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PRACTICE TEACHING ON
CPR
GUIDED BY:
MR.PAVANKUMAR JAIN
PRESENTED BY:
MS.SONALPATEL
INTRODUCTION:
CPR (or cardiopulmonary resuscitation) is a combination
of rescue breathing (mouth-to-mouth resuscitation) and chest
compressions. If someone isn't breathing or circulating blood
adequately, CPR can restore circulation of oxygen-rich blood
to the brain. Without oxygen, permanent brain damage or
death can occur in less than 8 minutes.
CPR alone is unlikely to restart the heart; its main purpose is
to restore partial flow of oxygenated blood to the brain and heart.
It may delay tissue death and extend the brief window of
opportunity for a successful resuscitation without permanent
brain damage. CPR may however induce a shockable rhythm.
CPR is generally continued until the person regains return of
spontaneous circulation (ROSC) or is declared dead .
DEFINITION:
“Cardiopulmonary resuscitation (CPR) is a
combination of mouth-to-mouth resuscitation and chest
compressions that delivers oxygen and artificial blood
circulation to a person who is in cardiac arrest. It can
be life-saving first aid.”
OR
“Cardiopulmonary resuscitation (CPR) is a procedure
used when a patient's heart stops beating and breathing
stops. It can involve compressions of the chest or
electrical shocks along with rescue breathing”
- (Acc. To AHA)
OR
“An emergency procedure in which the
heart and lungs are made to work by
manually compressing the chest overlying
the heart and forcing air into the lungs.
CPR is used to maintain circulation when
the heart stops pumping, usually because
of disease, drugs, or trauma.”
1. To maintain an open and clear airway (A).
2. To maintain breathing by external ventilation
(B).
3. To maintain Blood circulation by external
cardiac massages (C).
4. To save life of the Patient.
5. To provide basic life support till medical and
advanced life support arrives
PURPOSE:
PRINCIPLES OF CPR:
1.To restore effective circulation and
ventilation.
2.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.
PROCEDURE:
PREPRATION:
1. To recognize the signs of cardiac arrest
2. Protect the patient’s brain from anoxia by immediately
starting artificial ventilation of the lungs and external
cardiac massage.
3. Call for help.
4. The Cardio Pulmonary Resuscitation must be initiated
within three to four minutes in order to prevent
permanent brain damage.
5. Strike the centre of the chest sharply with the side of
the clenched fist twice.
6. Call for assistance.
7. Clear the airway of false teeth vomits food material etc.
8. Initiate ventilation and external cardiac massage without
wasting time.
9. The CPR techniques should not be discontinued for more than
five seconds before normal circulation and ventilation of lungs
are established except
10.When the patient is moved to a hard surface.
11.When endotracheal intubation is being carried out (maximum
time allowed for these two procedures is 15 seconds).
12.Before CPR is attempted in a patient, make sure that the airway
is clear. It may be obstructed due to many reasons; so keep the
patient’s neck hyper extended after confirming that he is having
any cervical injury.
Cont….
ARTICLES USED IN CPR:
1.ENDOTRACHEAL TUBE 2. AMBU BAG WITH MASK
3.SUCTION TUBE OR
CATHETER
4.NASALAIRWAY/ORALAIRWAY
5.LUBRICATING JELLY:
CPR KIT:
1. OXYGEN ADMINISTRATION SET
2. LARYNGOSCOPE WITH DIFFERENT
SIZE
3. I.V. INFUSION SET, CUT DOWN SETS
AND IV FLUIDS
4. CARDIAC MONITOR WITH
DEFIBRILLATOR
5. MECHANICAL VENTILATOR
6. TRACHEOSTOMY SET
7. GAUZE COTTON ETC.
8. STERILE SYRINGES AND NEEDLES.
OTHER…..
AIRWAY
BREATHING
CIRCULAT-
ION
DEFIBR-
ILATIO
N
• It is critical to
remember to dial 108.
Lets begin by
very first step to
basic life
support.
• Your location and phone
number.
• Types of emergency and
victims condition
Provide
operation
with
• If you alone with victim
try to call for help.
Provide to
starting CPR on
an adult
What to do in
an
emergency,
we must first
emphasize
what not to
do:
-Do not leave the
victim alone.
-Do not try to victim
drink water.
-Do not throw water
on victims face.
-Do not prompt the
victim in sitting
position.
-Do not try to revive
the victim by
slapping his face.
Look, Listen And Feel For
Any Sign Of Breathing. If You
Determine That The Victim Is
Not Breathing, than The
Tongue Is Most Common
Airway Obstruction In An
Unconscious patient
With The Victim Lying Flat
On His Back, Place Your Hand
His Forehead And Your
Another Hand Under The Tip
Of The Chin
Gently Tilt The Victim’s Head Backward. In This
The Position Te Weight Of The Tongue Will Force It
To Shift Away From Back Of The Throat, Opening
The Airway.
