2. CPR=Cardio Pulmonary Resuscitation
1 cycle= 30 compressions
5 cycles in 2 min
• Danger: Clear victim from danger, Place on flat hard surface
• Responsiveness: Tap patient shoulder, Shout “ Are you Alright?”
• Activation: Call EMS: No. Of victim, Address, AED(Automated External
Defibrillator), Phone number
• Circulation: feel Carotid Pulse
• Airway: Tilt head, Lift chin. Check for any foreign object.
• Breathing: Observe chest movement, move ear close to victim’s face, hear &
feel the breathing.
D R A C A B
3. • Trace costal margin, locate xyphisterum.
• Place Non Dominant hand palm below, Dominant hand above. Press with heel of
palm.
• 30 compressions: 5cm depth, Allow chest recoil
• Place the face mask C shaped (Thumb & index finger) on nose bridge, give 1
breath. Pause. Give another breath.
• Reassess PULSE & BREATHING after 5 sec.
-GOT breathing, No pulse: Compression 100/min
-GOT PULSE, no breathing: 1 breath in every 5 sec
-NO breath, No pulse: Repeat CPR until medical assistant arrived.
• Patient recovered, Place patient in recovery position
5. • AED: Expose patient chest, dry, shave chest. Place 1 on shoulder, 1 on heart
apex. If shock required (Orange blinking), clear everyone.
• CHOKING: Heimlich Maneuver
1.Tap victim’s back 5 times
2.Make a fist, with thumb touch victim’s unbilical
3.Compress inward & upward
-In OBESE/ PREGNANT: Chest thrust
6. •Suture
A= Simple Interrupted
B= Simple Continuous
C=Simple Continuous with
Interlocking
D=Vertical Mattress
E=Horizontal Mattress
F=Figure of 8
7.
8.
9. Principle of Suture
1) The needle should be grasped with the help of needle holders at approximately 3/4th of
its distance from the tip of the needle
2) The needle should never be held at the suture end as it is the weakest point of the
needle and grasping at this point results in either bending or breakage of the needle
3) The needle should pierce the tissue perpenidcular to its surface. The curved needles
should be passed through the tissues following the curvature of the needle to prevent
tearing of the tissue
4) The suture should be placed equidistant from the incision line
5) The needle should be passed from the free to the fixed end
6) The needle should pass from the thinner to the thicker side
7) The needle should pass from deeper to superficial
8) The suture should not be tied too tightly that it results in blanching of the tissues
9) The knot should be placed at 2-3 mm from the incision
10) Each suture should be placed 3-4 mm apart
10.
11. Impactions
Along the occlusal surface of the
erupted mandibular molars
drawn from distal bone lying distally to the 3rd molar to
the crest of the interdental septum between the 1st and
2nd mandibular molars
indicates the margin of alveolar bone enclosing the tooth
Perpendicular line from the amber line to an imaginary point of
application of an elevator
Measures the depth of the impacted tooth within the mandible
12. WHARFE ASSESSMENT
(done with OPG)
• W - Angulation using Winters classification
• H — Height of mandible
• A — Angle of third molar
• R – Root shape & development
• F — Size of follicular sac
• E — Path of Exit
