Cardiopulmonary Resuscitation Ahmed .ppt

CPR

1. American Heart
Association (AHA)
CPR
By:Ahmed GamalFahmy
Assist lect

2. Successful resuscitation relies on five
links: (chain of survival)

3. CPR
CARDIOPULMONARY RESUSCITATION
Heart/Lungs
“To bring back”

4. CARDIOPULMONARY
RESUSCITATION
t’s a life saving medical procedure
which is given to someone who is in
cardiac arrest.

5. ABC’S OR CAB’S???
BIGchange in CPR guidelines: no
more ABC’s but rather…CAB’s
C= Circulation
A= Airway
B= Breathing
The CAB’s are your priority
management steps to life-saving

6. Why the change?
1.IntheABC sequence, chest
compressionswereoftendelayed
whiletheresponderopenedthe
airwaytogivemouthtomouth
breaths,etc. Bychangingthe
sequence to CAB, chest
compressionswillbeinitiatedsooner.

8. Definition of Cardiac arrest:
Itisasuddenunexpectedcessationof
circulationandrespiration.Thismeans
inabilityofthehearttomaintain
cerebralperfusionandkeepthebrain
alive.

9. Causes of cardiac arrest
H’s T’s
Hypoxia & hypoxemia Toxins
Hypovolemia Tamponade (cardiac)
Hypothermia Tension pneumothorax
HyperkalemiaorHypokalemia Thromboembolism(Pulmonary embolism)
HypoglycemiaorHyperglycemia Thrombosis, coronary
Hydrogen ion (acidosis/ Alkalosis) Traumatic cardiac arrest

10. Types of Cardiac arrest:
•VF
•Pulseless VT
Shockable
rhythm
•PEA
•Asystole
Non-Shockable
rhythm

11. Ventricularfibrillation(VF).
Pulseless ventricular
tachycardia(VT).
Pulselesselectricactivity
(PEA).
Asystole.

14. Cardinal signs of cardiac
arrest:-
Abrupt loss of consciousness.
No pulse in carotid or femoral artery.
No breathing (Respiratory arrest) or
no normal breathing (gasping).
Dilated fixed pupils.

15. Basic life supports
No need for any equipment
Circulatory (C)
Airway control (A)
Breathing (B)

16. Advanced cardiac life support
(ACLS):
Use of all technical skills and resources
BLS+ intubation
Defibrillations (D)
IV access
Drug therapy
Management of arrhythmias

17. Prolonged life support
(PLS)
Intensive care and brain protection

18. Basic life supports

19. STEPS FOR CPR
1.Make sure scene is safe
2.Put hand on forehead…Shake the
victim’s shoulder and SHOUT to see
if they respond
3.If the victim does NOT respond, and
the victim is not breathing or
gasping for air, yell for someone to
call 123 and get an AED
4.Start CPR

20. So…let’s look at CAB
Compressions: (C)
Push hard and fast on the center of the
chest 30 times at a rate of at least 100
compressions/minute. Push down at
least 2 inches with each compression
and allow each compression to “recoil”
before the next compression.

22. AIRWAY
5.Airway-(A)
Open airway by head tilt-chin-lift

24. BREATHING
6.Breathing(B)
Pinch victim’s nose closed. Take a
normal breath a cover the victim’s
mouth with your mouth, creating an
airtight seal. Give 2 breaths (1
second each). Watch for the chest
to rise as you give the breath.

26. Continue resuscitation until:
Victim survives.
Replaced by another trained rescuer.
Too exhausted to continue.
Cardiac arrest lasts longer 30
minutes.

27. Post resusetationcare.
Maintain normal blood pressure.
Head up 30 degrees.
Mechanical ventilation may be
needed with hyperventilation.
Chest x-ray.
Normalize acid base balance and
blood glucose.

28. Maintain PaO2> 100mmHg.
Steroids and diuretics.
Normothermia.

29. Document
Type of dysrhythmia.
Drugs given.
Duration of CPR.
Joules of DC shock.

30. Adult cardiac arrest algorism