CPCR.ppt
- 2. Some basic points… What are the vital organs? Why only C – P – C – R?
- 3. Start CPR Immediately Better chance of survival Brain damage starts in 4-6 minutes Brain damage is certain after 10 minutes without CPR
- 4. Support & restore effective oxygenation, ventilation and circulation with return of intact neurological function. Intermediate Goal: Return of spontaneous circulation (ROSC)
- 5. Approach BLS ( Basic Life Support) Primary survey. ACLS (Advanced Cardiovascular Life Support) Secondary survey
- 6. Cardiopulmonary Resuscitation A - Airway B - Breathing C - Circulation D- Defibrillation
- 7. Basic life support BLS
- 8. BLS Primary Survey….components Assess Action Airway Open? Head tilt- chin lift or jaw thrust Breathing Yes/ adequate?..... Look, Listen and Feel 2 Breaths using a barrier device, Each over 1 sec, visible chest rise. Circulation Pulse present?...Carotid 5- 10 sec. CPR until AED arrives. C:V -30:2 5 cycles over 2 min. Defibrillation AED/ Shockable rhythm Shock as indicated. Resume CPR with compressions.
- 11. OPEN THE AIRWAY
- 13. If he is breathing normally • Turn him into the recovery position • Send or go for help, or call for an ambulance. • Check for continued breathing.
- 14. If he is not breathing normally Give 2 rescue breaths • Pinch the nose • Take a normal breath • Place lips over mouth • Blow until the chest rises • Take about 1 second • Allow chest to fall • Repeat
- 16. CHECK PULSE CHECK CAROTIDS TIME ALLOWED : 10 SECONDS
- 17. If there is pulse - Give 1 breath every 5-6sec - Recheck pulse every 2 min
- 19. Chest Compressions Patient positioning: Firm and hard surface (ground, table/ hard bed) deflate air/ water mattresses. Rescuer's position: Level with patient, elbows vertically straight and locked, shoulders directly above the hands, heel of one palm over the other. Site : sternum in inter-mammary line. Depth: 11/2- 2 inches. Rate: (5 cycles of 30:2-C:V over 2 min.). Allow complete chest recoil.
- 20. CHEST COMPRESSIONS 30 CHEST COMPRESSIONS
- 21. Single Rescuer BLS demo
- 22. AED
- 24. ECG RHYTHMS
- 25. TALL WIDE QRS COMPLEXES PATIENT HAD NO PULSE PULSELESS VENTRICULAR TACHYCARDIA
- 28. IS NOT THE ECG NORMAL? YES! BUT THE PATIENT HAS NO PULSE!!! PULSELESS ELECTRICAL ACTIVITY
- 29. DEFIBRILLATORS Principle Types : Monophasic (360 JOULES) Biphasic (120 – 200 Joules)
- 31. ACLS Secondary survey Advanced, invasive assessment and management techniques required. Basic airway adjuncts: OPA, NPA Advanced Airway interventions: Combitube, LMA, Endotracheal intubation. Advanced circulatory interventions: Drugs to control heart rhythm and blood pressure.
- 33. Airway in ACLS Once an advanced airway is placed Continuous chest comressions without interruptions for breaths Artificial breaths at the rate of 8 – 10 / minute Avoid hyperventilation
- 34. Drugs used in CPR - ACLS Adrenaline – for VF,VT,PEA,Asytole - 1 mg every 3 – 5 minutes - IV or IO Vasopressin – for VF,VT,PEA,Asytole -40 U - IV or IO - as an alternative for I or II dose of adrenaline
- 35. Drugs used in CPR - ACLS Atropine – Only for Aystole and slow PEA rate - 1 mg - I.V / I.O - Repeat every 3 – 5 minutes
- 36. Drugs used in CPR – ACLS – Anti- arrythmics In cases of VF / Pulseless VT Amiodarone : 300 mg IV / IO once, then 150 mg IV/IO once Lidocaine : 1 – 1.5 mg as the I dose, then, 0.5 – 0.75 mg/Kg IV/IO Maximum of 3 doses or 3 mg /Kg Magnesium : 1 – 2 mg IV/IO
- 37. Common Reversible Causes H`s T`s Hypovolemia Toxins Hypoxia Tamponade (cardiac) Hydrogen ion (Acidosis) Tension pneumothorax Hyper-/ Hypokalemia Thrombosis (coronary/ pulmonary) Hypoglycemia Trauma Hypothermia
- 38. DO REMEMBER TO LOOK FOR AND TREAT THE FACTOR WHICH LEAD TO THE CARDIAC ARREST!!!
- 41. Thank u