CH04 CPR.ppt [Read-Only] · 2016. 11. 27. · – CPR – Defibrillation – Advanced care –...
Transcript of CH04 CPR.ppt [Read-Only] · 2016. 11. 27. · – CPR – Defibrillation – Advanced care –...
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CPRCPR
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Heart Attack and Cardiac Arrest
• A heart attack occurs when heart muscle tissue dies.
• Cardiac arrest results when the heart • Cardiac arrest results when the heart stops beating.
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Caring for Cardiac Arrest
• Chain of survival
– Recognition and action
– CPR
– Defibrillation– Defibrillation
– Advanced care
– Post-arrest care
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Performing CPR
• Check for responsiveness.
• Check for breathing.
• Call 9-1-1.• Call 9-1-1.
• CPR if unresponsive and not breathing
– Chest compressions
– Rescue breaths
© Berta A. Daniels, 2010
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Chest Compressions(1 of 3)
• 2 hands for adults
• 1 or 2 hands for a child
• 2 fingers for an infant
• Compression depth– Adult and child: 2 inches– Adult and child: 2 inches– Infant: 1½ inches
(1/3 depth of the chest)
• Compression rate– At least 100 per minute– 30 compressions in
18 seconds
© Berta A. Daniels, 2010
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Chest Compressions(2 of 3)
• Location
– Adult and child: center of chest between nipples
– Infants: just below nipple line
• Cycles of 30 compressions and 2 breaths until:• Cycles of 30 compressions and 2 breaths until:
– AED becomes available.
– Victim shows signs of life.
– EMS takes over.
– You are too tired to continue.
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Chest Compressions(3 of 3)
• Chest compressions alone are an acceptable alternative.
• Provide continuous • Provide continuous
chest compressions.
© Berta A. Daniels, 2010
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Rescue Breaths
• After every 30 compressions:
– Tilt the head and lift
the chin.the chin.
– Close the nose.
– Give 2 breaths.
– See the chest rise.© Berta A. Daniels, 2010
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Airway Obstruction
• Mild blockage– Coughing forcefully
• Severe/complete blockage– Weak, ineffective cough – Weak, ineffective cough
– Unable to breathe or speak
• Common causes of obstruction– Tongue, vomit, foreign body, swelling, spasm
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Caring for Airway Obstruction (1 of 5)
• Responsive adult or child: Heimlich maneuver– Abdominal thrusts just – Abdominal thrusts just
above navel
– Perform thrusts until object is removed or victim is unresponsive.
– Chest thrusts for larger or pregnant victims
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Caring for Airway Obstruction (2 of 5)
• Responsive infant
– Support infant’s head and lay infant’s face
down over your forearm and thigh.
– Give 5 back blows.– Give 5 back blows.
– Roll infant face-up.
– Give 5 chest thrusts.
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Caring for Airway
Obstruction (3 of 5)
Chest ThrustsBack Blows
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Caring for Airway Obstruction (4 of 5)
• Unresponsive adult or child, if breath fails to go in:– Retilt the head.– Retilt the head.
– Reattempt breath.
– Give 30 chest compressions.
– Check airway.
– Remove object if visible. © Berta A. Daniels, 2010
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Caring for Airway Obstruction (5 of 5)
• Unresponsive infant, if breath fails to go in:– Retilt the head.
– Reattempt breath.– Reattempt breath.
– Give 30 compressions.
– Check the airway.
– Remove the object if visible.