Mechanical ventilation provides positive pressure to move gas into the lungs. There are two main types: volume-controlled ventilation which preselects tidal volume and pressure-controlled ventilation which preselects pressure. Modes include controlled mandatory ventilation (CMV), assisted control ventilation (AC), and synchronized intermittent mandatory ventilation (SIMV). Positive end-expiratory pressure (PEEP) is used to prevent alveolar collapse. Weaning involves gradually reducing ventilator support by shifting modes and rates until the patient can breathe independently. Complications include barotrauma, infection, and weakness.
Ventilator:
ICU ventilator is an equipment which is designed to provide the breath for a patient who is physically unable to breathe or he is breathing insufficiently.
Environment of Use:
•ICU/NICU/ITC •Recovery Rooms
Sources:
•Air (Turbine/ Compressor Operated) •Oxygen
Technology Being Used:
•Mechanical Ventilation •HFO Ventilation
Figure 2. ICU Ventilator
Figure 2. ICU Ventilator
Modes of Ventilation:
In pressure and volume controlled ventilation below mentioned are the basic modes.
•Continuous Mandatory Ventilation (CMV) •Assist Control Ventilation (AC)
•Synchronized Intermittent Mandatory Ventilation (SIMV) •Mandatory Minute Volume
In critical moments where every second counts, the knowledge and skills to perform Adult Cardio Pulmonary Resuscitation (CPR) can make the difference between life and irreversible damage. This comprehensive presentation, titled "Adult CPR Techniques: A Comprehensive Guide (BLS-ACLS-Post CPR)," available on SlideShare, delves into the intricacies of adult CPR, offering a well-rounded overview of Basic Life Support (BLS), Advanced Cardiovascular Life Support (ACLS), and the crucial post-CPR procedures.
The presentation is meticulously designed to cater to healthcare professionals, first responders, and individuals seeking a comprehensive understanding of adult CPR techniques. Starting with the fundamental principles of BLS, the slides explore step-by-step instructions for delivering effective chest compressions and rescue breaths. The integration of up-to-date guidelines ensures that viewers are equipped with the most accurate and evidence-based practices.
Transitioning into the realm of ACLS, the presentation delves into the advanced interventions necessary for managing cardiac arrest situations. Topics such as defibrillation, drug administration, and airway management are covered in depth, empowering viewers to make informed decisions and take appropriate actions during critical moments.
Furthermore, the post-CPR segment of the presentation highlights the essential steps to follow once successful resuscitation has occurred. From monitoring vital signs to providing appropriate care, this section addresses the critical period following CPR and emphasizes the significance of ongoing support and medical attention.
The presentation employs a blend of engaging visuals, explanatory diagrams, and succinct textual content to facilitate a holistic learning experience. Whether you're a medical professional aiming to refresh your skills, a student delving into life-saving techniques, or an individual concerned with being prepared for emergencies, this slide deck offers an invaluable resource for acquiring and reinforcing essential knowledge.
In summary, "Adult CPR Techniques: A Comprehensive Guide (BLS-ACLS-Post CPR)" is a comprehensive SlideShare presentation that meticulously covers the entire spectrum of adult CPR, ranging from Basic Life Support and Advanced Cardiovascular Life Support techniques to vital post-CPR considerations. By exploring this presentation, you'll be better equipped to respond effectively to cardiac emergencies and contribute to saving lives within your community.
The document provides an introduction to patient monitoring in anesthesia. It discusses the importance of monitoring to detect potential issues and outlines the key physiological parameters that should be monitored, including circulation, ventilation, oxygenation, and temperature. It also describes the various equipment and methods used for monitoring these parameters in both the past and present.
Bag and mask ventilation is a basic airway management technique used to oxygenate and ventilate patients until a more definitive airway can be established. It involves manually squeezing an ambu bag attached to a face mask to deliver breaths. Key aspects of bag and mask ventilation include maintaining a proper seal and head position, delivering appropriate volume and rate of breaths, and assessing ventilation effectiveness through chest rise and oxygen saturation. While bag and mask is preferred for prehospital airway support in pediatrics, it has limitations and risks if ventilation is inadequate or contraindications like upper airway obstruction are present.
This document discusses cardiopulmonary cerebral resuscitation (CPCR) in dogs and cats. It defines key terms like respiratory arrest and cardiopulmonary arrest. It outlines that overall survival to discharge is around 6-7% for dogs and 3% for cats. The document then discusses the goals and steps of basic life support (BLS) including circulation, airway, and breathing. It also covers advanced life support (ALS) techniques like drug administration, electrical defibrillation, fluid therapy, and monitoring such as ECG and end-tidal CO2. Finally, it summarizes the RECOVER initiative which aimed to establish evidence-based guidelines for small animal CPR.
This document discusses defibrillation and cardioversion. It defines defibrillation as treatment for life-threatening arrhythmias without a pulse using electrical shock, while cardioversion aims to convert arrhythmias to normal rhythm with or without a pulse. Both use electrical energy to allow normal sinus rhythm. Defibrillation is for immediate use in ventricular fibrillation or pulseless ventricular tachycardia, while cardioversion may be used for unstable or failed chemical cardioversion of atrial fibrillation, atrial flutter, ventricular tachycardia with a pulse. The document reviews the history of defibrillation and types of defibrillators, and provides guidance on defibrillation and cardioversion procedures and considerations.
Mechanical ventilation provides positive pressure to move gas into the lungs. There are two main types: volume-controlled ventilation which preselects tidal volume and pressure-controlled ventilation which preselects pressure. Modes include controlled mandatory ventilation (CMV), assisted control ventilation (AC), and synchronized intermittent mandatory ventilation (SIMV). Positive end-expiratory pressure (PEEP) is used to prevent alveolar collapse. Weaning involves gradually reducing ventilator support by shifting modes and rates until the patient can breathe independently. Complications include barotrauma, infection, and weakness.
