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    Cardio Pulmonary R Ry Resuscitation 2010

    Uploaded by

    Fatahillah Nazar
    This document provides guidance on cardiopulmonary resuscitation (CPR) and basic life support. It outlines that cardiac arrest can occur in or out of hospitals and that immediate CPR and defibrillation can improve survival rates. The key steps in response are immediate recognition, early CPR with chest compressions at a rate of 100 per minute and 2 inches deep, use of an automated external defibrillator if available, and minimizing interruptions of chest compressions. For lay rescuers, hands-only CPR is recommended until emergency services arrive, while trained rescuers and healthcare providers should provide cycles of compressions and ventilations at a 30:2 ratio.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Cardio Pulmonary R Ry Resuscitation 2010

    Uploaded by

    Fatahillah Nazar
    33 views26 pages
    This document provides guidance on cardiopulmonary resuscitation (CPR) and basic life support. It outlines that cardiac arrest can occur in or out of hospitals and that immediate CPR and defibrillation can improve survival rates. The key steps in response are immediate recognition, early CPR with chest compressions at a rate of 100 per minute and 2 inches deep, use of an automated external defibrillator if available, and minimizing interruptions of chest compressions. For lay rescuers, hands-only CPR is recommended until emergency services arrive, while trained rescuers and healthcare providers should provide cycles of compressions and ventilations at a 30:2 ratio.

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    CPR Pelatihan GELS

    Original Title

    CPR 2010new

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    This document provides guidance on cardiopulmonary resuscitation (CPR) and basic life support. It outlines that cardiac arrest can occur in or out of hospitals and that immediate CPR and defibrillation can improve survival rates. The key steps in response are immediate recognition, early CPR with chest compressions at a rate of 100 per minute and 2 inches deep, use of an automated external defibrillator if available, and minimizing interruptions of chest compressions. For lay rescuers, hands-only CPR is recommended until emergency services arrive, while trained rescuers and healthcare providers should provide cycles of compressions and ventilations at a 30:2 ratio.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    33 views26 pages

    Cardio Pulmonary R Ry Resuscitation 2010

    Uploaded by

    Fatahillah Nazar
    This document provides guidance on cardiopulmonary resuscitation (CPR) and basic life support. It outlines that cardiac arrest can occur in or out of hospitals and that immediate CPR and defibrillation can improve survival rates. The key steps in response are immediate recognition, early CPR with chest compressions at a rate of 100 per minute and 2 inches deep, use of an automated external defibrillator if available, and minimizing interruptions of chest compressions. For lay rescuers, hands-only CPR is recommended until emergency services arrive, while trained rescuers and healthcare providers should provide cycles of compressions and ventilations at a 30:2 ratio.

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    of 26

    GENERAL EMERGENCY LIFE SUPPORT RSUP DR.

    SARDJITO - YOGYAKARTA

    CARDIO PULMONARY RY RESUSCITATION R 201

    Cardiopulmonary resuscitation (CPR): is a serie of life saving actions that improve the chance survival following cardiac arrest. Optimal approach h to CPR may vary, depending on the rescuer, the e victim vic and resources, still t fundamental challenges remains: how to achie early and effective CPR

    Cardiac arrest occurs: in and out of hospital In US & Canada: 350.000 people/yr (half in hospital) cardiac arrest and receive attempted resuscitation. Not includ cluded without attempted resuscitation. Inappropriate resuscitaon many lives & lifeyears lost

    Successfull resuscitation requires an integrated set of coordinated coor acons Chain of survival

    immediate recognition and activation early CPR rapid defibrilation effective advance life support integrated post-cardiac arrest care

    BASIC LIFE SUPPORT


    Basic Life Support (BLS) ) is t the foundation for saving lives following cardiac arrest Fundamental aspects of BLS:

    immediate recognition of sudden su cardiac arrest (SCA) and Activation of emergency response system Early cardiopulmonary resuscitation (CPR) rapid defibrillation with automated external defibrillator (AED)

    The universal Adult Basic sic Life Li Support is a conceptual framework for all levels of rescuers setting.

