Basic Life Support
CPR
CPR Training Precautions
Jangan berlatih pada manusia
Bersihkan alat setelah training
Alcohol
Bleach wash
Jangan menggunakan
manekin bila:
Cold or sore throat
Known positive hepatitis B
or C
Infected by HIV or AIDS
You have ...
CPR
Kombinasi bantuan nafas dan chest
compressions
Mengembalikan fungsi heart
(cardio) and lung (pulmonary)
Saat tidak ...
Kerja CPR
Effective CPR provides 1/4 to
1/3 normal blood flow
Rescue breaths contain 16%
oxygen (21%)
Start CPR Secepatnya
Better chance of survival
Kerusakan otak dimulai
dalam 4-6 minutes
 Kerusakan otak  10 mnt
tanpa ...
Walaupun CPR dilakukan
dengan baik tetapi tidak akan
berhasil tnp ACLS
ACLS (Advanced
Cardiac Life
Support)
ACLS include...
Pengamanan diri dan
situasi, lalu: RAP
R -
Responsiveness
Tap shoulder
and shout “Are
you ok?”
RAP
A - Aktifkan EMS ( if unresponsive)
 Panggil bantuan  code blue
RAP
P - Position on back
Posisi badan dibuat
terlentang
Hati-hati cidera kepala dan
spinal
Support neck and spinal
col...
ABCD
Airway
Breathing
Circulation - Bleeding
Disability (keep this in mind from
the beginning)
If victim is unconscio...
Checking Vital Signs
A – Airway
Open the airway
Head tilt chin lift
B – Check For Breathing
Look, listen and
feel for
breathing
 No longer than
10 seconds
seconds
Breathing
 Bila tidak bernafas, berikan 2x
bantuan nafas (1 detik atau
lebih lama) dengan alat
bagging
 kalau tidak masu...
Compressions
Setelah memberikan Bantuan Nafas
 POSISI TANGAN
Place heel of one hand on center of chest
between the nipp...
Compressions
Using both hands, give
30 chest compressions
Count 1, 2, 3 …
Depth of compressions:
1 .5 to 2 inches
For ...
CPR
Setelah 30 chest compressions
berikan:
2 slow breaths
Continue until help arrives or
victim recovers
If the victim...
Kapan Stop CPR?
 Pasien sadar
 Trained help arrives
 Terlalu lelah
 Keadaaan tidak aman
 Physician directed (do not r...
Efektifitas CPR
Apakah dada mengembang
dengan baik saat pemberian
bantuan nafas?
Penolong lain mencek denyut
saat dilaku...
Kegagalan CPR
terlambat
kesalahan prosedur ( salah memasang
mask,dll)
Tidak diikuti oleh ACLS follow-up dan
terlambat d...
Cidera yang
berkaitan dgn CPR
Fraktur iga
Laserasi di dada atau
Liver, lung, spleen
Komplikasi CPR
Muntah
Aspiration
Place victim on left side
Wipe vomit from mouth with
fingers wrapped in a cloth
Repo...
Distensi lambung
Air in the stomach
 Creates pressure against the
lungs
Prevention of Stomach Distension
Don’t blow to...
Mouth to Mouth Barrier
Devices
Masks
Shields
If You Are Afraid to Perform
CPR
Call EMS
Open the airway
Give chest compressions
CPR for Infants
(Under 1 Year of Age)
Same procedures
(RAPAB) except:
Seal nose and mouth or
nose only
Give shallow “pu...
CPR: Infants
RAPAB
Give CPR
Press sternum 1/2 to 1/3
depth of the chest
Use middle and ring finger
30 compressions to...
CPR 2010 Terbaru
Terjadi beberapa perubahan agar CPR
lebih efektif
HIGH QUALITY CPR
"Untuk memberikan penekanan dada yang efektif,
kompresi keras dan cepat. ... Kompres dada orang
dewasa fr...
CPR 2010
CAB bukan ABC
Highlights
 Initial assessment approach:
 Assess responsiveness and breathing
 Activate EMS
 Assess pulse
 Perform CP...
Rationale For Change
 Sangat penting untuk tidak menunda
kompresi jantung untuk pemberian nafas.
 Kompresi dada awal dap...
Cpr rs agung
Cpr rs agung
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Cpr rs agung

