Basic life support (BLS) refers to emergency care provided to patients experiencing cardiac arrest, respiratory failure, or airway obstruction. It includes chest compressions, use of an automated external defibrillator, and relieving airway obstructions. The chain of survival emphasizes early CPR, early defibrillation, early advanced life support, and post-cardiac arrest care to maximize patient survival. BLS procedures include assessing the patient for responsiveness, activating emergency services, performing high-quality chest compressions, opening the airway, and providing rescue breaths. Defibrillation is key for shockable cardiac rhythms like ventricular fibrillation. BLS aims to provide oxygenated blood flow to vital organs until further medical help
Advanced Cardiovascular Life Support (ACLS) is the pre-eminent resuscitation course for the recognition and intervention of cardiopulmonary arrest or other cardiovascular emergencies.
Advanced Cardiovascular Life Support (ACLS) is the pre-eminent resuscitation course for the recognition and intervention of cardiopulmonary arrest or other cardiovascular emergencies.
A presentation used to train medical professionals to perform BLS in emergency condition. it will provide a better understanding about the steps of BLS and the order in which it should be perfomed.
Advanced cardiac life support or advanced cardiovascular life support (ACLS) refers to a set of clinical interventions for the urgent treatment of cardiac arrest, stroke and other life-threatening medical emergencies, as well as the knowledge and skills to deploy those interventions.
Basic life support,Cardi0-pulmonary resuscitationPinky Rathee
It refers to the care provided by healthcare providers and public safety professionals to patients who are experiencing respiratory arrest, cardiac arrest or airway obstruction.
BLS includes psychomotor skills for performing high-quality cardiopulmonary resuscitation (CPR), using an automated external defibrillator (AED) and relieving an obstructed airway for patients of all ages.
A presentation used to train medical professionals to perform BLS in emergency condition. it will provide a better understanding about the steps of BLS and the order in which it should be perfomed.
Advanced cardiac life support or advanced cardiovascular life support (ACLS) refers to a set of clinical interventions for the urgent treatment of cardiac arrest, stroke and other life-threatening medical emergencies, as well as the knowledge and skills to deploy those interventions.
Basic life support,Cardi0-pulmonary resuscitationPinky Rathee
It refers to the care provided by healthcare providers and public safety professionals to patients who are experiencing respiratory arrest, cardiac arrest or airway obstruction.
BLS includes psychomotor skills for performing high-quality cardiopulmonary resuscitation (CPR), using an automated external defibrillator (AED) and relieving an obstructed airway for patients of all ages.
Basic Life Support, or BLS, generally refers to the type of care that first-responders, healthcare providers and public safety professionals provide to anyone who is experiencing cardiac arrest, respiratory distress or an obstructed airway. It requires knowledge and skills in cardiopulmonary resuscitation (CPR), using automated external defibrillators (AED) and relieving airway obstructions in patients of every age.
CPR – or Cardiopulmonary Resuscitation – is an emergency lifesaving procedure performed when the heart stops beating. Immediate CPR can double or triple chances of survival after cardiac arrest.
Basic life support is a course run by American Heart Association that teaches about handling cardiac arrest in Out of Hospital and In Hospital Situations. This Presentation covers important aspects of the same.
Cardiopulmonary resuscitation (CPR) is a procedure to support and maintain breathing and circulation for an infant, child, or adolescent who has stopped breathing (respiratory arrest) and/or whose heart has stopped (cardiac arrest).
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
3. INTRODUCTION
3
According to recent statistics sudden
cardiac arrest is rapidly becoming the
leading cause of death.
Once the heart ceases to function, a healthy
human brain may survive without oxygen for
up to 4 minutes without suffering any
permanent damage.
Unfortunately, a typical EMS response
may take 6, 8 or even 10 minutes.
4. It is during those critical minutes that CPR
(Cardio Pulmonary Resuscitation) can
provide oxygenated blood to the victim's brain
and the heart, dramatically increasing his
chance of survival.
And if properly instructed, almost anyone
can learn and perform CPR. 4
5. WHAT IS BLS ?
5
Basic Life Support (BLS) refers to the care
healthcare providers and public safety
professionals provide to patients who are
experiencing respiratory arrest, cardiac arrest or
airway obstruction.
