Guidelines for Cardiopulmonary Resuscitation BY DR. ANIL WAKPANJAR(M.B.B.S.,DA.) Sr. MEDICAL OFFICER (N.M.D.C. )
Team Resuscitation Many CPR interventions performed simultaneously Collaborative work minimizes interruption in compressions Clear communication minimizes errors
CPR Defination Cardiopulmonary resuscitation (CPR) is an emergency procedure, performed in an effort to manually preserve intact brain function until further measures are taken to restore spontaneous blood circulation and breathing in a person in cardiac arrest. It is indicated in those who are unresponsive with no breathing or abnormal breathing (gasping ) respirations.
The purpose of CPR is To temporarily provide effective oxygenation of vital organs (especially the brain and heart) until appropriate, definitive medical treatment can restore normal cardiac and respiratory activity. Used alone, CPR will result in few complete recoveries, and those who do survive often develop serious complications.
History of CPR 5000 -first artificial mouth to mouth ventilation in 3000 BC 1780 first attempt of newborn resuscitation by blowing 1874 first experimental direct cardiac massage 1901 first successful direct cardiac massage in man 1946 first experimental indirect cardiac massage and defibrillation 1960 indirect cardiac massage 1980 development of cardiopulmonary resuscitation due to the works of Peter Safar first International CPR Guidelines in 2000
History of CPR Inversion method Silvesters method of artificial Ventilation
History of CPR
International Liaison Committee on Resuscitation (ILCOR) Formed in 1992 to provide a liaison between resuscitation organisations worldwide meets twice a year ILCOR comprises representatives of American Heart Association (AHA) European Resuscitation Council (ERC) Heart and Stroke Foundation of Canada (HSFC) Australian and New Zealand Committee on Resuscitation (ANZCOR) Resuscitation Councils of Southern Africa (RCSA) Inter American Heart Foundation (IAHF) Resuscitation Council of Asia (RCA)
A FEW HARD FACTS 330,000 die annually from coronary heart disease 60% from SCA @ home or en route 85-90% in VF/VT arrest Less than 1/3 get bystander CPR Even pros dont do good CPR! 2-3 x greater survival if CPR is immediate, with defib