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© Ramaiah University of Applied Sciences
1
Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences
1
CARDIO PULMONARY RESUSCITATION
Presenter,
Austin Thomas
1st M-pharm
Department of
pharmacutics
Faculty of pharmacy
© Ramaiah University of Applied Sciences
2
Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences
2
OBJECTIVES
•How to assess the collapsed victim
•How to perform chest compression and rescue
breathing
•What is AED, How to use an AED
•How to place an unconscious breathing victim in the
recovery position
© Ramaiah University of Applied Sciences
3
Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences
3
Basic life support
•BSL is the sequence of procedure performed to
restore the circulation of oxygenated blood after
a sudden pulmonary or cardiac arrest
•Chest compressions and pulmonary ventilation
performed by anyone who knows how to do
,anywhere immediately,without any other
equipment
© Ramaiah University of Applied Sciences
4
Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences
4
BASIC LIFE SUPPORT
•AIRWAY
•BREATHING
•COMPRESSIONS (CAB)
© Ramaiah University of Applied Sciences
5
Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences
5
© Ramaiah University of Applied Sciences
6
Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences
6
•APPROCH SAFELY
•CHECK RESPONSE
•SHOUT FOR HELP
•OPEN AIRWAY
•CHECK BREATHING
•30 CHEST
COMPRESSION
•2 RESCUE BREATHS
HOW TO BE A LIFE SAVER!!!
© Ramaiah University of Applied Sciences
7
Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences
7
APPROACH SAFELY
•APPROCH SAFELY
•CHECK RESPONSE
•SHOUT FOR HELP
•OPEN AIRWAY
•CHECK BREATHING
•30 CHEST COMPRESSION
•2 RESCUE BREATHS
•SCENE
•VICTIM
•RESCUER
•BYSTANDER
© Ramaiah University of Applied Sciences
8
Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences
8
CHECK RESPONSE
Shake shoulder gently Ask “Are you
okea?”if he is not respond ?
•APPROCH SAFELY
•CHECK RESPONSE
•SHOUT FOR HELP
•OPEN AIRWAY
•CHECK BREATHING
•30 CHEST COMPRESSION
•2 RESCUE BREATHS
© Ramaiah University of Applied Sciences
9
Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences
9
SHOUT FOR HELP
•APPROCH SAFELY
•CHECK RESPONSE
•SHOUT FOR HELP
•OPEN AIRWAY
•CHECK BREATHING
•30 CHEST COMPRESSION
•2 RESCUE BREATHS
© Ramaiah University of Applied Sciences
10
Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences
10
OPEN AIR WAY
•APPROCH SAFELY
•CHECK RESPONSE
•SHOUT FOR HELP
•OPEN AIRWAY
•CHECK BREATHING
•30 CHEST
COMPRESSION
•2 RESCUE BREATHS
© Ramaiah University of Applied Sciences
11
Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences
11
OPEN AIRWAY
Head tilt and chin lift
•Lay rescures
•Non healthcare
rescueres
NO NEED FOR FINGER SWEEP
UNLESS SOLID MATERIAL IS FOUND
IN THE MOUTH
© Ramaiah University of Applied Sciences
12
Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences
12
AIRWAY OPENING BY NECK EXTENSION
© Ramaiah University of Applied Sciences
13
Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences
13
Headtilt,chinlift+jaw thrust
© Ramaiah University of Applied Sciences
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Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences
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CHECK BREATHING
•APPROCH SAFELY
•CHECK RESPONSE
•SHOUT FOR HELP
•OPEN AIRWAY
•CHECK BREATHING
•30 CHEST COMPRESSION
•2 RESCUE BREATHS
© Ramaiah University of Applied Sciences
15
Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences
15
CHECK BREATHING
•LOOK LISTEN AND FEEL FOR
NORMAL BREATHING
•DONOT CONSIDER AGONAL
BREATHING FOR NORMAL
© Ramaiah University of Applied Sciences
16
Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences
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© Ramaiah University of Applied Sciences
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Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences
17
BACK BLOWS
© Ramaiah University of Applied Sciences
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Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences
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ABDOMINAL THRUSTS
© Ramaiah University of Applied Sciences
19
Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences
19
30 CHEST COMPRESSIONS
•APPROCH SAFELY
•CHECK RESPONSE
•SHOUT FOR HELP
•OPEN AIRWAY
•CHECK BREATHING
•30 CHEST COMPRESSION
•2 RESCUE BREATHS
© Ramaiah University of Applied Sciences
20
Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences
20
CHEST COMPRESSIONS
•Place the heel of one hand in the
centre of the chest
•Place other hand on top
•Interlock fingers
•Compress the chest
•Rate 100 compression per min
•Depth 4-5 cm
•Equal compression : relaxation
•Change CPR operator every 2 min
© Ramaiah University of Applied Sciences
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Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences
21
2 RESCUE BREATHS
•APPROCH SAFELY
•CHECK RESPONSE
•SHOUT FOR HELP
•OPEN AIRWAY
•CHECK BREATHING
•30 CHEST COMPRESSION
•2 RESCUE BREATHS
© Ramaiah University of Applied Sciences
22
Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences
22
RESCUE BREATHS
•Pinch the nose
•Take a normal breath
•Place lips over mouth
•Blow until the chest rises
•Take about 1 second
•Allow chest to fall
•Repeat
© Ramaiah University of Applied Sciences
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Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences
23
Automated External
Defibrillator (AED)
•Many victims who receive BLS need an
AED
Often in cardiac arrest heart has
abnormal rhythm
•Use AED with unresponsive victim who
is not breathing normally
AED may correct abnormal heart
rhythm
© Ramaiah University of Applied Sciences
24
Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences
24
How AEDs Work
•Automatically checks victim’s
heart rhythm to detect fibrillation
•Advises whether victim needs a
shock
•
The shock (defibrillation) is an
attempt to return heart to normal
rhythm
© Ramaiah University of Applied Sciences
25
Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences
25
HOW TO USE AN AED
1. Turn on AED
2. Place pads on victim
3. Analysis the heart rhythm
4. Shock if prompted
© Ramaiah University of Applied Sciences
26
Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences
26
IF VICTIM STARTS TO BREATHE
NORMALLY PLACE IN RECOVERY
POSITION
© Ramaiah University of Applied Sciences
27
Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences
27
© Ramaiah University of Applied Sciences
28
Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences
28
CONTINUE RESUSCITATION UNTIL….
