CPR Training Module
Transcript of CPR Training Module
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CPR
BASIC LIFE SUPPORT
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AIM
TO MAINTAIN ADEQUATE VENTILATIONAND CIRCULATION UNTIL UNDERLYING
CAUSE FOR ARREST CAN BE REVERSED. 3-4 MINUTES WITHOUT ADEQUATE
PERFUSION (Less if patient is hypoxic)
LEADS TO IRREVERSIBLE DAMAGE.
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STEPS
A FOR AIRWAYS
B FOR BREATHING
C FOR CIRCULATION
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STEPS
ASSESS PATIENT
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ASSESS PATIENT
Check if patient is responsive by gentlyshaking patient/ giving noxious stimuli as
pinching sternum.Avoid shaking patient if suspected for
head/Cervical cord injury
IF PATIENT UNRESPONSIVE SHOUT FORHELP AND ALERT CODE BLUE
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As fast as possible position patient on flathard surface such as on the floor. If the
patient must be moved from face-downposition, roll the patient as a unit so thatthe head, neck and torso move
simultaneously.
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A FOR AIRWAYS
A ; Open Airway: With two fingertipsunder point of chin tilt head up.
(Remove ill fitting dentures/ obviousobstruction.)
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B FOR BREATHING
If patient starts breathing roll the patientover into recovery position and try to keep
airway open until an oro-pharyngealairway can be inserted.
Watch the chest movement and listen and
feel at the mouth for breath sounds for afew seconds.
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C: Feel the carotid pulse: Check bothsides SEPERATELY.
If the pulse is absent shout for help andget someone to alert for code blue/cardiacarrest team.
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CPR
Open Airway (Tilt chin) and blow 2 SLOWbreaths into patient AT rate of 1.5-2.0
seconds per breath. Allow chest to fallafter each ventilation. Each ventilationshould be performed to make patients
chest rise.
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Start Chest compression with theheel of the hand over the middle of
the lower half of the sternum.
Aim to depress sternum about 4-5
cm at rate of approx 80compressions per minute.
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If patient is on bed positionyourself on bed with your legs
folded under you and give chestcompression.
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If you are alone, after every 5compressions give 1 ventilation by Ambu
bag/ Mouth to Mouth until further helparrives./ If patient has been intubated onenurse ventilation by ambu bag.
If 2 persons are there, nominate one tobreathing and other to compression
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Give 1 full breath after every 5
compressions stopping compressions onlyjust long enough for the breaths.(Compression: Ventilation Ratio to be 5:1)
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If extra nurse /doctor is present CANNULATEPATIENT AS FAST AS POSSIBLE and arrange forfully equipped crash cart, Suction machine.
Keep the following injections loaded insyringes:
Adrenaline
Lignocaine
Atropine
Amiodorone/Cardarone
Hydrocortisone
Deriphylline
Soda bicorb
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Once patient is intubated ventilation can
be performed at a rate of 12-15/minutewithout pausing for compressions.
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STOP BLS FOR 5 SECONDS: at the end ofthe first minute and every 1-2 minutes
thereafter to determine whether patienthas resumed spontaneous breathing orcirculation
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If a spontaneous pulse has returned,check BP and continue ventilation.
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BLS should not be withheld for more than5 seconds other than to intubate or
defibrillate the patient.Attempt at intubations should not exceed
30 seconds before CPR is resumed.
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If an unconscious patient cannot beventilated after two attempts at
positioning the head and chin and alaryngoscope is unavailable 6-10abdominal thrusts (Heimlich Maneuver)
should be performed without damagingany organs.
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After this maneuver is performed, debrisshould be swept from the patients mouth
with a finger, and then one shouldattempt to ventilate patient.
This sequence should continue to be
repeated until ventilation issuccessful.
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THANK-YOU