bhjd dan bhjl
TRANSCRIPT
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BHJD DANBHJLSyukran
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BHJD
Tujuan :
Membantu atau mengembalikan oksigenisasi,
ventilasi dan sirkulasi yg efektif hingga kembalinya
sirkulasi spontan atau intervensi BHJL dapat
dilakukan
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Universal Algorithm CPR 2010
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NEWSEQUENCEFOR2010
Chest compressions, Airway, Breathing(CAB) is the new order of
operations from American Heart Association.
This applies for adults, pediatrics and infants, excluding newborns.
Newborn arrest are most likely respiratory and should use the ABC
sequence.
Adult Chain of Survival.
Call forhelp
ChestCompressi
on
Defibrillation
AdvancedLife
Support
Post-Cardiac
arrest Care
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RATIONALEOFCHANGES2010
A large number of witnessed cardiac arrest are patients going into a
ventricular fibrillation, or pulseless ventricular tachycardia. Early
chest compressions and defibrillation are key components to the
patients survival.
The CAB method allows the responder to save time, and provide
blood flow to the heart muscle quickly.
A lay person is more likely to give CPR if chest compressions are the
priority.
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Rescuer Proficiency
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BLS Adult Algorithm
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Algoritma nakes 2010
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BASICLIFESUPPORT
Hands-Only (Compressions only) CPR for the untrained lay
person. Can be guided by dispatcher on the phone.
Start chest compression beforeopening the airway. CAB. Allowing the chest to recoilbetween compressions with a depth
of 2 inches. Rate of 100/min.
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CARDIOPULMONARYRESUSCITATIONAND
EMERGENCYCARDIOVASCULARCARE Any unnecessary interruptions in chest compressions, decreases the
effectiveness of the CPR. CPR should be continued until return of
spontaneous circulation (ROSC) or termination of resuscitative efforts.
Healthcare providers should take no longer than a 10 secondpulse
check to determine if pulses are present.
Chest compression and rescue breathing at a rate of 30:2.
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ROLEOFTHELAYPERSONRESCUER Initial recognition of the victim is imperative to quick treatment. A
patient having a cardiac arrest may have gasping respirationsor even
have seizure like activity. The rescuer should learn through training
these are atypical presentations of a cardiac arrest and alert responders
to these findings. Lay persons should call EMS when finding unconscious victim and
should not attempt to check for a pulse. The lay person should
assume that the victim is in a cardiac arrest; 1. suddenly collapses, 2.
person is unresponsive, and 3. not breathing normally or not at all.
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CPR DEVICESANDTECHNIQUES No device other than the defibrillator has proven
to have long-term survival from in the field
cardiac arrest.
Electrical Therapies-Pacing in bradycardia,
cardioversion and defibrillation for symptomatictachycardia are all proven methods to help the
chain of survival. No precordial thump.
CPR prior to defibrillation improves outcomes
in cardiac arrest.
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JANGAN MENJADI KORBAN
BERIKUTNYA !
Lingkungan
Penolong
Korban
Orang2 disekitar
Periksa kesadaran
Panggil bantuan /telpon ambulans
Kompresi jantung + nafasbuatan (30 : 2)
Evaluasi setiap 2 menit,cek nafas &sirkulasi
Jangan hentikan 30:2sampai ada indikasi stop BHD
Pastikan keamanan
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KOMPRESI DADA
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DepartemenAnestesiologiRSU
PFatmawati Letakkan pangkal telapak
tangan di pertengahan bawah
tulang dada
Letakkan tangan yang lain
diatas punggung tangan yangsatunya
Jari-jari boleh dikepal atau
dibuka
Kompresi dada Laju kompresi 100x per menit
Kedalaman 4-5 cm
Kompresi konstan diselingi relaksasi
Jika mungkin, bergantian
kompresi setiap 2 menit
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LANJUTKAN BHD
30 2
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DepartemenAnestesiologiRSU
PFatmawati
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EVALUASI
Periksa apakah ada tanda-tandasirkulasi:
BergerakBernafas
Batuk
dll
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RJP DIHENTIKANBILA:
Penolong sudah memberikan pertolongansecara penuh yaitu meliputi BHJD dan BHJL
Penolong sudah mempertimbangkan apakah pada
pasien terdapat hipotermiaPenolong sudah mempertimbangkan apakah
pasien terpapar bahan beracun atau overdosisobat yg akan menghambat sistem saraf pusat.
Adanyaasistol yg lebih dari 10 menit Interval waktu usaha resusitasi pada henti jantung
disaksikan yg tdk dpt mengembalikan sirkulasispontan adalah 25-30 menit.
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RJP TIDAKDILAKUKANBILA:
Kejadian henti jantung yg disaksikan
Permintaan keluarga
Usaha RJP membahayakan penolong
Kemungkinan RJP dapat mengembalikan sirkulasi
spontan dgn kualitas hidup yg dpt diterima sangatkecil
Henti jantungsetelah usahan terapi yg maksimal
untuk proses penyakit terminal
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RJP TIDAKDILAKUKANBILA:
Kejadian henti jantung tidak disaksikan
Adatanda kematian
Sudah ada tanda-tanda pembusukan
Penderita mengalami trauma yg tdk bisa
diselamatkanseperti hangus terbakar.
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JIKA KORBAN MULAI BERNAFAS
NORMALLAGI, TEMPATKAN
DALAM POSISI RECOVERY
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REMEMBER!!!
Push hard, push fast,
full chest recoil,
minimize interruptions
in CPR!
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