1 cardiopulmonary resuscitation (cpr) pakistan icitap 1
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Cardiopulmonary Resuscitation (CPR)
Pakistan
ICITAP
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Learning Objectives Learn the definition of CPR
Identify proper and improper ways of performing CPR
Understand the functions of the heart and lungs
Recognize when to begin CPR
Learn how to perform CPR
Know the conditions for stopping CPR
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Cardiopulmonary Resuscitation CPR-what is it?
Cardio = HEARTPulmonary = LUNGSResuscitate = REVIVE
Cardiopulmonary Resuscitation = Reviving the Heart and Lungs
CPR is a technique used in an emergency when a person’s heart has stopped beating and their breathing has stopped
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The Heart
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CARDIO = HEART Your heart has a simple, but important job.
Your heart is a big, strong muscle that expands and contracts more than 60 times a minute………..Without you even being aware of it!
It is automatically driven by electrical impulses and runs 24 hours a day, 7 days a week, with no vacation time!
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The Heart
The heart pumps blood containing oxygen, from the lungs to the rest of the body
If your heart stops pumping, oxygen does not reach vital organs and they stop working.
This is a true medical emergency!
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Reasons the Heart Will Stop
Heart attack Respiratory arrest Medical emergencies (Choking, poisoning, heat stroke,
etc.) Drowning or suffocation Trauma Bleeding Electric shock
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Pulmonary = Lungs
You breath about 15 to 25 times each minute, and every breath you take brings oxygen into your lungs and get rid of carbon dioxide
Your lungs function automatically just like your heart. You don’t have to think about breathing, it just happens!
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If your body stops bringing oxygen into your lungs, there are only a few minutes before cells start to die and brain damage results
Brain damage begins in four to six minutes and becomes irreversible in eight to ten minutes
Oxygen is vital!
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Without proper oxygen flow, red blood cells will die. With proper oxygen flow, red blood cells will be healthy.
Oxygen and cells
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CPR-how does it work? When the heart stops beating, oxygen is still
available in the blood, but the heart is not moving it around
CPR is a combination of simulating the breathing of the lungs and the beating of the heart
This is done by performing chest compressions to keep the blood going to the cells
These compressions provide oxygen for the blood and vital organs such as the lungs and brain 11
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The effectiveness of CPR 95% of sudden heart attack victims die
before they arrive at the hospital
CPR is effective only 30% of the time
Does this mean, you should not bother to do it?
NO! If you do nothing, there is a 0% chance of the victim’s survival
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When properly performed CPR simulates 40% of the body’s normal circulation
That is not enough to sustain life for a long time. YOUR job is to delay the start of cell death until medical help is available to perform advanced life support.
You should not expect CPR to restart a heart and have the victim pop back to life like is shown on TV!
CPR
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Chest Compressions
Manually compress the heart by pressing down on the chest. When you let up on the chest, the heart expands. The hope is that by compressing and expanding the heart, the blood flows through the it as designed.
Unfortunately, you don’t have an easy way to tell if the blood is flowing. You can’t feel for a pulse, or see results.
You just need to believe in your efforts!14
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Performing Cardiopulmonary
ResuscitationCPR
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Determine unresponsiveness
One Rescuer CPR
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Check for responsiveness Tap or gently shake the casualty.
Speak loud and ask, “Are you alright?”
Don’t slap the casualty’s face
Give bystander direction to call for an ambulance or yell for additional help
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• Head tilt/chin lift• Use Jaw thrust if suspected or
obvious trauma
Open the airway
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Open the airway
By lifting the chin, the area indicated by the arrow remains open
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Position of the rescuer’s head LOOK for rising chest LISTEN for sound of breathing FEEL breath against cheek
Look-listen-feel
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Feel for a Carotid Pulse
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One Rescuer CPR
NO breathing with pulse Begin Rescue Breathing
Breathing and pulse are present Place in recovery position Observe patient
NO breathing and NO pulse BEGIN CPR
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Use index finger Move finger along the rib cage
Expose the chest
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Let fingers come to rest at the “V” where the ribs come together
Use 2 fingers as guide for hand placement
Locate the compression site
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Put the heel of your other hand above the 2 fingers
Place hand on lower half of sternum
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Compression site
Place hand used as 2 finger guide over the bottom hand and interlace the fingers as indicated by the arrow
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Hand Placement for CPR
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Begin compressions using proper body position 3.75 - 5 cm deep 1.5 – 2 Inch deep
Right! Wrong!
Chest compressions
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One Rescuer CPR
Rate of compression – 100 per minute
DO NOT STOP UNLESS:
Someone takes over the compressions Medical help arrives The person starts to breath on his own You are too tired to continue
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Two Rescuer CPR
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Two Rescuer CPR
With two rescuers you can allow the second person to take over compressions, as you become tired
Communicate with the second rescuer so there is no interruption of compressions
Two rescuers allows CPR to be conducted longer
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What does CPR stand for?
CPR MEANS: SAVING A LIFE!!
CPR
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Review
Define CPR and describe what the technique involves
Explain the functions of the heart and lungs
Demonstrate proper and improper body/hand positions for CPR
Under what conditions would you begin CPR?
Demonstrate proper way of performing CPR
Demonstrate how to change rescuers during CPR
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Questions?