Cardiopulmonary resuscitation (CPR) has evolved over centuries from early techniques like applying heat or cold to more modern practices combining chest compressions and artificial ventilation. The document outlines the history and development of CPR, indications for its use in cardiac arrest, guidelines for techniques like chest compressions and airway management, and potential complications. Proper monitoring during CPR includes assessing pupils, pulse, breathing and consciousness to determine if resuscitation efforts should continue or be abandoned.
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.
Cardiopulmonary resuscitation (CPR) is an emergency procedure that combines chest compressions often with artificial ventilation in an effort to manually preserve intact brain function until further measures are taken to restore spontaneous blood circulation and breathing in a person who is in cardiac arrest.
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).
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.
Cardiopulmonary resuscitation (CPR) is an emergency procedure that combines chest compressions often with artificial ventilation in an effort to manually preserve intact brain function until further measures are taken to restore spontaneous blood circulation and breathing in a person who is in cardiac arrest.
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).
Advanced Cardiovascular Life Support (ACLS) is the pre-eminent resuscitation course for the recognition and intervention of cardiopulmonary arrest or other cardiovascular emergencies.
I. Introduction
A. Definition of CPR
1. Explanation of what CPR stands for
2. Definition of CPR as a life-saving technique
B. Importance of CPR
1. Statistics on cardiac arrest and survival rates
2. Explanation of why CPR is crucial for saving lives
C. Objective of the manual
1. Explanation of what readers will learn from the manual
2. Statement of the manual's purpose
II. Getting Started with CPR
A. Assessing the situation
1. Importance of assessing the situation before starting CPR
2. Factors to consider when assessing the situation
B. Checking for responsiveness
1. Explanation of how to check for responsiveness
2. Importance of checking for responsiveness
C. Activating the emergency response system
1. Explanation of when to activate the emergency response system
2. Step-by-step guide to activating the emergency response system
III. Basic Life Support Techniques
A. Key components of basic life support
1. Explanation of the components of basic life support
2. Importance of each component
B. The ABCs of CPR
1. Explanation of the ABCs of CPR
2. Importance of each step in the ABCs of CPR
C. Performing chest compressions
1. Explanation of how to perform chest compressions
2. Importance of proper chest compression technique
D. Delivering rescue breaths
1. Explanation of how to deliver rescue breaths
2. Importance of proper rescue breath technique
E. Utilizing an automated external defibrillator (AED)
1. Explanation of what an AED is and how it works
2. Step-by-step guide to using an AED
F. Administering medications during CPR
1. Explanation of medications used during CPR
2. Dosages and administration guidelines for each medication
IV. Advanced Life Support Techniques
A. Advanced airway management
1. Explanation of advanced airway management techniques
2. Importance of advanced airway management in CPR
B. Advanced monitoring techniques
1. Explanation of advanced monitoring techniques
2. Importance of advanced monitoring in CPR
C. Invasive interventions
1. Explanation of invasive interventions
2. Importance of invasive interventions in CPR
D. Extracorporeal membrane oxygenation (ECMO)
1. Explanation of ECMO
2. Importance of ECMO in CPR
V. Improving Outcomes in CPR
A. Factors influencing CPR outcomes
1. Explanation of factors that influence CPR outcomes
2. Importance of understanding these factors
B. Strategies for improving CPR outcomes
1. Explanation of strategies for improving CPR outcomes
2. Importance of implementing these strategies
C. The role of high-quality CPR in improving outcomes
1. Explanation of what high-quality CPR is
2. Importance of performing high-quality CPR
VI. Special Considerations in CPR
A. CPR in special populations
1. Explanation of special populations that require unique CPR techniques
2. Importance of understanding these unique CPR techniques
B. CPR in special settings
1. Explanation of special settings that require unique CPR techniques
2. Importance of understanding these unique CPR techniques
C. CPR during a pandemic
1
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.
Advanced Cardiovascular Life Support (ACLS) is the pre-eminent resuscitation course for the recognition and intervention of cardiopulmonary arrest or other cardiovascular emergencies.