•Qualified help arrives and takes over
•The victim starts breathing normally
•Rescuer becomes exhausted
© Ramaiah University of Applied Sciences
29
Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences
29
Why CPR may fail?
•Delay in starting
•Improper procedure(airway is not
cleared)
•Terminal disease or unmanageable
disease
© Ramaiah University of Applied Sciences
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Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences
30
COMPLICATIONS OF CPR
•Vomiting
•Aspiration
•Wipe vomit from mouth with
fingers wrapped in a cloth
•Reposition and resume CPR
© Ramaiah University of Applied Sciences
31
Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences
31
REFERENCE
https://www.redcross.org/content/dam/redcross/atg/Landin
g_Pages/BLS/BLS_Handbook__Final_.pdf
http://www.alsg.org/fileadmin/_temp_/Specific/Ch04_BLS.pdf
https://www.nationalcprassociation.com/pdf/BLS.pdf
https://www.heart.org/-/media/data-
import/downloadables/pe-abh-what-is-an-automated-
external-defibrillator-ucm_300340.pdf
© Ramaiah University of Applied Sciences
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Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences
32

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Basic life support

  • 1. © Ramaiah University of Applied Sciences 1 Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences 1 CARDIO PULMONARY RESUSCITATION Presenter, Austin Thomas 1st M-pharm Department of pharmacutics Faculty of pharmacy
  • 2. © Ramaiah University of Applied Sciences 2 Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences 2 OBJECTIVES •How to assess the collapsed victim •How to perform chest compression and rescue breathing •What is AED, How to use an AED •How to place an unconscious breathing victim in the recovery position
  • 3. © Ramaiah University of Applied Sciences 3 Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences 3 Basic life support •BSL is the sequence of procedure performed to restore the circulation of oxygenated blood after a sudden pulmonary or cardiac arrest •Chest compressions and pulmonary ventilation performed by anyone who knows how to do ,anywhere immediately,without any other equipment
  • 4. © Ramaiah University of Applied Sciences 4 Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences 4 BASIC LIFE SUPPORT •AIRWAY •BREATHING •COMPRESSIONS (CAB)
  • 5. © Ramaiah University of Applied Sciences 5 Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences 5
  • 6. © Ramaiah University of Applied Sciences 6 Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences 6 •APPROCH SAFELY •CHECK RESPONSE •SHOUT FOR HELP •OPEN AIRWAY •CHECK BREATHING •30 CHEST COMPRESSION •2 RESCUE BREATHS HOW TO BE A LIFE SAVER!!!
