2. aboali sena balkhi hospital
9/23/ :27 AM
Mazar-e- Sharif
Abu Ali Sena Balkhi Hospital,
Power Point ® Lecture Slides
prepared by dr Kh Noor M Faiz,
cardio pulmonary Resuscitation(CPR)
Date:

3. Cardiopulmonary Resuscitation
with
Automated External Defibrillator

4. At the end of this seminar participants should be able to demonstrate:
How to assess the collapsed victim
How to perform chest compression and rescue breathing (CPR)
How to operate an automated external defibrillator safely
How to place an unconscious breathing victim in the recovery position

5. Cardiopulmonary resuscitation (CPR) is a set of actions that should be done if a person stops breathing, or if their heart stops. The goal of CPR is to force blood and oxygen to keep flowing through the body. Every part of the body needs blood and oxygen to survive.

6. CPR does not start a person's heart again
CPR does not start a person's heart again. However, it can keep pushing blood and oxygen around the body long enough that sometimes, it can keep the body from getting damaged by not having enough oxygen.

7. Check the scene for immediate danger
Check the scene for immediate danger. Make sure you're not putting yourself in harm's way by administering CPR to someone unconscious. Is there a fire? Is the person lying on a roadway? Do whatever is necessary to move yourself and the other person to safety.

8. If there is anything that could endanger you or the victim, see whether there is something you can do to counteract it. Open a window, turn off the stove, or put out the fire, if possible.
However, if there is nothing you can do to counteract the danger, move the victim. The best way to move the victim is by placing a blanket or coat underneath their back and dragging it.

9. In 2010, the American Heart Association made a radical change to the recommended CPR process for victims of cardiac arrest after studies showed that compression-only CPR (no mouth-to-mouth breathing) is as effective as the traditional approach.

11. Approach safely
Check response
Shout for help
Open airway
Check breathing
Call emergency code no
30 chest compressions
2 rescue breaths

12. Approach safely Approach safely Check response Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths

13. Check response Approach safely Approach safely Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths

14. Check response Shake shoulders gently Ask “Are you all right?”
If he responds
Leave as you find him.
Find out what is wrong.
Reassess regularly.

15. If the victim does not respond, continue with the following steps.
Check response
. If he or she responds agreement "Yeah" or Bali, CPR is not required. Instead, undertake basic first aid and take measures to prevent or treat shock, and assess whether you need to contact emergency services.
If the victim does not respond, continue with the following steps.

16. Shout for help Approach safely Approach safely Check response
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths

17. Open airway Approach safely Approach safely Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths

18. Check breathing Approach safely Approach safely Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths

19. Check breathing
Look,
listen
and feel
for NORMAL breathing

20. Abnormal breathing
Check for breathing. And, make sure that the airway is not blocked. If the mouth is closed, press with your thumb and forefinger on both cheeks at the end of the teeth and then look inside. Remove any visible obstacle that is in your reach but never push your fingers inside too far. Put your ear close to the victim's nose and mouth, and listen for slight breathing.
Do abdominal thrusts (the Heimlich maneuver).
If the victim is coughing or breathing normally, do not perform CPR.

21. Abnormal breathing Occurs shortly after the heart stops
in up to 40% of cardiac arrests
Described as barely, heavy, noisy or gasping breathing
Recognise as a sign of cardiac arrest

22. Call 112 Approach safely Approach safely Check response Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths

23. 30 Chest compressions Approach safely Approach safely Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths

24. Chest compressions
Place the heel of one hand in the centre of the chest
Place other hand on top
Interlock fingers or avoid putting pressure on the side of the chest
Compress the chest
Rate 100 – 120 min-1
Depth 5 – 6 cm
Equal compression : relaxation
When possible change CPR operator every 2 min

25. 2 Rescue breaths Approach safety Approach safely Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths

26. Rescue breaths Pinch the nose Take a normal breath
Place lips over mouth
Blow until the chest rises
Take about 1 second
Allow chest to fall
Repeat

27. Continue CPR

28. Continue CPR
Position your body directly over your hands, so that your arms are straight and somewhat rigid. Don't flex the arms to push, but sort of lock your elbows, and use your upper body strength to push.

29. Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
30 chest compressions
2 rescue breaths

30. Approach safely
Chest compressions are more critical for correcting abnormal heart rhythms (ventricular fibrillation or pulseless ventricular tachycardia, heart rapidly quivering instead of beating).
Check response
Shout for help
Open airway
Call 112

31. Do the compressions in a relatively fast rhythm
Do the compressions in a relatively fast rhythm. Some agencies recommend doing compressions to the beat of the chorus of "Stayin' Alive," a 1970s disco hit, or at roughly 100 beats per minute.

32. Defibrillation

33. Approach safely
Check response
Shout for help
Open airway
Check breathing
Call 112
Attach AED
Follow voice prompts

34. Switch on AED
Some AEDs will automatically switch themselves on when the lid is opened

35. Attach pads to victims bare chest

36. Analysing Rhythm: Do not touch victim

37. Shock indicated
Stand clear
Deliver shock

38. Shock delivered: Follow AED instructions

39. If victim starts to breathe normally place in recovery position

41. CPR in children Adult CPR techniques can be used on children
Compressions at least 1/3 of the depth of the chest

42. AED in children Age > 8 years use adult AED Age 1-8 years
use paediatric pads / settings if available (otherwise use adult mode)
Age < 1 year
use only if manufacturer instructions indicate it is safe

43. CPR Quiz 1. Victim responsiveness is checked by:
a.) Shaking and shouting at the victim
b.) Patting gently on shoulder asking if they are alright
c.) Checking pulse
2. If victim is unresponsive, you should:
a.) Dial before starting CPR
b.) Start CPR before dialing 9-1-1
c.) Dial and wait for the arrival B A

44. 3. To check if victim is breathing, you should:
a.) Listen for exhaled air
b.) Feel for exhaled air
c.) Watch rise and fall of chest
d.) All of the above
The most common airway obstruction is:
a.) Dentures
b.) Food
c.) Tongue
d.) none of these D b

45. 5. The technique used to clear the victim’s airway is:
a.) Lift chin up, tilt head back
b.) Push chin down, tilt head forward
c.) lift chin up, turn head sideways
6. When ventilating an unconscious victim:
a.) Pinch the victim’s nose closed.
b.) Do not over-inflate the victim’s lungs
c.) Allow the victim exhale on his own
d.) All of the above. A d

46. 7. When administering compressions, the rule to remember is:
a.) 1 hand, 1 inch for children
b.)1/2 hand, ½ inch for infants
c.)2 hands, 2 inches for adults
d.) All of the above
Answers: b,a,d,b,a,d,d

47. Any questions?

48. Approach safely
Approach safely
Check response
Check response
Shout for help
Shout for help
Open airway
Open airway
Check breathing
Check breathing
Call 112
Call 112
30 chest compressions
Attach AED
2 rescue breaths
Follow voice prompts