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    BLS & ACLS Survey 22012021

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    Muhammad Reza
    The document outlines the steps for conducting a BLS Survey and ACLS Survey to systematically assess and manage cardiopulmonary emergencies, including checking responsiveness, breathing, pulse, beginning CPR within 10 seconds at 100-120 compressions per minute, using an AED, managing airway, breathing, circulation, and identifying reversible causes. Critical concepts of CPR like compression depth and rate, minimizing interruptions, and avoiding excessive ventilation are also reviewed.

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    BLS & ACLS Survey 22012021

    Uploaded by

    Muhammad Reza
    54 views17 pages
    The document outlines the steps for conducting a BLS Survey and ACLS Survey to systematically assess and manage cardiopulmonary emergencies, including checking responsiveness, breathing, pulse, beginning CPR within 10 seconds at 100-120 compressions per minute, using an AED, managing airway, breathing, circulation, and identifying reversible causes. Critical concepts of CPR like compression depth and rate, minimizing interruptions, and avoiding excessive ventilation are also reviewed.

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    The document outlines the steps for conducting a BLS Survey and ACLS Survey to systematically assess and manage cardiopulmonary emergencies, including checking responsiveness, breathing, pulse, beginning CPR within 10 seconds at 100-120 compressions per minute, using an AED, managing airway, breathing, circulation, and identifying reversible causes. Critical concepts of CPR like compression depth and rate, minimizing interruptions, and avoiding excessive ventilation are also reviewed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    54 views17 pages

    BLS & ACLS Survey 22012021

    Uploaded by

    Muhammad Reza
    The document outlines the steps for conducting a BLS Survey and ACLS Survey to systematically assess and manage cardiopulmonary emergencies, including checking responsiveness, breathing, pulse, beginning CPR within 10 seconds at 100-120 compressions per minute, using an AED, managing airway, breathing, circulation, and identifying reversible causes. Critical concepts of CPR like compression depth and rate, minimizing interruptions, and avoiding excessive ventilation are also reviewed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 17

    Perhimpunan Dokter Emergensi Indonesia

    IDI Cabang Jakarta Pusat


    RS YARSI
    IMANI CARE
    BLS-ACLS Instructor (American Heart Association)

    1
     Describe critical actions of the BLS Survey &
    ACLS Survey
     Describe assessment & management that
    occur with each step of the systematic
    approach
     Describe how assessment & management
    approach is applicable to most
    cardiopulmonary emergencies.
    Tentukan kesadaran pasien
     Jika tidak sadar : BLS Survey, kemudian lanjutkan dg ACLS Survey
     Jika sadar : ACLS Survey

    Critical Concept :
     Memulai kompresi dada kurang dari 10 detik
     Kompresi dada dengan kecepatan 100-120 kali per menit
     Kompresi dada dengan kedalaman :
    ▪ Dewasa 5-6 Cm
    ▪ Anak : Sepertiga kedalaman dinding dada (Sekitar 2 Inci / 5 Cm)
    ▪ Bayi : Sepertiga kedalaman dinding dada (Sekitar 1.5 Inci / 4 Cm)
     Complete Chest Recoil
     Minimalkan interupsi pada saat CPR (Max : 10 Detik)
     Hindari pemberian bantuan napas yang berlebihan
    1. Ensure scene safety
    2. Check for response.
    3. Shout for nearby help/activate the resuscitation team.
    4. Check for no breathing or only gasping and check pulse
    (ideally simultaneously). Activation and retrieval of the
    AED/emergency equipment by either the lone healthcare
    provider or by the second person sent by the rescuer must
    occur no later than immediately after the check for no
    normal breathing and no pulse identifies cardiac arrest.
    5. Immediately begin CPR, and use the AED/defibrillator
    when available.
    6. When the second rescuer arrives, provide 2-person CPR
    and use AED/defibrillator.
    When the BLS survey is complete or if the patient is conscious and
    responsive, the responder should conduct the ACLS survey with a
    focus on identifying and treating the underlying cause(s) of the
    patient’s problem.

    1. Assess
    2. perform appropriate action

    The ACLS Survey :


    A : Airway
    B : Breathing
    C : Circulation
    D: Differential Diagnosis.
    BLS ALS ROSC
    • SIMPLE • AIRWAY • AIRWAY
    AIRWAY ADJUNCT ADVANCED
    MANUVER • AIRWAY
    ADVANCED
    Assess :
    - is the airway patent?
    - is an advanced airway indicated?
    - is proper placement of airway device confirmed?
    - is tube secured and placement reconfirmed frequently?

    Action as appropriate
    1. maintain airway patency with unconscious patients
    2. use advanced airways if needed
    3. confirm placement of airway
    - chest rise
    - quantitative waveform capnography
    4. secure device to prevent dislodgement
    5. monitor capnography
    Assess :
    - Are ventilation and oxygenation adequate?
    - are quantitative waveform capnography and is oxyhemoglobin
    saturation monitored?
    Action as appropriate
    1. Give oxygen when needed
    - cardiac patients administer 100% 02
    - other, 02 is given to achieve saturation of >94% by pulse oximetry
    2. monitor adequacy of ventilation and oxygenation
    - chest rise and cyanosis
    - quantitative waveform capnography
    - oxygen saturation
    3. Avoid excessive ventilation
    Assess :
    - are chest compressions effective?
    - What is the cardiac rhythm?
    - is defibrillation or cardioverison indicated?
    - Has IV/IO access been established?
    - is ROSC present?
    - is the patient with a pulse unstable?
    - are any medications needed for rhythm or blood pressure?
    - does the patient need volume (fluid) for resuscitation?
    Action as appropriate
    1. Monitor CPR quality
    - Quantitative waveform capnography - Petco2 is < 10 mm Hg, improve CPR
    - Diastolic pressure < 20, improve CPR
    2. Attach monitor / defibrillator for arrhythmias or cardiac arrest rhythms
    3. Provide defibrillation / cardioversion
    4. Obtain IV/IO access
    5. Give appropriate drugs
    - managing rhythm and blood pressure
    6. Give IV/IO fluids if needed
    Assess :
    - Why ?
    - Any reversible cause(s) that can be treated ?

    Action as appropriate
    Find and treat reversible causes
     AIRWAY:
    OPA/NPA
    ETT+Laryngoskopi,LMA, Laryngeal Tube
     Breathing:
    Pulse Oxymetri
    Nasal Canul/ Face Mask/MRM
    BVM
     CIRCULATION:
    IV / IO Cathteter
    Infus Set
    Cairan
     Drug:
    OBAT (Amiodaron, Epinephrin, Adenosin,
    Atropin, Dopamin)
    Spuit 10 cc / 20 cc
     CPR BOARD

     FOOT STEP

     RECORDING:
     Lembar Recording
     Algoritma
     Stop Watch

    BAG vs TROLLEY
     Describe critical actions of the BLS Survey &
    ACLS Survey
     Describe assessment & management that
    occur with each step of the systematic
    approach
     Describe how assessment & management
    approach is applicable to most
    cardiopulmonary emergencies.

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