Ventilator:
ICU ventilator is an equipment which is designed to provide the breath for a patient who is physically unable to breathe or he is breathing insufficiently.
Environment of Use:
•ICU/NICU/ITC •Recovery Rooms
Sources:
•Air (Turbine/ Compressor Operated) •Oxygen
Technology Being Used:
•Mechanical Ventilation •HFO Ventilation
Figure 2. ICU Ventilator
Figure 2. ICU Ventilator
Modes of Ventilation:
In pressure and volume controlled ventilation below mentioned are the basic modes.
•Continuous Mandatory Ventilation (CMV) •Assist Control Ventilation (AC)
•Synchronized Intermittent Mandatory Ventilation (SIMV) •Mandatory Minute Volume
In critical moments where every second counts, the knowledge and skills to perform Adult Cardio Pulmonary Resuscitation (CPR) can make the difference between life and irreversible damage. This comprehensive presentation, titled "Adult CPR Techniques: A Comprehensive Guide (BLS-ACLS-Post CPR)," available on SlideShare, delves into the intricacies of adult CPR, offering a well-rounded overview of Basic Life Support (BLS), Advanced Cardiovascular Life Support (ACLS), and the crucial post-CPR procedures.
The presentation is meticulously designed to cater to healthcare professionals, first responders, and individuals seeking a comprehensive understanding of adult CPR techniques. Starting with the fundamental principles of BLS, the slides explore step-by-step instructions for delivering effective chest compressions and rescue breaths. The integration of up-to-date guidelines ensures that viewers are equipped with the most accurate and evidence-based practices.
Transitioning into the realm of ACLS, the presentation delves into the advanced interventions necessary for managing cardiac arrest situations. Topics such as defibrillation, drug administration, and airway management are covered in depth, empowering viewers to make informed decisions and take appropriate actions during critical moments.
Furthermore, the post-CPR segment of the presentation highlights the essential steps to follow once successful resuscitation has occurred. From monitoring vital signs to providing appropriate care, this section addresses the critical period following CPR and emphasizes the significance of ongoing support and medical attention.
The presentation employs a blend of engaging visuals, explanatory diagrams, and succinct textual content to facilitate a holistic learning experience. Whether you're a medical professional aiming to refresh your skills, a student delving into life-saving techniques, or an individual concerned with being prepared for emergencies, this slide deck offers an invaluable resource for acquiring and reinforcing essential knowledge.
In summary, "Adult CPR Techniques: A Comprehensive Guide (BLS-ACLS-Post CPR)" is a comprehensive SlideShare presentation that meticulously covers the entire spectrum of adult CPR, ranging from Basic Life Support and Advanced Cardiovascular Life Support techniques to vital post-CPR considerations. By exploring this presentation, you'll be better equipped to respond effectively to cardiac emergencies and contribute to saving lives within your community.
The document provides an introduction to patient monitoring in anesthesia. It discusses the importance of monitoring to detect potential issues and outlines the key physiological parameters that should be monitored, including circulation, ventilation, oxygenation, and temperature. It also describes the various equipment and methods used for monitoring these parameters in both the past and present.
Bag and mask ventilation is a basic airway management technique used to oxygenate and ventilate patients until a more definitive airway can be established. It involves manually squeezing an ambu bag attached to a face mask to deliver breaths. Key aspects of bag and mask ventilation include maintaining a proper seal and head position, delivering appropriate volume and rate of breaths, and assessing ventilation effectiveness through chest rise and oxygen saturation. While bag and mask is preferred for prehospital airway support in pediatrics, it has limitations and risks if ventilation is inadequate or contraindications like upper airway obstruction are present.
This document discusses cardiopulmonary cerebral resuscitation (CPCR) in dogs and cats. It defines key terms like respiratory arrest and cardiopulmonary arrest. It outlines that overall survival to discharge is around 6-7% for dogs and 3% for cats. The document then discusses the goals and steps of basic life support (BLS) including circulation, airway, and breathing. It also covers advanced life support (ALS) techniques like drug administration, electrical defibrillation, fluid therapy, and monitoring such as ECG and end-tidal CO2. Finally, it summarizes the RECOVER initiative which aimed to establish evidence-based guidelines for small animal CPR.
This document discusses defibrillation and cardioversion. It defines defibrillation as treatment for life-threatening arrhythmias without a pulse using electrical shock, while cardioversion aims to convert arrhythmias to normal rhythm with or without a pulse. Both use electrical energy to allow normal sinus rhythm. Defibrillation is for immediate use in ventricular fibrillation or pulseless ventricular tachycardia, while cardioversion may be used for unstable or failed chemical cardioversion of atrial fibrillation, atrial flutter, ventricular tachycardia with a pulse. The document reviews the history of defibrillation and types of defibrillators, and provides guidance on defibrillation and cardioversion procedures and considerations.
Adult Basic Life Support
Demonstration of how to give basic life support to anyone acutely injured or ill. Cardiac support, Advanced Trauma Life Support,
Bag and Mask Ventilation By Sakun Rasaily @Ram K Dhamalaramdhamala11
Bag and mask Ventilation Presented by Sakun Rasaily,
(Pediatric Nurse, Pediatric ward , B.P. Koirala Institute of Health Science
Dharan, Sunsari (Nepal)
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
The document discusses mechanical ventilation and various ventilator modes. It begins by defining mechanical ventilation as a breathing device that can maintain oxygen delivery through positive or negative pressure. It then describes the purposes and indications for mechanical ventilation. The main classifications of ventilators are described as negative pressure ventilators, which use suction, and positive pressure ventilators, which provide airflow into the lungs. Important ventilation modes like CPAP, PEEP, and SIMV are also summarized.
