Basic Life Support

Departemen Anestesiologi dan Terapi Intensif

Fakultas Kedokteran UNPAD /
RSUP Hasan Sadikin Bandung
Anestesiologi FK UNPAD
Anestesiologi FK UNPAD

1 Alertness

C 2 Circulation

A 3 Airway

B 4 Breathing

5 Defibrilation
Allertness
Before approaching a victim, the rescuer
must ensure that the scene is safe and
then check for response.
 Tap the victim on the shoulder and shout,

“Are you all right?”

Anestesiologi FK UNPAD

Activating the Emergency

Response System
 the location of the incident
 the events of the incident
 the number and condition of the victim(s)
 the type of aid provided.
Anestesiologi FK UNPAD

Perfusi cukup Perfusi tidak adekuat

Sadar Kesadaran
Tidak Sadar

Meminta Bantuan
Anestesiologi FK UNPAD

First Step is “C” (Circulation)

Check the
pulse of
the victim

Arteri karotis
komunis
Anestesiologi FK UNPAD

Berdetak Tidak Berdetak

Nadi teraba Nadi tidak teraba

Jantung

Kompresi dada
Anestesiologi FK UNPAD

If the pulse is not present on 5 to 10

seconds examination immediately
START EXTERNAL CARDIAC
COMPESSION
 Anestesiologi FK UNPAD

External Cardiac Compression

 Place the heel of the hand on the sternum

 Place the heel of the second hand on top
of the first hand
 Between niples or lower third of sternum
 Anestesiologi FK UNPAD

External Cardiac Compression

 Compression-ventilation ratio of 30:2

 5 cycles
 Depth 5 cm
 Anestesiologi FK UNPAD

External Cardiac Compression

 Chest compressions consist of forceful

rhythmic applications of pressure over the
lower half of the sternum
 Compress the adult chest at a rate of at
least 100 compressions per minute
STRAIGHT 5 CYCLES
NO INTERUPTION !
PUSH HARD AND PUSH FAST
Anestesiologi FK UNPAD
Anestesiologi FK UNPAD

DEFIBRILATION
Ventricular Fibrillation (VF)

Ventricular Tachycardia (VT)

Cardiac arrest
PEA

Asystole

BLS and ACLS

Ventricular Fibrillation (VF)

Ventricular Tachycardia (VT)

Cardiac arrest
PEA

Asystole

BLS and ALS

Ventricular Fibrillation (VF)

Ventricular Tachycardia (VT)

PEA

Asystole
Ventricular Tachycardia (VT)

PEA

Asystole
 PEA

Asystole
Asystole
VF/VT
deliver 1 shock
and then resume
chest
compressions
Biphasic defibrillator
Use the recommended
power to terminate
VF/VT
AED
 Automated External

Defibrillator
Providers should give 1 shock rather than the
3 successive (“stacked”) shocks for the
treatment of VF/pulseless VT

Minimize interruptions in chest compressions

BLS Sequence
AED Pads
Summary
 The critical lifesaving steps of BLS are
 Immediate Recognition and Activation of
the emergency response system
 Take the C – A – B

C irculation
A irway
B reathing
Question ?
Thank you