basic life support (based on aha guideline s 20 10) jajang sujana mail, dr., span
DESCRIPTION
Basic Life Support (Based on AHA Guideline s 20 10) Jajang Sujana Mail, dr., SpAn. Introduction. Latest guidelines AHA Guidelines 2010, many changes from guidelines 2005 Sudden cardiac arrest is a leading cause of death in Europe (700,000/year) - PowerPoint PPT PresentationTRANSCRIPT
Basic Life Support(Based on AHA Guidelines 2010)
Jajang Sujana Mail, dr., SpAn
Introduction
Latest guidelines AHA Guidelines 2010, many changes from guidelines
2005 Sudden cardiac arrest is a leading cause
of death in Europe (700,000/year) Early CPR + defibrillation can produce
survival as high as 49-75%!!!
Latar Belakang
Statistik RJP di USA :• Sistem Emergensi Medis Amerika menangani
sekitar 300.000 korban henti jantung di luar RS setiap tahun
• Kurang dari 8 % bertahan hidup• Kurang dari 30% menerima RJP orang terdekat.• RJP efektif yang dilakukan orang terdekat dapat
meningkatkan 2-3 x kemungkinan korban bertahan hidup.
Objective
The Student should be able to; Know about Chain of Survival Know about Basic Life Support steps Perform a CPR (cardiopulmonary
resuscitation) adequately
AHA ECC Adult Chain of Survival
1. Immediate recognition of cardiac arrest and activation f the emergency response system
2. Early CPR with an emphasis on chest compressions3. Rapid defibrillation4. Effective advance life support5. Integrated post-cardiac arrest care
Steps AHA Guidelines 2010Steps AHA Guidelines 2005
Alertness1
Airway2
Breathing3
Circulation4
Defibrillation5
Simplified Adult BLS
Alertness Make sure the scene is safe Check for response tap the victim on the
shoulder and ask, "Are you all right?"
1. SAFETY FIRST
Are the victim andbystanders safe?
o Needleso Dangerous traffico Slopeo Electric live circuito Personal safety:
Gloves, glasses, gown
2. CHECK VICTIM FOR RESPONSE
Be in visual field of victim
Gently shakeor tap the victim on
the shoulder
Ask:‘Are you all right?’
3a. IF RESPONDS
Leave the person in position you found him/her unless any danger present
Reassess often
Find out what’s wrong
3b. IF NO RESPONSE
SHOUT FOR HELP If no response,
activate emergency system
Tell about location, what happened, number and condition of victims, and type of aid provided
Call for Help
118 RUMAH SAKIT RSUP Hasan Sadikin: (022) 2034953, 55 (022) 203 7066
Instalasi Gawat Darurat / Emergency (022) 2551198, 2551191 Paviliun Parahyangan (022) 2031440, 2035986 Paviliun Anggrek (022) 2014545, 088820006011
RS Muhammadiyah : 022 730 1062 RSI Al Islam : 022 755 5588 RS Mata Cicendo ; 022 423 1280 RS Jiwa Bandung : 022 420 3651 RS Advent : 022 203 8008 RS Immanuel : 022 520 1656 RS St. Yusuf : 022 727 9860 RS St. Borromeus : 022 255 2081 RS Sartika Asih : 022 522 9544 RS Rotinsulu : 022 203 4446
Patient Position
Turn the victim onto his back if not already in that position
Make sure there is no obvious trauma to cervical spine
Place the victim on a hard surface in supine position
If an unresponsive victim is face down (prone), roll the victim to a supine position
Circulation
Check pulse on carotid artery (near side) not more than 10 seconds
Circulation If there is no pulse, compress the chest (at
least 100 compressions per minute) Rescuer kneeling beside the victim’s
thorax
Circulation Place the heel of the hand on the sternum Place the heel of the second hand on top
of the first hand Interlock fingers
Circulation Compression-ventilation ratio of 30:2 5 cycles Depth at least 2’in or 5 cm Complete chest recoil
Airway
Head tilt-chin lift maneuver to open the airway of a victim without evidence of head or neck trauma
Airway Suspects a cervical
spine injury, open the airway using a jaw thrust without head extension
Breathing
No more Look, listen, and feel for breathing
Methods:Mouth to MouthMouth to Nose
PREPARE AIRWAY
Close the nasal airway using your index finger and thumb of your hand on the forehead
Maintain chin lift Take a normal breath Make a seal with your
lips
GIVE BREATHS 2x
Blow for 1sec steadily (rather than 2sec)
Give 1 breath every 5-6 sec
Watch from the corner of your eye the chest rising
Maintaining head tilt and chin lift, take your mouth away and watch the chest fall
IF NO CHEST RISING
DON’T PANIC If at initial attempt no chest rise:1. Check victim’s mouth and remove any
visible obstruction2. Recheck adequate head tilt and chin lift3. Do not try more breaths than 2 before
coming back to chest compressions
Re-evaluation
Re-evaluate every 5 cycles Victim with palpable pulses requires
support of ventilation, give rescue breaths at a rate of 10 to 12 breaths per minute
Each breath should be given in 1 second Reassess the pulse every 2 minutes
Key BLS Components for Adult, Children, and Infants3
Key BLS Components for Adult, Children, and Infants3
QUESTIONS?
HATUR NUHUN