 If The Person Is Still Not Breathing On His Own
After The Airway His Cleared, You Will Have Assist
Him BREATHING.
BREATHING: Gently Support His
Chin So As To Keep It
Lift Up And Head
Tilled Back
Pinch His Nose With
Your Finger To Prevent
Air From Escaping
Once You Being To
Ventilate And Your
Mouth Over The
Victim’s , Creating A
Tight Seal
If the first two don’t go in, re-tilt and give
two more breaths.
Give TWO Full Breath Allow Victim’s
Lungs To Relax- Place Your Ear Near His
Mouth And Listen For Air To Escape The
Chest Fall As The Victims Inhales
It Should Be Done More Than 10 Second.
CIRCULATION
In Order To Determine If
The Victim’s Heart Is Beating,
Place Two Fingertips On His
Carotid Artery, Locate In His
Depression Between The
Windpipe And Neck Muscles
And Apply Slight Pressure
Several Second. If There Is No
Pulse Than Victim’s Heart Is
Not Beating, And You Will
Have Perform Chest
Compression.
COMPRESSIONS
• Place the heel of one hand
in the centre of the chest
• Place other hand on top
• Interlock fingers
• Compress the chest
– Rate 80-100 min-1
– Depth 4-5 cm
– Equal compression :
relaxation
• When possible change CPR
operator every 2 min
THE RECOVERY POSITION
If the victim starts to breath normally
1 2
3
4
CAUSES OF FAILURE OF CPR:
1. Massive myocardial infraction
2. Cardiac temponade
3. Enlarged heart with incompetent valves
4. Obstructed airway
5. Severely diseased or damaged lung
6. Pulmonary embolism
7. Chest deformity
8. Fractured rib cage
9. Faulty techniques of CPR
- Inadequate airway opening
- Placement of patient on soft yielding surface
- Inadequate chest compression
- Improper seal around the patient mouth
- Improper defibrillation
- Inadequate / improper drug therapy
- Prolonged interruptions.
CONTRAINDICATIONS :
1.Patient Dying With An Expected Death
From Chronic Life Limiting Medical
Illness
2.Predictors of near 0% survival and never
leaving the hospital include: metastatic
cancer, Pneumonia, renal failure, sepsis,
multiple organ failure, acute stroke, and
CPR event>30 min
3.Consider ‘do not attempt resuscitation”
(DNAR) when the patient do not wish to
have CPR.
COMPLICATIONS OF CPR:
1.Rib fracture/ sturnal fractures
2.Anterior Mediastinum
3.Hemopericardium
4.Upper airway complications
5.Abdominal viscus
6.Iatrogenic injuries
7. Pulmonary complications
CPR MY PRESENTATION

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CPR MY PRESENTATION

  • 1.
  • 2. PRACTICE TEACHING ON CPR GUIDED BY: MR.PAVANKUMAR JAIN PRESENTED BY: MS.SONALPATEL
  • 3.
  • 4.
  • 5. INTRODUCTION: CPR (or cardiopulmonary resuscitation) is a combination of rescue breathing (mouth-to-mouth resuscitation) and chest compressions. If someone isn't breathing or circulating blood adequately, CPR can restore circulation of oxygen-rich blood to the brain. Without oxygen, permanent brain damage or death can occur in less than 8 minutes. CPR alone is unlikely to restart the heart; its main purpose is to restore partial flow of oxygenated blood to the brain and heart. It may delay tissue death and extend the brief window of opportunity for a successful resuscitation without permanent brain damage. CPR may however induce a shockable rhythm. CPR is generally continued until the person regains return of spontaneous circulation (ROSC) or is declared dead .
  • 6. DEFINITION: “Cardiopulmonary resuscitation (CPR) is a combination of mouth-to-mouth resuscitation and chest compressions that delivers oxygen and artificial blood circulation to a person who is in cardiac arrest. It can be life-saving first aid.” OR “Cardiopulmonary resuscitation (CPR) is a procedure used when a patient's heart stops beating and breathing stops. It can involve compressions of the chest or electrical shocks along with rescue breathing” - (Acc. To AHA)
  • 7. OR “An emergency procedure in which the heart and lungs are made to work by manually compressing the chest overlying the heart and forcing air into the lungs. CPR is used to maintain circulation when the heart stops pumping, usually because of disease, drugs, or trauma.”
  • 8. 1. To maintain an open and clear airway (A). 2. To maintain breathing by external ventilation (B). 3. To maintain Blood circulation by external cardiac massages (C). 4. To save life of the Patient. 5. To provide basic life support till medical and advanced life support arrives PURPOSE:
  • 9. PRINCIPLES OF CPR: 1.To restore effective circulation and ventilation. 2.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. PROCEDURE: PREPRATION: 1. To recognize the signs of cardiac arrest 2. Protect the patient’s brain from anoxia by immediately starting artificial ventilation of the lungs and external cardiac massage. 3. Call for help. 4. The Cardio Pulmonary Resuscitation must be initiated within three to four minutes in order to prevent permanent brain damage. 5. Strike the centre of the chest sharply with the side of the clenched fist twice. 6. Call for assistance.
