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BASIC LIFE SUPPORT
Or CPR
BY-SUMIT KUMAR
02/06/2015 Dept of Accident & Emergency
New AHA Chain of Survival
• New 5th link – post-cardiac arrest care
• Links in new Chain:
1. Immediate recognition and activation of emergency
response system
2. Early CPR, w/emphasis on chest compressions
3. Rapid defibrillation
4. Effective advanced life support
5. Integrated post-cardiac arrest care
What is CPR?
Cardio-Pulmonary Resuscitation
PUMPING BLOOD
• Chest compressions
DELIVERING OXYGEN
• Breathing
+
Why is it important?
• Organs die if they do
not get enough blood
and oxygen
• Your heart pumps
these supplies to your
organs
• If your organs die,
you die
Image Credit: www.wikilectures.eu
What are the indications?
UNCONSCIOUS PULSELESS+
Absence of Breathing
How to do CPR
Step by Step Instructions
25/04/2019 MBH
Chest compressions
• Push a little harder – at least 2 inches or 5 cm
• Push a little faster - at least 100 compressions
per minute (30 compressions should take you 18
seconds)
• Allowing for complete chest recoil after each
compression
• Minimising all interruptions to chest compressions
• Avoiding excessive ventilation
• For infants and children at least one third of the
anterior-posterior diameter of the chest or
approximately 4 cm (1.5 inches) in an infant and 5
cm in a child.
1. Place the heel of one hand over
the breast bone.
2. Place your other hand on top
and lace your fingers together.
3. Keep your arms straight with
your shoulders directly above your
hands.
4. Compress chest ~5cm.
Image Credit: utah.edu
5. Allow the chest to come all the
way back up before you press
down again.
Image Credit: utah.edu
6. Continue for 30
compressions at a rate of 100
compressions per minute.
7. Deliver 2 breaths by bag-valve
mask.
8. Continue chest
compressions and repeat cycle
5 times. This should take
approximately 2 minutes.
Basic life support
ABC changed
to CAB
9. Now check for a pulse.
10. If there is a pulse, stop chest
compressions. If there is no pulse,
continue chest compressions.
Children (Age 1-8 Years)
• One or two hands
depending on size
• Compress chest 1/3
and 5cm
• Two rescuers: 15/2
Image Credit: resuscitation-guidelines.articleinmotion.com
Infants
• Two fingers
or
• Two thumbs with
hands wrapped
around chest
• 4 cm depth
• Two rescuers: 15/2 Image Credit: sanford365.com
Video of correct
AED
AED:
AUTOMATED EXTERNAL
DEFIBRILLATOR
What is an AED?
• Detects heart
rhythm
• Advises shock vs.
no shock
• Delivers shock with
push of button
• Converts heart
rhythm back to
normal
What are the indications?
UNCONSCIOUS PULSELESS+
How to Use an AED
Step by Step Instructions
1. Remove clothing and dry
patient/ shave chest if necessary.
2. Open and turn on AED.
3. Remove pads and stick to chest
wall according to the diagram.
Placement of AED pads
4. Make sure pads are plugged
into AED.
5. AED will tell you if and when to
press the shock button.
6. Prior to pressing shock button,
have everyone step back from the
patient. “I’m clear, you’re clear,
everybody’s clear.”
7. Deliver shock.
Video
8. Immediately resume CPR.
Summary
• Do CPR if a patient is unconscious +
Breathlessness + Pulseless
• Chest compressions are the most important
part
• Emphasis on chest compressions – PUSH
HARD AND FAST, DON’T STOP PUSHING
• Remember the slight differences for infants
and children
• Aim for early defibrillation
Thank You

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Cardiopulmonary resuscitation

  • 1. BASIC LIFE SUPPORT Or CPR BY-SUMIT KUMAR 02/06/2015 Dept of Accident & Emergency
  • 2. New AHA Chain of Survival • New 5th link – post-cardiac arrest care • Links in new Chain: 1. Immediate recognition and activation of emergency response system 2. Early CPR, w/emphasis on chest compressions 3. Rapid defibrillation 4. Effective advanced life support 5. Integrated post-cardiac arrest care
  • 3. What is CPR? Cardio-Pulmonary Resuscitation PUMPING BLOOD • Chest compressions DELIVERING OXYGEN • Breathing +
  • 4. Why is it important? • Organs die if they do not get enough blood and oxygen • Your heart pumps these supplies to your organs • If your organs die, you die Image Credit: www.wikilectures.eu
  • 5. What are the indications? UNCONSCIOUS PULSELESS+ Absence of Breathing
  • 6. How to do CPR Step by Step Instructions
  • 8. Chest compressions • Push a little harder – at least 2 inches or 5 cm • Push a little faster - at least 100 compressions per minute (30 compressions should take you 18 seconds) • Allowing for complete chest recoil after each compression • Minimising all interruptions to chest compressions • Avoiding excessive ventilation • For infants and children at least one third of the anterior-posterior diameter of the chest or approximately 4 cm (1.5 inches) in an infant and 5 cm in a child.
  • 9. 1. Place the heel of one hand over the breast bone.
  • 10. 2. Place your other hand on top and lace your fingers together.
  • 11. 3. Keep your arms straight with your shoulders directly above your hands.
  • 12. 4. Compress chest ~5cm. Image Credit: utah.edu
  • 13. 5. Allow the chest to come all the way back up before you press down again. Image Credit: utah.edu
  • 14. 6. Continue for 30 compressions at a rate of 100 compressions per minute.
  • 15. 7. Deliver 2 breaths by bag-valve mask.
  • 16. 8. Continue chest compressions and repeat cycle 5 times. This should take approximately 2 minutes.
  • 17. Basic life support ABC changed to CAB
  • 18. 9. Now check for a pulse.
  • 19. 10. If there is a pulse, stop chest compressions. If there is no pulse, continue chest compressions.
  • 20. Children (Age 1-8 Years) • One or two hands depending on size • Compress chest 1/3 and 5cm • Two rescuers: 15/2 Image Credit: resuscitation-guidelines.articleinmotion.com
  • 21. Infants • Two fingers or • Two thumbs with hands wrapped around chest • 4 cm depth • Two rescuers: 15/2 Image Credit: sanford365.com
  • 23. AED
  • 25. What is an AED? • Detects heart rhythm • Advises shock vs. no shock • Delivers shock with push of button • Converts heart rhythm back to normal
  • 26. What are the indications? UNCONSCIOUS PULSELESS+
  • 27. How to Use an AED Step by Step Instructions
  • 28. 1. Remove clothing and dry patient/ shave chest if necessary.
  • 29. 2. Open and turn on AED.
  • 30. 3. Remove pads and stick to chest wall according to the diagram.
  • 32. 4. Make sure pads are plugged into AED.
  • 33. 5. AED will tell you if and when to press the shock button.
  • 34. 6. Prior to pressing shock button, have everyone step back from the patient. “I’m clear, you’re clear, everybody’s clear.”
  • 36. Video
  • 38. Summary • Do CPR if a patient is unconscious + Breathlessness + Pulseless • Chest compressions are the most important part • Emphasis on chest compressions – PUSH HARD AND FAST, DON’T STOP PUSHING • Remember the slight differences for infants and children • Aim for early defibrillation