CPR is a life saving emergency measure which includes BLS, ALS, prolonged life support
CPR with both compression & rescue breath is critical for victim in emergency situation
BLS includes recognition of signs of cardiac arrest, heart attack, strock, foreign body air way obstruction(FBAO) with activation of EMS
Performed by a medical professional or an ordinary citizen who trained on it
ALS includes BLS & use of defibrillation, drugs to stabilize the victim & done by specially trained medical person
Every year in the US over 320,000 people (of all ages) die from Sudden Cardiac Arrest (SCA) outside of hospitals. While Fire and EMS departments do a great job trying to save these people time is not on their side. Severe brain damage occurs withing 4-6 minutes and brain death by 10 minutes.
On scene bystanders are the best chance for these victims. Prompt CPR and early use of an AED will dramatically increase the victims chance of survival. This presentation is a brief overview on how to use an Automated External Defibrillator (AED). This presentation should not take away from that fact that all people need to attend a formal CPR and AED course.
First Response Training, LLC is a West Palm Beach CPR training facility owned by Conor Devery who has over 20 years of pre hospital and critical care medical experience. First Response Training, LLC provides training for the medical and non medical communities in South Florida. Courses taught include CPR, AED, BLS, First Aid, ACLS, PALS, and EKG. For further information please contact Conor at (561) 459-0221 or vissit him at www.gotcpr.us
AED is a portable type of external defibrillator that automatically diagnose the ventricular fibrillation in a patient.
Automatic refers to the ability to autonomously analyze the patients condition.AED is provided with self-adhesive electrodes instead of hand held paddles
Advanced Cardiovascular Life Support (ACLS) is the pre-eminent resuscitation course for the recognition and intervention of cardiopulmonary arrest or other cardiovascular emergencies.
learn how to obtain an ECG, anyone can do it:
This presentation aims to show the clinical process of obtaining an ECG and features some tips and suggestions to troubleshoot and improve the quality of the tracing.
Please note that you're welcome to use any slides as long as you reference my post when you do so to maintain the integrity of authorship
If interested in detailed answers, please email: aamirdash@yahoo.com
Thanks, Ahmad
Advanced Cardiovascular Life Support (ACLS).pptxRebilHeiru2
discusses the basic and Advanced Life support according to the AHA guidelines.
ACLS, BLS, defibrillation and Advanced medications at Adama Hospital medical college ICU
Every year in the US over 320,000 people (of all ages) die from Sudden Cardiac Arrest (SCA) outside of hospitals. While Fire and EMS departments do a great job trying to save these people time is not on their side. Severe brain damage occurs withing 4-6 minutes and brain death by 10 minutes.
On scene bystanders are the best chance for these victims. Prompt CPR and early use of an AED will dramatically increase the victims chance of survival. This presentation is a brief overview on how to use an Automated External Defibrillator (AED). This presentation should not take away from that fact that all people need to attend a formal CPR and AED course.
First Response Training, LLC is a West Palm Beach CPR training facility owned by Conor Devery who has over 20 years of pre hospital and critical care medical experience. First Response Training, LLC provides training for the medical and non medical communities in South Florida. Courses taught include CPR, AED, BLS, First Aid, ACLS, PALS, and EKG. For further information please contact Conor at (561) 459-0221 or vissit him at www.gotcpr.us
AED is a portable type of external defibrillator that automatically diagnose the ventricular fibrillation in a patient.
Automatic refers to the ability to autonomously analyze the patients condition.AED is provided with self-adhesive electrodes instead of hand held paddles
Advanced Cardiovascular Life Support (ACLS) is the pre-eminent resuscitation course for the recognition and intervention of cardiopulmonary arrest or other cardiovascular emergencies.
learn how to obtain an ECG, anyone can do it:
This presentation aims to show the clinical process of obtaining an ECG and features some tips and suggestions to troubleshoot and improve the quality of the tracing.
