Transcript Basic Life Support

Basic Life Support
(Based on AHA Guidelines 2010)
Jajang Sujana Mail, dr., SpAn
Introduction

Latest guidelines
 AHA
Guidelines 2010, many changes from guidelines
2005
Sudden cardiac arrest is a leading cause
of death in Europe (700,000/year)
 Early CPR + defibrillation can produce
survival as high as 49-75%!!!
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Latar Belakang
Statistik RJP di USA :
• Sistem Emergensi Medis Amerika menangani
sekitar 300.000 korban henti jantung di luar RS
setiap tahun
• Kurang dari 8 % bertahan hidup
• Kurang dari 30% menerima RJP orang terdekat.
• RJP efektif yang dilakukan orang terdekat dapat
meningkatkan 2-3 x kemungkinan korban
bertahan hidup.
Objective
The Student should be able to;
 Know about Chain of Survival
 Know about Basic Life Support steps
 Perform a CPR (cardiopulmonary
resuscitation) adequately
AHA ECC Adult Chain of Survival
1.
2.
3.
4.
5.
Immediate recognition of cardiac arrest and
activation f the emergency response system
Early CPR with an emphasis on chest compressions
Rapid defibrillation
Effective advance life support
Integrated post-cardiac arrest care
Steps AHA Guidelines
1
Alertness
2
Airway
3
Breathing
4
Circulation
5
Defibrillation
Simplified
Adult BLS
Alertness
Make sure the scene is safe
 Check for response tap the victim on the
shoulder and ask, "Are you all right?"
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1. SAFETY FIRST
Are the victim and
bystanders safe?
o
o
o
o
o
Needles
Dangerous traffic
Slope
Electric live circuit
Personal safety:
Gloves, glasses, gown
2. CHECK VICTIM FOR
RESPONSE
Be in visual field of
victim
Gently shake
or tap the victim on
the shoulder
Ask:
‘Are you all right?’
3a. IF RESPONDS
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Leave the person in position you found
him/her unless any danger present
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Reassess often
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Find out what’s wrong
3b. IF NO RESPONSE
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SHOUT FOR HELP
If no response,
activate emergency
system
Tell about location,
what happened,
number and condition
of victims, and type of
aid provided
Call for Help
118
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RUMAH SAKIT RSUP Hasan Sadikin: (022) 2034953, 55 (022) 203 7066
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2035986 Paviliun Anggrek (022) 2014545, 088820006011
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RSI Al Islam : 022 755 5588
RS Mata Cicendo ; 022 423 1280
RS Jiwa Bandung : 022 420 3651
RS Advent : 022 203 8008
RS Immanuel : 022 520 1656
RS St. Yusuf : 022 727 9860
RS St. Borromeus : 022 255 2081
RS Sartika Asih : 022 522 9544
RS Rotinsulu : 022 203 4446
Patient Position
Turn the victim onto his back if not already
in that position
 Make sure there is no obvious trauma to
cervical spine
 Place the victim on a hard surface in
supine position
 If an unresponsive victim is face down
(prone), roll the victim to a supine position
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Circulation
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Check pulse on carotid artery (near side)
not more than 10 seconds
Circulation
If there is no pulse, compress the chest (at
least 100 compressions per minute)
 Rescuer kneeling beside the victim’s
thorax
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Circulation
Place the heel of the hand on the sternum
 Place the heel of the second hand on top
of the first hand
 Interlock fingers
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Circulation
Compression-ventilation ratio of 30:2
 5 cycles
 Depth at least 2’in or 5 cm
 Complete chest recoil
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Airway
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Head tilt-chin lift
maneuver to open the
airway of a victim
without evidence of
head or neck trauma
Airway
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Suspects a cervical
spine injury, open the
airway using a jaw
thrust without head
extension
Breathing
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No more Look, listen, and feel for
breathing
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Methods:
 Mouth
to Mouth
 Mouth to Nose
PREPARE AIRWAY
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Close the nasal
airway using your
index finger and
thumb of your hand
on the forehead
Maintain chin lift
Take a normal breath
Make a seal with your
lips
GIVE BREATHS 2x
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Blow for 1sec steadily
(rather than 2sec)
Give 1 breath every
5-6 sec
Watch from the
corner of your eye the
chest rising
Maintaining head tilt
and chin lift, take your
mouth away and
watch the chest fall
IF NO CHEST RISING
DON’T PANIC
 If at initial attempt no chest rise:
1. Check victim’s mouth and remove any
visible obstruction
2. Recheck adequate head tilt and chin lift
3. Do not try more breaths than 2 before
coming back to chest compressions
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Re-evaluation
Re-evaluate every 5 cycles
 Victim with palpable pulses requires
support of ventilation, give rescue breaths
at a rate of 10 to 12 breaths per minute
 Each breath should be given in 1 second
 Reassess the pulse every 2 minutes
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Key BLS Components for Adult,
3
Children, and Infants
Key BLS Components for Adult,
3
Children, and Infants
QUESTIONS?
HATUR NUHUN