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Basic Life Support New

Basic Life Support New

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Published by: shylajabosco9 on Sep 17, 2011
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07/28/2014

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CARDIO PULMONARY RESUSCITATION

A&E(SRMC&RI)

• OBJECTIVES OF CPR

A&E(SRMC&RI)

Factors contributing for respiratory arrest
• • • • • • Airway obstruction Multiple ribs fracture Drowning Electrical shock Smoke inhalation Deep coma and spinal cord injuries
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Factors contributing for cardic arrest
• • • • • • Hypothermia Hypovolemia Hypoxia Hydrogen ion (acidosis) Hypoglycemia Hypo/hyperkalemia
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• • • • •

Tamponade cardiac Tension pneumothorax Thrombosis Trauma Toxins

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Ensure safety of the rescuer and victim
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Shake and shout

Shift to a safe place if needed
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Is the victim responsive? YES
 Check for injuries  Reassess  Get help

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Is the victim responsive? No
Shout for help
Activate EMS

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Opening the Airway
 Head tilt  Chin lift  Jaw thrust : if C - spine injury is suspected

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Assess Breathing
 Look for chest movement  Listen for breath sounds  Feel for expired air  Assess for 10 seconds

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Rescue breathing (Expired air ventilation)

 Occlude victims nose  Maintain chin lift  Take a deep breath

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Rescue breathing (Expired air ventilation)
 Ensure a good mouth-to-mouth seal  Blow steadily (1 sec) into victims mouth  Watch for chest rise  Maintain chin lift, remove mouth  Watch chest fall

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Watch for chest fall

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Check the carotid pulse only if trained. (< 10 seconds)

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Lock with the other hand

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Upper Airway Obstruction

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Unable to cough or speak
 Reassure  Explain the procedure before you start Heimlich maneuver

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5 back blows

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Between the shoulder blades

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Upward and inward thrusts

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5 thrusts

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Continue
 Until FB is coughed out or victim become unconscious

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Defibrillation
• Reversal of action of fibrillation
• Defibrillation is the therapeutic use of electric current delivered in large amounts over a brief period of time.
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Shockable rhythm
• Ventricular Fibrillation. • Pulseless Ventricular Tachycardia.
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Biphasic Defibrillator

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Defibrillator waveforms
• Defibrillators deliver energy or current in waveforms. • Monophasic waveforms • Biphasic waveforms
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Anterior - Apex

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AED

• Automated external defibrillator is a computerised defibrillator.
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• AED is operated only on patients who are unresponsive, not breathing and no pulse.

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AED STEPS

• STEP 1 – power on AED • STEP 2 – attach electrode pads • STEP 3 – analyse the rhythm • STEP 4 – clear the victim,press shock button
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Code team
• Team members

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