Basic Life Support CPR

Basic Life Support CPR

اسلاید 1: Basic Life Support CPR

اسلاید 2: IntroductionMr. KASU basketball gameStudent: You saved my child’s lifeIntroduce Annie

اسلاید 3: CPR Training PrecautionsDo not practice on a personClean faces properly after each useAlcoholBleach wash

اسلاید 4: Do Not Use A Manikin If:Cold or sore throatKnown positive hepatitis B or CInfected by HIV or AIDSYou have an infection

اسلاید 5: CPRCombines rescue breathing and chest compressionsRevives heart (cardio) and lung (pulmonary) functioningUse when there is no breathing and no pulseProvides O2 to the brain until ACLS arrives

اسلاید 6: How CPR WorksEffective CPR provides 1/4 to 1/3 normal blood flowRescue breaths contain 16% oxygen (21%)

اسلاید 7: Start CPR ImmediatelyBetter chance of survivalBrain damage starts in 4-6 minutesBrain damage is certain after 10 minutes without CPR

اسلاید 8: Do Not Move the Victim Until CPR is Given and Qualified Help Arrives…unless the scene dictates otherwisethreat of fire or explosionvictim must be on a hard surfacePlace victim level or head slightly lower than body

اسلاید 9: Even With Successful CPR, Most Won’t Survive Without ACLSACLS (Advanced Cardiac Life Support)ACLS includes defibrillation, oxygen, drug therapy

اسلاید 10: Survey The Scene, then: RAPR - Responsiveness Tap shoulder and shout “Are you ok?”

اسلاید 11: RAPA - Activate EMS ( if unresponsive)YOU - call 911 – come back and let me know what they said (another can stay by the phone)You may have to make the call

اسلاید 12: RAPP - Position on backAll body parts rolled over at the same timeAlways be aware of head and spinal cord injuriesSupport neck and spinal column

اسلاید 13: ABCDAirway BreathingCirculation - BleedingDisability (keep this in mind from the beginning)If victim is unconscious but does display vital signs, place on left side

اسلاید 14: Checking Vital SignsA – AirwayOpen the airwayHead tilt chin lift

اسلاید 15: B – Check For BreathingLook, listen and feel for breathing No longer than 10 seconds seconds

اسلاید 16: BreathingIf the victim is not breathing, give two breaths (1 second or longer)Pinch the noseSeal the mouth with yoursIf the first two don’t go in, re-tilt and give two more breaths (if breaths still do not go in, suspect choking)

اسلاید 17: Breathing: Mouth To Nose (when to use)Can’t open mouthCan’t make a good sealSeverely injured mouthStomach distensionMouth to stoma (tracheotomy)

اسلاید 18: CompressionsAfter giving breaths… Locate proper hand position for chest compressionsPlace heel of one hand on center of chest between the nipples OR

اسلاید 19: CompressionsUsing both hands, give 30 chest compressionsCount 1, 2, 3 …Depth of compressions: 1 .5 to 2 inchesFor children: ½ to 1/3 of chest depth and use 1 or 2 hands (keep one hand on forehead if possible)

اسلاید 20: CPRAfter 30 chest compressions give:2 slow breaths Continue until help arrives or victim recoversIf the victim starts moving: check breathing

اسلاید 21: When Can I Stop CPR?Victim revivesTrained help arrivesToo exhausted to continueUnsafe scenePhysician directed (do not resuscitate orders)Cardiac arrest of longer than 30 minutes(controversial)

اسلاید 22: When to Stop CPRVictim revivesReplaced by another rescuerToo exhaustedTrucker

اسلاید 23: Two Partner CPRRescuer 1:RAPABRescuer 2:place hands for compressionsCompression rate: 30:2Switch off when tired1 and 2…..4 and change

اسلاید 24: Checking for CPR EffectivenessDoes chest rise and fall with rescue breaths?Have a second rescuer check pulse while you give compressions

اسلاید 25: Why CPR May FailDelay in startingImproper procedures (ex. Forget to pinch nose)No ACLS follow-up and delay in defibrillationOnly 15% who receive CPR live to go homeImproper techniquesTerminal disease or unmanageable disease (massive heart attack)

اسلاید 26: Injuries Related to CPRRib fracturesLaceration related to the tip of the sternumLiver, lung, spleen

اسلاید 27: Complications of CPRVomitingAspirationPlace victim on left sideWipe vomit from mouth with fingers wrapped in a clothReposition and resume CPR

اسلاید 28: Stomach DistensionAir in the stomach Creates pressure against the lungsPrevention of Stomach DistensionDon’t blow too hardSlow rescue breathing Re-tilt the head to make sure the airway is openUse mouth to nose method

اسلاید 29: Mouth to Mouth Barrier DevicesMasksShields

اسلاید 30: If You Are Afraid to Perform CPRCall EMSOpen the airwayGive chest compressions

اسلاید 31: Choking The tongue is the most common obstruction in the unconscious victim (head tilt- chin lift)VomitForeign bodyBalloonsFoodsSwelling (allergic reactions/ irritants)Spasm (water is inhaled suddenly)

اسلاید 32: How To Recognize ChokingCan you hear breathing or coughing sounds?High pitched breathing sounds?Is the cough strong or weak? Can’t speak, breathe or coughUniversal distress signal (clutches neck)Turning blue

اسلاید 33: Recognizing Choking #2A partial airway obstruction with poor air exchange should be treated as if it were a complete airway blockage.If victim is coughing strongly, do not intervene

اسلاید 34: Conscious Choking (Adult Foreign Body Airway Obstruction)Give 5 abdominal thrusts (Heimlich maneuver)Place fist just above the umbilicus (normal size)Give 5 upward and inward thrustsPregnant or obese? 5 chest thrustsFists on sternumIf unsuccessful, support chest with one hand and give back blows with the otherContinue until successful or victim becomes unconscious

اسلاید 35: If You Are Choking And You Are AloneUse fistUse corner of furnitureBe creative

اسلاید 36: If Victim Becomes Unconscious After Giving ThrustsCall 911Try to support victim with your knees while lowering victim to the floorAssessBegin CPRAfter chest compressions, check for object before giving breaths breaths

اسلاید 37: You Enter An Empty Room And Find An Unconscious Victim On The FloorWhat do you do?Assess the victim (RAPABC)Give CPR if neededAfter giving compressions: look for object in throatthen give breaths

اسلاید 38: CPR for Infants (Under 1 Year of Age)Same procedures (RAPAB) except:Seal nose and mouth or nose onlyGive shallow “puffs”

اسلاید 39: CPR: InfantsRAPABGive CPRPress sternum 1/2 to 1/3 depth of the chest Use middle and ring finger30 compressions to 2If alone, resuscitate for 2 minutes then call 911

اسلاید 40: Choking: Conscious InfantsPosition with head downward5 back blows (check for expelled object)5 chest thrusts (check for expelled object)Repeat

اسلاید 41: Choking: Unconscious InfantsIf infant becomes unconscious:RAPABWhen the first breaths don’t go in, check for object in throat then try 2 more breaths.If neither set of breaths goes in, suspect chokingBegin 30 compressionsCheck for object in throat (no blind finger sweep)Give 2 breaths

اسلاید 42: SIDS5000 per yearAffects more males than femalesNo know causeNo indication of problemUsually occurs during the sleep during first 6 months of lifePlace baby on back (now, side)Avoid “fluffy” blankets etc.