I. Introduction
A. Definition of CPR
1. Explanation of what CPR stands for
2. Definition of CPR as a life-saving technique
B. Importance of CPR
1. Statistics on cardiac arrest and survival rates
2. Explanation of why CPR is crucial for saving lives
C. Objective of the manual
1. Explanation of what readers will learn from the manual
2. Statement of the manual's purpose
II. Getting Started with CPR
A. Assessing the situation
1. Importance of assessing the situation before starting CPR
2. Factors to consider when assessing the situation
B. Checking for responsiveness
1. Explanation of how to check for responsiveness
2. Importance of checking for responsiveness
C. Activating the emergency response system
1. Explanation of when to activate the emergency response system
2. Step-by-step guide to activating the emergency response system
III. Basic Life Support Techniques
A. Key components of basic life support
1. Explanation of the components of basic life support
2. Importance of each component
B. The ABCs of CPR
1. Explanation of the ABCs of CPR
2. Importance of each step in the ABCs of CPR
C. Performing chest compressions
1. Explanation of how to perform chest compressions
2. Importance of proper chest compression technique
D. Delivering rescue breaths
1. Explanation of how to deliver rescue breaths
2. Importance of proper rescue breath technique
E. Utilizing an automated external defibrillator (AED)
1. Explanation of what an AED is and how it works
2. Step-by-step guide to using an AED
F. Administering medications during CPR
1. Explanation of medications used during CPR
2. Dosages and administration guidelines for each medication
IV. Advanced Life Support Techniques
A. Advanced airway management
1. Explanation of advanced airway management techniques
2. Importance of advanced airway management in CPR
B. Advanced monitoring techniques
1. Explanation of advanced monitoring techniques
2. Importance of advanced monitoring in CPR
C. Invasive interventions
1. Explanation of invasive interventions
2. Importance of invasive interventions in CPR
D. Extracorporeal membrane oxygenation (ECMO)
1. Explanation of ECMO
2. Importance of ECMO in CPR
V. Improving Outcomes in CPR
A. Factors influencing CPR outcomes
1. Explanation of factors that influence CPR outcomes
2. Importance of understanding these factors
B. Strategies for improving CPR outcomes
1. Explanation of strategies for improving CPR outcomes
2. Importance of implementing these strategies
C. The role of high-quality CPR in improving outcomes
1. Explanation of what high-quality CPR is
2. Importance of performing high-quality CPR
VI. Special Considerations in CPR
A. CPR in special populations
1. Explanation of special populations that require unique CPR techniques
2. Importance of understanding these unique CPR techniques
B. CPR in special settings
1. Explanation of special settings that require unique CPR techniques
2. Importance of understanding these unique CPR techniques
C. CPR during a pandemic
1
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.
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.
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
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
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
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
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.
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
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
3. INTRODUCTION
• CardiopulmonaryResuscitation (CPR) is a life
saving technique/emergency procedure that
combine chest compression often with
artificial ventilation in an effort to manually
maintain circulatory flow and oxygenation
until further measures are taken to restore
spontaneousblood and breathing in a patient
who is in cardiac arrest
03-Jul-18 Weirdmaskman Slides 3
4. HISTORY & EVOLUTION
03-Jul-18 Weirdmaskman Slides 4
• Over many centuries various techniques have been
tried in order to restorelife. The use of heat, smoke,
cold water, and beating were some of the earlier
attempted technique.
• Use of bellows via mouth and nose, attributed to
Paracelsus in 1500s
• Kite introduced the use of artificial ventilation via
tracheal tubes in 1700s
• Postural technique – compressing the chest wall and
the abdomen from back as the victim is placed prone.
Moving the arms or using …. In 1850s
5. HISTORY & EVOLUTION
• Expire air ventilation although reported earlier
was developed in 1700s
• Cardiac massage – both internal and external
cardiac massage was 1st attempted in 1800s but
the popularization of external cardiac massage
was in 1960s
• Defibrillation – 1700/1800 - investigated in
animals. Internal defibrillation in man was
performed in 1940s while external defibrillation
in 1950s
03-Jul-18 WeirdmaskmanNG Lecture Slides 5
6. HISTORY & EVOLUTION
03-Jul-18 WeirdmaskmanNG Lecture Slides 6
• FIRST- Dedicated conference on CPR 1966 recommended
thus
– All medical personnel
– All allied health workers
– Be trained on the technique of mouth to mouth resuscitation and
external chest compression(Basic life support)
• SECOND-Conference on CPR 1973 rec.
