INCLUDES THE TECHNIQUE CPCR

1. CPCR
ASWATHY.O
LECTURER, KIMS CON

2. INTRODUCTION
– Cardio pulmonary resuscitation (CPR) is a technique
of basic life support for oxygenation the brain and
heart until appropriate medical treatment can restore
normal heart and ventilation action.
– Cardiopulmonary resuscitation technique are needed
to artificially maintain both circulation and ventilation
in person suffering from cardiac arrest

3. External cardiac massage (normal heart compression )
Artificial ventilation by either mouth to mouth , mouth
to nose or mouth to airway technique
management of foreign body or airway obstruction

4. DEFINITION
– Resuscitation is a method which includes all
measures that are applied to receive patient who
have stopped breathing suddenly and unexpectedly
due to to either respiratory or cardiac failure.

5. DEFINITION
– Cardiopulmonary resuscitation is a technique
of basic life support for oxygenation the brain
and heart until appropriate medical treatment
can restore normal heart rate and ventilation

6. PURPOSES OF CPR
– To maintain an open and clear airway
– To maintain breathing by artificial ventilation
– To maintain blood circulation by external cardiac massage
– To save the life of the client
– To provide basic life support till medical and advanced life
support arrives

7. INDICATION FOR CPR
– cardiac arrest – ventricular fibrillation
– ventricular tachycardia
– a systole
– pulse less electricity activity

8. INDICATION OF CPR
– Respiratory arrest -drowning , stroke
– foreign body in throat , smoke inhalation
– drug overdose , suffocation ,accident injury
– coma , epiglottis paralysis
– electrocution or injury by lighting

9. SIGNS AND SYMPTOMS OF
CARDIAC ARREST
– sudden loss of consciousness
– absence of pulse
– cessation of respiration
– dilation of pupils
– marked cyanosis

10. PRINCIPLES OF CPR
– To restore effective circulation and ventilation
– To prevent the irreversible cerebral damage due to
anoxia when the heart fail to maintain the cerebral
circulation for approximately for more than six
minutes

11. – CPR technique are used in person whose respiration
and circulation of blood have suddenly and
unexpectedly stopped
– there is no need to attempting CPR technique in
patient last stage of an incurable illness
– the immediate responsibility of the resuscitator are
– To recognize the sign of cardiac death

12. – Protect the patient brain from anoxia
– Call for help
– The CPR must be initiated within three to four
minutes in order to prevent permanent damage to the
brain
– Strike the center of chest sharply with the sides of
clenched fist

13. 2010 AHA
guide line for
CPR
– compression rate of at least 100/ mts ( changes
from approximately 100/mts
– compression depth of at least 2 inches (5cm) in
adult and compression depth of at least one
third of anterio posterior diameter of the chest
in infants and children ( approximately 1.5
inches (4 cm ) in infants and 2 inches (5) in
children

14. 2010 AHA
guide line for
CPR
– Allowing for the complete recoil of the heart
after each compression
– Minimizing interruption in chest compression
– Avoid excessive ventilation
– There has been no change in the
recommendation for a compression to
ventilation ratio of 30:2 for single rescue of
adult , children and infants
– The duration or rescue breath to be given in
approximately 1 second

15. CPR FOR
ADULT
– To determine if an unconscious adult need CPR
follow the emergency caution steps
– CHECK
– CALL
– CARE
Head tilt / chin -lift technique

16. WHEN TO
STOP
– You notice that an obvious sign of life ,
such as breathing
– An AED is available and ready to use
– Another trained responder or EMS
personnel take over
– You are too exhausted to continue
– The scene become unsafe
CPR ?

17. CPR FOR INFANT
– Find the correct position for compressions . Keep one hand one the infant
forehead to maintain an open the airway .Use the pads of two or three
finger of your other hand to give chest compression on the center of chest ,
just below the nipple line ( towards the infant feet) . If you feel the notch
of sternum move your finger slightly towards the infant head

18. CPR FOR INFANT
– Give 30 compression using the pads of these finger to compress
the chest . Compress the chest about 1 ½ inches , push hard ,
push fast .Your compression should not jerky , it should be
smooth. . Keep steady rhythm . Do not pause in between the
each compression

19. CPR FOR INFANT
– Compress at the rate of 100 per minute
– After giving 30 compressions. Give 2 rescue breath , covering
the infants mouth and no sew with your mouth .Each rescue
breath should last about 1 second and make the chest clearly
rise.