1. Basic Life Support (Based on AHA Guidelines 2010) Jajang Sujana Mail, dr., SpAn

2. Introduction Latest guidelines
AHA Guidelines 2010, many changes from guidelines 2005
Sudden cardiac arrest is a leading cause of death in Europe (700,000/year)
Early CPR + defibrillation can produce survival as high as 49-75%!!!

3. Latar Belakang
Statistik RJP di USA : • Sistem Emergensi Medis Amerika menangani sekitar korban henti jantung di luar RS setiap tahun • Kurang dari 8 % bertahan hidup • Kurang dari 30% menerima RJP orang terdekat. • RJP efektif yang dilakukan orang terdekat dapat meningkatkan 2-3 x kemungkinan korban bertahan hidup.

4. Objective The Student should be able to; Know about Chain of Survival
Know about Basic Life Support steps
Perform a CPR (cardiopulmonary resuscitation) adequately

5. AHA ECC Adult Chain of Survival
Immediate recognition of cardiac arrest and activation f the emergency response system
Early CPR with an emphasis on chest compressions
Rapid defibrillation
Effective advance life support
Integrated post-cardiac arrest care

6. Steps AHA Guidelines 2010 Steps AHA Guidelines 2005 1 2 3 4 5
Alertness 1
Airway 2
Breathing 3
Circulation 4
Defibrillation 5

7. Simplified Adult BLS

8. Alertness Make sure the scene is safe
Check for response tap the victim on the shoulder and ask, "Are you all right?"

9. 1. SAFETY FIRST Are the victim and bystanders safe? Needles
Dangerous traffic
Slope
Electric live circuit
Personal safety:
Gloves, glasses, gown

10. 2. CHECK VICTIM FOR RESPONSE
Be in visual field of victim
Gently shake
or tap the victim on the shoulder
Ask:
‘Are you all right?’

11. 3a. IF RESPONDS
Leave the person in position you found him/her unless any danger present
Reassess often
Find out what’s wrong

12. 3b. IF NO RESPONSE SHOUT FOR HELP
If no response, activate emergency system
Tell about location, what happened, number and condition of victims, and type of aid provided

13. Call for Help
118
RUMAH SAKIT RSUP Hasan Sadikin: (022) , 55 (022)
Instalasi Gawat Darurat / Emergency (022) , Paviliun Parahyangan (022) , Paviliun Anggrek (022) ,
RS Muhammadiyah :
RSI Al Islam :
RS Mata Cicendo ;
RS Jiwa Bandung :
RS Advent :
RS Immanuel :
RS St. Yusuf :
RS St. Borromeus :
RS Sartika Asih :
RS Rotinsulu :

14. Patient Position
Turn the victim onto his back if not already in that position
Make sure there is no obvious trauma to cervical spine
Place the victim on a hard surface in supine position
If an unresponsive victim is face down (prone), roll the victim to a supine position

15. Circulation
Check pulse on carotid artery (near side) not more than 10 seconds

16. Circulation
If there is no pulse, compress the chest (at least 100 compressions per minute)
Rescuer kneeling beside the victim’s thorax

17. Circulation Place the heel of the hand on the sternum
Place the heel of the second hand on top of the first hand
Interlock fingers

18. Circulation Compression-ventilation ratio of 30:2 5 cycles
Depth at least 2’in or 5 cm
Complete chest recoil

19. Airway
Head tilt-chin lift maneuver to open the airway of a victim without evidence of head or neck trauma

20. Airway
Suspects a cervical spine injury, open the airway using a jaw thrust without head extension

21. Breathing No more Look, listen, and feel for breathing Methods:
Mouth to Mouth
Mouth to Nose

22. PREPARE AIRWAY
Close the nasal airway using your index finger and thumb of your hand on the forehead
Maintain chin lift
Take a normal breath
Make a seal with your lips

23. GIVE BREATHS 2x Blow for 1sec steadily (rather than 2sec)
Give 1 breath every 5-6 sec
Watch from the corner of your eye the chest rising
Maintaining head tilt and chin lift, take your mouth away and watch the chest fall

24. IF NO CHEST RISING DON’T PANIC If at initial attempt no chest rise:
Check victim’s mouth and remove any visible obstruction
Recheck adequate head tilt and chin lift
Do not try more breaths than 2 before coming back to chest compressions

25. Re-evaluation Re-evaluate every 5 cycles
Victim with palpable pulses requires support of ventilation, give rescue breaths at a rate of 10 to 12 breaths per minute
Each breath should be given in 1 second
Reassess the pulse every 2 minutes

29. Key BLS Components for Adult, Children, and Infants3

30. Key BLS Components for Adult, Children, and Infants3

31. QUESTIONS?

32. HATUR NUHUN