    Early recognitio nition & activatio


    Ensuring the scene is safe Check unresponsiveness: no movement no response on stimulation (shouting or tapping his shoulder) activate the emergency response (call 911) check breathing: no breathing abnormal breathing (ie ( gasping)

    check pulse
    For:

    lay rescuer: shouldnt check! suddenly collapses/unresponsive, no/abnormal breathing assume cardiac arrrest start chest compression health provider: <10 !! more start chest compression

    Early CPR
    CHEST COMPRESSION
    -

    consist of forceful rhythmic of pressure over the lower half of the sternum

    Create blood flow by increasing intrathoracic pressures & directly compressing the heart blood flow & oxygen delivery to myocardium & brain effective chest compression are essential

    How to do chest ches compression ?

    lower half of sternum push hard, push fast at least 100 compression/minutes at least 2 inch or 5 cm depth allow complete recoil compression sion & ventilation ratio= 30:2 minimal compression interruption

    It is recommended to switch chest compressors @2 m or after 5 cycles, and should <5 seconds to check pulse after cycles, NOT recommended for lay rescuers (do not stop the chest compression). But, its for health provider, and still <10 s. interuption for health care provider: to check pulse, to intubate and to defib.

    Rescue breaths:
    start immediately, after head positioning, but after chest compression mouth to mouth or bag mask ventilation each over 1 second sucient dal volume visible chest rise

    normal VT 8-10 10 ml/kg is sufficient

    in CPR patients (with CO 25-33%), 25 VT 6-7 should be suffi

    ratio with compression still 30:2 risk excessive ventilation: gastric inflation: regurgitation & aspiration intrathoracic pres ressurevenous returncard output survival

    Early defibrillation with an AED


    VF is common & treatable initial rhythm in adults with witnessed cardiac arrest VF case, survival highest when CPR is provided & defib occurs within 3-5 of collapse Rapid defib is tx of choice for VF F of o short duration such as witnessed out of hospital or hospitalized patient cardiac arrest. AED should be used as rapidly as possible Defibrillation sequence:
    Turn on the AED follow the AED prompts Resume chest compression immediately after the shock (minimize interruptions)

    Rescuers specif ecific strategies:


    1.

    2.

    Untrained Lay rescuer: Hand-only CPR until AED or health arrive. push hard and push fast or by emer medical dispatchers direction Trained Lay rescuer: chest compression and breathing ra do until EMS arrive or health care p take over

    Health care provider: 30:2 cycle until advanced airway is placed after that, give ventilation, 1 breath: 6-8 8 second, or 8-10 8 x/mnt Avoid excess ventilation To activate EMS for lone provider: as seen the patient get collpase or ie in drowning or airway obstruction case, 5 CPR cycles first, then

    dult BLS for health care provider

    managing the airway

    r trained Lay rescuer who could do both chest comp & venlaon head in lift

    r hands-only cpr insucient evidence ence to recommend them to use of any s ssive airway no cervical spine injury head lt & chin li susp cervical spine injury:

    r health care provider:


    -

    initially use manual spinal motion restriction (eg ( placing 1 hand on e jaw thrust without head extention. extention

    side of patients head to hold ho it still) rather than immobilization dev

    when advanced airway device is placed, no interuption anymore for ventilatio - chest compression: 100x/mnt - ventilation : every 6-8 8 second, or 8-10 8 breaths/mnt

    Recovery Position
    is used for unresponsive patient who clearly have normal breathing and effective circulation

    Key changes & continued con points of emphasis from the 2005 BLS:

    mediate recognition of SCA based d on unresponsiveness & absence of n eathing

    ook, Listen and Feel removed from BLS

    ands-Only CPR for untrained lay-rescuer rescuer

    quence ABC CAB

    ealth care providers continue CPR untill return of spontaneous circulat rmination of resuscitative efforts

    creased focus on methods to ensure high quality CPR is performed

    ontinued de-emphasis emphasis on pulse check for health care roviders mplified adult BLS algorithm is introduced ecommendation of simultaneous, choreographed appro r chest compression, airway management, rescue reathing, rhythm detection, n, and a shocks (if appropriate) n integrated team of highly-tr trained rescuers in appropri etting

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