Basic Life Support(Based on AHA Guidelines 2010)

Jajang Sujana Mail, dr., SpAn

Introduction

Latest guidelines AHA Guidelines 2010, many changes from guidelines

2005

Sudden cardiac arrest is a leading cause of death in Europe (700,000/year)

Early CPR + defibrillation can produce survival as high as 49-75%!!!

Latar Belakang

Statistik RJP di USA :

• Sistem Emergensi Medis Amerika menangani sekitar 300.000 korban henti jantung di luar RS setiap tahun

• Kurang dari 8 % bertahan hidup

• Kurang dari 30% menerima RJP orang terdekat.

• RJP efektif yang dilakukan orang terdekat dapat meningkatkan 2-3 x kemungkinan korban bertahan hidup.

Objective

The Student should be able to; Know about Chain of Survival Know about Basic Life Support steps Perform a CPR (cardiopulmonary

resuscitation) adequately

AHA ECC Adult Chain of Survival

1. Immediate recognition of cardiac arrest and activation f the emergency response system

2. Early CPR with an emphasis on chest compressions

3. Rapid defibrillation

4. Effective advance life support

5. Integrated post-cardiac arrest care

Steps AHA Guidelines 2010Steps AHA Guidelines 2005

Alertness1

Airway2

Breathing3

Circulation4

Defibrillation5

Simplified Adult BLS

Alertness

Make sure the scene is safe Check for response tap the victim on the

shoulder and ask, "Are you all right?"

1. SAFETY FIRST

Are the victim andbystanders safe?

o Needleso Dangerous traffico Slopeo Electric live circuito Personal safety:

Gloves, glasses, gown

2. CHECK VICTIM FOR RESPONSE

Be in visual field of victim

Gently shake

or tap the victim on the shoulder

Ask:

‘Are you all right?’

3a. IF RESPONDS

Leave the person in position you found him/her unless any danger present

Reassess often

Find out what’s wrong

3b. IF NO RESPONSE

SHOUT FOR HELP If no response,

activate emergency system

Tell about location, what happened, number and condition of victims, and type of aid provided

Call for Help

118 RUMAH SAKIT RSUP Hasan Sadikin: (022) 2034953, 55 (022) 203 7066

Instalasi Gawat Darurat / Emergency (022) 2551198, 2551191 Paviliun Parahyangan (022) 2031440, 2035986 Paviliun Anggrek (022) 2014545, 088820006011

RS Muhammadiyah : 022 730 1062 RSI Al Islam : 022 755 5588 RS Mata Cicendo ; 022 423 1280 RS Jiwa Bandung : 022 420 3651 RS Advent : 022 203 8008 RS Immanuel : 022 520 1656 RS St. Yusuf : 022 727 9860 RS St. Borromeus : 022 255 2081 RS Sartika Asih : 022 522 9544 RS Rotinsulu : 022 203 4446

Patient Position

Turn the victim onto his back if not already in that position

Make sure there is no obvious trauma to cervical spine

Place the victim on a hard surface in supine position

If an unresponsive victim is face down (prone), roll the victim to a supine position

Circulation

Check pulse on carotid artery (near side) not more than 10 seconds

Circulation

If there is no pulse, compress the chest (at least 100 compressions per minute)

Rescuer kneeling beside the victim’s thorax

Circulation

Place the heel of the hand on the sternum Place the heel of the second hand on top

of the first hand Interlock fingers

Circulation

Compression-ventilation ratio of 30:2 5 cycles Depth at least 2’in or 5 cm Complete chest recoil

Airway

Head tilt-chin lift maneuver to open the airway of a victim without evidence of head or neck trauma

Airway

Suspects a cervical spine injury, open the airway using a jaw thrust without head extension

Breathing

No more Look, listen, and feel for breathing

Methods:Mouth to MouthMouth to Nose

PREPARE AIRWAY

Close the nasal airway using your index finger and thumb of your hand on the forehead

Maintain chin lift Take a normal breath Make a seal with your

lips

GIVE BREATHS 2x

Blow for 1sec steadily (rather than 2sec)

Give 1 breath every 5-6 sec

Watch from the corner of your eye the chest rising

Maintaining head tilt and chin lift, take your mouth away and watch the chest fall

IF NO CHEST RISING

DON’T PANIC If at initial attempt no chest rise:1. Check victim’s mouth and remove any

visible obstruction2. Recheck adequate head tilt and chin lift3. Do not try more breaths than 2 before

coming back to chest compressions

Re-evaluation

Re-evaluate every 5 cycles Victim with palpable pulses requires

support of ventilation, give rescue breaths at a rate of 10 to 12 breaths per minute

Each breath should be given in 1 second Reassess the pulse every 2 minutes

Key BLS Components for Adult, Children, and Infants3

Key BLS Components for Adult, Children, and Infants3

QUESTIONS?

HATUR NUHUN