CARDIOPULMONARY RESUSCITATION

indication
Heart Attack Choke Sink Electric shock Overdose of drugs (amphetamine, morphine beta blockers, digitalis etc)

Chain of Survival

Chain of Survival
Cardiac arrest immediately recognize signs and activation 118 Early CPR, the emphasis on chest compression Quick didefibrilasi when indicated Effective advanced life support integrated post-cardiac arrest care.

Automated External Defibrilator

Manual Defibrilator

Step 1 EVALUATION OF RESPONSE PATIENT

step 2
ACTIVATE EMERGENCY MEDICAL SERVICES (EMS)

tell
location victims Contact phone number What happens (eg, heart attack / not aware) number of victims It takes an ambulance immediately. Hang up the phone after instructed by officers

step 3
Positioning patient

step 4
EVALUATION OF SIGNS OF CIRCULATION (5-10 seconds)

step 5
DETERMINE POSITION HANDS ON CHEST COMPRESSION

step 6 CHEST COMPRESSION

 30 chest compressions, with 2 ventilation. Compression depth of 5 cm CPR evaluation after 5 cycles / 2 minutes

step 7
OPEN AIRWAY, after 30 chest compressions

step
HELP BREATH OF MOUTH TO MOUTH 2 times for 1 second each

step 8
Look chest movement Listen to the voice of breath Feel exhaled breath by cheek

 When there is no breathing, give Rescue Breathing for 8-10 times / min

High quality CPR

Perform compression at the rate of 100/min Maintain correct position at all times Check for signs of circulation every 3-5 min Compression : ventilation ratio is 30 : 2 irrespective of number of recuer Exhalation occurs between the two breaths and during the first chest compression of the next cycle Perform four complete cycles and then reassess for sign of breathing and circulation

Recovery Position

REFERENCES
New CPR Prompts devices
AMERICAN HEART ASSOCIATION 2010 GUIDELINES

Online training: http://www.onlineaha.org/ Instructor network

http://ahainstructornetwork.americanheart.org/AHAECC/ecc.jsp?pid

=ahaecc.signin&_requestid=133687