Bronchoscopy is a procedure that uses a thin, flexible tube called a bronchoscope to examine the airways. The bronchoscope is inserted through the nose or mouth and into the lungs. This allows doctors to visually examine the lungs for abnormalities and take samples. Bronchoscopy can be used for both diagnostic purposes to examine the lungs as well as therapeutic purposes, such as removing tumors or foreign objects from the airways. The procedure involves sedation of the patient and monitoring during insertion and examination of the lungs.
This document discusses patient monitoring systems used in critical care settings. It describes how multi-parameter patient monitoring systems continuously track vital signs like ECG, blood pressure, respiration, temperature and oxygen levels. These systems transmit data to medical staff and simplify measurement. The document outlines different types of monitoring equipment for individual vital signs as well as centralized monitoring stations that collect and display data from multiple patients. It also discusses trends in monitoring technology including integrated drug dosage calculators, RFID tracking and wearable monitors.
The document discusses different types of defibrillators including automated external defibrillators (AEDs), implantable cardioverter defibrillators (ICDs), and wearable cardioverter defibrillators (WCDs). Defibrillators work by sending electric pulses or shocks to restore normal heart rhythm in cases of arrhythmia or cardiac arrest. AEDs can be used by bystanders to treat sudden cardiac arrest while ICDs and WCDs are implanted or worn to prevent arrhythmias and cardiac arrest. The document provides steps for using an AED to treat someone experiencing sudden cardiac arrest.
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
This document provides information about crash cart contents and procedures at CBAHI. It defines a crash cart as a means of storing and transporting emergency equipment and drugs. The first crash cart was created in 1962. Crash carts must be checked regularly by nurses and biomed to ensure proper function and expiration dates. Contents are arranged in a standardized way and include airway management, resuscitation medications, and equipment for defibrillation and monitoring. Nurses must check crash carts at the beginning of each shift to ensure readiness for emergencies.
This document summarizes an ACLS update and review presentation. It describes a case of a 62-year-old man admitted with back pain who became unresponsive after being given Haldol. His vitals showed bradycardia and hypotension. He received biphasic shocks and regained a pulse but did not follow commands. The presentation reviewed changes to BLS protocols, including performing chest compressions before breaths for lone rescuers and a compression rate of at least 100/min. It also discussed treatment for pulseless arrest, synchronized cardioversion, and amiodarone dosing. The importance of therapeutic hypothermia for unresponsive post-cardiac arrest patients was emphasized.
The document discusses non-invasive ventilation (NIV), specifically bilevel positive airway pressure (BiPAP). It defines NIV and BiPAP and outlines their clinical indications and contraindications. Key points covered include using BiPAP to treat respiratory acidosis in acute exacerbations of COPD, patient selection considerations, setup and monitoring procedures, and guidelines for escalation, duration and weaning of treatment. Clinical scenarios are provided as examples.
A nebulizer is a device used to administer medication in the form of a mist inhaled into the lungs. Nebulizers are commonly used for treatment of cystic fibrosis, asthma and other respiratory diseases. The reason for using a nebulizer for medicine to be administered directly to the lungs is that small aerosol droplets can penetrate into the narrow branches of the lower airways. Large droplets would be absorbed by the mouth cavity, where the clinical effect would be low.
Razi Ahamad, a nursing officer at ELMCH, submitted a report to Anjalatchi Maam, the nursing superintendent, requesting to change the order of steps in Cardiopulmonary Resuscitation (CPR) from A-B-C (Airway, Breathing, Compressions) to C-A-B (Compressions, Airway, Breathing). The report also included questions about CPR, Basic Life Support (BLS), use of an Automated External Defibrillator (AED), compression and breath rates, BLS techniques, respiratory and cardiac arrest, and Emergency Medical Services (EMS).
Defibrillators are devices that deliver an electrical shock to the heart to terminate life-threatening cardiac arrhythmias like ventricular fibrillation. They were first demonstrated on dogs in 1899 and first used on a human in 1947. There are several types including manual external defibrillators, automated external defibrillators (AEDs) found in public places, implantable cardioverter-defibrillators, and wearable defibrillators. AEDs can analyze the heart rhythm and instruct the user, who needs no training, on whether a shock is needed. Defibrillation aims to stop all cardiac electrical activity so the heart's natural pacemaker can resume normal rhythm, while cardioversion delivers synchronized shocks
This document discusses cardiopulmonary resuscitation (CPR) techniques and a study that found a combination of vasopressin, steroids, and epinephrine during CPR led to improved outcomes compared to epinephrine alone. It provides details on performing CPR, including chest compressions, ventilation, positioning, and guidelines for adults, children and infants. Videos are referenced to demonstrate CPR and use of an automated external defibrillator. Potential complications of CPR like rib fractures and gastric insufflation are also mentioned.
Advanced cardiac life support, or advanced cardiovascular life support, often referred to by its acronym, "ACLS", refers to a set of clinical algorithms for the urgent treatment of cardiac arrest, stroke, myocardial infarction (also known as a heart attack), and other life-threatening cardiovascular emergencies.
This document provides information on cardiopulmonary resuscitation (CPR), including its definition, purpose, procedures, guidelines, and the roles of nurses. CPR is an emergency procedure performed when a person is unresponsive and not breathing or has abnormal breathing to manually maintain heart function until further measures can restore spontaneous circulation and breathing. It involves chest compressions, airway management, and rescue breathing in a cycle according to guidelines. Nurses play an important role in initiating and assisting with CPR, managing airways, monitoring the patient, and documenting the procedures. Knowledge of CPR techniques and guidelines is essential for nurses to be able to effectively resuscitate patients in cardiac or respiratory arrest.
