LEARNING
OBJECTIVES
At the endof the discussion, the
participants should be able to
correctly:
• Define what CPR is;
• Enumerate the criteria for when to
start, not to start, and when to stop
CPR;
• Perform Correct cardio-pulmonary
resuscitation techniques &
algorithm to an adult, child and
infant who are in cardiac arrest.
3.
A set ofsteps used to help
someone whose heart or
breathing has stopped, by
trying to bring them back
to life.
CPR
4.
When to StartCPR?
• Not waking up or not responding.
• Not breathing or has no normal breathing(or
only gasping).
• Has no pulse.
Note: Responders need to generally assume that all
victims have infectious diseases so that safety protocols
must be completely observed at all times.
5.
When not toStart
CPR?
• DNR/DNAR order – (Do Not
Attempt Resucitation) Order
• Signs of death – rigor mortis,
decapitation, lividity.
• No definite pulse
6.
When not toStart
CPR?
• Confirmed gestation of < 23
weeks or birth weight <400
grams, anencephaly
• Attempts to perform CPR
would place the rescuer at
risk of physical injury.
ANENCEPHALY
7.
When to STOPCPR?
S SPONTANEOUS signs of circulation are restored
TURNED over to medical services or properly trained and
authorized personnel
OPERATOR is already exhausted and cannot continue CPR
PHYSICIAN assumes responsibility (declares death, takes over,
etc.)
S SCENE becomes unsafe (such as traffic, impending or
ongoing violence—gun fires, etc)
S SIGNED waiver to stop CPR
OPENING THE AIRWAY
Head-Tilt/Chin-Lift– Basic method:
tilt head back, lift chin.
Jaw-Thrust – For suspected neck/spinal
injury; done by trained rescuers.
12.
CAB: BREATHING
• Keepthe airway open.
• Pinch the nose (for mouth-to-mouth).
• Take a normal breath and seal your
mouth over the victim’s.
• Give 2 breaths (1 second each).
• Check if the chest rises.
• Continue 30 compressions : 2 breaths.
• Do about 5 cycles (≈2 minutes) before
reassessing.
DID WE MEETOUR OBJECTIVES?
At the end of the discussion, the
participants should be able to
correctly:
• Define what CPR is;
• Enumerate the criteria for when to
start, not to start, and when to stop
CPR;
• Perform Correct cardio-pulmonary
resuscitation techniques &
algorithm to an adult, child and
infant who are in cardiac arrest.
#4 Reminder: WHEN TO START CPR
Start CPR right away if the person is:
UNCONSCIOUS
NOT BREATHING OR HAS NO NORMAL BREATHING
Always assume the victim may have an infection, so follow safety precautions (like using protective gear) at all times.
#5 DNR/DNAR = Do Not Resuscitate/Do Not Attempt Resuscitation. Kung may mga necklace, bracelet or any signs na may dnr ang patient and kung meron icheck din like sa wallet kung may mga signed papers or recommendation ng doctor na bawal icpr.
Rigor mortis – paninigas ng katawan matapos mamatay.
Decapitation – pagkaputol ng ulo.
Lividity – pamumula/pamumuti ng balat dahil sa pag-ipon ng dugo matapos mamatay.
#6 obrang maagang pagbubuntis o sobrang gaan na timbang ng sanggol (<23 linggo o <400g), o mga kondisyon na hindi tugma sa buhay (hal. anencephaly).
#7 Signed waiver to stop CPR – nakasulat na pahintulot mula sa pasyente o pamilya na huwag nang ituloy ang pagbibigay ng CPR.
Scene unsafe (danger to rescuer) – ibig sabihin, delikado ang lugar para sa tagasagip (hal. may sunog, baha, kuryente, baril, o trapiko), kaya hindi muna pwedeng lapitan ang pasyente hangga’t hindi ligtas.
#8 Goal: bring oxygen to the brain.
Compressions pump blood by pressing on the chest, helping deliver oxygen to the heart and brain.
#9 In short: Right spot, right speed, right depth, full release, few pauses, gentle breaths.
#11 Purpose: To keep the passage open for breathing or rescue breaths.
Simple rule: Use Head-Tilt/Chin-Lift, unless spinal injury is suspected → then use Jaw-Thrust.
#12 👉 Simple: Open airway → 2 breaths → 30:2 cycle for 2 minutes.