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CPR

BASIC LIFE SUPPORT

AIM
• TO MAINTAIN ADEQUATE VENTILATION
AND CIRCULATION UNTIL UNDERLYING CAUSE FOR ARREST CAN BE REVERSED. • 3-4 MINUTES WITHOUT ADEQUATE PERFUSION (Less if patient is hypoxic) LEADS TO IRREVERSIBLE DAMAGE.

STEPS • “A” FOR AIRWAYS • “B” FOR BREATHING • “C” FOR CIRCULATION .

STEPS • ASSESS PATIENT .

ASSESS PATIENT • Check if patient is responsive by gently shaking patient/ giving noxious stimuli as pinching sternum. • Avoid shaking patient if suspected for head/Cervical cord injury • IF PATIENT UNRESPONSIVE SHOUT FOR HELP AND ALERT CODE BLUE .

roll the patient as a unit so that the head. If the patient must be moved from face-down position.• As fast as possible position patient on flat hard surface such as on the floor. neck and torso move simultaneously. .

“A” FOR AIRWAYS • “A” . • (Remove ill fitting dentures/ obvious obstruction.) . Open Airway: With two fingertips under point of chin tilt head up.

.“B” FOR BREATHING • If patient starts breathing roll the patient over into recovery position and try to keep airway open until an oro-pharyngeal airway can be inserted. • Watch the chest movement and listen and feel at the mouth for breath sounds for a few seconds.

.• “C”: Feel the carotid pulse: Check both sides SEPERATELY. • If the pulse is absent shout for help and get someone to alert for code blue/cardiac arrest team.

5-2. Each ventilation should be performed to make patient’s chest rise. Allow chest to fall after each ventilation.CPR • Open Airway (Tilt chin) and blow 2 SLOW breaths into patient AT rate of 1.0 seconds per breath. .

.– Start Chest compression with the heel of the hand over the middle of the lower half of the sternum. – Aim to depress sternum about 4-5 cm at rate of approx 80 compressions per minute.

– If patient is on bed position yourself on bed with your legs folded under you and give chest compression. .

• If 2 persons are there./ If patient has been intubated one nurse ventilation by ambu bag.• If you are alone. after every 5 compressions give 1 ventilation by Ambu bag/ Mouth to Mouth until further help arrives. nominate one to breathing and other to compression .

(Compression: Ventilation Ratio to be 5:1) .• Give 1 full breath after every 5 compressions stopping compressions only just long enough for the breaths.

Suction machine. Keep the following injections loaded in syringes: – Adrenaline – Lignocaine – Atropine – Amiodorone/Cardarone – Hydrocortisone – Deriphylline – Soda bicorb .– If extra nurse /doctor is present CANNULATE PATIENT AS FAST AS POSSIBLE and arrange for fully equipped crash cart.

.• Once patient is intubated ventilation can be performed at a rate of 12-15/minute without pausing for compressions.

• STOP BLS FOR 5 SECONDS: at the end of the first minute and every 1-2 minutes thereafter to determine whether patient has resumed spontaneous breathing or circulation .

• If a spontaneous pulse has returned. check BP and continue ventilation. .

• BLS should not be withheld for more than 5 seconds other than to intubate or defibrillate the patient. • Attempt at intubations should not exceed 30 seconds before CPR is resumed. .

• If an unconscious patient cannot be ventilated after two attempts at positioning the head and chin and a laryngoscope is unavailable 6-10 abdominal thrusts (Heimlich Maneuver) should be performed without damaging any organs. .

and then one should attempt to ventilate patient. . • This sequence should continue to be repeated until ventilation is successful.• After this maneuver is performed. debris should be swept from the patient’s mouth with a finger.

THANK-YOU .

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