  • 11. 7. Clear the airway of false teeth vomits food material etc. 8. Initiate ventilation and external cardiac massage without wasting time. 9. The CPR techniques should not be discontinued for more than five seconds before normal circulation and ventilation of lungs are established except 10.When the patient is moved to a hard surface. 11.When endotracheal intubation is being carried out (maximum time allowed for these two procedures is 15 seconds). 12.Before CPR is attempted in a patient, make sure that the airway is clear. It may be obstructed due to many reasons; so keep the patient’s neck hyper extended after confirming that he is having any cervical injury. Cont….
  • 12. ARTICLES USED IN CPR: 1.ENDOTRACHEAL TUBE 2. AMBU BAG WITH MASK
  • 16. 1. OXYGEN ADMINISTRATION SET 2. LARYNGOSCOPE WITH DIFFERENT SIZE 3. I.V. INFUSION SET, CUT DOWN SETS AND IV FLUIDS 4. CARDIAC MONITOR WITH DEFIBRILLATOR 5. MECHANICAL VENTILATOR 6. TRACHEOSTOMY SET 7. GAUZE COTTON ETC. 8. STERILE SYRINGES AND NEEDLES. OTHER…..
  • 18. • It is critical to remember to dial 108. Lets begin by very first step to basic life support. • Your location and phone number. • Types of emergency and victims condition Provide operation with • If you alone with victim try to call for help. Provide to starting CPR on an adult
  • 19. What to do in an emergency, we must first emphasize what not to do: -Do not leave the victim alone. -Do not try to victim drink water. -Do not throw water on victims face. -Do not prompt the victim in sitting position. -Do not try to revive the victim by slapping his face.
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  • 22. Look, Listen And Feel For Any Sign Of Breathing. If You Determine That The Victim Is Not Breathing, than The Tongue Is Most Common Airway Obstruction In An Unconscious patient With The Victim Lying Flat On His Back, Place Your Hand His Forehead And Your Another Hand Under The Tip Of The Chin
  • 23. Gently Tilt The Victim’s Head Backward. In This The Position Te Weight Of The Tongue Will Force It To Shift Away From Back Of The Throat, Opening The Airway.  If The Person Is Still Not Breathing On His Own After The Airway His Cleared, You Will Have Assist Him BREATHING.
  • 24. BREATHING: Gently Support His Chin So As To Keep It Lift Up And Head Tilled Back Pinch His Nose With Your Finger To Prevent Air From Escaping Once You Being To Ventilate And Your Mouth Over The Victim’s , Creating A Tight Seal
  • 25. If the first two don’t go in, re-tilt and give two more breaths. Give TWO Full Breath Allow Victim’s Lungs To Relax- Place Your Ear Near His Mouth And Listen For Air To Escape The Chest Fall As The Victims Inhales It Should Be Done More Than 10 Second.
  • 26. CIRCULATION In Order To Determine If The Victim’s Heart Is Beating, Place Two Fingertips On His Carotid Artery, Locate In His Depression Between The Windpipe And Neck Muscles And Apply Slight Pressure Several Second. If There Is No Pulse Than Victim’s Heart Is Not Beating, And You Will Have Perform Chest Compression.
  • 27. COMPRESSIONS • Place the heel of one hand in the centre of the chest • Place other hand on top • Interlock fingers • Compress the chest – Rate 80-100 min-1 – Depth 4-5 cm – Equal compression : relaxation • When possible change CPR operator every 2 min
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  • 29. THE RECOVERY POSITION If the victim starts to breath normally 1 2 3 4
  • 30. CAUSES OF FAILURE OF CPR: 1. Massive myocardial infraction 2. Cardiac temponade 3. Enlarged heart with incompetent valves 4. Obstructed airway 5. Severely diseased or damaged lung 6. Pulmonary embolism 7. Chest deformity 8. Fractured rib cage 9. Faulty techniques of CPR - Inadequate airway opening - Placement of patient on soft yielding surface - Inadequate chest compression - Improper seal around the patient mouth - Improper defibrillation - Inadequate / improper drug therapy - Prolonged interruptions.
  • 31. CONTRAINDICATIONS : 1.Patient Dying With An Expected Death From Chronic Life Limiting Medical Illness 2.Predictors of near 0% survival and never leaving the hospital include: metastatic cancer, Pneumonia, renal failure, sepsis, multiple organ failure, acute stroke, and CPR event>30 min 3.Consider ‘do not attempt resuscitation” (DNAR) when the patient do not wish to have CPR.
  • 32. COMPLICATIONS OF CPR: 1.Rib fracture/ sturnal fractures 2.Anterior Mediastinum 3.Hemopericardium 4.Upper airway complications 5.Abdominal viscus 6.Iatrogenic injuries 7. Pulmonary complications