– General public be trained on the technique of Basic Life
Support (BLS)
– Standards for BLS proposed
– Defibrillation, drugs, definitive treatment introduced
i.e. Advanced life support (ALS)
7. HISTORY & EVOLUTION
• THIRD - Conference on CPR 1979
– Many new information collected, changes in ‘standards’
techniques necessary.
• Recommendation: change ‘standards’to
‘Guidelines and standards’
– This indicates that even the ‘Guidelines and standards’
were not the only legally acceptable approach but the
one with best likelihood of success.
• FOURTH- Conference on CPR 1985
– Approved ‘Guidelines and standards for pediatrics and
adult Advance Cardiac Life Support (ACLS)
03-Jul-18 WeirdmaskmanNG Lecture Slides 7
8. HISTORY & EVOLUTION
• FIFTH - Conference on CPR 1991
• Causes of cardiac arrest better understood
• Regional councils established to supervise and update the
guidelines and standards e.g.
» European resuscitation council (REC)
» American heart association (AHA)
» International liaison committee on resuscitation
(ILCOR)
• Review dates back to 2015
• Result is now the consensus view of the regional association
on CPR.
• Mouth to mouth
• Closed chest cardiac massage
• Defibrillations
• Vasopressors
03-Jul-18 WeirdmaskmanNG Lecture Slides 8
10. CARDIAC ARREST
It is the sudden cessation of a demonstrable
heart beat with no clinical cardiac output in a
patient not expected to die. The sooner the
patient is resuscitated the better the chances
of a full recovery
03-Jul-18 Weirdmaskman Slides 10
11. • Brain death occurs when the brain undergoes
irreversible damage from oxygen deprivation
after cardiac arrest. It occurs 4-6 minutes after
an arrest and in such an instance,
resuscitation is fruitless.
03-Jul-18 Weirdmaskman Slides 11
12. CAUSESOF CARDIACARREST
• The commonest cause of cardiac arrest in the
immediate post operative period is tissue
hypoxia which may result from
• Respiratory obstruction
• Severe haemorrhage leading to hypovolaemia
• Shock
03-Jul-18 Weirdmaskman Slides 12
14. INDICATION FOR CPR
• Loss of consciousness
• Pulselessness
• Heart attack
• Drowning
• Excessive bleeding
• Drug overdose (anaesthetics)
• Other conditions where breathing or pulse are
absent e.g ventricular fibrillation, pulseless ventriculartachycardia,
asystole,pulselesselectrical activity, pulseless bradycardia etc.
