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CPR - Fixed

The document outlines the procedures and goals for Cardiopulmonary Resuscitation (CPR) and Advanced Life Support (ALS) aimed at restoring effective oxygenation, ventilation, and circulation. Key components include Basic Life Support (BLS) actions such as immediate recognition of cardiac arrest, activation of emergency response, and performing CPR and defibrillation. It also discusses the identification and correction of reversible factors affecting cardiac arrest and the complications that may arise from chest compressions.

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Timotius Raymond
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42 views26 pages

CPR - Fixed

The document outlines the procedures and goals for Cardiopulmonary Resuscitation (CPR) and Advanced Life Support (ALS) aimed at restoring effective oxygenation, ventilation, and circulation. Key components include Basic Life Support (BLS) actions such as immediate recognition of cardiac arrest, activation of emergency response, and performing CPR and defibrillation. It also discusses the identification and correction of reversible factors affecting cardiac arrest and the complications that may arise from chest compressions.

Uploaded by

Timotius Raymond
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd

Cardio Pulmonary Cerebral

Rescucitation and Management


Advisor: dr. Nicolaas P.S, Sp. An
Goal
Support & restore effective oxygenation,
ventilation and circulation
with return of intact neurological function.

Intermediate Goal:
Return of spontaneous circulation (ROSC)
OVERVIEW
CARDIOPULMONARY RESUSCITATION
• Is a first aid practice  unconscius person w/
abnormal breathing & no pulse
• Successfull resuscitation following cardiac
arrest requires several key actions
CARDIAC ARREST

4
Caused of Cardiac
Arrest
Cardiopulmonary Resuscitation
BLS Perform at the scene

ALS Perform at hospital

6
BASIC LIFE SUPPORT
• Basic life support (BLS) is the foundation for
saving lives following cardiac arrest.
• Fundamental aspects of BLS include:
– immediate recognition of sudden cardiac arrest
(SCA)
– activation of the emergency response system
– early cardiopulmonary resuscitation (CPR)
– rapid defibrillation with an automated external
defibrillator (AED).

7
CHAIN OF SURVIVAL

NEW AHA ADULT CHAIN OF SURVIVAL


•Immediate recognition and activation of emergency
response system
•Early CPR, w/emphasis on chest compressions
•Rapid defibrillation
•Effective advanced life support
•Integrated post-cardiac arrest care
Universal
Algorithm for
Adult CPR
CHANGE IN SEQUENCE

10
CHEST COMPRESSIONS
Chest Compressions Critical
Without effective chest compressions
• Oxygen flow to brain stops.
• Oxygen flow to heart stops.
• Drugs go nowhere.
AIRWAY
Triple Airway Maneuver
• Head tilt
• Chin lift
• Jaw trust
Rescue Breath
Advanced Life Support
1. High-quality chest compressions with minimal
iterruptions
2. Airway management and ventilation
3. Intravenous acces and drugs
4. The identification and correction of reversible
factors
Advanced Life Support
Airway management and ventilation
1. Endo Tracheal Tube
2. Laringeal Mask Airway
Advanced Life Support
Intravenous acces and drugs
1. Peripheral versus central venous drug delivery
2. Intraosseous route
3. Tracheal route
4. Adrenaline
5. Anti-arrhythmic drugs
Advanced Life Support
Non-shockable rhythms (PEA and asystole)
1. Start cpr 30:2 and give adrenaline 1 mg i.v
2. Give adrenaline 1 mg i.v every 3-5 min
3. If there is doubt about wether the rhythm is
asystole or fine VF, do not attempt
defibrilation; instead, continue chest
compressions and ventilation.
Advanced Life Support
The identification and correction
of reversible factors
1. Hypovolemia
2. Hypoxia
3. Hydrogen ions (Acidosis)
4. Hyperkalemia or hypokalemia
5. Hypoglycemia
6. Hypothermia
Advanced Life Support
The identification and correction
of reversible factors
7. Toxin (drug overdose)
8. Cardiac Tamponade
9. Tension pneumothorax
10.Thrombosis (myocardial infarction, pulmonary
embolism)
11.Tachycardia
12.Trauma (hypovolemia from blood loss)
When we stop resuscitation?
1. Patient back to healthy condition
2. No progress
3. No electrical cardiac activity
4. No spontaneous breathing
5. No carotid pulse
6. Unresponsive
7. Dilated pupil and no light reflex
8 . Rescuer too tired
9 Patient definitely death already
10. After 30 min – 1 hour without improvement
PROBLEMS AND COMPLICATIONS OF
CHEST COMPRESSIONS
1. RIB FRACTURES
2. FRACTURE STERNUM
3. RIB SEPARATION
4. PNEUMOTHORAX
5. HEMOTHORAX
6. LUNG CONTUSIONS
7. LIVER LACERATIONS
8. FAT EMBOLI
9. HIV, HEPATITIS
10.INFECTIONS

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