Adult Basic Life Support
Demonstration of how to give basic life support to anyone acutely injured or ill. Cardiac support, Advanced Trauma Life Support,
Bag and Mask Ventilation By Sakun Rasaily @Ram K Dhamalaramdhamala11
Bag and mask Ventilation Presented by Sakun Rasaily,
(Pediatric Nurse, Pediatric ward , B.P. Koirala Institute of Health Science
Dharan, Sunsari (Nepal)
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
The document discusses mechanical ventilation and various ventilator modes. It begins by defining mechanical ventilation as a breathing device that can maintain oxygen delivery through positive or negative pressure. It then describes the purposes and indications for mechanical ventilation. The main classifications of ventilators are described as negative pressure ventilators, which use suction, and positive pressure ventilators, which provide airflow into the lungs. Important ventilation modes like CPAP, PEEP, and SIMV are also summarized.
Bronchoscopy is a procedure that uses a thin, flexible tube called a bronchoscope to examine the airways. The bronchoscope is inserted through the nose or mouth and into the lungs. This allows doctors to visually examine the lungs for abnormalities and take samples. Bronchoscopy can be used for both diagnostic purposes to examine the lungs as well as therapeutic purposes, such as removing tumors or foreign objects from the airways. The procedure involves sedation of the patient and monitoring during insertion and examination of the lungs.
This document discusses patient monitoring systems used in critical care settings. It describes how multi-parameter patient monitoring systems continuously track vital signs like ECG, blood pressure, respiration, temperature and oxygen levels. These systems transmit data to medical staff and simplify measurement. The document outlines different types of monitoring equipment for individual vital signs as well as centralized monitoring stations that collect and display data from multiple patients. It also discusses trends in monitoring technology including integrated drug dosage calculators, RFID tracking and wearable monitors.
The document discusses different types of defibrillators including automated external defibrillators (AEDs), implantable cardioverter defibrillators (ICDs), and wearable cardioverter defibrillators (WCDs). Defibrillators work by sending electric pulses or shocks to restore normal heart rhythm in cases of arrhythmia or cardiac arrest. AEDs can be used by bystanders to treat sudden cardiac arrest while ICDs and WCDs are implanted or worn to prevent arrhythmias and cardiac arrest. The document provides steps for using an AED to treat someone experiencing sudden cardiac arrest.
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
This document provides information about crash cart contents and procedures at CBAHI. It defines a crash cart as a means of storing and transporting emergency equipment and drugs. The first crash cart was created in 1962. Crash carts must be checked regularly by nurses and biomed to ensure proper function and expiration dates. Contents are arranged in a standardized way and include airway management, resuscitation medications, and equipment for defibrillation and monitoring. Nurses must check crash carts at the beginning of each shift to ensure readiness for emergencies.
This document summarizes an ACLS update and review presentation. It describes a case of a 62-year-old man admitted with back pain who became unresponsive after being given Haldol. His vitals showed bradycardia and hypotension. He received biphasic shocks and regained a pulse but did not follow commands. The presentation reviewed changes to BLS protocols, including performing chest compressions before breaths for lone rescuers and a compression rate of at least 100/min. It also discussed treatment for pulseless arrest, synchronized cardioversion, and amiodarone dosing. The importance of therapeutic hypothermia for unresponsive post-cardiac arrest patients was emphasized.
The document discusses non-invasive ventilation (NIV), specifically bilevel positive airway pressure (BiPAP). It defines NIV and BiPAP and outlines their clinical indications and contraindications. Key points covered include using BiPAP to treat respiratory acidosis in acute exacerbations of COPD, patient selection considerations, setup and monitoring procedures, and guidelines for escalation, duration and weaning of treatment. Clinical scenarios are provided as examples.
A nebulizer is a device used to administer medication in the form of a mist inhaled into the lungs. Nebulizers are commonly used for treatment of cystic fibrosis, asthma and other respiratory diseases. The reason for using a nebulizer for medicine to be administered directly to the lungs is that small aerosol droplets can penetrate into the narrow branches of the lower airways. Large droplets would be absorbed by the mouth cavity, where the clinical effect would be low.
Razi Ahamad, a nursing officer at ELMCH, submitted a report to Anjalatchi Maam, the nursing superintendent, requesting to change the order of steps in Cardiopulmonary Resuscitation (CPR) from A-B-C (Airway, Breathing, Compressions) to C-A-B (Compressions, Airway, Breathing). The report also included questions about CPR, Basic Life Support (BLS), use of an Automated External Defibrillator (AED), compression and breath rates, BLS techniques, respiratory and cardiac arrest, and Emergency Medical Services (EMS).
Defibrillators are devices that deliver an electrical shock to the heart to terminate life-threatening cardiac arrhythmias like ventricular fibrillation. They were first demonstrated on dogs in 1899 and first used on a human in 1947. There are several types including manual external defibrillators, automated external defibrillators (AEDs) found in public places, implantable cardioverter-defibrillators, and wearable defibrillators. AEDs can analyze the heart rhythm and instruct the user, who needs no training, on whether a shock is needed. Defibrillation aims to stop all cardiac electrical activity so the heart's natural pacemaker can resume normal rhythm, while cardioversion delivers synchronized shocks
This document discusses cardiopulmonary resuscitation (CPR) techniques and a study that found a combination of vasopressin, steroids, and epinephrine during CPR led to improved outcomes compared to epinephrine alone. It provides details on performing CPR, including chest compressions, ventilation, positioning, and guidelines for adults, children and infants. Videos are referenced to demonstrate CPR and use of an automated external defibrillator. Potential complications of CPR like rib fractures and gastric insufflation are also mentioned.
