Guidelines for Cardiopulmonary Resuscitation BY DR. ANIL
WAKPANJAR(M.B.B.S.,DA.) Sr. MEDICAL OFFICER (N.M.D.C. )
Team Resuscitation Many CPR interventions performed
simultaneously Collaborative work minimizes interruption in
compressions Clear communication minimizes errors
CPR Defination Cardiopulmonary resuscitation (CPR) is an
emergency procedure, performed in an effort to manually preserve
intact brain function until further measures are taken to restore
spontaneous blood circulation and breathing in a person in cardiac
arrest. It is indicated in those who are unresponsive with no
breathing or abnormal breathing (gasping ) respirations.
The purpose of CPR is To temporarily provide effective
oxygenation of vital organs (especially the brain and heart) until
appropriate, definitive medical treatment can restore normal
cardiac and respiratory activity. Used alone, CPR will result in
few complete recoveries, and those who do survive often develop
serious complications.
History of CPR 5000 -first artificial mouth to mouth
ventilation in 3000 BC 1780 first attempt of newborn resuscitation
by blowing 1874 first experimental direct cardiac massage 1901
first successful direct cardiac massage in man 1946 first
experimental indirect cardiac massage and defibrillation 1960
indirect cardiac massage 1980 development of cardiopulmonary
resuscitation due to the works of Peter Safar first International
CPR Guidelines in 2000
History of CPR Inversion method Silvesters method of artificial
Ventilation
History of CPR
International Liaison Committee on Resuscitation (ILCOR) Formed
in 1992 to provide a liaison between resuscitation organisations
worldwide meets twice a year ILCOR comprises representatives of
American Heart Association (AHA) European Resuscitation Council
(ERC) Heart and Stroke Foundation of Canada (HSFC) Australian and
New Zealand Committee on Resuscitation (ANZCOR) Resuscitation
Councils of Southern Africa (RCSA) Inter American Heart Foundation
(IAHF) Resuscitation Council of Asia (RCA)
A FEW HARD FACTS 330,000 die annually from coronary heart
disease 60% from SCA @ home or en route 85-90% in VF/VT arrest Less
than 1/3 get bystander CPR Even pros dont do good CPR! 2-3 x
greater survival if CPR is immediate, with defib