Cardio-pulmonary Cerebral Resuscitation (CPR) Prof. M. H. Mumtaz.

Slides:

Advertisements

Similar presentations

Fundamentals of Pharmacology for Veterinary Technicians

Advertisements

Acid-Base Analysis. Sources of blood acids H 2 O + dissolved CO 2 H 2 CO 3 Volatile acidsNon-volatile acids Inorganic acid Organic acid Lactic acid Keto.

Water, Electrolytes, and

Water and Electrolyte Balance. Water 60% - 90% of BW in most life forms 2/3 intracellular fluid 1/3 extracellular fluid –plasma –lymph –interstitial fluid.

FLUID RESUSCITATION TRAUMA PATIENT Author; Prof.MEHDI HASAN MUMTAZ Consultant Intensivist/ Anaesthetist Christie Hospital,Manchester,U.K.

Cardiopulmonary Arrest

Nadin Abdel Razeq, PhD. Objectives To gain awareness of the proper procedure of peripheral IV access in pediatrics To review types of IV fluids used in.

Basic Life Support Provider Course

Lactic Acidosis Dr. Usman Ghani 1 Lecture Cardiovascular Block.

CPR Cardio-Pulmonary Resuscitation. CPR: Manually preserves brain function until further measures to restore spontaneous blood circulation and breathing.

Buffer Solutions May Compromise Cardiac Resuscitation by Reducing Coronary Perfusion Pressure JAMA. 1991;226: Kette, Weil, Gazmuri Chicago, IL.

Gas Exchange and Transport

Physiology Blood Buffer System Behrouz Mahmoudi.

Fluid, Electrolyte and pH Balance

Advanced Cardiac Resuscitation Guidelines

Blood buffering system

CARDIOPULMONARY RESUSCITATION

Principles of Cardiac Arrest Management

Clinical Toxicology & Pharmacology, Newcastle Mater Misericordiae Hospital Calcium channel blockers Professor Ian Whyte Hunter Area Toxicology Service.

ADULT ADVANCED LIFE SUPPORT (ALS).

Pediatric Advanced Life Support

Cardiopulmonary Resuscitation Shamiel Salie Paediatric Intensive Care Unit Red Cross Children’s Hospital, University of Cape Town.

5.Feel for breathing by putting our hand on the lower part of their chest 6. If the person is unconscious and not breathing, we need to do cardiopulmonary.

First Aid Devangna Bhatia. Equipment: ABC’s: A: Airways B: Breathing C: Circulation.

CARDIAC ARREST RESUSCITATION-Cardiac arrest is the sudden failure of the heart to supply adequate blood RESUSCITATION-Cardiac arrest is the sudden failure.

MEDICATIONS. Medications Epinephrine Volume expanders Sodium bicarbonate Naloxone Dopamine.

Acid-Base Imbalances. pH< 7.35 acidosis pH > 7.45 alkalosis The body response to acid-base imbalance is called compensation May be complete if brought.

Chapter 33 Emergency Nursing Pt.2. 2 Advanced Life Support  Interpretation of ECG  Administration of drugs  Drug choices based on cardiac output, blood.

July 2004Richard Lake1 Resuscitation Protocols FFP Module 8.

Anatomy & Physiology Tri-State Business Institute Micheal H. McCabe, EMT-P.

Acid-Base Imbalance NRS What is pH? pH is the concentration of hydrogen (H+) ions The pH of blood indicates the net result of normal acid-base.

Lectures on respiratory physiology Acid-Base Balance.

Maintaining Oxygenation Phase 2 Medical Students Respiratory System A. J. Shearer Consultant Anaesthetics & Intensive Care.

Emergency in Dentistry: Part I B asic life support (BLS) - Sequence of BLS - Sequence of BLS - Equipment - Equipment - Techniques - Techniques.

Aim:How does the circulatory system work with the digestive,respiratory and Excretory system to maintain homeostasis? Text reference p 942 to 950.

Acid-Base Balance KNH 413. Acid-Base Balance Acids- rise in pH Donate or give up H+ ions Nonvolatile acids or fixed acids Inorganic acids that occur through.

Acid-Base Imbalances. pH< 7.35 acidosis pH > 7.45 alkalosis The body response to acid-base imbalance is called compensation If underlying problem is metabolic,

Chapter 33 Emergency Nursing. 2 Emergency Care Area  Requirements  Central location  Easy access  Dedicated “crash table”  Basic necessary equipment.

Fluid and Electrolyte Imbalance

Perfusion David Taylor

Cardiopulmonary Resuscitation (CPCR) Special Topics.

