Cpr 3 (two rescuer)

1. Basic Life Support Cardiopulmonary Resuscitation (CPR)- Two Rescuer

2. Learning Objectives At the end of this session, the students should b able to:- Identify the acronyms of CPR. Explain the acronyms DRABC. Practice on two rescuer of CPR. List the types of injuries in perform CPR. List the complications of CPR.

3. CPR Combines rescue breathing and chest compressions. Revives heart (cardio) and lung (pulmonary) functioning. Use when there is no breathing and no pulse. Provides O² to the brain until paramedics arrives.

4. How CPR Works Effective CPR provides 1/4 to 1/3 normal blood flow Rescue breaths contain 16% oxygen (21%)

5. Start CPR Immediately Better chance of survival. Brain damage starts in 4-6 minutes. Brain damage is certain after 10 minutes without CPR.

6. DRABC D – DANGER R – RESPONSIVENESS A- AIRWAYS B – BREATHING C - CIRCULATION

7. Two Rescuer CPR D - Danger remove victim from danger. victim must be on a hard surface. Place victim level or head slightly lower than body.

8. Two Rescuer CPR R - Responsiveness First rescuer check for responsiveness - Tap shoulder and shout “Are you ok?” - if unresponsive……. call 991 or 999.

9. Two Rescuer CPR 3. A - Airway First rescuer check the airway. Open the airway. Head tilt and chin lift.

10. Two Rescuer CPR 4. B - Breathing Look, listen and feel for breathing. No longer than 10 seconds. Pinch the nose. Seal the mouth with yours. First rescuer gives two breathing in 5 seconds. If the first two don’t go in, re-tilt and give two more breaths (if breaths still do not go in, suspect choking). Second rescuer bares the chest.

11. Two Rescuer CPR 5. C – Circulation First rescuer palpate the carotid pulse. Second rescuer properly positions his hands for chest compression. - Locate proper hand position for chest compressions. - Place heel of one hand on center of chest between the nipples.

12. Two Rescuer CPR - Circulation (cont…) If the patient is pulseless , the first rescuer say ‘commence CPR’ and give two breathing. The second rescuer commemces fiftheen chest compressions. - Depth of compressions: 1 .5 to 2 inches - Count 1, 2, 3 …

13. Two Rescuer CPR - Circulation (cont…) The first rescuer feel the carotid pulse to determine adequate compressions. The second rescuer delivers fifthteen compressions at one persecond , counting out load. The first rescuer give a two ventilation of every fifthteen compressions.

14. Two Rescuer CPR 6. If patient recover, put at the recovery position ( semiprone position). 7. Check if the patient vomitting and vital signs.

15. Injuries Related to CPR 1. Rib fractures 2. Laceration related to the tip of the sternum Liver, lung, spleen

16. Complications of CPR 1. Vomiting Aspiration.. Place victim on left side Wipe vomit from mouth with fingers wrapped in a cloth Reposition and resume CPR.

17. Complicatons of CPR (cont…) 2. Stomach distension - Air in the stomach Creates pressure against the lungs. - Prevention of Stomach Distension:- Don’t blow too hard. Slow rescue breathing. Re-tilt the head to make sure the airway is open. Use mouth to nose method.

18. Practical Session by tomorrow - 29/10/2011 - Saturday - 1pm - Skill lab, 4 th floor, FSK 2

19. Thank You…..