cpr aha2010
TRANSCRIPT
-
8/9/2019 Cpr Aha2010
1/18
Agus Harsoyo, MDCardiovascular Intervensionist and Electrophysiology Intervensionist
Department of Cardiology
Gatot Soebroto Army Center Hopital
a!arta"#$$
%he "#$# American Heart AssociationGuidelines for Cardiopulmonary
&esuscitation 'C(&)
1
-
8/9/2019 Cpr Aha2010
2/18
Chain of Survival
Immediate recognition of cardiac arrestand activation of the emergency response
system Early C(& that emphasi*es chest
compressions &apid de+brillation if indicated
Eective advanced life support Integrated post- cardiac arrest care (Travers, et al. Circulation. 2010;122;S676-S684),
2010 Guidelines) Chain of Survival./ 0or adultsthey include1
2
-
8/9/2019 Cpr Aha2010
3/18
Activation of Emergency ResponseSystem
2010 Guidelines (New) %he
healthcare provider should chec! forresponse 2hile loo!ing at the patient todetermine if breathing is absent or notnormal. %he provider should suspectcardiac arrest if the victim is notbreathing or only gasping,
3
-
8/9/2019 Cpr Aha2010
4/18
Change in C! Se"uence# C-$-%!ather Than $-%-C
4
-
8/9/2019 Cpr Aha2010
5/18
In CAB chest compression will initiatedsooner and ventilation only minimally
delayed until completion of the rstcycle of chest compression! ("0compression should #e accomplish inappro$imately1% seconds)!
&ewer than '0 of person in CardiacArrest receive #ystander C*! Startin+with Compressions mi+ht ensure that
more victim receive C* and that recuerswho are unwillin+ to provide ventilationswill at least perform cheast compressions
5
-
8/9/2019 Cpr Aha2010
6/18
,he vast ma-ority of cardiac arrest occur inadults with winessed arrest are patients
with .& (ventricular #rillation) or pulsessventricular tachycardia (.,)!
In these patients the critical initial
elements of C* are chest compression andearly de#rilation/
In the ABC seuence chest compression are
often delayed when the responder +ivemouth to mouth #reaths or retrieves a#arrier device or other ventilationeuipment/
6
-
8/9/2019 Cpr Aha2010
7/18
CricoidPressure 2010 Guidelines New:%he routine
use of cricoid pressure in cardiac arrestis notrecommended
7
-
8/9/2019 Cpr Aha2010
8/18
Emphasis on High-ua!ityCPR
2010 Guidelines (New)
%o provide eective chest compressions, push hard and push fast. compress the adult chest at a rate of at least $##
compressions per minute 2ith a compression depth of atleast " inches34 cm.
allo2 complete recoil 5ot trained in C(&, the bystander should provide Hands6
7nly 'compression6only) 0or %he HC(, chest compressions and rescue breaths
for cardiac arrest victims(%erg, et al. Circulation. 2010;122;S68&-S70&).
8
-
8/9/2019 Cpr Aha2010
9/18
Compression HandPosition
Compression Hand Position (2010Guidelines New)%he rescuer shouldplace the heel of one hand on the center'middle) of the victim/s chest '2hich is the
lo2er half of the sternum) and the heel ofthe other hand on top of the +rst so thatthe hands are verlapped and parallel(Circulation. 200&; 112# '1-'*4)
9
-
8/9/2019 Cpr Aha2010
10/18
Compression *ate
Compression *ate (Guidelines 2010) compress theadult chest at a rate of at least $## compressions 3mnt
compression depth of at least " inches '4 cm.), *ationale &or Chan+e higher survival rates 2ith an increase in the number of
compressions provided per minute. (%erg, et al. Circulation.2010;122;S68&-S70&)
ChildInfant Compression *ate (2010 Guidelines3ew) (ush fast8 push at a rate of at least $##compressions per minute,
for Compression Depth (ush hard/1 push 2ith su9cientforce to depress at least one third the anterior6posterior'A() diameter of the chest or appro:imately $ ; inches '