Advanced cardiac life support, or advanced cardiovascular life support, often referred to by its acronym, "ACLS", refers to a set of clinical algorithms for the urgent treatment of cardiac arrest, stroke, myocardial infarction (also known as a heart attack), and other life-threatening cardiovascular emergencies.
This document provides information on cardiopulmonary resuscitation (CPR), including its definition, purpose, procedures, guidelines, and the roles of nurses. CPR is an emergency procedure performed when a person is unresponsive and not breathing or has abnormal breathing to manually maintain heart function until further measures can restore spontaneous circulation and breathing. It involves chest compressions, airway management, and rescue breathing in a cycle according to guidelines. Nurses play an important role in initiating and assisting with CPR, managing airways, monitoring the patient, and documenting the procedures. Knowledge of CPR techniques and guidelines is essential for nurses to be able to effectively resuscitate patients in cardiac or respiratory arrest.
The document discusses cardiopulmonary resuscitation (CPR) and emergency cardiac care procedures. It defines CPR, basic life support (BLS), advanced cardiac life support (ACLS), and the indications and contraindications for their use. Key aspects of BLS covered include chest compressions, airway management, breathing, and defibrillation. Commonly used medications in ACLS like epinephrine, atropine, and amiodarone are also outlined. The document provides details on the steps of BLS, complications to watch for, and a nurse's responsibilities in caring for a patient after resuscitation.
An automated external defibrillator (AED) delivers an electric shock to the heart to stop ventricular fibrillation and allow a normal rhythm to resume following sudden cardiac arrest; AEDs guide lay rescuers through the process of applying pads to the patient's chest, analyzing their heart rhythm, and delivering a shock if needed to restore a normal rhythm; It is critical to place AED pads correctly on the patient's chest, follow all prompts, and continue CPR between shocks to improve chances of survival from sudden cardiac arrest.
The document provides guidelines for diagnosing and managing cardiac arrest in cardiac surgical patients, noting they require rapid diagnosis and treatment such as immediate defibrillation if needed. It outlines the cardiac arrest protocol including defibrillation, medications, pacing, basic life support, and performing emergency resternotomy to access the heart if initial resuscitative efforts are unsuccessful. The guidelines emphasize the importance of teamwork and defined roles to efficiently manage the cardiac arrest according to the protocol.
Bio-Medical Therapeutic of in Pacemaker& RespiratoryMuthuS51
This document discusses various therapeutic equipment used in cardiology and respiratory therapy. It describes devices such as pacemakers, defibrillators, ventilators, and catheters used to treat heart conditions. It explains how pacemakers, defibrillators, and ablation catheters work. It also discusses the different types of ventilators, including mechanical, mask, and manual bag ventilators. Additionally, it covers humidifiers, nebulizers, and inhalers used to treat respiratory conditions.
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
BLS(basic life support) & ACLS with PALS by Dr. ShailendraShailendra Satpute
This document provides information on Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS). It defines cardiac arrest, outlines its causes and types including ventricular fibrillation, pulseless ventricular tachycardia, asystole, and pulseless electrical activity. It describes the signs and symptoms of cardiac arrest. It also summarizes the steps of BLS including chest compressions, airway management, rescue breathing, and defibrillation. Advanced techniques like intubation, use of laryngeal mask airways, endotracheal tubes, and automated external defibrillators are also outlined.
This document provides information on cardiopulmonary resuscitation (CPR), including definitions of common cardiac terms, the importance and objectives of CPR, indications for CPR, equipment used, the procedure, nursing actions and rationale, chest compression, airway management, breathing, algorithms, guidelines for stopping CPR, and conclusions. CPR is performed when someone's heart and breathing have stopped and involves chest compressions and rescue breathing to circulate oxygenated blood to vital organs until normal heart function can be restored.
Basic Life Support (BLS) refers to emergency care including CPR, use of an AED, and clearing obstructed airways. BLS aims to maintain circulation and breathing until emergency help arrives. It involves assessing for responsiveness, calling for help, providing chest compressions at 100-120 per minute and rescue breaths in a 30:2 ratio. An AED should be used as soon as available to analyze rhythms and deliver shocks if indicated. CPR techniques differ between adults and children, such as using two fingers to compress the chest of an infant or child. Foreign object airway obstructions are managed through back blows, chest thrusts and abdominal thrusts depending on responsiveness and age of the victim.
Cardio pulmonary resuscitation (CPR) involves basic life support techniques to maintain oxygenation to the heart, lungs and brain during cardiac or respiratory arrest. It includes chest compressions, opening the airway, and rescue breathing. The goals of CPR are to restore spontaneous circulation and breathing to prevent irreversible brain injury. It consists of early recognition of arrest, high quality chest compressions, airway management, rescue breathing, defibrillation if needed, and administration of drugs to support circulation.
CARDIAC ARREST AND POST CARDIAC ARREST CARE.pptxUsuf Nath
The document outlines the steps for cardiac arrest and post-cardiac arrest care, including starting CPR, using an AED, and continuing care until emergency responders arrive. It emphasizes the importance of effective team dynamics during resuscitation, including having clear roles and communicating openly. Additional techniques for CPR are mentioned such as mechanical CPR devices, active compression-decompression, and impedance threshold devices, but it notes specialized training is required.
This document summarizes a presentation on basic and advanced cardiac life support. It discusses key concepts in BLS including recognition of cardiac arrest, activating emergency services, performing chest compressions, minimizing interruptions, monitoring compression quality, ventilation, and use of an automated external defibrillator. It then covers ACLS, including treatment algorithms, airway management, defibrillation procedures, medications used during CPR, monitoring techniques, and management of specific arrhythmias like ventricular fibrillation, asystole, and pulseless electrical activity. The goal of BLS and ACLS is to provide immediate life-saving interventions for cardiac arrest patients until the underlying cause can be addressed.
