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• Cardiopulmonary resuscitation (CPR)
is a lifesaving technique useful in
many emergencies, including heart
attack or near drowning, in which
someone's breathing or heartbeat has
stopped.
• Cardio Pulmonary Resuscitation is a
technique of basic life support for
oxygenating the brain and heart until
appropriate, definitive medical
treatment can restore normal heart
and ventilatory action.
• To maintain an open and clear airway
(A).
• To maintain breathing by external
ventilation (B).
• To maintain Blood circulation by external
cardiac massages (C).
• To save life of the Patient.
• To provide basic life support till medical
and advanced life support arrives.
Cardiac Arrest
• Ventricular fibrillation (VF)
• Ventricular tachycardia (VT)
• Asystole
• Pulse less electrical activity
Respiratory Arresst
• This may be result of following:
• Drowning
• Stroke
• Foreign body in throat
• Smoke inhalation
• Drug overdose
• Suffocation
• Accident, injury
• Coma
• Epiglottis paralysis.
• To restore effective circulation and
ventilation.
• To prevent irreversible cerebral
damage due to anoxia. When the
heart fails to maintain the cerebral
circulation for approximately four
minutes the brain may suffer
irreversible damage.
SEQUENCES OF PROCEDURES
PERFORMED TO RESTORE THE
CIRCULATION OF OXYGENATED BLOOD
AFTER A SUDDEN PULMONARY AND/OR
CARDIAC ARREST
CHEST COMPRESSIONS AND PULMONARY
VENTILATION PERFORMED BY ANYONE
WHO KNOWS HOW TO DO IT, ANYWHERE,
IMMEDIATELY, WITHOUT ANY OTHER
EQUIPMENT
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 108
30 chest compressions
2 rescue breaths
APPROACH SAFELY!
WATCH
OBSERVE
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 108
30 chest compressions
2 rescue breaths
CHECK RESPONSE
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
Shake shoulders gently
Ask “Are you all right?”
If he responds
• Leave as you find him.
• Find out what is wrong.
• Reassess regularly.
CHECK RESPONSE
SHOUT FOR HELP
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
OPEN AIRWAY
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
OPEN AIRWAY
Head tilt and chin lift
- lay rescuers
- non-healthcare rescuers
No need for finger sweep
unless solid material can be seen
in the airway
OPEN AIRWAY
Head tilt, chin lift + jaw thrust
CHECK BREATHING
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 108
30 chest compressions
2 rescue breaths
CHECK BREATHING
• Look, listen and feel
for NORMAL
breathing
• Do not confuse
agonal breathing with
NORMAL breathing
• Occurs shortly after the heart stops
in up to 40% of cardiac arrests
• Described as barely, heavy, noisy or
gasping breathing
• Recognise as a sign of cardiac arrest
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 108
30 chest compressions
2 rescue breaths
30 CHEST COMPRESSIONS
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 108
30 chest compressions
2 rescue breaths
• Place the heel of one hand in
the centre of the chest
• Place other hand on top
• Interlock fingers
• Compress the chest
– Rate 100 min-1
– Depth 4-5 cm (1.5 to 2 inch)
– Equal compression :
relaxation
• When possible change CPR
operator every 2 min
CHEST COMPRESSIONS
RESCUE BREATHS
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 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
RECOMMENDATIONS:
- Tidal volume
500 – 600 ml
- Respiratory rate
give each breaths over about 1s with enough
volume to make the victim’s chest rise
- Chest-compression-only
continuously at a rate of 100 min
CONTINUE CPR
30 2
• Coronary vessel injury
• Diaphragm injury
• Hemopericardium
• Hemothorax
• Interference with ventilation
• Liver injury
• Myocardial injury
• Pneumothorax
• Rib fractures
• Spleen injury
• Sternal fracture
Adrenaline
• Adrenaline (epinephrine) is the main drug used
during resuscitation from cardiac arrest.
Atropine
• Atropine as a single dose of 3mg is sufficient to
block vagal tone completely and should be used
once in cases of asystole. It is also indicated for
symptomatic bradycardia in a dose of 0.5mg -
1mg.
Amiodarone
• It is an antiarrhythmic drug.
• Maintains airway patency with use of airway
adjuncts as required (suction, high flow
oxygen with O2 or bag valve mask
ventilation).
• Assist with intubation and securing of ETT
• Inserts gastric tube and/or facilitates gastric
decompression post intubation as required.
• Assists with ongoing management of airway
patency and adequate ventilation
• Supports less experienced staff by
coaching/guidance e.g. drug
preparation
• If a shockable rhythm is present
(VF/VT) ensure manual defibrillator
pads are applied and connected.
• If CPR is in progress, prepare and
independently double check and label 3
doses of adrenaline
• Prepare and administer IV fluids
• Document medications administered
(including time)
CPR

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CPR

  • 1.
  • 2. • Cardiopulmonary resuscitation (CPR) is a lifesaving technique useful in many emergencies, including heart attack or near drowning, in which someone's breathing or heartbeat has stopped.
  • 3.
