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CPR Aha 2015 PDF
CPR Aha 2015 PDF
AHA 2015
Why are we here?
Belajar CPR
Untuk menyelamatkan nyawa
•3
Chain of Survival
rantai kelangsungan hidup
•Early Access
•Early CPR
•Early Defibrillation
•Early Advanced Medical Care
THIRD LINK
Early defibrillation
AED
Arrhythmias
Coarse Ventricular Fibrillation
Ventricular Tachycardia
FOURTH LINK
Support ventilasi
Memasang IV
line
Masukkan obat
untuk Kontrol
aritmia
Time is Life
Percentage
120
100
80
60 Chance of
survival (%)
40
20
0
0 1 2 3 4 5 6 7 8 9 10 minute
•Otak
• tidak dapat O2 mati
•Jantung
“3 – 8” menit
CPR
Cardio - mengacu pada
jantung / sirkulasi
Pulmonary - mengacu
pada pernapasan,
oksigen /paru2
Resuscitation –
Mempertahankan
oxyhgen & circulation
Anatomy of Heart
ALGORITMA CPR menurut AHA 2015
1. D
2. R
3. S •C
4. C EVALUASI •A
5. A •B
6. B
ONE MAN CPR
HAND ONLY CPR for basic human
Assessment and determine
unresponsiveness
• Danger /
keselamatan
• The rescuer should
tap or gently shake
the victim on his/her
shoulders and
shout, “Hello! Hello!
Are you OK?”
Activate Emergency Medical Service
• Ward area:
Activate code blue /
shout for help for
lapor dokter…
Position victim
• Nilai sirkulasi :
Check nadi carotid
Lakukan CPR jika
nadi tidak teraba
C irculation
Lokasi tangan dan posisi untuk kompresi dada
Nadi tidak teraba : Lakukan CPR
30 : 2
Locate landmark for chest compression
30 CHEST COMPRESSIONS : 2 VENTILATIONS
•Denyut jantung
100 -120 x/mnt
Where
Heartdoes
lies between
the heart lies?
the
breast bone and the
backbone
Count:
1 and 2 and 3 and 4 and 5 and
1 and 2 and 3 and 4 and 10 and
1 and 2 and 3 and 4 and 15
1 and 2 and 3 and 4 and 20
1 and 2 and 3 and 4 and 25
1 and 2 and 3 and 4 and 30
Compression depth: 5-6 cm
(2-2,4 inchi) and minimal Interuption
Perform 5 cycles of 30 compressions
and 2 breaths
Compression rate :100 ~ 120 x per minute
HITUNG :
1-2-3-4-5-6-7-8-9-1
1-2-3-4-5-6-7-8-9-2
1-2-3-4-5-6-7-8-9-3
lakukan 5 siklus
1 siklus=( 30 kompresi : 2 ventilasi )
A irway
• Lakukan Head Tilt-
Chin Lift jika tidak
ada trauma leher /
cervikal
• Menilai pernapasan
selama < 10 detik dgn :
Breathing
Mulut ke mulut
Mulut ke hidung
Mulut ke sungkup
Dengan Kantung
Pernafasan
Reassessment
•33
RJP TIDAK DILAKUKAN
•34
KOMPLIKASI RJP
Nafas buatan :
inflasi
gaster
regurgitasi
mengurangi volume paru
•35
KOMPLIKASI RJP
Fraktur iga & sternum,sering terjadi terutama pada orang
tua, RJP tetap diteruskan walaupun terasa ada fraktur iga.
Fraktur mungkin terjadi bila posisi tangan salah.
Pneumothorax
Hemothorax
Kontusio paru
•36
INFANT CPR
Tolong….
Assessment and determine
unresponsiveness
Tepuklah dengan
mantap bahu bayi
untuk menilai respon
Hindari mengocok
bayi
N/B: Infant biasanya
kolaps karena airway
obstruksi
Aktifkan Emergency Medical Service
SANGLAH HOSPITAL
KASUS 1