Central venous catheters and other intravenous (IV) lines are inserted into large veins to administer medications and fluids in critically ill patients. They are used when peripheral veins are inadequate or for medications that cannot be given elsewhere. Potential complications include infection, bleeding, collapsed lungs, and clots. Nurses monitor for complications, ensure patency and sterility of lines, and record indwelling catheter lengths. Mechanical ventilators, pulse oximeters, and other devices are also described. Intensive care units are equipped with advanced monitoring and life support devices operated by specialized healthcare teams to care for critically ill patients.
this is dealt about the pacemaker temporary and permanent its aim and basic indication for pacemaker breif history of pacemaker development its design and detailed indication of both temporary and permanent pacemaker then method of pacing which should be based on the patient ECG its parts and procedure and complication
This document provides an overview of basic life support (BLS). It defines BLS and explains its key steps and components, including the chain of survival and use of a defibrillator. BLS procedures like CPR can provide oxygenated blood to victims' brains and hearts after cardiac or respiratory arrest, increasing survival chances until emergency medical care arrives. The document outlines the ABCs of BLS (airway, breathing, circulation) and emphasizes starting chest compressions immediately for cardiac arrests before assessing airway and breathing. It provides guidance on high-quality chest compressions, ventilation, and use of an automated external defibrillator for defibrillation. The overall goal of BLS is to restore oxygenated blood circulation until a
The document provides guidance on performing basic life support for adults, outlining the steps to assess an unconscious victim, perform chest compressions and rescue breathing, use an AED, and place a breathing victim in the recovery position to provide essential circulation and ventilation until emergency assistance arrives. Key aspects covered include assessing responsiveness, calling for help, opening the airway, giving rescue breaths, performing chest compressions in a cycle with breaths, and using an automated external defibrillator to attempt to reverse ventricular fibrillation.
This document provides calculations for determining the Kd value for pressure relief valves according to four different standards: API-520, Dresser (1900), Farris (2600), and Tai-Milano (3000W). The Kd value is calculated by first determining the % back pressure and corresponding Fh value from a graph. Then the Kd table value is multiplied by Fh and 0.9 to find the final Kd.
This document provides an overview of early sizing considerations for pressure safety valves (PSVs). It discusses important terminologies, types of PSVs, sizing basis, applicable standards, and the early sizing procedure. The procedure involves selecting possible orifice areas to meet capacity requirements. The objectives of early sizing are to remove holds in piping and instrumentation diagrams and allow early release of piping designs. The document also discusses inter-discipline interfaces, lessons learned, and quality management system documents related to PSV sizing.
Auctioneering Control For Temperature Using LabVIEW.Amol Dudhate
Short Presentation about the B.Tech project that i have completed with my partners.
It includes one control loop of temperature control with auctioneering scheme interfaced with arduino and controlled through LabVIEW Programming.
Report of Auctioneering Control For Temperature Using LabVIEW.Amol Dudhate
Report contains overall description about the project Auctioneering Control For Temperature Using LabVIEW.
The required software is LabVIEW and it is interfaced with arduino.
HART protocol for network data communicationAmol Dudhate
This document summarizes the key aspects of HART communication. It introduces HART as an open protocol that enables bidirectional digital communication over 4-20mA analog loops using FSK. It describes the main communication modes of HART including master-slave and burst modes. It also provides an overview of the HART protocol layers and details about the physical, data link and application layers.
Industrial Training at Thermax India Pvt.ItdAmol Dudhate
The document discusses an industrial training for Ranvir Desai and Amol Dudhate at Thermax Ltd. It includes an introduction to Thermax and descriptions of topics covered during the training such as piping and instrumentation diagrams, instrument tags, boiler equipment like feedwater systems and safety interlocks.
The document discusses an industrial training for two individuals, Ranvir Desai and Amol Dudhate, at Thermax Ltd. It covers topics like piping and instrumentation diagrams (P&IDs), instrument tags, types of valves, boiler equipment including the feedwater system, deaerators, economizers, drum, and superheaters. It also discusses instrument specifications, indexes, location symbols, and important boiler safety interlocks.
One of my friend has given a best information regarding DAS (data acquisition system) through this slides/ presentation.
This contains the information about various components of DAS.
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The document outlines the agenda and goals for a project design and management learning camp focused on microgrids. The camp objectives are to design a microgrid using simulation software, build a prototype using recycled materials, test the prototype, and demonstrate the performance. The document describes the various stakeholders in microgrids, provides a block diagram of the microgrid components, and lists the materials and resources that will be used to build the prototype and for testing and demonstration.
A review on techniques and modelling methodologies used for checking electrom...nooriasukmaningtyas
The proper function of the integrated circuit (IC) in an inhibiting electromagnetic environment has always been a serious concern throughout the decades of revolution in the world of electronics, from disjunct devices to today’s integrated circuit technology, where billions of transistors are combined on a single chip. The automotive industry and smart vehicles in particular, are confronting design issues such as being prone to electromagnetic interference (EMI). Electronic control devices calculate incorrect outputs because of EMI and sensors give misleading values which can prove fatal in case of automotives. In this paper, the authors have non exhaustively tried to review research work concerned with the investigation of EMI in ICs and prediction of this EMI using various modelling methodologies and measurement setups.
Introduction- e - waste – definition - sources of e-waste– hazardous substances in e-waste - effects of e-waste on environment and human health- need for e-waste management– e-waste handling rules - waste minimization techniques for managing e-waste – recycling of e-waste - disposal treatment methods of e- waste – mechanism of extraction of precious metal from leaching solution-global Scenario of E-waste – E-waste in India- case studies.