Please note that you're welcome to use any slides as long as you reference my post when you do so to maintain the integrity of authorship
If interested in detailed answers, please email: aamirdash@yahoo.com
Thanks, Ahmad
Advanced Cardiovascular Life Support (ACLS).pptxRebilHeiru2
discusses the basic and Advanced Life support according to the AHA guidelines.
ACLS, BLS, defibrillation and Advanced medications at Adama Hospital medical college ICU
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.
CPR is a process of oxygenating heart, lung through external cardiac massage and artificial respiration until the definite medical treatment can restore the normal functioning of heart, lung and brain.
\It is a condition of the lung characterized by permanent dilatation of the air spaces distal to the terminal bronchioles with destruction of the walls of these airways.
Chronic Bronchitis
It is a disease characterized by daily cough with sputum for at least 3 months of the year for at least 2 consecutive years and airway obstruction which is irreversible.
These are cardiac anomalies arising as a result of a defect in the structure or function of the heart and great vessels which is present at birth
These lesions either obstruct blood flow in the heart or vessels near it, or alter the pathway of blood circulating through the heart
Burn is coagulative necrosis of the skin’s tissues, usually caused by excessive heat
Excess heat causes rapid protein denaturation and cell damage
Wet heat (scald) travels more rapidly into tissue than dry heat (flame)
A surface temperature of over 60˚C produces immediate cell death as well as vessel thrombosis
The dead skin tissue is known as Eschar
Modified Sweat gland
Lies in the deep pectoral
fascia
Boundaries:
clavicle superiorly,
the lateral border of the latissimus muscle laterally,
the sternum medially
inframammary fold inferiorly
Pre- Operative Assessment
Detailed History (Obsteritic & Gynecological h/o)
Chest assessment
Lung function tests (PFT)
Stage of cancer, extent of the disease
Surgical plan should be documented -length & duration of surgery, type of incision & details of the flap used for reconstruction
Assess the involvement of lymph nodes, posture, mobility
Checking of the Exercise capacity considering the patient’s tolerance
AMPUTATION:
“Surgical removal of limb or part of the limb through a bone or multiple bones”
DISARTICULATION:
“Surgical removal of hole limb or part of the limb through a joint”
Establishing the need for a surgical intervention
Confirmation of relevant physical findings and review of the clinical history and laboratory investigations that support the need of surgical intervention
Type of approach- Benefits & Risks of surgical procedure
The incision site- ease of surgery as well as cosmetic considerations
Type of anesthesia
Pulmonary rehabilitation is a comprehensive intervention based on a thorough patient assessment followed by patient tailored therapies that include, but are not limited to, exercise training, education, and behavior change, designed to improve the physical and psychological condition of people with chronic respiratory disease and to promote the long-term adherence to health-enhancing behaviors”
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.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
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.
Title: Sense of Smell
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 primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
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.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
NVBDCP.pptx Nation vector borne disease control program
basic life support
1. 04/12/08 1
Dr. Abhijit Diwate
Associate Professor
Cardio-Vascular & Respiratory PT
DVVPF College of Physiotherapy
Ahemednagar 414111
2. Indications
Warning sign
ABC’s for CPR
BLS Algorithm
Advanced life support
Shockable & non- shockable rhythm
04/12/08 1
3. Introduction
• CPR is a life saving emergency measure which
includes BLS, ALS, prolonged life support
• CPR with both compression & rescue breath is critical
for victim in emergency situation
• BLS includes recognition of signs of cardiac arrest,
heart attack, strock, foreign body air way
obstruction(FBAO) with activation of EMS
• Performed by a medical professional or an ordinary
citizen who trained on it
• ALS includes BLS & use of defibrillation, drugs to
stabilize the victim & done by specially trained medical
person
3
5. Warning signs
Heart attack
Chest Pain
Confused with indigestion
Uncomfortable pressure &
burning sensation in lower
chest & upper abdomen
Antacids with relief
Squeezing sensation in the
centre of chest
Pain radiate into arms, jaw,
uppe abdomen
Other- sweating, nausea or
vomiting, palpitation, shortness
of breath, weak, pale, feel faint
or dizzy
stroke
Extreme headache
Confusion
Weakness or numbness of
face, leg on one side of body
Temporary dimness or loss of
sight
Speech difficulty
Unexplained dizziness
Loss of balance
5
6. Warning signs
Signs of mild airway
obstruction
• Response to question ‘ ARE U
CHOCKING?’
