Basic Life Support

TUJUAN
Peserta mampu
mendemonstrasikan :
 Melakukan pengkajian korban henti
jantung
 Mampu malakukan kompresi dada dan
rescue breathing
Basic Life Support

LATAR BELAKANG
 Hampir 700,000 kejadian cardiac arrests per
tahun in Eropa
 Pasien yang mampu bertahan sampai di RS 5-
10%
 Adanya Bystander CPR memberikan angka
surival rate pasien henti jantung 2 sampai 3 kali
daripada tanpa dilakukannya CPR sama sekali
 Resusitasi yang cepat dengan memberikan
defibrilasi selama 1-2 minutes dapat
meningkatkan survival rate sampai >60%
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CHAIN OF SURVIVAL
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 Suatu tindakan untuk mengembalikan

SIRKULASI oksigen dalam darah akibat
pulmonary/cardiac arrest
 Kompresi dada dan ventilasi dilakukan
oleh semua orang yang mengetahui
dan memahami cara untuk melakukan
dimanapun sesegera mungkin tanpa
menggunakan alat
Basic Life Support

1. (Amankan Diri, Pasien dan Lingkungan)

2. Check response
3. Cek Nadi Carotis: 2 dtk

4. Telp Bantuan
5. Lakukan RJP 30 Kompresi Dada dan 2 Ventilasi
6. Recovery Position
2 Ventilasi
2 rescue breaths
 1. SAFETY FIRST
Basic Life Support

Rescuer
Victim
Scene
Basic Life Support

2. CEK RESPONSE
Shake shoulders gently
Ask “Are you all right?”
If he responds
• Leave as you find him.
• Find out what is wrong.
• Reassess regularly.
 2. CEK NADI CAROTIS
Basic Life Support

Assess circulation
10 seconds
Carotid pulse in adults
and children
Brachial in infants
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4. TELP 911/CARI BANTUAN

Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 977
30 chest compressions
2 rescue breaths
 5. RJP
Basic Life Support

 30 Kompresi Dada
Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 977

2 rescue breaths
 KOMPRESI DADA
Basic Life Support

• Place the heel of one hand in

the centre of the chest
• Place other hand on top
• Interlock fingers
• Compress the chest
– Rate 100 min-1
– Depth 4-5 cm
– Equal compression : relaxation
• When possible change CPR
operator every 2 min
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VENTILASI
 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
 OPEN AIRWAY
Basic Life Support

Head tilt and Approach safely

chin lift Check response
 No need for finger
sweep unless solid
material can be seen Shout for help
in the airway
Open airway
Check breathing
Call 977
30 chest compressions

Campbell
2 rescue breaths
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Head tilt, chin lift + jaw thrust

- healthcare professionals
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30
2
CONTINUE CPR
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Cek pernafasan (breathing)

Jika Nafas tidak adekuat lakukan rescue breathing
Jika nafas adekuat lakukan recovery position
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CHECK
BREATHING  Look, listen and feel
for NORMAL
breathing
 RESCUE BREATHS
Basic Life Support

Berikan 8-10 kali tiupan nafas dalam

1 menit
Jeda antar tiupan: “dua ribu, tiga
ribu, empat ribu, lima ribu”
Pastikan dada korban mengembang
dengan tiupan tersebut
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6. RECOVERY POSITION

Jika pasien :
 Nadi teraba
 Nafas adekuat
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DEFIBRILLATION
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AUTOMATED EXTERNAL
DEFIBRILLATOR (AED)

 Some AEDs will

automatically switch
themselves on when
the lid is opened
 ATTACH PADS TO
Basic Life Support

CASUALTY’S BARE CHEST

 ANALYSING RHYTHM
Basic Life Support

DO NOT TOUCH VICTIM

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SHOCK INDICATED

 Stand clear
 Deliver shock
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SHOCK DELIVERED
FOLLOW AED INSTRUCTIONS

30 2
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NO SHOCK ADVISED
FOLLOW AED
INSTRUCTIONS

30 2
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Qualified help arrives and

takes over
 The victim starts breathing
normally
 Rescuer becomes exhausted
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KAPAN RJP DIHENTIKAN?

Victim revives korban sadar
Trained help arrives tenaga
ahli sampai
Too exhausted to continue
kelelahan
Unsafe scene tidak aman
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 Delay in starting
 Improper procedures (ex. Forget to
pinch nose)
 No ACLS follow-up and delay in
defibrillation
 Only 15% who receive CPR live to go home
 Improper techniques

 Terminal disease or unmanageable

disease (massive heart attack)
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Rib fractures fr. rusuk

Laceration related to the
tip of the sternum
Liver, lung, spleen
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