Cardiopulmonary Resuscitation
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Transcript of Cardiopulmonary Resuscitation
Cardiopulmonary Resuscitation:
Basic Life Support (BLS)
Prof. A. B. M. Muksudul Alam
FCPS, MD (Anaesthesia)Principal
Shaheed Suhrawardi Medical College
Cardiopulmonary Resuscitation (CPR)
A combination of expired air ventilation (rescue breathing) and chest compression is known as cardiopulmonary resuscitation (CPR), which forms the basis of modern basic life support.
Basic Life Support (BLS)
Basic life support (BLS) is the maintenance of an airway and the support of breathing and the circulation without using equipment other than a simple airway device or protective shield.
BLS HEALTHCARE PROVIDER ALGORITHM
Clinical Alert !!!
Institute CPR within 3 minutes. Cardiopulmonary resuscitation is usually not effective in preventing brain damage unless it is not initiated within 4 minutes of an cardiac arrest.
Action Check response
› Gentle shake by the shoulder and ask simple questions. “Are you OK?” “Can you hear me?” “Open your eyes.”
Call for help…› Phone for available
EMS system and second rescuer.
Positioning and establishment of airway
Open airway Head tilt – chin lift Jaw thrust (when
applicable) Do not tilt head in
infants (0-1 yr) because trachea can collapse if neck is hyperextended.
Any foreign body or fluid Turn on to that side and
clear
Check breathing› Look (At the
chest movement)
› Listen (For air escaping)
› Feel (For expired air)
Rescue breath If not breathing 2 breaths Make chest rise
If no response, check pulse for 10 seconds
Peripheral Femoral Carotid
Definite pulse Give 1 breath
every 5 - 6 secs Recheck pulse
every 2 mins
If no pulse or any sign of life› Give cycles of 30
compressions and 2 breaths Chest depressions for
- Adult: 1.5-2” Children (1-8 yrs): 1-
1.5” Infant (0-1 yr): 0.5-1”
› Do this at least 5 times in 2 minutes until……
AED or Defibrillator arrives
ALS providers take over
Victim starts to move
• If the person shows signs of life, then place the person on their side (Recovery Position)
If the person shows No signs of life, continue CPR till help arrives…› AED (Automated External Defibrillator)› Defibrillator› EMS team
AED Device
Terminate CPR under the following conditions:› The resuscitation is successful› Spontaneous return of vital functions› Assisted life supports measures are
initiated› Patient is transferred to Emergency Vehicle
or Code Team arrives› Patient is pronounced dead by physician› Rescuer is exhausted and cannot continue
Thank You!