Victim speaks & saying YES
• Other signs
Victim is able to speak, cough
& breath
Signs of severe airway
obstruction
Response to question ‘ ARE U
CHOCKING?’
Victim unable to speak
Victim may respond by
nodding
Other signs
Victim is unable to breath
Breathing will wheezy
Attempts at coughing are
silent
Exaggerated movement of
chest & abdomen
Cyanosis
Victims may unconscious
6
7. ABC’S of CPR
• First assess unresponsiveness
• Tap or shake the person’s shoulder gently
• Shout loudly near his ear to arouse him
“ARE YOU OK”
• Activate EMS( if two people are available,
one can access EMS, & the other initiate
CPR ‘or’ if one perform one minute CPR
before calling 911
7
8. Airway
‘Opening the airway’ is the first skill
Place on his back as a unit
In unconscious person, tongue is the
common obstruction
Head-tilt/chin-lift :the head rotates back with
head-tilt & jaw is raised with chin-lift
If neck injury is suspected(drowning ,
RTA)”jaw thrust” without head lift
The lips must remain open to allow free air
passage, then check breathing
8
10. Breathing
Keep the airway open by maintaining the
head-tilt with hands while checking breathing
To assess breathing, lean over the victim’s
head facing towards the chest; place your ear
within an inch of victim’s mouth &nose
Look for chest raise or belly movement,
listen for air movement, & fell for air
movement (not more than 10sec)
If breathing normally, turn him to recovery
position
10
12. Breathing
If not breathing, start rescue breathing
‘Rescue breathing’ is the second skill:
MOUTH-TO-MOUTH METHOD
An airtight seal is made by fully covering the
victim’s open mouth with your mouth & pinch
nose to seal the nostrils & give 2 rescue
breath with Head-tilt/chin-lift manure
Omit the 2 rescue breath & give 30
compression immediately when cardiac
arrest is established(change in BLS guide
lines)
12
13. Breathing
Take a breath & make blow slowly(1 sec) into the
victim’s lungs
As you remove your mouth, tipping your head
slightly to get a new breath of fresh air, you should
feel air passively flowing out of the mouth & see
the chest fall
If good chest raise is not seen, you have failed
to provide open airway or there is a foreign body
obstruction?
HELMLICH maneuver, foreign body check, back
blow (for airway obstruction)
If good chest raise seen, then check pulse
13
14. Circulation
‘Circulation’(check Pulse) is the third skill
Do not rush! Take at least 5- 10 sec to check
pulse(carotid –adult or child )
Pulse present: rescue breath
Continue rescue breath at a rate of once
every 5-6 sec (10-12 breath/min)
Check breathing by tipping your head
Check pulse once a min to ensure heart
function
If breathing begins on his own rescuer can
also continue to monitor victim in side lying
14
15. Circulation
Pulse absent: External chest compression
It is started immediately if pulse less
Kneel beside the victim, then place the heel
of your hand centering over midline & lower
half of sternum with fingers off the chest &
interlocking
With proper hand placement, straighten out
your arms, position your shoulder directly
over the sternum which enables maximum
effort
Bend at your hips allows your shoulder &
arms to move straight up & down as a unit
15
17. Circulation
Depress the chest to 1.5-2 inch depth,
which is enough to circulate o2 rich blood
to maintain life
Release the pressure to allow blood into
the chest & is then available to be pumped
out on next compression with heel contact
on sternum
17
18. Circulation
Counting aloud, “one and two and three”
will help to maintain both speed & rhythm
(i.e) down stroke = upstroke
For combined compression & rescue
