TASHKENT MEDICAL ACADEMY NAME – MOHD AASIM GROUP NO – XF-24-14B
Terminal Condition and Resuscitation This presentation will explore the concepts of terminal conditions, clinical death, and the basics of cardiopulmonary resuscitation.
Types, Symptoms and Diagnosis Terminal Conditions Terminal conditions are illnesses that cannot be cured and will eventually lead to death. Examples include cancer, heart failure, and severe respiratory illness. Preagonal State The preagonal state is the period before death where the body begins to shut down. Symptoms include a decline in vital signs, confusion, and a loss of consciousness.
Clinical and Biological Death Clinical Death Clinical death is the cessation of heartbeat and breathing. It's a reversible state. Resuscitation measures can sometimes restore life during this phase. Biological Death Biological death is the irreversible cessation of all vital functions. This occurs when the brain has been deprived of oxygen for too long and has suffered irreversible damage.
Indications for Resuscitation Sudden Cardiac Arrest This is a sudden loss of heart function, often caused by an electrical malfunction in the heart. Drowning When someone has been submerged in water and stopped breathing, resuscitation is crucial. Severe Trauma Injuries that cause significant blood loss or damage to vital organs can lead to cardiac arrest.
First Aid: Cessation of Breathing and Blood Circulation 1 Call for Help Immediately call emergency services and inform them of the situation. 2 Check for Responsiveness Tap the person's shoulder and ask "Are you okay?" 3 Start CPR If there is no response, begin chest compressions and rescue breathing.
Cardiopulmonary Resuscitation Technique Chest Compressions Place the heel of your hand on the center of the person's chest, just below the nipple line. Push down hard and fast, about 2 inches deep, at a rate of 100-120 compressions per minute. Rescue Breaths Tilt the person's head back and lift their chin. Pinch their nose closed and give two slow breaths into their mouth, watching for their chest to rise.
Triple Reception and Artificial Ventilation Triple Reception A maneuver to open the airway by lifting the jaw and tilting the head. Artificial Ventilation Providing breaths to the patient by blowing air into their lungs using a bag-valve mask or mouth-to-mouth.
Closed Heart Massage and Criteria for Effectiveness 1 Pulse Recovery 2 Pupil Response 3 Blood Pressure Recovery 4 Spontaneous Breathing
Indications for Termination of CPR 1 No Response After 20 Minutes of CPR If there are no signs of improvement (e.g., pulse, breathing) after 20 minutes of continuous CPR, it may be necessary to terminate efforts. 2 Presence of a Valid Do-Not-Resuscitate (DNR) Order A legally valid DNR order explicitly indicates the patient's wish not to receive CPR. Respecting patient autonomy is paramount. 3 Obvious Signs of Irreversible Brain Damage Conditions such as severe head trauma or prolonged lack of oxygen can lead to irreversible brain damage, rendering CPR ineffective. 4 Unsuccessful Defibrillation Attempts If multiple attempts at defibrillation fail to restore a heartbeat, it may be a sign that CPR is futile. 5 Return of Spontaneous Circulation (ROSC) with Severe, Untreatable Injuries Even if a heartbeat is restored, if the patient has suffered catastrophic injuries incompatible with life, CPR may be terminated.
Rules for Handling a Corpse 1 Respect Treat the body with dignity and respect. 2 Hygiene Maintain cleanliness and prevent the spread of infection. 3 Documentation Properly document the handling of the body.