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CardioPulmonary

Resuscitation

Dr. Abdul Rashad


Senior Lecturer
United college of physical therapy
CardioPulmonary
Resuscitation
Definition:
CPR is an emergency first-aid procedure
that is used to maintain respiration and
blood circulation in a person, whose
breathing and heartbeats have suddenly
stopped,
(one or more vital functions failed ).
CardioPulmonary
Resuscitation
Three basic vital functions:

 Breathing
 Circulation
 Consciousness
Indication of CPR

• malignant arrhythmia
• acute myocardial infarction (AMI)
• pulmonary embolism
• intoxication
• electrocution
• drowning
• acute suffocation
• severe trauma
• stroke and alike
Stop CPR if

 Victim starts to breathe normally

 Medical assistance arrives and instructs


you to stop CPR

 You are physically exhausted


BLS sequence
Kneel by the side of
the victim
BLS sequence

Shake shoulders
Ask “Are you all right?”
BLS sequence
If he responds
• Leave as you find him
• Find out what is wrong
• Reassess regularly
BLS sequence

Unresponsive

Shout for help


BLS sequence

Unresponsive

Shout for help

Open airway
BLS sequence

Unresponsive

Shout for help

Open airway

Check breathing
BLS sequence

 Look, listen and feel for


NORMAL breathing
 No breathing – apnea
 Gasps (agonal breathing)
Agonal breathing
 Occursshortly after heart stops in up to
40% of cardiac arrests

 Describedas barely, heavy, noisy or


gasping breathing

 Recognise as a sign of cardiac arrest


 Do not confuse agonal breathing with
NORMAL breathing
BLS sequence

Unresponsive

Shout for help

Open airway

Check breathing

Call 155 (112)


BLS sequence

Unresponsive

Shout for help

Open airway

Check breathing

Call 112

30 chest compressions
Chest compression
Unresponsive

Shout for help

Open airway

Check breathing

Call 112

30 chest compressions

2 rescue breaths
2 rescue breaths
 Pinch nose
 Place and seal your lips
over the victim´s mouth
 Blow until the chest rises
 Takes about 1 second
 Allow chest to fall
 Repeat (10 – 12 times
per minute)
B) Breathing
 expired air resuscitation - several
techniques:
- Mouth-to-mouth breathing
- Mouth-to-nose breathing
- Mouth-to-mouth + nose breathing ( small
children)
- Mouth-to the barrier device ( to protect the rescuer)
- Mouth to tracheostomy

Self-inflating bag
Defibrillation
Defibrillation
Attach pads to casualty’s bare chest
Analyse rhythm – do not touch victim
Shock indicated – stand clear
Rescuer giving defibrilation shock

• is responsible for his safety


• is responsible for the safety of other
people surronding the victim
Immediately resume CPR

Need new
picture

30 : 2
Give CPR every moment, when AED is
not available, always if AED is not
available within 5 minutes
Need new
picture

30 : 2
If victim starts to breathe normally
place him in recovery position

Need new
picture
Thank you

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