HỒI SINH TIM PHỔI CƠ BẢN

1. Bs. Đào Minh Tùng
Bs. Nguyễn Tam Xuân Kiệt
BLS
Basic Life
Support

2. MỤC TIÊU
Sơ cứu dị vật đường thở
01
Ấn Tim Ngoài Lồng Ngực
02
Sử dụng máy sốc điện
03

3. Helping a
Choking Adult
If someone is
choking, they might
use the choking
sign
.

4. CALL 115
ACTION

5. CALL 115
ACTION

6. CALL 115
ACTION

7. Basic Life Support
Use AED
AEDs are safe, accurate, and easy
to use
Call 115
CPR
New CPR Sequence
The sequence for CPR
has changed from A-B-
C to C-A-B

8. Infographic Style
The links within this Chain of Survival include:
Early Access to the emergency response system
Early CPR to support circulation to the heart and brain until normal heart activity is restored
Early Defibrillation to treat cardiac arrest caused by Ventricular Fibrillation; and
Early Advanced Care by EMS and hospital personnel

9. Your Location
Description of the emergency
Number of persons ill or injured
Your phone number
INFORMATION FOR 115
EMERGENCY CENTER
Your Name

10. Peter Safar - Professor of Pittsburgh University presented in
1968 small book “Cardiopulmonary Resuscitation
History
Early resuscitation and prompt defibrillation
(within 1-2 minutes) can result in >60% survival
Outcome
An emergency first-aid procedure that is
used to maintain respiration and blood
circulation in a person, whose breathing
and heartbeats have suddenly stopped
Definition
Blood flow during CPR is due to the direct compression
of the heart between the stenum and the spine
Cardiac Pump
theory
The chest compression propels blood out of
the thorax by increasing intrathoracic pressure
Thoracic pump
Theory
CadioPulmonaryResuscitation

11. CadioPulmonary Resuscitation
Return of spontaneous circulation (ROSC) is resumption of sustained perfusing cardiac activity
associated with significant respiratory effort after cardiac arrest. Signs of ROSC include breathing,
coughing, or movement and a palpable pulse or a measurable blood pressure. Cardiopulmonary
resuscitation and defibrillation increase the chances of ROSC

12. CPR OUTCOME
brain damage is unlikely,
if CPR started
IN FIRST 4 MINUTES
Without perfusion and
oxygenation
Irreversibly damaged after
3-5 minutes
CELL OF THE BRAIN CORTEX
brain damage possible
4-6 MINUTES
brain damage probable
7-10 MINUTES
severe brain damage certain
>10 MINUTES

13. CPR OUTCOME
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
A 1 A 2 A 3 A 4
SOON DEFIBRILATION
1 MINUTE SURVIVAL – 90%
5 MINUTES SURVIVAL – 50%
7 MINUTES SURVIVAL – 30%
10 – 12 MINUTES SURVIVAL 2-5%

14. O
N
L
I
N
E
D
I
A
G
N
O
S
I
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ALLPPT.com
Modern Portfolio
Presentation
ALLPPT
Layout
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for your
Presentation

15. CardioPulmonary
Resuscitation

16. Appropriate rate 100-120 compressions/minute
Adequate depth 5-6 cm
Optimal continuity → 60% of total resuscitation
time
Avoiding hyperventilation
Allowing full chest recoil
ELEMENTS OF QUALITY CPR

17. S
T
E
P
B
Y
S
T
E
P
COMPRESSION
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18. GIVE BREATHS
• Compressions are the most important
part of CPR
• If you are also able to give breaths, you
will help even more
• Your breaths need to make the chest rise
• When the chest rises, you know the
person has taken in enough air
•Put 1 hand on the forehead
and the fingers of your other
on the bony part of the chin.
•Tilt the head back and lift
the chin as seen on this
image.
You should avoid pressing
on the soft part of the neck
or under the chin.
•Hold the airway open, pinch
the nose closed
•Take a breath. Cover the
person’s mouth with your
mouth.
•Give 2 breaths (blow for 1
second each). Watch for the
chest to begin to rise as you
give each breath.

19. An AED is a lightweight,
portable device that delivers
an electric shock through the
chest to the heart
AED
Automated
external
Defibrillator
Why are AEDs important?
Because AEDs are portable, they can be used by nonmedical
people (lay-rescuers). They can be made part of emergency
response programs that also include rapid use of 1-1-5 and
prompt delivery of CPR
How does an AED work?
A built-in computer checks a victim’s heart rhythm through
adhesive electrodes. The computer calculates whether
defibrillation is needed. Audible prompts guide the user through
the process
Who can use an AED?
Non-medical personnel such as police, fire service personnel,
flight attendants, security guards and other lay rescuers who
have been trained in CPR can use AEDs
Are AEDs safe to use?
AEDs are safe to use by anyone. Some studies have shown that
90 percent of the time AEDs are able to detect a rhythm that
should be defibrillated. This data suggests that AEDs are highly
effective in detecting when (or when not) to deliver a shock

20. A new generation
of “smart”
Defibrilators
Advanced computer technologies
Ability to interprete heart (ECG)
rhythm
Ability to determine whether
defibrilation is required
Delivery of electric shock
Guides the operator through every
action
Provides voice and message
prompts
Legal aspects

22. First aid for Choking
Use an AED
CardioPulmonary Resuscitation
The choking sign
These steps to help a choking adult
The sequence for CPR has changed
from A-B-C to C-A-B
CPR has 2 main parts: compressions
and giving breaths
If you start CPR and then use an AED
within a few minutes, you will have the
best chance of saving a life
AEDs are safe, accurate, and easy to use
S U M M A R Y
Basic support life

23. Thank You