  • 4.
  • 5. • Cardio Pulmonary Resuscitation is a technique of basic life support for oxygenating the brain and heart until appropriate, definitive medical treatment can restore normal heart and ventilatory action.
  • 6. • To maintain an open and clear airway (A). • To maintain breathing by external ventilation (B). • To maintain Blood circulation by external cardiac massages (C). • To save life of the Patient. • To provide basic life support till medical and advanced life support arrives.
  • 7. Cardiac Arrest • Ventricular fibrillation (VF) • Ventricular tachycardia (VT) • Asystole • Pulse less electrical activity
  • 8. Respiratory Arresst • This may be result of following: • Drowning • Stroke • Foreign body in throat • Smoke inhalation • Drug overdose • Suffocation • Accident, injury • Coma • Epiglottis paralysis.
  • 9. • To restore effective circulation and ventilation. • To prevent irreversible cerebral damage due to anoxia. When the heart fails to maintain the cerebral circulation for approximately four minutes the brain may suffer irreversible damage.
  • 10. SEQUENCES OF PROCEDURES PERFORMED TO RESTORE THE CIRCULATION OF OXYGENATED BLOOD AFTER A SUDDEN PULMONARY AND/OR CARDIAC ARREST CHEST COMPRESSIONS AND PULMONARY VENTILATION PERFORMED BY ANYONE WHO KNOWS HOW TO DO IT, ANYWHERE, IMMEDIATELY, WITHOUT ANY OTHER EQUIPMENT
  • 11. Approach safely Check response Shout for help Open airway Check breathing Call 108 30 chest compressions 2 rescue breaths
  • 12. APPROACH SAFELY! WATCH OBSERVE Approach safely Check response Shout for help Open airway Check breathing Call 108 30 chest compressions 2 rescue breaths
  • 13. CHECK RESPONSE Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths
  • 14. Shake shoulders gently Ask “Are you all right?” If he responds • Leave as you find him. • Find out what is wrong. • Reassess regularly. CHECK RESPONSE
  • 15. SHOUT FOR HELP Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths
  • 16. OPEN AIRWAY Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths
  • 17. OPEN AIRWAY Head tilt and chin lift - lay rescuers - non-healthcare rescuers No need for finger sweep unless solid material can be seen in the airway
  • 18. OPEN AIRWAY Head tilt, chin lift + jaw thrust
  • 19. CHECK BREATHING Approach safely Check response Shout for help Open airway Check breathing Call 108 30 chest compressions 2 rescue breaths
  • 20. CHECK BREATHING • Look, listen and feel for NORMAL breathing • Do not confuse agonal breathing with NORMAL breathing
  • 21. • Occurs shortly after the heart stops in up to 40% of cardiac arrests • Described as barely, heavy, noisy or gasping breathing • Recognise as a sign of cardiac arrest
  • 22. Approach safely Check response Shout for help Open airway Check breathing Call 108 30 chest compressions 2 rescue breaths
  • 23. 30 CHEST COMPRESSIONS Approach safely Check response Shout for help Open airway Check breathing Call 108 30 chest compressions 2 rescue breaths
  • 24. • Place the heel of one hand in the centre of the chest • Place other hand on top • Interlock fingers • Compress the chest – Rate 100 min-1 – Depth 4-5 cm (1.5 to 2 inch) – Equal compression : relaxation • When possible change CPR operator every 2 min CHEST COMPRESSIONS
  • 25. RESCUE BREATHS Approach safely Check response Shout for help Open airway Check breathing Call 112 30 chest compressions 2 rescue breaths
  • 26. • 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
  • 27. RECOMMENDATIONS: - Tidal volume 500 – 600 ml - Respiratory rate give each breaths over about 1s with enough volume to make the victim’s chest rise - Chest-compression-only continuously at a rate of 100 min
  • 29. • Coronary vessel injury • Diaphragm injury • Hemopericardium • Hemothorax • Interference with ventilation
  • 30. • Liver injury • Myocardial injury • Pneumothorax • Rib fractures • Spleen injury • Sternal fracture
  • 31. Adrenaline • Adrenaline (epinephrine) is the main drug used during resuscitation from cardiac arrest. Atropine • Atropine as a single dose of 3mg is sufficient to block vagal tone completely and should be used once in cases of asystole. It is also indicated for symptomatic bradycardia in a dose of 0.5mg - 1mg. Amiodarone • It is an antiarrhythmic drug.
  • 32. • Maintains airway patency with use of airway adjuncts as required (suction, high flow oxygen with O2 or bag valve mask ventilation). • Assist with intubation and securing of ETT • Inserts gastric tube and/or facilitates gastric decompression post intubation as required. • Assists with ongoing management of airway patency and adequate ventilation
  • 33. • Supports less experienced staff by coaching/guidance e.g. drug preparation • If a shockable rhythm is present (VF/VT) ensure manual defibrillator pads are applied and connected. • If CPR is in progress, prepare and independently double check and label 3 doses of adrenaline • Prepare and administer IV fluids • Document medications administered (including time)