basic life support and advance cardiac life support

8/18/2019 Basic Life Support and Advance Cardiac Life Support

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Basic Life Support

and Advance CardiacLife Support


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Lets Test Your Memory


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1. What are 2 ways to open the

victim’s airway?

Answer: Head tilt chin lift and jaw‐

thrust


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• 2. What is the RA! of compressionsfor Adults" #hildren and $nfants?

Answer: At least 1%%&minute


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3. What are the common si'ns of

(R)*!?Answer: Wea+ness on one side of the,ody" trou,le spea+in'" or di--iness


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. What is happenin' when you notice thea,domen risin' on your victim as you,reath?

Answer: you are 'ivin' too much volume ortoo forceful rescue ,reaths / the 'oal isto have a 'entle rise and fall of

the chest durin' ventilation over

1 second


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• 0. $f the chest does not rise when you'ive a ,reath" what should you do?

Answer: reposition the head and try a'ain


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. Where do you chec+ for the pulse on a#H$3?

Answer: carotid" in the nec+


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4. Where do you place your hands whendoin' chest compressions on a child andadult?

Answer: center of the victim’s ,arechest ,etween the nipples


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BLS CPR consists of 3 maincomponents (C-A-B):

• ‐ Compressions

• ‐ Airway

• ‐ Breathing


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• BLS Consist of these mainparts :

• Chest Compressions

• Airway

• Breathing

• e!"ri##ation


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A$L%

A&'#t Chain of S'ria#:

a. !arly access: !sta,lish5nresponsiveness&no ,reathin' then activate!6(&711

,. !arly #8R: 8rovide 9(R within minutes

c. !arly defi,rillation: Have an A!3 on themand shoc+in' within 0 minutes of the arrest


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CPR Adult‐ f there is no &etecta"#e p'#se* start

chest compressions at the center ofthe chest* at the nipp#e #ine* with thehea# of one han& on top of the other*

at a ratio of:• 30 compressions (Acceptabe !"#

seconds for 30 compressions$

% &ive 2 breaths (" second each$


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• Push Hard, and Push Fast: compress at aminimum rate of at least 100 compressions

per minute and a depth of inches, andallow full chest recoil after eachcompression! "inimi#e the interruptions in

chest compressions+


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A&'#t , Resc'er CPR:

• Ratio of 3 compressions to , "reaths*Rate ./min'te or 0 cyc#es in , min'tes

• ('entiator$ the rescuer at the head

• 'entiator determines responsiveness

• 'entiator chec)s for no breathin* or norma

breathin* (minimum + seconds, ma-imum "0seconds$

• 'entiator chec)s for circuation carotid puse(minimum + seconds, ma-imum "0 seconds$

• (Compressor$ the rescuer at the chest

% Compressor or bstander activates emer*encmedica sstem (ca /""$ and ca for an A1

%

f h i i h


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f the ictim hascirc'#ation (p'#se)

f the ictim &oesnot haecirc'#ation (no

p'#se)

entilator will rescue ,reath

for them:

‐ 1 ,reath every 0 seconds‐

for a,out 1% 12 per minute‐

;each ,reath should ,e

delivered over 1 secondma+in' the chest rise<

#ompressor will start chest

compressions" with the heel of two

hands at a ratio of:‐ =% compressions ,y the compressor

to 2 ventilations ,y the ventilator at

a rate of at least 1%% per minute and

a depth of 2> or deeper for lar'er

person

‐ he ventilator can chec+ for a

pulse durin' compressions to ma+e

sure they are effective ,y feelin' a

pulse every compression.‐


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CH$%& A'& $'FA'( )Pediatrics*

Pediatrics Chain of +urial:• 8revention is 1• !arly and effective ,ystander #8R" for two

minutes if alone• Rapid activation of !6( or #all 711• !arly and effective advanced ife support

;!6(< ;includes rapid sta,ili-ation andtransport to definitive care andreha,ilitation<


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Chi#& (. year of age top'"erty)

ubert‐oo) for: maes‐chestfacia under andor arm hair

femaes‐ ear breast deveopment


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Resc'e Breathing:

• " breathe ever 3 to + seconds or "2to 20min (on enou*h air to ma)ethe chest rise over " second each$

• P'sh 1ar&* an& P'sh 2ast:

compress at a minim'm rate of. compressions per min'teA##ow f'## chest recoi# after each

compression+ inimi4einterr'ptions in chestcompressions+


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Chi#& , resc'er:

• CPR Ratio 5 .0 compressions: , "reaths*

Rate 5 ./min* 0 cyc#es per min'te% ('entiator$ the rescuer at the head

(Compressor$ the rescuer at the chest

% 'entiator determines responsiveness if no

response

% Chec) for no breathin* or norma breathin*(minimum + seconds, ma-imum "0 seconds$

% Compressor or bstander cas /"" oractivates 4S number

% 'entiator chec)s for circuation carotid

puse 5 60 beatsmin. 7ithin +‐"0 seconds


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f the ictim has circ'#ation(p'#se 6 7 "eats/min+)

f the ictim &oes not haecirc'#ation(p'#se 8 7 "eats/min+)

entilator will rescue

,reath for them:

@ 1 ,reath every = 0‐

seconds for a,out 12 2%‐per minute ;each ,reath

should ,e delivered over 1

second ma+in' the chest

rise<@ Rechec+ pulse every 2

minutes

entilator will start chest

compressions" with the heal

of one hand or two at a

ratio of: 10 compressions,y the ventilator and to 2

ventilations ,y the

,ystander at a rate of: 1%%

per minute and a depth of1&= of the child’s ,ody

depth or 2>

‐switch&reassess after 0

cycles


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92A9% (‐. ;AR


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f the ictim has circ'#ation(p'#se 6 7 "eats/min+)

f the ictim &oes not haecirc'#ation(p'#se 8 7 "eats/min+)

'entiator 7i rescue breath for

them:8 " breath ever 3 ‐ + seconds forabout "2 ‐ 20per minute (each breath shoudbe deiveredover " second ma)in* the chest

rise$8 9echec) puse ever 2 minutes

'entiator 7i start chest

compressions 7ith thumbencircin* techniue at a ratio of"+ compressions b thebstanders to 2 ventiations at arate of at east "00 perminute and a depth of "3 of the

infant;s bod depth or "


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So What if We are in theHospital?


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". Ca the C>1?

2. Activate our mer*enc Code,shout and have an A1 orCardiac 4onitor

•. Start C9

3. Continue C9 unti the Code @eam arrive


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Pharmaco#ogy

• @he primar *oa ofharmacoo*ic therap durin*cardiac arrest is to faciitate

restoration and maintenanceof a perfusin* spontaneous

rhthm.


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9A;


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9A;


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@o Sum it Gp..


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Critical Conceptsi*h88‐uaitC9 improves a victim;s chances of surviva.

@he critica characteristics of hi*h88‐Juait C9 incude.% Start Compressions 7ithin "0 seconds% ush ard ush Kast% Ao7 compete Chest recoi

% 4inimie interruptions% &ive eMectiveBreaths% Avoid -cessive 'entiations

basic life support and advance cardiac life support

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