We have compiled the most important slides from each speaker's presentation. This year’s compilation, available for free, captures the key insights and contributions shared during the DfMAy 2024 conference.
A SYSTEMATIC RISK ASSESSMENT APPROACH FOR SECURING THE SMART IRRIGATION SYSTEMSIJNSA Journal
The smart irrigation system represents an innovative approach to optimize water usage in agricultural and landscaping practices. The integration of cutting-edge technologies, including sensors, actuators, and data analysis, empowers this system to provide accurate monitoring and control of irrigation processes by leveraging real-time environmental conditions. The main objective of a smart irrigation system is to optimize water efficiency, minimize expenses, and foster the adoption of sustainable water management methods. This paper conducts a systematic risk assessment by exploring the key components/assets and their functionalities in the smart irrigation system. The crucial role of sensors in gathering data on soil moisture, weather patterns, and plant well-being is emphasized in this system. These sensors enable intelligent decision-making in irrigation scheduling and water distribution, leading to enhanced water efficiency and sustainable water management practices. Actuators enable automated control of irrigation devices, ensuring precise and targeted water delivery to plants. Additionally, the paper addresses the potential threat and vulnerabilities associated with smart irrigation systems. It discusses limitations of the system, such as power constraints and computational capabilities, and calculates the potential security risks. The paper suggests possible risk treatment methods for effective secure system operation. In conclusion, the paper emphasizes the significant benefits of implementing smart irrigation systems, including improved water conservation, increased crop yield, and reduced environmental impact. Additionally, based on the security analysis conducted, the paper recommends the implementation of countermeasures and security approaches to address vulnerabilities and ensure the integrity and reliability of the system. By incorporating these measures, smart irrigation technology can revolutionize water management practices in agriculture, promoting sustainability, resource efficiency, and safeguarding against potential security threats.
DEEP LEARNING FOR SMART GRID INTRUSION DETECTION: A HYBRID CNN-LSTM-BASED MODELgerogepatton
As digital technology becomes more deeply embedded in power systems, protecting the communication
networks of Smart Grids (SG) has emerged as a critical concern. Distributed Network Protocol 3 (DNP3)
represents a multi-tiered application layer protocol extensively utilized in Supervisory Control and Data
Acquisition (SCADA)-based smart grids to facilitate real-time data gathering and control functionalities.
Robust Intrusion Detection Systems (IDS) are necessary for early threat detection and mitigation because
of the interconnection of these networks, which makes them vulnerable to a variety of cyberattacks. To
solve this issue, this paper develops a hybrid Deep Learning (DL) model specifically designed for intrusion
detection in smart grids. The proposed approach is a combination of the Convolutional Neural Network
(CNN) and the Long-Short-Term Memory algorithms (LSTM). We employed a recent intrusion detection
dataset (DNP3), which focuses on unauthorized commands and Denial of Service (DoS) cyberattacks, to
train and test our model. The results of our experiments show that our CNN-LSTM method is much better
at finding smart grid intrusions than other deep learning algorithms used for classification. In addition,
our proposed approach improves accuracy, precision, recall, and F1 score, achieving a high detection
accuracy rate of 99.50%.
ACEP Magazine edition 4th launched on 05.06.2024Rahul
This document provides information about the third edition of the magazine "Sthapatya" published by the Association of Civil Engineers (Practicing) Aurangabad. It includes messages from current and past presidents of ACEP, memories and photos from past ACEP events, information on life time achievement awards given by ACEP, and a technical article on concrete maintenance, repairs and strengthening. The document highlights activities of ACEP and provides a technical educational article for members.
Understanding Inductive Bias in Machine LearningSUTEJAS
This presentation explores the concept of inductive bias in machine learning. It explains how algorithms come with built-in assumptions and preferences that guide the learning process. You'll learn about the different types of inductive bias and how they can impact the performance and generalizability of machine learning models.
The presentation also covers the positive and negative aspects of inductive bias, along with strategies for mitigating potential drawbacks. We'll explore examples of how bias manifests in algorithms like neural networks and decision trees.
By understanding inductive bias, you can gain valuable insights into how machine learning models work and make informed decisions when building and deploying them.
International Conference on NLP, Artificial Intelligence, Machine Learning an...gerogepatton
International Conference on NLP, Artificial Intelligence, Machine Learning and Applications (NLAIM 2024) offers a premier global platform for exchanging insights and findings in the theory, methodology, and applications of NLP, Artificial Intelligence, Machine Learning, and their applications. The conference seeks substantial contributions across all key domains of NLP, Artificial Intelligence, Machine Learning, and their practical applications, aiming to foster both theoretical advancements and real-world implementations. With a focus on facilitating collaboration between researchers and practitioners from academia and industry, the conference serves as a nexus for sharing the latest developments in the field.