03-Jul-18 Weirdmaskman Slides 14
15. INDICATION FOR CPR
NOTE – not all dying patient should have
CPR
– The arrest must be sudden, unexpected,
witnessed or monitored
– Patient must not be in terminal stage of
malignant or other chronic disease
– Ensure there is no DNR request
– There should be possibility of return to a
functional existence
03-Jul-18 WeirdmaskmanNG Lecture Slides 15
16. CONTRAINDICATION
• Absolute
– Do-Not-Resuscitate order (DNR)
• The only absolute contraindication to CPR
• Relative contraindications
– Trauma to the chest wall (in the way of ECPR)
– Dead body
– Spontaneous breathing or recovery
– Clinical justification against CPR
03-Jul-18 Weirdmaskman Slides 16
17. EQUIPMENTS
• CPR, in the most basic form can be performed
anywhere without the need for specialized
equipment
• Universal precautions
– Gloves
– Mask (face shield or mask)
– Gown
• Others for advanced cardiac life support
– Defibrillators
– Endotracheal tubes
– Vasopressors
03-Jul-18 Weirdmaskman Slides 17
18. TECHNIQUES
• There are three steps in CPR; performed in order
(CAB) in accordance with the American Heart
Association (AHA) guidelines for healthcare
providers
– Chest compression
– Airway
– Breathing
NB: Artificial respirations are no longer
recommended for bystander rescuers; thus
perform compression-only CPR (COCPR)
03-Jul-18 Weirdmaskman Slides 18
19. Cont’d
• Basic cardiac life support (BCLS)
– CAM
• Advanced cardiac life support (ACLS)
– In-hospital
– More robust e.g drugs, ECG monitoring,
defibrillation, invasive airway procedures
03-Jul-18 Weirdmaskman Slides 19
20. CHESTCOMPRESSION
• Patient should be in
supine position
• On a relatively hard
surface to allow effective
compression of the
sternum (not on Cushing)
• The person giving
compression should be
positioned high enough
above the patient to
achieve sufficient
leverage
03-Jul-18 Weirdmaskman Slides 20
21. • The heel of the palm of one hand is place on
patient sternum
• The other hand on top of the first with the fingers
interlaced
• Extend the elbows and the provider leans directly
over the patient
• Press down on the chest at least 2 inches
4-6cm in adults, 2-4cm in children and 1-2cm for infants using the middle and
ring fingers on sternum at a position two finger breath below the nipple line.
• Release the chest and allow it to recoil
completely
• Compression rate of about 100/min
– Chest compression provider swap every 2-3 min to
prevent fatigue
03-Jul-18 Weirdmaskman Slides 21
22. AIRWAY
• Perform head tilt chin lift maneuver to open
the airway
• Before starting
ventilation, look in the
patient mouth for any
foreign body and remove
• Ensure ventilation
access
03-Jul-18 Weirdmaskman Slides 22
23. MOUTH TO MOUTH TECHNIQUE
• Pinch the patient nostril closed to
assist with an air tight
• Put the mouth completely over the
patient mouth
• After 30 compression, give 2 breath
• Each breath should be giving for
approximately 1 second with each
force to make the patient chest rise
• Failure to observe chest rise indicates
an inadequate mouth seal or airway
occlusion03-Jul-18 Weirdmaskman Slides 23
24. 03-Jul-18 Weirdmaskman Slides 24
Note the
overlapping
hands
placed on
the centre
of sternum,
with the
rescuer’s
arms
extended
25. PRECAUTIONS
• Do not leave patient alone
• Do not give chest compression if the victim has a
pulse
• Do not give the victim anything to eat or drink
• Avoid moving the victim head and neck if spinal
injury is a possibility
• Do not place pillow under the victims head
• Do not put hand directly in mouth to remove
foreign body
03-Jul-18 Weirdmaskman Slides 25
26. MONITORING
International guidelines 2000 conference
recommended that rescuer should not
depend on the unreliable pulse assessment as
an indicationfor perfusion but instead on
signs of life such as breathing, movement and
cough. This is based on Cummins and
colleagues’ findings that only 15% lay rescuer
can assess pulse within 10sec and 45.5%
report no pulse when pulse was present
03-Jul-18 WeirdmaskmanNG Lecture Slides 26
27. MONITORING OF CPR
03-Jul-18 Weirdmaskman Slides 27
• If the heart is not restarted in 1hr,
resuscitation should be abandoned
• The important parameters during
resuscitation include:
– State of the pupils
– Carotid or femoral pulsation
– Spontaneous respiratory effort
– Level of consciousness
28. MONITORING
03-Jul-18 Weirdmaskman Slides 28
• Cerebral death is indicated by
– Widely dilated pupils which do not respond to
light
– Deep unconsciousness
– Absence of respiratory effort
If these persist for 1 hr, then death has occurred
If rescuer wasn’t there when patient collapsed,
rescue can be called off after 30 min
32. CONCLUSION
• CPR is a life saving technique that prevents
cessation of blood flow to vital organs
dependent on oxygen supply for life support
• Survival rates and neurological outcomes are
poor in patients with cardiac arrest, though
early appropriateresuscitation involving BCLS
and ACLS techniques leads to improved
survival and better outcome
03-Jul-18 Weirdmaskman Slides 32