MASURI DE

PRIM AJUTOR
CURS 3.
 Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
 APPROACH SAFELY!

Approach safely
Scena
Check response
Salvator Shout for help
Open airway
Victima
Check breathing
Martori Call 112
30 chest compressions
2 rescue breaths
CHECK RESPONSE

Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
CHECK RESPONSE

Scutura umerii cu
blandete
Intreaba: “va simtiti
bine?”
Daca raspunde:
• Lasati-l asa cum l-ati
gasit.
• aflati ce s-a intamplat.
• Reevaluati periodic.
SHOUT FOR HELP

Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
OPEN AIRWAY

Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
OPEN AIRWAY

Head tilt and chin lift-

extensia capului si
ridicarea mandibulei
- salvatori “laici”
- salvatori fara legatura cu
sectorul medical

Nu trebuie curatata cavitatea bucala

decat daca sunt vizibile materiale
solide in calea aeriana
OPEN AIRWAY

Head tilt, chin lift + jaw thrust – extensia

capului, ridicarea mandibulei si
subluxatia mandibulei - pentru
personalul medical
ELIBERAREA CAILOR AERIENE
PRIN EXTENSIA GATULUI
“NECK EXTENSION”

Campbell
CHECK BREATHING

Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
CHECK BREATHING- verificati
respiratiile

 Cauta:
 privind,
 ascultand si
 simtind prezenta
respiratiilor normale

 Nu confundati
respiratiile agonice cu
cele normale
Respiratii agonice

 Apar la scurt timp dupa oprirea cordului in

aproximativ 40% din stopurile cardiace

 Descrise ca respiratii “grele”, dificile,

zgomotoase, “gasping”

 Recunoscute ca semn de stop cardiac

Erroneous information can result in withholding CPR from cardiac arrest victim
 Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
 Obstructia cailor aeriene cu corp
starin (FBAO)
Approximativ 16 000 adulti si copii sunt tratati annual in UK
pentru obstruictie de cai aeriene cu corpi straini

SEMNE OBSTRUCIE OBSTRUCIE SEVERA

MODERATA
“Te ineci?” “Da” Incapabil sa vorbeasca,
poate incuviinta
Alte semne Poate tusi, respira, Nu poate respira/
vorbeste respiratie cu
Wheezing/silentiu/ince
arca sa tuseasca/
inconstienta
ADULT FBAO TREATMENT
ABDOMINAL THRUSTS- compresii abdominale
30 CHEST COMPRESSIONS

Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
CHEST COMPRESSIONS-
COMPRESII TORACICE

 PlaSATI PODUL PALMEI IN

CENTRUL TORACELUI
 PLASATI DEASUPRA CEALALTA
MANA
 INTREPATRUNDETI DEGETELE
 Comprimati toracele cu:
 Feecventa de 100 min-1
 amplitudine 4-5 cm
 Raport egal compresie :
relaxare
 Daca e posibi, schimbati la 3
minute cu alt salvator
 • Cea mai eficienta frecventa pentru
compresiile sternale este de 100 compresii
per minut– acelai ritm ca cel al melodiei
trupei BeeGee’: “Stayin’ Alive.”

http://www.dailymotion.com/video/x1afd7
_bee-gees-staying-alive_music
RESCUE BREATHS

Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths
RESCUE BREATHS

 Pensati nasul
 Insuflati normal
 Puneti gura la gura
victimei
 Suflati pana cand se
ridica pieptul
 Asteptati aproximativ
o secunda
 Lasati toracele sa
coboare
 Repetati
 RESCUE BREATHS- respiratiile artificiale
RECOMANDARI:
- Tidal volum
500 – 600 ml

- Frecventa respiratorie
administrati ficare insuflatie in decurs de 1 s, cu
volum suficient pentru a produce ridicarea cutiei
toracice
- Chest-compression-only
continuu, cu frecventa de 100/min
 CONTINUE CPR

30 2
“Hands-only” CPR
 “chest compression-only CPR”poate fi aplicat in
urmatoarele situatii:
 Daca sunteti incapabil sa efectuati respiratii
artificiale sau nu doriti sa le efectuati masaj,
asigurati doar masajul cardiac.
 In aceasta situatie, masajul cardiac trebuie
efectuat continuu, cu un ritm de 100/min.
 Opriti-va doar pentru a verifica daca victima si-a
reluat respiratiile normale- nu opriti pentru nici
un alt motiv resuscitarea!!
DACA PACIENTUL INCEPE SA RESPIRE
NORMAL, PLASATI-L IN
POZITIA LATERALA DE SIGURANTA.
CONTINUATI RESUSCITAREA:

 Pana ajunge la dumneavoastra ajutorul

calificat si puteti preda pacientul

 Pana cand pacientul isi reia respiratiile

normale

 Pana ce salvatorul devine epuizat.