BASIC LIFE SUPPORT - DR. ANVITA BHARGAVA
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Transcript of BASIC LIFE SUPPORT - DR. ANVITA BHARGAVA
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BASIC LIFE SUPPORT
CARDIO PULMONARY RESUSCITATION
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OBJECTIVES
•How to assess the collapsed victim•How to perform chest compression and rescue breathing•How to place an unconscious breathing victim in the recovery position.
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BASIC LIFE SUPPORT [BLS]
•AIRWAY
•BREATHING
•CIRCULATION (CAB)
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CHAIN OF SURVIVAL
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BASIC LIFE SUPPORT
SEQUENCES OF PROCEDURES PERFORMED TO RESTORE THE CIRCULATION OF OXYGENATED BLOOD AFTER A SUDDEN PULMONARY AND/OR CARDIAC ARREST
CHEST COMPRESSIONS AND PULMONARY VENTILATION PERFORMED BY ANYONE WHO KNOWS HOW TO DO IT, ANYWHERE, IMMEDIATELY, WITHOUT ANY OTHER EQUIPMENT
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WHAT TO DO…
APPROACH SAFETY
CHECK RESPONSE
SHOUT FOR HELPOPEN AIRWAY
CHECK BREATHING
30 CHEST COMPRESSIONS
2 RESCUE BREATHS
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APPROACH SAFETYAPPROACH SAFETY
CHECK RESPONSE
SHOUT FOR HELP
OPEN AIRWAY
CHECK BREATHING
30 CHEST COMPRESSIONS
2 RESCUE BREATHS
• SCENE• VICTIM• RESCUER• BYSTAND
ER
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CHECK RESPONSE
APPROACH SAFETY
CHECK RESPONSE
SHOUT FOR HELP
OPEN AIRWAY
CHECK BREATHING
30 CHEST COMPRESSIONS
2 RESCUE BREATHS
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CHECK RESPONSE
Shake shoulders gentlyAsk “Are you all right?”If he responds
• Leave as you find him.• Find out what is
wrong.• Reassess regularly.
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SHOUT FOR HELP
APPROACH SAFETY
CHECK RESPONSE
SHOUT FOR HELP
OPEN AIRWAY
CHECK BREATHING
30 CHEST COMPRESSIONS
2 RESCUE BREATHS
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OPEN AIRWAY
APPROACH SAFETY
CHECK RESPONSE
SHOUT FOR HELP
OPEN AIRWAY
CHECK BREATHING
30 CHEST COMPRESSIONS
2 RESCUE BREATHS
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AIRWAY OPENING BY NECK EXTENSION
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OPEN AIRWAY
Head tilt and chin lift - lay rescuers
- non-healthcare rescuers
NO NEED FOR FINGER SWEEP UNLESS SOLID MATERIAL IS FOUND IN THE MOUTH
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Head tilt, chin lift + jaw thrust
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CHECK BREATHING
APPROACH SAFETY
CHECK RESPONSE
SHOUT FOR HELP
OPEN AIRWAY
CHECK BREATHING
30 CHEST COMPRESSIONS
2 RESCUE BREATHS
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CHECK BREATHING
• LOOK, LISTEN AND FEEL FOR NORMAL BREATHING
• DO NOT MISTAKE AGONAL BREATHING FOR NORMAL
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FOREIGN-BODY AIRWAY OBSTRUCTION (FBAO)
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BACK BLOWS
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ABDOMINAL THRUSTS
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30 CHEST COMPRESSIONS
APPROACH SAFETY
CHECK RESPONSE
SHOUT FOR HELP
OPEN AIRWAY
CHECK BREATHING
30 CHEST COMPRESSIONS
2 RESCUE BREATHS
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CHEST COMPRESSIONS
• Place the heel of one hand in the centre of the chest
• Place other hand on top • Interlock fingers• Compress the chest
• Rate 100 min-1
• Depth 4-5 cm• Equal compression :
relaxation• When possible change
CPR operator every 2 min
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2 RESCUE BREATHS
APPROACH SAFETY
CHECK RESPONSE
SHOUT FOR HELP
OPEN AIRWAY
CHECK BREATHING
30 CHEST COMPRESSIONS
2 RESCUE BREATHS
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RESCUE BREATHS
• Pinch the nose• Take a normal
breath• Place lips over
mouth• Blow until the chest
rises• Take about 1
second• Allow chest to fall• Repeat
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RESCUE BREATHS
RECOMMENDATIONS:- Tidal volume 500 – 600 ml
- Respiratory rate give each breaths over about 1s with enough volume to make the victim’s chest rise
- Chest-compression-only continuously at a rate of 100 min
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APPROACH SAFETY
CHECK RESPONSE
SHOUT FOR HELP
OPEN AIRWAY
CHECK BREATHING
30 CHEST COMPRESSIONS
2 RESCUE BREATHS
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IF VICTIM STARTS TO BREATHE NORMALLY PLACE IN RECOVERY
POSITION
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CONTINUE RESUSCITATION UNTIL -
• Qualified help arrives and takes over
• The victim starts breathing normally
• Rescuer becomes exhausted
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WHEN CAN I STOP CPR ?
•VICTIM REVIVES• TRAINED HELP ARRIVES• TO EXHAUSTED TO CONTINUE•UNSAFE SCENE•PHYSICIAN DIRECTED•CARDIAC ARREST FOR MORE THAN 30 MINUTES
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Why CPR May Fail ?
• Delay in starting• Improper procedures (ex. Forget to pinch nose)• No ACLS follow-up and delay in defibrillation• Only 15% who receive CPR live to go home• Improper techniques
• Terminal disease or unmanageable disease (massive heart attack)
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Complications of CPR
•Vomiting•Aspiration•Place victim on left side•Wipe vomit from mouth with fingers wrapped in a cloth•Reposition and resume CPR
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Dr. Anvit
a Bharg
ava
BHMS, DNHE,P
GDHHM
&PGDMLS(PERSUING)