  • 7. © Ramaiah University of Applied Sciences 7 Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences 7 APPROACH SAFELY •APPROCH SAFELY •CHECK RESPONSE •SHOUT FOR HELP •OPEN AIRWAY •CHECK BREATHING •30 CHEST COMPRESSION •2 RESCUE BREATHS •SCENE •VICTIM •RESCUER •BYSTANDER
  • 8. © Ramaiah University of Applied Sciences 8 Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences 8 CHECK RESPONSE Shake shoulder gently Ask “Are you okea?”if he is not respond ? •APPROCH SAFELY •CHECK RESPONSE •SHOUT FOR HELP •OPEN AIRWAY •CHECK BREATHING •30 CHEST COMPRESSION •2 RESCUE BREATHS
  • 9. © Ramaiah University of Applied Sciences 9 Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences 9 SHOUT FOR HELP •APPROCH SAFELY •CHECK RESPONSE •SHOUT FOR HELP •OPEN AIRWAY •CHECK BREATHING •30 CHEST COMPRESSION •2 RESCUE BREATHS
  • 10. © Ramaiah University of Applied Sciences 10 Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences 10 OPEN AIR WAY •APPROCH SAFELY •CHECK RESPONSE •SHOUT FOR HELP •OPEN AIRWAY •CHECK BREATHING •30 CHEST COMPRESSION •2 RESCUE BREATHS
  • 11. © Ramaiah University of Applied Sciences 11 Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences 11 OPEN AIRWAY Head tilt and chin lift •Lay rescures •Non healthcare rescueres NO NEED FOR FINGER SWEEP UNLESS SOLID MATERIAL IS FOUND IN THE MOUTH
  • 12. © Ramaiah University of Applied Sciences 12 Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences 12 AIRWAY OPENING BY NECK EXTENSION
  • 13. © Ramaiah University of Applied Sciences 13 Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences 13 Headtilt,chinlift+jaw thrust
  • 14. © Ramaiah University of Applied Sciences 14 Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences 14 CHECK BREATHING •APPROCH SAFELY •CHECK RESPONSE •SHOUT FOR HELP •OPEN AIRWAY •CHECK BREATHING •30 CHEST COMPRESSION •2 RESCUE BREATHS
  • 15. © Ramaiah University of Applied Sciences 15 Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences 15 CHECK BREATHING •LOOK LISTEN AND FEEL FOR NORMAL BREATHING •DONOT CONSIDER AGONAL BREATHING FOR NORMAL
  • 16. © Ramaiah University of Applied Sciences 16 Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences 16
  • 17. © Ramaiah University of Applied Sciences 17 Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences 17 BACK BLOWS
  • 18. © Ramaiah University of Applied Sciences 18 Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences 18 ABDOMINAL THRUSTS
  • 19. © Ramaiah University of Applied Sciences 19 Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences 19 30 CHEST COMPRESSIONS •APPROCH SAFELY •CHECK RESPONSE •SHOUT FOR HELP •OPEN AIRWAY •CHECK BREATHING •30 CHEST COMPRESSION •2 RESCUE BREATHS
  • 20. © Ramaiah University of Applied Sciences 20 Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences 20 CHEST COMPRESSIONS •Place the heel of one hand in the centre of the chest •Place other hand on top •Interlock fingers •Compress the chest •Rate 100 compression per min •Depth 4-5 cm •Equal compression : relaxation •Change CPR operator every 2 min
  • 21. © Ramaiah University of Applied Sciences 21 Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences 21 2 RESCUE BREATHS •APPROCH SAFELY •CHECK RESPONSE •SHOUT FOR HELP •OPEN AIRWAY •CHECK BREATHING •30 CHEST COMPRESSION •2 RESCUE BREATHS
  • 22. © Ramaiah University of Applied Sciences 22 Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences 22 RESCUE BREATHS •Pinch the nose •Take a normal breath •Place lips over mouth •Blow until the chest rises •Take about 1 second •Allow chest to fall •Repeat
  • 23. © Ramaiah University of Applied Sciences 23 Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences 23 Automated External Defibrillator (AED) •Many victims who receive BLS need an AED Often in cardiac arrest heart has abnormal rhythm •Use AED with unresponsive victim who is not breathing normally AED may correct abnormal heart rhythm
  • 24. © Ramaiah University of Applied Sciences 24 Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences 24 How AEDs Work •Automatically checks victim’s heart rhythm to detect fibrillation •Advises whether victim needs a shock • The shock (defibrillation) is an attempt to return heart to normal rhythm
  • 25. © Ramaiah University of Applied Sciences 25 Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences 25 HOW TO USE AN AED 1. Turn on AED 2. Place pads on victim 3. Analysis the heart rhythm 4. Shock if prompted
  • 26. © Ramaiah University of Applied Sciences 26 Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences 26 IF VICTIM STARTS TO BREATHE NORMALLY PLACE IN RECOVERY POSITION
  • 27. © Ramaiah University of Applied Sciences 27 Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences 27
  • 28. © Ramaiah University of Applied Sciences 28 Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences 28 CONTINUE RESUSCITATION UNTIL…. •Qualified help arrives and takes over •The victim starts breathing normally •Rescuer becomes exhausted
  • 29. © Ramaiah University of Applied Sciences 29 Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences 29 Why CPR may fail? •Delay in starting •Improper procedure(airway is not cleared) •Terminal disease or unmanageable disease
  • 30. © Ramaiah University of Applied Sciences 30 Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences 30 COMPLICATIONS OF CPR •Vomiting •Aspiration •Wipe vomit from mouth with fingers wrapped in a cloth •Reposition and resume CPR
  • 31. © Ramaiah University of Applied Sciences 31 Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences 31 REFERENCE https://www.redcross.org/content/dam/redcross/atg/Landin g_Pages/BLS/BLS_Handbook__Final_.pdf http://www.alsg.org/fileadmin/_temp_/Specific/Ch04_BLS.pdf https://www.nationalcprassociation.com/pdf/BLS.pdf https://www.heart.org/-/media/data- import/downloadables/pe-abh-what-is-an-automated- external-defibrillator-ucm_300340.pdf
  • 32. © Ramaiah University of Applied Sciences 32 Faculty of Pharmacy©M. S. Ramaiah University of Applied Sciences 32