CPR procedure

CPR – or Cardiopulmonary Resuscitation – is an emergency lifesaving procedure performed when the heart stops beating. Immediate CPR can double or triple chances of survival after cardiac arrest.

1. “Cardiopulmonary resuscitation (CPR)” DR.ANJALATCHI MUTHUKUMARAN ELMCH

2. CPR GUIDELINESS

3. DEFINITION Cardiopulmonary resuscitation ( CPR ) is the manual application of chest compressions and ventilations to patients in cardiac arrest, done with an effort to maintain viability

4. INDICATION: Road Traffic Accident Drowning Electric Shock Airway Obstruction Cardiac Arrest

5. CONTRAINDICATION: Do-not-resuscitate (DNR)

6. CHAIN OF SURVIVAL:

7. POSITIONING Positioning for CPR: CPR is most easily and effectively performed by laying the patient supine on a relatively hard surface, which allows effective compression of the sternum. Delivery of CPR on a mattress or other soft material is generally less effective. The person giving compressions should be positioned high enough above the patient to achieve sufficient leverage, so that he or she can use body weight to adequately compress the chest.

8. Remember to spell C-A-B Compression rate: In adult victims of cardiac arrest, it is reasonable for rescuers to perform chest compressions at a rate of 100 to 120/min. Compression depth: During manual CPR, rescuers should perform chest compressions to a depth of at least 2 inches (5 cm) for an average adult, while avoiding excessive chest compression depths (greater than 2.4 inches [6 cm]) Chest recoil: It is reasonable for rescuers to avoid leaning on the chest between compressions, to allow full chest wall recoil for adults in cardiac arrest. If not trained in CPR, continue chest compressions until there are signs of movement or until emergency medical personnel take over.

9. Compressions: Restore blood circulation Place the heel of one hand over the center of the person's chest, between the nipples. Place other hand on top of the first hand. Keep elbows straight and position shoulders directly above hands. Use upper body weight (not just arms) as pushing straight down on (compress) the chest

10.   Airway: Open the airway Some signs of obstructed airway include poor air exchange, high pitch noise while breathing and inability to speak. If rescuer trained in CPR and performed 30 chest compressions, open the person's airway using the head-tilt, chin-lift maneuver . Put palm on the person's forehead and gently tilt the head back. Then with the other hand, gently lift the chin forward to open the airway.

11. Breathing: Breathe for the person Rescue breathing can be mouth-to-mouth breathing or mouth-to-nose breathing if the mouth is seriously injured or can't be opened. With the airway open (using the head-tilt, chin-lift maneuver ), pinch the nostrils shut for mouth-to-mouth breathing and cover the person's mouth with yours, making a seal. Prepare to give two rescue breaths. Give the first rescue breath lasting one

12. Cont … It may be reasonable for the provider to deliver 1 breath every 6 seconds (10 breaths per minute) while continuous chest compressions are being performed ( ie , during CPR with an advanced airway). The adequacy of breath given can be determined by observing for rise in victims chest. Continue CPR until there are signs of movement or emergency medical personnel take over

13. recovery position The recovery position refers to one of a series of variations on a  lateral  recumbent or three-quarters prone  position of the body. If a person is unconscious but is  breathing  and has no other life-threatening conditions, they should be placed in the recovery position. Putting someone in the recovery position will keep their airway clear and open. It also ensures that any vomit or fluid won't cause them to choke.

14. CONCLUSION Cardiopulmonary arrest is loss of airway, breathing, or meaningful circulation. Cardiopulmonary resuscitation (CPR) is the use of therapeutic interventions, primarily BLS that are designed to restore  spontaneous  circulation  following  cardiac or pulmonary arrest.

15. DEMONSTRATION

16. STEPS Before you begin Immediately upon seeing the victim and Before starting CPR, check: Is the environment safe for the person? Is the person conscious or unconscious? If the person appears unconscious, tap or shake his or her shoulder and ask loudly, "Are you OK?“ Check carotid pulse for 10 seconds. If the person doesn't respond and two people are available, have one person call 108 or the local emergency number and have the other person begin CPR. If alone and have immediate access to a telephone, call 108 or local emergency number before beginning CPR. Get the AED, if one is available. As soon as an AED is available, deliver one shock if instructed by the device, then begin CPR. Put the person on his or her back on a firm surface. Kneel next to the person's neck and shoulders.

17. BIBLIOGRAPHY: https://cpr.heart.org/AHAECC/CPRAndECC/Training/HealthcareProfessional/BasicLifeSupportBLS/UCM_473189_Basic-Life-Support-BLS.jsp https://www.heart.org/en/cpr https://www.mayoclinic.org/first-aid/first-aid-cpr/basics/art-20056600 https://www.nationalcprassociation.com/free-cpr-study-guide https://eccguidelines.heart.org/wp-content/uploads/2018/10/2018-Focused-Updates_Highlights.pdf