Adult Bsic Life Support ppt
OBJECTIVES
–How to assess the collapsed victim
–How to perform chest compression and rescue breathing
–How to place an unconscious breathing victim in the recovery position.
BACKGROUND
•Approximately 700,000 cardiac arrests per year in Europe
•Survival to hospital discharge presently approximately 5-10%
•Bystander CPR vital intervention before arrival of emergency services – double or triplesurvival from SCA (sudden cardiac arrest)
•Early resuscitation and prompt defibrillation (within 1-2 minutes) can result in >60%survival
BASIC LIFE SUPPORT(BLS)
- Airway
- Breathing
- Circulation
CHAIN OF SURVIVAL
BASIC LIFE SUPPORT
SEQUENCES OF PROCEDURES PERFORMED TO RESTORE THE CIRCULATION OF OXYGENATED BLOOD AFTER A SUDDEN PULMONARY AND/OR CARDIAC ARREST
CHEST COMPRESSIONS AND PULMONARY VENTILATION PERFORMED BY ANYONE WHO KNOWS HOW TO DO IT, ANYWHERE, IMMEDIATELY, WITHOUT ANY OTHER EQUIPMENT
1. Approach safely
2. Check response
3. Shout for help
4. Open airway
5. Check breathing
6. Call 999(rescue)
7. 30 chest compressions
8. 2 rescue breaths
APPROACH SAFELY!!!!
Scene
Rescuer
Victim
Bystanders
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.
SHOUT FOR HELP
OPEN AIRWAY
AIRWAY OPENING BY
NECK EXTENSION
HOW TO OPEN AIRWAY
- Head tilt and chin lift.
– lay rescuers
– non-healthcare rescuers
No need for finger sweep unless solid material can be seen in the airway
2. jaw thrust
– healthcare professionals
CHECK BREATHING
•Look, listen and feel for NORMAL breathing
•Do not confuse agonal breathing with NORMAL breathing
AGONAL BREATHING is 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
Erroneous information can result in withholding CPR from cardiac arrest victim
POTENTIALLY REVERSIBLE CAUSES
(5 H’s & 5 T’s)
CALL 911
FOREIGN-BODY AIRWAY OBSTRUCTION (FBAO)
SIGNS | MILD obstruction | SEVERE obstruction |
“Are you choking?” | “YES” | Unable to speak, may nod |
Other signs | Can speak, cough, breathe | Can not breathe/wheezy breathing/silent attempts to cough/ unconsciousness |
ADULT FBAO TREATMENT
BACK BLOWS
ABDOMINAL THRUSTS
30 CHEST COMPRESSIONS
RESCUE BREATHS
Breathing: Mouth To Nose (when to use)
–Can’t open mouth
–Can’t make a good seal
– Severely injured mouth Stomach distension
– Mouth to stoma (tracheotomy)
RESCUE BREATHS
CONTINUE CPR
DEFIBRILLATION
AUTOMATED EXTERNAL DEFIBRILLATOR (AED)
ATTACH PADS TO CASUALTY’S BARE CHEST
ANALYSING RHYTHM DO NOT TOUCH VICTIM
SHOCK INDICATED
SHOCK DELIVERED FOLLOW AED INSTRUCTIONS
NO SHOCK ADVISED
FOLLOW AED INSTRUCTIONS
IF VICTIM STARTS TO BREATHE NORMALLY PLACE IN RECOVERY POSITION
CONTINUE RESUSCITATION UNTIL
– Qualified help arrives and takes over
– The victim starts breathing normally
– Rescuer becomes exhausted
When Can I Stop CPR?
•Victim revives
•Trained help arrives
•Too exhausted to continue
•Unsafe scene
•Physician directed (do not resuscitate orders)
•Cardiac arrest of longer than 30 minutes –(controversial)
Why CPR May Fail
•Delay in starting
•Improper procedures (ex. Forget to pinch nose)
•No ACLS follow-up and delay in defibrillation
–Only 15% who receive CPR live to go home
–Improper techniques
•Terminal disease or unmanageable disease (massive heart attack)
Injuries Related to CPR
•Rib fractures
•Laceration related to the tip of the sternum Liver, lung, spleen
Complications of CPR
•Vomiting
•Aspiration
•Place victim on left side
•Wipe vomit from mouth with fingers wrapped in a cloth
•Reposition and resume CPR
Reference
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