BLS includes psychomotor skills for performing
high-quality cardiopulmonary resuscitation (CPR),
using an automated external defibrillator (AED)
and relieving an obstructed airway for patients of
all ages
6. RESPIRATORY ARREST
6
If the patient is not breathing but has a
definitive pulse, the patient is in respiratory
arrest.
To care for a patient experiencing respiratory
arrest, ventilations must be given.
7. CARDIAC ARREST
7
If there is no breathing, no pulse and the
patient is unresponsive, the patient is in
cardiac arrest.
Cardiac arrest is a life-threatening situation in
which the electrical and/or mechanical
system of the heart malfunctions resulting in
complete cessation of the heart’s ability to
function and circulate blood efficiently.
8. CARDIAC CAUSES ELECTROLYTE IMBALANCE
MI Hyper kalemia
Heart failure Hyper/hypo calcemia
Dysrythmia
Cardiac tamponade
PULMONARY CAUSES PROCEDURES
Respiratory failure PAcatheterisation
Airway obstruction Cardiac catheterisation
ARDS
Pneumothorax
Surgery
OTHERS
Drug toxicity
Pu
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18nary embolus
8
13. ENSURE SAFETY
13
Safety Of Self
Safety Of Patient
Movement of a trauma victim – only when
absolutely necessary
[unstable cervical spine – injured spinal cord]
14. ASSESS RESPONSE
14
Ask the person “Are you ok ?”
Tap and shout
If the client responds
Leave the client and call for help.
Return as quick as possible and
reassess the condition of the
person
16. ACTIVATE EMS
16
Call 108 / 102
Describe the emergency to the operator-
-includes where you are (address and location)
-condition of patient
17. CHANGE FROM A-B-C TO C-A-B
17
The vast majority of cardiac arrests occur in adults, and
the highest survival rates from cardiac arrest are reported
among patients of all ages who have a witnessed arrest
and an initial rhythm of VF or pulseless VT.
In these patients, the critical initial elements of BLS
are chest compressions and early defibrillation.
In the A-B-C sequence, chest compressions are often
delayed while the responder opens the airway to give
mouth-to-mouth breaths, retrieves a barrier device, or
gathers and assembles ventilation equipment.
18. CIRCULATION
18
Check pulse. If pulse is not definitely felt within 10 seconds, proceed
with chest compressions.
Position of victim
Must be supine on a firm flat surface for CPR to be effective
Victim lying facing down – logroll the victim
19. Prone CPR
Standard CPR is performed with the person in supine position.
Prone CPR or reverse CPR is CPR performed on a person lying
on their chest, by turning the head to the side and compressing the
back. Due to the head's being turned, the risk of vomiting and
complications caused by aspiration pneumonia may be reduced.
The American Heart Association's current guideline recommends to
perform CPR in the supine position, and limits prone CPR to
situations where the patient cannot be turned.
19
20. Pregnancy
During pregnancy when a woman is lying on her back, the uterus
may compress the inferior vena cava and thus decrease venous
return. It is therefore recommended that the uterus be pushed to the
woman's left; if this is not effective, either roll the woman 30° or
healthcare professionals should consider emergency resuscitative
hysterotomy.
Cervical spine stabilization
Use cervical collar if available
Any hard objects that restrict neck movement
Firm surface(backboard or floor)
20
21. • Firm surface(backboard or floor)
• Kneel beside victim’s chest or stand beside bed
• Heel of one hand on inter-mammary line (which
is the lower half of the sternum)
• Heel of other hand on top of the first so that the
hands are overlapped and parallel
• Lock elbows
21
22. Rhythmic applications of pressure over the lower half of the
sternum.
It Increase intrathoracic pressure and directly compress
heart
22
23. CHARACTERISTICS OF GOOD
COMPRESSION
“Push hard push fast”. Push at a rate of 100-120 min.
Compression depth- at least 2 inches(5cm) not more than
2.5 inches
Release completely to allow the chest to fully recoil.
A compression-ventilation ratio of 30:2 .
Do not bounce your hands up and down on the victim's
chest.
