cardiopulmonary resuscitation - iit mandi€¦ · cardiopulmonary resuscitation by : dr. mridu...
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CARDIOPULMONARY RESUSCITATION BY : DR. MRIDU THAKUR
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INTRODUCTION SUDDEN DEATH OCCURS WHEN HEART AND
BREATHING STOP SUDDENLY OR UNEXPECTEDLY.
THE MAJOR ROLE OF CPR IS TO PROVIDE OXYGEN
TO HEART ,BRAIN AND THE OTHER VITAL ORGAN
UNTIL MEDICAL TREATMENT (ADVANCE CARDIAC
LIFE SUPPORT – ACLS) CAN RESTORE NORMAL
HEART ACTION.
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CHAIN OF SURVIVAL
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INDICATIONS: CARDIO VASCULAR DISORDERS
CAD, CONGENITAL HEART DISEASES, CORONARY EMBOLISM ETC.
PULMONARY CAUSES PULMONARY EMBOLISM ,PULMONARY EDEMA, ASPHYXIA.
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COUNTINUE INDICATION…….. METABOLIC CAUSES HYPOGLYCEMIA, ELECTROLYTE IMBALANCES
FLUID IMBALANCES EXTENSIVE HAEMORRHAGE ,HYPOTENSION, SHOCK
NEUROLOGICAL CAUSES BRAIN INJURIES, MASSIVE CVA
OTHER CAUSES CO POISONING, DRUGS ELECTRIC SHOCK, HYPOTHERMIA, NARCOTIC OVERUSE.
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CPR PROCEDURE
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STEPS FOR CPR:
AIRWAY: MAINTAINING AN OPEN AIRWAY.
BREATHING: PROVIDING ARTIFICIAL VENTILATION BY RECUE
BREATHING.
CIRCULATION: PROMOTING ARTIFICIAL CIRCULATION BY
EXTERNAL CARDIAC COMPRESSION.
DEFIBRILLATION: RESTORING THE HEART BEAT.
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CHECK RESPONSE
• Shake shoulders gently ask “ are you all right?”
• If the person responds
• Leave as you find him
• Find out what is wrong
• Reasses regularly
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AIRWAY
•Head tilt chin lift manoeuvre
• Jaw thrust manoeuve
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HEAD TILT CHIN LIFT MANOEUVE
•While pushing back on
the forehead ,use your
other hand to lift the
chin foward
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JAW THRUST MANOEUVE
• If you suspect the victim
has a neck injury ,place
your hands alongside the
checks and pull the face
towards you with your
index fingers. This Photo by Unknown Author is licensed under CC BY-SA
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BREATHING
LOOK LISTEN FEEL
• Look listen and feel
for breathing and
pulse.
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METHOD
•Mouth to mouth ventilation
•Mouth to mask ventilation
•Bag mask ventilation
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CIRCULATION
•Access pulse
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CHEST COMPRESSIONS
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CHEST COMPRESSIONS
place the heel of one hand in the
centre of the chest .
Place other hand on top
Interlock fingers
Compress the chest at the rate 100
per min
Depth 3-5 (1.5 to 2 inches)
Equal compression:relaxation
When possible change cpr operator
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DEFIBRILLATION
Device that delivers direct electrical current across
the myocardium. The aim is to produce synchronous
depolarization of cardiac muscle.
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PADDLE SITE: RIGHT INTRACLAVICULAR REGION IN LOWER AXILLARY .
PADDLE SIZE: 8CM -12CM WAVE FORM PATTERNS: MONOPHASIC BIPHASIC TRUNCATED EXPONENTIAL BIPHASIC RECILINEAR
ENERGY LEVEL PEDIATRIC – 2-4 J ADULT-360 J
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STEPS;
Switch on
Select paddle mode
Assess rhythm
Press paddles firmly over the chest
Deliver the shock
Resume cpr
If still unstable shift to icu
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COMPLICATIONS
• Rib fracture
• Laceration related to the tip of the sternum
• Liver ,lung ,spleen
•Aspiration
• Vomiting
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THANK YOU