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CPR

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Cpr rs agung

  1. 1. Basic Life Support CPR
  2. 2. CPR Training Precautions Jangan berlatih pada manusia Bersihkan alat setelah training Alcohol Bleach wash
  3. 3. Jangan menggunakan manekin bila: Cold or sore throat Known positive hepatitis B or C Infected by HIV or AIDS You have an infection
  4. 4. CPR Kombinasi bantuan nafas dan chest compressions Mengembalikan fungsi heart (cardio) and lung (pulmonary) Saat tidak ada nafas dan denyut nadi Memberikan Pasokan O2 sementara sampai penanganan lanjutan (ACLS)
  5. 5. Kerja CPR Effective CPR provides 1/4 to 1/3 normal blood flow Rescue breaths contain 16% oxygen (21%)
  6. 6. Start CPR Secepatnya Better chance of survival Kerusakan otak dimulai dalam 4-6 minutes  Kerusakan otak  10 mnt tanpa CPR
  7. 7. Walaupun CPR dilakukan dengan baik tetapi tidak akan berhasil tnp ACLS ACLS (Advanced Cardiac Life Support) ACLS includes defibrillation, oxygen, drug therapy
  8. 8. Pengamanan diri dan situasi, lalu: RAP R - Responsiveness Tap shoulder and shout “Are you ok?”
  9. 9. RAP A - Aktifkan EMS ( if unresponsive)  Panggil bantuan  code blue
  10. 10. RAP P - Position on back Posisi badan dibuat terlentang Hati-hati cidera kepala dan spinal Support neck and spinal column
  11. 11. ABCD Airway Breathing Circulation - Bleeding Disability (keep this in mind from the beginning) If victim is unconscious but does display vital signs, place on left side
  12. 12. Checking Vital Signs A – Airway Open the airway Head tilt chin lift
  13. 13. B – Check For Breathing Look, listen and feel for breathing  No longer than 10 seconds seconds
  14. 14. Breathing  Bila tidak bernafas, berikan 2x bantuan nafas (1 detik atau lebih lama) dengan alat bagging  kalau tidak masuk, ulangi.. Kalau tetap tidak masuk, curiga obstruksi jalan nafas
  15. 15. Compressions Setelah memberikan Bantuan Nafas  POSISI TANGAN Place heel of one hand on center of chest between the nipples OR
  16. 16. Compressions Using both hands, give 30 chest compressions Count 1, 2, 3 … Depth of compressions: 1 .5 to 2 inches For children: ½ to 1/3 of chest depth and use 1 or 2 hands (keep one hand on forehead if possible)
  17. 17. CPR Setelah 30 chest compressions berikan: 2 slow breaths Continue until help arrives or victim recovers If the victim starts moving: check breathing
  18. 18. Kapan Stop CPR?  Pasien sadar  Trained help arrives  Terlalu lelah  Keadaaan tidak aman  Physician directed (do not resuscitate orders)  Henti jantung lebih dari 30 menit (controversial)
  19. 19. Efektifitas CPR Apakah dada mengembang dengan baik saat pemberian bantuan nafas? Penolong lain mencek denyut saat dilakukan kompresi dada
  20. 20. Kegagalan CPR terlambat kesalahan prosedur ( salah memasang mask,dll) Tidak diikuti oleh ACLS follow-up dan terlambat dilakukan defibrilasi Only 15% who receive CPR live to go home Improper techniques Terminal disease or unmanageable disease (massive heart attack)
  21. 21. Cidera yang berkaitan dgn CPR Fraktur iga Laserasi di dada atau Liver, lung, spleen
  22. 22. Komplikasi CPR Muntah Aspiration Place victim on left side Wipe vomit from mouth with fingers wrapped in a cloth Reposition and resume CPR
  23. 23. Distensi lambung Air in the stomach  Creates pressure against the lungs Prevention of Stomach Distension Don’t blow too hard Slow rescue breathing Re-tilt the head to make sure the airway is open Use mouth to nose method
  24. 24. Mouth to Mouth Barrier Devices Masks Shields
  25. 25. If You Are Afraid to Perform CPR Call EMS Open the airway Give chest compressions
  26. 26. CPR for Infants (Under 1 Year of Age) Same procedures (RAPAB) except: Seal nose and mouth or nose only Give shallow “puffs” 
  27. 27. CPR: Infants RAPAB Give CPR Press sternum 1/2 to 1/3 depth of the chest Use middle and ring finger 30 compressions to 2 If alone, resuscitate for 2 minutes then call 911
  28. 28. CPR 2010 Terbaru Terjadi beberapa perubahan agar CPR lebih efektif
  29. 29. HIGH QUALITY CPR "Untuk memberikan penekanan dada yang efektif, kompresi keras dan cepat. ... Kompres dada orang dewasa frekuensi 100 kompresi per menit dengan kedalaman kompresi minimal 2 inci / 5 cm. Dan recoil lengkap dada setelah kompresi masing- masing, untuk memungkinkan jantung untuk mengisi sepenuhnya sebelum kompresi berikutnya. ... Meminimalkan frekuensi dan durasi gangguan di kompresi
  30. 30. CPR 2010 CAB bukan ABC
  31. 31. Highlights  Initial assessment approach:  Assess responsiveness and breathing  Activate EMS  Assess pulse  Perform CPR  CAB – begin CPR cycles with compressions, followed by airway and breathing.
  32. 32. Rationale For Change  Sangat penting untuk tidak menunda kompresi jantung untuk pemberian nafas.  Kompresi dada awal dapat memberikan oksigen yg masih ada di dalam darah melalui proses sirkulasi.

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