Cardiopulmonary ressuscitation Dr Guillaume Thiery, Medical ICU Klinicki Centar Univerziteta Sarajevo St Louis Hospita, Paris.

The beginning. Oxygen first enters your body and Carbon Dioxide leaves Air enters the nose and is filtered by tiny hairs called cilia, it is moistened.

Acid-Base Balance Disturbances

Cardiopulmonary Resuscitation CPR in Correctional Facilities.

Physiology of Acid-base balance-2 Dr. Eman El Eter.

CPR Katarina Zadrazilova, FN Brno, September 2011.

NEWBORN RESUSCITATION Zhallene Michelle E. Sanchez,RN.

Shock and its treatment Jozsef Stankovics Department of Paediatrics, Medical University of Pécs 2008.

Acid Base Balance B260 Fundamentals of Nursing. What is pH? pH is the concentration of hydrogen (H+) ions The pH of blood indicates the net result of.

AsystolE Definition: Asystole is the absence of electrical activity in the myocardium.

Acid-Base Imbalance.

Buffers in Blood. Acidosis and Alkalosis.

Cardiopulmonary Resuscitation

Acid-Base Imbalance.

Acid-Base Imbalance.

Resuscitation of The Newborn Baby

Advanced Life Support.

Acid-Base Imbalance.

Acid-Base Analysis.

Cardiac arrest & Reactivation

First aid Z.Rozkydal.

Endocrine Emergencies & Management

Acid-Base Balance KNH 413.

Acid-Base Balance KNH 413.

Acid-Base Balance KNH 413.

Acid-Base Balance KNH 413.

Acid-Base Balance KNH 413.

Presentation transcript:

Cardio-pulmonary Cerebral Resuscitation (CPR) Prof. M. H. Mumtaz

PHASES I Basic Life Support (BLS) (ABC) III Prolonged Life Support (PLS) (GHI) II Advanced Life Support (ALS) (DEF)

B L S F Tilt Head. F Lift Neck. F Support Chin. A. A IRWAY If Unconscious ?

B L S F Lung Inflation. – Mouth to Mouth. – Mouth to Nose. – Mouth to Tube. – Bag-wash. B. B REATHE If not breathing ?

C. C IRCULATE One Operator Two Operators B L S

Cause F Nervous System. F Myocardium. Sympathetic Parasympathetic

Phase Two Advanced Life Support (Restoration of Spontaneous Circulation) F Adrenaline. F Alkali. F Fluids. D. D RUGS & FLUIDS

E. E KG Ventricular Fibrillation Asystole Bizarre Complexe

F. F IBRILLATION TREATMENT F Ext Defibrillation. F Lignocain.

Biochemical Changes

H - CO 3 + H + H 2 CO 3 CO 2 + H 2 O ECF K+ Lungs Kidney H + ICF

Correction F Bicarbonate Therapy: (CO 2 Producing) H - CO 3 + H + H 2 CO 3 CO 2 + H 2 O F Carbonate Therapy: (Non CO 2 Producing) – Routine Indications u Base Deficit> 10 Meq/L u PH< 7.20 u HCO 3 < 14 Mmol/L Meq HCO 3 = Base Deficit X wt. (kg) X.3

Correction F Problems – A. Alkalosis. - K + - O 2 Dissociation - Left Shift. - Depression of Myocard. – B. Sodium Over Load. F Oxygenation Ventilation.

Total Oxygen at Arrest mls

Critical Survival Time

Requirement Drugs F Atropine. F Adrenaline. F Calcium. F Glucagon. F Isoprenalin. F Dopamine. F Debutamine. F Lignocaine. Equipment F Trained Doctor. F Laryngoscope. F Tube (ETT). F Ambu Resuscitation. F Defibrillator with Oscilloscope.

Emergency-Fluid Resuscitation

Primary volume therapy “Fill from inside out” ICS Vessel ISS inside out

A New Concept Small Volume Hyperosmolar Saline Colloid Resuscitation 4 ml/kg % NaCl/Colloid

interstitium Shock Small-volume hyperosmolar resuscitation endothelial cell Flow erythrocyte dd

Physiological & Basic Mechanisms F Plasma osmolality= mosmol/kg. F 7.2% NaCl = 2400 mosmol/kg. F End bolus infusion = 460 mosmol/kg. (4 ml/kg). –  Ttransmembrane osmotic gradient. –  –Endogenous fluid mobilization. (most pronounced in capillary districts) –  –  Plasma volume. –  Hydraulic resistance. –  Tissue perfusion.