Never use the palm of your hand, use the heel of your
26-Ja
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24
24. CHEST COMPRESSIONS
25
Lay rescuers should continue CPR until an AED arrives
26-Jan-18
When 2 or more rescuers available,
• Switch the compressor about every 2 minutes (or after 5 cycles
of compressions and ventilations at a ratio of 30:2).
• Accomplish this switch in ≤5 seconds.
Advanced airway and 2 rescuers-
• Continuous chest compressions at a rate of 100-120 /min
without pauses for ventilation.
• The rescuer delivering ventilation provides 8 to 10 breaths per
minute.
29. BREATHING
29
Check breathing.
No “look, listen, feel” for signs of breathing in new guidelines.
After the first set of chest compressions, the airway is opened and
the rescuer delivers 2 breaths.
30. GIVING RESCUE BREATHS
30
Use a barrier device of some type while giving breaths.
Deliver each rescue breath over 1 second.
Give a sufficient tidal volume to produce visible chest rise (500-
600ml).
Avoid rapid or forceful breaths.
When an advanced airway is in place during 2-person CPR,
ventilate at a rate of 8 to 10 breaths per min.
31. METHODS OF RESCUE BREATHS
31
Mouth-to-Mouth Rescue Breathing
Mouth-to–Barrier Device Breathing
Mouth-to-Nose and Mouth-to-Stoma
Ventilation
Ventilation With Bag and Mask
Ventilation With an AdvancedAirway
34. EARLY DEFIBRILLATION
34
AED – Automatic external Defibrillator
A battery operated device
On applying to victim detects and assesses cardiac rhythm and
prompts the user for further action
AED BOX contains –
AED machine with battery and charger
Two self sticking pads with cables & connectors
one razor
35. AED MACHINE
On/Off switch
Plug with flashing light near it
Shock delivery button(orange)
Speaker & volume control for
voice prompt
Battery
39. Give ONE shock each time AED advises “SHOCK”
Resume CPR immediately- 5 cycles ( 2 min ) starting with
chest compressions
After 2 minutes, AED will automatically start analyzing again &
prompt accordingly
Non-shockable rhythm- AED prompts to check for “signs of
circulation” - Check Pulse (< 10sec)
a) No pulse : continue CPR
b) Pulse : discontinue CPR
40
40. If the victim responds, position him in the recovery
position and monitor breathing until help arrives.
THE RECOVERY POSITION
Infant Recovery Position
56
26-Jan-18
41
41. DEFIBRILLATION SAFETY
PATIENT
5 point check
Pacemaker
Jewellery
Hair on chest
Damp/Wet skin
Patches (NTG)
AED
In good working order
Do Not use in Heavy rain
Do Not use if they lay in a
pool of water
Do Not use in an explosive
environment
42
42.
43. CONTINUE RESUSCITATION UNTIL
43
Qualified help arrives and takes over
Victim revives: The victim starts breathing normally
Rescuer becomes exhausted
45. RESPIRATORY ARREST BY OPIOIDS –
BYSTANDER USE OF NALOXONE
45
New in 2015, bystanders may administer naloxone to
victims who are apparently suffering from a opioid overdose.
Unresponsive opioid users can benefit from timely
administration of naloxone (2 mg intranasal or 0.4 mg
intramuscular).
50. CONCLUSION
50
CPR is responsibility of a team of personnel.
For patients with cardiac arrest, early appropriate resuscitation,
involving CPR, early defibrillation, and appropriate
implementation of post–cardiac arrest care, leads to improved
survival and neurologic outcomes.
52. Compression depth for adults
a) 1-1.5 inch
b) 2-2.5 inch
c) 3-3.5 inch
d) <2 inch
Ans- b
52
53. Maneuver for airway opening preferable in victims with
spinal cord injury
a) Head tilt chin lift
b) Jaw thrust manuever
Ans- b
53
54. Shockable rhythm are
a) Ventricular fibrillation
b) Asystole
c) Pulseless ventricular tachycardia
d) Bradycardia
e) Atrial flutter
Ans- a)
,
c) 55
55. Depth of compression for child
a) 1.5 inch
b) 2-2.5 inch
c) 3-3.5 inch
d) <2 inch
55
Ans- a)
56. Among infants which site is preferable for assessing pulse
a) Femoral artery
b) Carotid artery
c) Temporal artery
d) Brachial artery
56
Ans- d)