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BANTUAN
HIDUP
DASAR

Pelatihan Basic Trauma Cardiac Life Support (BTCLS)

Hotel Amos Cozy Jakarta, 21 Januari 2018

Tujuan Pembelajaran Umum

Setelah mempelajari materi ini, peserta

memahami teknik melakukan bantuan
hidup dasar dengan benar

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Tujuan Pembelajaran Khusus

Setelah mengikuti materi ini, peserta
mampu:

1. Menjelaskan pengertian BHD

2. Mengidentifikasi tanda-tanda henti
jantung dan henti nafas
3. Melakukan BHD dengan teknik RJP

POKOK
BAHASAN

SUB POKOK BAHASAN:

1. Tanda henti jantung dan henti nafas
2. BHD dengan teknik RJP pada
korban dewasa sesuai guidelines
HA 2015

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SEBELUM MENOLONG
PASTIKAN:
DIRI
3A PASIEN
LINGKUNGAN

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LANGKAH 1

CEK
RESPONS

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LANGKAH 2

Aktifkan EMS

Dapatkan AED

LANGKAH 3
Periksa nafas & Nadi
5 s.d 10 detik

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Nadi + •Recovery
Nafas + position

Nadi + •Rescue
Nafas - breathing
Nafas -/
gasping •RJP Guideline
Nadi- AHA 2015

LANGKAH 4

Compressions Airway Breathing

Interlocking fingers Head tilt Mouth to mouth
Kedalaman 5-6 cm Chin lift Mouth to mask
Frekuensi 100-120 x/mnt BVM
Chest recoil
30:2

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Summary of High-Quality CPR Components for BLS Providers

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BLS Algoritma Henti Jantung Pada Orang Dewasa — 2015

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“Cough” CPR

“Cough” CPR describes the use of forceful voluntary coughs

every 1 to 3 seconds in conscious patients shortly after the
onset of a witnessed nonperfusing cardiac rhythm in a
controlled environment such as the cardiac catheterization
laboratory.

“Cough” CPR
Coughing episodically increases the
intrathoracic pressure and can generate
systemic blood pressures higher than those
usually generated by conventional chest
compressions, allowing patients to maintain
consciousness for a brief arrhythmic interval
(up to 92 seconds documented in humans).

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Precordial Thump

A precordial thump has been reported to convert ventricular

tachyarrhythmias in 1 study with concurrent controls, single-
patient case reports, and small case series.

Precordial Thump
However, 2 larger case series found that the precordial
thump was ineffective in 79 (98.8%) of 80 cases and in 153
(98.7%) of 155 cases of malignant ventricular arrhythmias.

Case reports and case series have documented

complications associated with precordial thump including
sternal fracture, osteomyelitis, stroke, and triggering of
malignant arrhythmias in adults and children

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Precordial Thump
The precordial thump should not be used for unwitnessed
out-of-hospital cardiac arrest. (Class III, LOE C)

The precordial thump may be considered for patients with

witnessed, monitored, unstable ventricular tachycardia
including pulseless VT if a defibrillator is not immediately
ready for use, but it should not delay CPR and shock delivery.
(Class IIb, LOE C)

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RJP pada kehamilan

Left uterine displacement with 1 or 2-
handed technique

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