

54. BLS Healthcare Provider Adult
Cardiac Arrest Algorithm

56. 07/18/17

57. DEFIBRILLATION

58. PEA Or Asystole VF Or VT

59. Ventricular fibrillation Ventricular tachycardia
Asystole
Electro-mechanical
disociation (EMD)
Pulseless ventricular
activity (PVA)

60. AED
Approach safely
Call 115
AED
AED
CPR

64. •
•

65. 30 2

66. .
30 2

67. .

69. 07/18/17

70. Approach safely
Call 115 - AED
30 chest compressions
2 rescue breaths
Approach safely
Call 115
AED
AED
AED
CPR

71. 07/18/17