Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                

Cardiopulmonary Resuscitation (C.P.R)

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 4

CARDIOPULMONARY

RESUSCITATION
(C.P.R)

Definition

 Is a technique to temporarily circulate blood through the body of a person whose heart
has stopped
 It involves assessing the airway,if necessary breathing for the person,determining the
presence of foreign body and if necessary applying pressure to the chest to circulate
blood

Emergency situation

 Cardiac arrest
 Myocardial infarction
 Stroke
 Obstruction due to foreign body

Indication

 Cardiac arrest
-Ventricular fibrillation
-Ventricular tachycardia
-Asystole
-Pulseless electrical activity
 Respiratory arrest
-Drowning
-Stroke
-Foreign body airway obstruction
-Smoke inhalation
-Drug overdose
-Injury by lightening
-Suffocation
-Accident injury
-Epiglottitis

C.P.R

1
 Combines rescue breathing andchest compression
 Review heart (cardio) and lung (pulmonary)
 Use when there is no breathing and no pulse

Effectiveness

 START AS SOON AS POSSIBLE to prevent hypoxic encephalopathy


 Brain cell without oxygen 4-6 minutes > clinical death.More than 6 minutes >
biological death
 Purpose of C.P.R is not to ‘start’ the heart but to circulate oxygenated blood to the
brain

Basic life support danger

 Safety first
 Ensure surrounding does not pose a threat to rescuer and victim
 Find out the level of consciousness
 Try to elicit a response from the victim

-‘Hello! Can you hear me?’

-‘Hello! Are you alright?’

 In the community or home environment,activate the local emergency response system


e.g 999 call for ambulance and notify A.E.D

Basic life support circulation

 Feel for carotid pulse no longer than 10 seconds


 If no pulse is detected,start cardiac compression
 Ensure patient is on a firm,flat surface
 Cardiac compression hand placement
-Heel of one hand on lower half of the sternum
-Centre of the chest between the nipples
-The other hand on top of the first hand
-Fingers should not touch the chest wall
 Maintain elbow straight
 Use body weight for cardiac compression
 Ensure hands to patients body is 90°
 Compression depth:1.5-2.0 inches
 Compression-ventilation ratio 30:2
 Compression rate 100 per min

2
Basic life support airway

 Ensure airway patency


 Head tilt, chin lift
 Jaw thrust
 Oropharyngeal airway insertion (if available)
 Look, listen, and feel for air movement

Basic life support breathing

 Look- at the chest for movement


 Listen- for the sound of breathing
 Feel- for breath on the chest
 If there is no spontaneous breathing, give rescue breath
-pinch nose
-seal mouth to mouth
-observe for chest expansion
 If the chest does not rise and fall, check airway patency again

Mouth to mouth barrier devices


 Shields
 Masks

Breathing: mouth to nose (when to use??)


 Can’t open mouth
 Can’t make a good seal
 Severe injured mouth

Suspect poisoning: not encouraged to give rescue breaths

We inhale oxygen

We exhale carbon dioxide AND oxygen

Breath in oxygen : 21%

Lung comsumption : 5%

Breath out oxygen : 16%

3
Continue C.P.R until

 Victim revives
 Trained help arrives
 Replaced by another rescuer
 Too exhausted to continue
 Physician order (do not resuscitate orders)
 Cardiopulmonary arrest longer than 30 minutes
 Scene become unsafe

Why C.P.R may fail

 Delay in starting
 Terminal disease or unmanageable disease (massive heart attack)
 Inproper procedures (e.g forget to pinch nose)
 No ACLS follow up and delay in defibrillation
-Only 15% who receive C.P.R live to go home
-Improper technique

C.P.R complication

 Seizures
 Hypoxic encephalopathy
 Severe hypothermia
 Arrhythmia
 Bruising/burns from defibrillator paddles
 Internal injuries to liver,spleen
 Aspiration pneumonia
 Fracture ribs
 Myocardial rupture

ACLS-Advanced Cardiac Life Support

 Resuscitation involving electrical defibrillation,endotracheal


intubation,administration of IV drugs and fluid

You might also like