breath: Continue chest compression &
rescue breath in a ratio of 30:2 at the rate
of 100 per min for 2 min(about 5 cycle at
30:2)
Check pulse check at every 2 min, if pulse
less continue CPR until qualified help
arrived 18
21. Advanced life support
ALS includes chest compression,
defibrillation, airway management &
ventilation, venous access, administration
of drugs, and identification & correction of
reversible factors
Arrhythmias associated with cardiac arrest
divided into shockable rhythms(VT/VF) &
non-shockable rhythms(asystole/PEA)
21
23. Shockable rhythms
• Check the rhythm with ECG
• If VF/VT, perform 1 shock(150-200 J in
biphasic or 360 J in monophasic)
• Immediately resume CPR (30:2) without
reassessing rhythm or feeling pulse for 2
min (i.e)5 cycles of CPR
• Then pause briefly to check the monitor
23
25. Shockable rhythms
• If VF/VT persists:
Give a further (2nd) shock(150-200 J in
biphasic or 360 J in monophasic)
Resume CPR immediately & continue for 2
min
Pause briefly to check the monitor
25
26. Shockable rhythms
• If VF/VT persist (drug-shock-CPR-
rhythm check sequence)
Give adrenaline 1mg followed immediately by
a (3 rd) shock & repeat the same every 3-5
min thereafter if VF/VT persists
Resume CPR immediately & continue for 2
min
Check monitor
26
27. Shockable rhythms
• If VF/VT persists
Give amiodarone 300 mg by bolus injection or
lidocaine1-1.5 mg/kg (no lidocaine if amiodarone
is given already) followed immediately by a (4th
)
shock
Resume CPR & continue for 2 min
Continue adrenaline 1mg IV immediately before
alternate shock(i.e) approx every 3-5 min
• Give a further shock after each 2 min period
of CPR and after confirming that VF/VT
persists 27
28. Shockable rhythms
• If organized electrical activity is seen
during brief pause in compression, check
for pulse
If pulse present, start post-resuscitation care
If no pulse present, continue CPR & switch to
the non-shockable algorithm
• If asystole is seen, continue CPR & switch
to the non-shockable algorithm
28
29. Non-shockable rhythms
Sequence of action for PEASequence of action for PEA
Start CPR 30:2
Give adrenaline 1mg IV as soon as
intravascular access is achieved
Continue CPR 30:2 until the airway is
secured, then continue chest compression
without pausing during ventilation
29
30. Non-shockable rhythms
Recheck the rhythm after 2 min
If there is no change in the ECG
Continue CPR
Recheck the rhythm after 2 min & proceed accordingly
Give further adrenaline 1mg IV every 3-5 min
If ECG changes & organised electrical activity is
seen, check for pulse
If a pulse is present, start post-resuscitation care
If no pulse is present:
o Continue CPR
o Recheck the rhythm after 2 min and proceed accordingly
o Give further adrenaline 1mg IV every 3-5 min
30
31. Non-shockable rhythms
Sequence of action for asystole and slowSequence of action for asystole and slow
PEA(<60)PEA(<60)
Start CPR 30:2
Without stopping CPR, check that the
leads are attached correctly
Give adrenaline 1 mg IV as soon as
intravascular is achieved
Give atropine 3mg IV (once only)
31
32. Non-shockable rhythms
• Continue CPR until airway is secured,
then continue chest compression without
pausing during ventilation
• Recheck the rhythm after 2 min & proceed
accordingly
• If VF/VT recurs, change to shockable
rhythm
• Give adrenaline 1 mg IV every 3-5 min
32
35. Indications & Warning sign
ABC’s for CPR
BLS Algorithm
Advanced life support
Shockable & non- shockable rhythm
04/12/08 1
36. 1. What are shockable and non-shockable
rhythms? 7mrks
2. Write about indication and warning sings of
cardio-pulmonary resuscitation? 5mrks
04/12/08 1