Electric vehicle and photovoltaic advanced roles in enhancing the financial p...IJECEIAES
Climate change's impact on the planet forced the United Nations and governments to promote green energies and electric transportation. The deployments of photovoltaic (PV) and electric vehicle (EV) systems gained stronger momentum due to their numerous advantages over fossil fuel types. The advantages go beyond sustainability to reach financial support and stability. The work in this paper introduces the hybrid system between PV and EV to support industrial and commercial plants. This paper covers the theoretical framework of the proposed hybrid system including the required equation to complete the cost analysis when PV and EV are present. In addition, the proposed design diagram which sets the priorities and requirements of the system is presented. The proposed approach allows setup to advance their power stability, especially during power outages. The presented information supports researchers and plant owners to complete the necessary analysis while promoting the deployment of clean energy. The result of a case study that represents a dairy milk farmer supports the theoretical works and highlights its advanced benefits to existing plants. The short return on investment of the proposed approach supports the paper's novelty approach for the sustainable electrical system. In addition, the proposed system allows for an isolated power setup without the need for a transmission line which enhances the safety of the electrical network
Harnessing WebAssembly for Real-time Stateless Streaming PipelinesChristina Lin
Traditionally, dealing with real-time data pipelines has involved significant overhead, even for straightforward tasks like data transformation or masking. However, in this talk, we’ll venture into the dynamic realm of WebAssembly (WASM) and discover how it can revolutionize the creation of stateless streaming pipelines within a Kafka (Redpanda) broker. These pipelines are adept at managing low-latency, high-data-volume scenarios.
3. Introduction
▪ A Manikin is a life-sized anatomical human model
used in education.
▪ The most famous of these, the Transparent
Anatomical Manikin (TAM) is a three-dimensional,
transparent model of a human being, created for
medical instructional purposes.
▪ The first TAM was created by designer Richard
Rush in 1968.
4. ACLS
▪ ACLS stands for Advanced Cardiac Life Support.
▪ The ACLS guidelines were first published in 1974 by the American
Heart Association and were updated in 1980,1986, 1992, 2000,
2005, and 2010.
▪ It 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.
5. Why to use Manikins . . .?
▪ To provide training to students particularly for
medical field.
▪ Also to develop emergency patient handling skill
for doctor.
▪ To guide the remote located people to handle
patient in absence of the doctor.
▪ To train military to treat soldier having some
emergency.
6. Construction
sternal plate
• The whole body contains sensors.
• Under the sternal plate is a heart and lung block recreated by 3D
computer modelling from an MRI scan of a mediastinum and the little
Anne, and molded in red Silastine so that it is sturdy but has some
elasticity for internal massage .
• The heart is removable for close up demonstration of internal massage.
8. CPR - (Cardiopulmonary resuscitation )
▪ (CPR) is an emergency procedure or manually preserving
brain function until further measures to restore spontaneous
blood circulation and breathing in a person who is in cardiac
arrest.
▪ CPR involves chest compressions at least 5 cm (2 in) deep
and at a rate of at least 100 per minute to pump blood
through the heart.
▪ CPR alone is unlikely to restart the heart. Its main purpose is
to restore partial flow of oxygenated blood to the brain and
heart.
9. CPR on Manikin
Manikin chest is having the pressure
sensors .
The pressure in range of 40 to 60mmhg
must applied to patient chest.
The chest compression must be
approximately 5cm.
Rate of compression =100/min.
The simulation will help to showing the
effectiveness in CPR.
10. Defibrillation
▪ A defibrillator is a device that delivers electric shock to
the heart muscle undergoing a fatal arrhythmia.
▪ AC Defibrillator : used before 1960
5 to 6 A (50/60 Hz) AC across patient’s chest for
250 to 1000 msec
▪ DC defibrillators are used nowadays.
▪ The energy from a defibrillator is delivered through a
set of high voltage paddle electrodes.
▪ Energy delivered=200 j
11. Defibrillation on
Manikin
Before treating patient observation of
ECG should be done so as to deliver
proper energy and in specific time .
Set the voltage of DC defibrillator.
Then charge the electrodes and then
discharge on manikin body provided
with appropriate positions.
The trials that one can perform on
simulation are 4 .
12. AED - (Automated external defibrillator)
▪ An automated external defibrillator (AED) is a
portable electronic device .
▪ It automatically diagnoses the life threatening cardiac
arrhythmias of ventricular fibrillation and ventricular
tachycardia in a patient.
▪ It is able to treat patient at that instant through
defibrillation, the application of electrical therapy
which stops the arrhythmia, allowing the heart to
reestablish an effective rhythm.
13. AED
Unlike regular defibrillators, an
automated external defibrillator
requires minimal training to use. It
automatically diagnoses the heart
rhythm and determines if a shock is
needed.
Just what we need to do is place the
pads correctly on body and discharge
them.
14. BP measurement
▪ The BP measurement refers to the
measurement of pressure exerted by heart to
pump the blood to the body parts & from the
body parts.
▪ Methods of measurement
1. Direct measurement involves the use of
catheter.
2. Indirect measurement uses the
sphygmomanometer.
▪ Normal condition :-
Systolic =120mmhg
Diastolic =80mmhg
15. Tracheal intubation
▪ Intubation is the treatment of insertion tube through
mouth for providing artificial breathing as well
feeding.
▪ Intubation is used for coma patients.
▪ Liquid form feeding.
▪ Different sized blade equipment are used for
different aged patient.
16. Intubation
Equipment is inserted in manikin
mouth firstly.
Then the canula is passed ,insertion
length is marked on canula which
differs for patient to patient.
Simulation will show the position of
equipment as well the canula.
Canula
17. Venous transfusion
▪ Transfusion is the process of externally injecting the dose
of medicine through syringe .
▪ The doctor should be well trained to detect the vein for
injection purpose.
▪ Improper injection causes accumulation sometimes may
lead to reaction.
18. Conclusion
▪ Manikin though it is a costly instrument ,it
provides various emergency trainings.
▪ The trainee of Manikin could be the life
saver in rural regions.
19. References
▪ Manikin - Wikipedia, the free encyclopedia
▪ Google
▪ GD/ACLS 8000C COMPREHENSIVE EMERGENCY SKILLS TRAINING Manual
▪ http://aha.channing-bete.com/cprtraining/manikins-simulators.html
▪ Book of BMI by carr & Brown
▪ Book of BMI by Khandpur.
▪ Google Images