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Dr. Jitendra Patel (MBBS, MD, ACME, Ph.D…)

Medical Educator & Researcher

Assistant Professor, Department of Physiology

Email: dr.jrpatel84@gmail.com Web: www.esphys.weebly.com

Competency

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No. PY6.5 (Respiratory Physiology)

Competency

Describe and discuss the principles of artificial respiration, oxygen therapy, acclimatization and decompression sickness.

D/L/Core K/KH/Y

AM Written/Viva voce

Integration No

Imp. Concept CPR

Phy. Trivia Mouth to mouth breathing – most effective

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OUTLINE

Pre/post Test

Introduction to BLS - CPR

Indication

Steps

Current guidelines

Video demonstration5

FIRST MBBS 2019-20 BatchBLS – CPR: Pre/Post Test

QueNo

Pre Test(24-12-2019)

Post test(24-12-2019)

Key

1 ?

2 ?

3 ?

4 ?

5 ?

6 ?

7 ?

8 ?

9 ?

10 ?

Marks Coming soon ?/? /

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Question 1

What are the ABCD assessments of the BLS

Primary Survey?

A. Airway, Blood Pressure, Circulation, Defibrillation

B. Airway, Breathing, Circulation, Defibrillation

C. Airway, Breathing, Cardiac Arrest, Defibrillation

D. Airway, Breathing, Circulation, Drug

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Question 2

Who can perform the CPR?

A. Doctor

B. Nurse

C. Paramedical staff

D. Anyone who knows how to do it.

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Question 3

Which of the following statement is true regarding

CPR?

A. Special equipments are required to perform CPR.

B. Head should be extended and tilted to provide mouth to mouth

breathing.

C. Chest compressions and pulmonary ventilation are performed at

hospital only.

D. Chest compression can be done at any part of chest.

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Question 4

As per latest guideline of American heart

association which of the following sequence

is correct in order to provide BLS?

A. Airway, Breathing, Circulation

B. Circulation, Airway, Breathing

C. Breathing, , Airway, Circulation

D. Circulation, Breathing, Airway

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Question 5

Emergency number for medical help

provided by government___________.

A. 1500

B. 100

C. 108

D. 1098

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Question 6

Which arterial pulsations you will check

in CPR?

A. Radial

B. Brachial

C. Carotid

D. Femoral

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Question 7

One cycle of CPR consists of ___________.

A. 30 compressions then 2 breaths

B. 20 compressions then 2 breaths

C. 30 compressions then 3 breaths

D. 20 compressions then 3 breaths

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Question 8

Which basic airway skill is the most commonly

used method for providing positive-pressure

ventilation?

A. Mouth-to-mouth

B. Mouth-to-barrier device

C. Bag-mask ventilation

D. Jaw thrust without head extension

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Question 9

The target chest compression during CPR

is ____________.

A. 1 inch

B. 1.5 inches

C. 1.5 to 2 inches

D. At least 2 inches

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Question 10

Recommended chest compression rate in

CPR is __________.

A. At least 100/min

B. <100/min

C. >100/min

D. Approximate 100/min

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Key???

Objectives of CPR

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What is BLS…?

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Introduction

CPR is a first aid, but life-saving,

emergency procedure, and must be started

without losing a second.

It is not the treatment, however.

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Introduction……

Artificial respiration (AR) alone may be needed if

breathing has stopped suddenly though the heart is

still beating (as it happens in many cases).

However, if breathing is not re-started within 3–4

minutes, the heart will also stop.

In this case, both AR and external cardiac

compression will be required.

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Conclusion

If breathing has stopped suddenly….

Artificial respiration (AR) alone may be needed

However, if breathing is not re-started within 3–4

minutes, the heart will also stop…..

Both AR and external cardiac compression will be

required = CPR

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Indications

In new born infants

Drowning

Electrical Shock

Gas Poisoning

Anaesthetic complications

Life threatening emergency etc.

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Four Life Threatening Emergencies

1. Cardiac arrest

2. Heart Attack

3. Stroke

4. Chocking

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8 Basic Steps

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How to Approach…?

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Key Changes in CPR

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OUTLINE

1. Schafer’s Prone Pressure Method

2. Sylvester’s Method

3. Holger-nelson’s Push & Pull Method

4. Mouth to Mouth Breathing

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1. Schafer’s Prone Pressure Method30

2. Sylvester’s Method31

3. Holger-nelson’s Push & Pull Method

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4. Mouth to Mouth Breathing33

FIRST MBBS 2019-20 BatchBLS – CPR: key

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QueNo

Pre Test(24-12-2019)

Post test(24-12-2019)

Key

1 B

2 D

3 B

4 B

5 C

6 C

7 A

8 C

9 D

10 A

Marks Be honest Be honest 10

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