WHAT IS CPR? AGE DEFINITION CHAIN OF SURVIVAL CRITICAL CONCEPTS DIFF B/W CARDIAC ARREST AND HEART RATE? BLS ALGORITHM ASSESSMENT CAB AED

1. Topic :- BASIC LIFE SUPPORT
Dr Rahul JainDr Sharda Jain
for Gynaecologist & Surgery Specialist

2. Over 400 ppts are available on
slideshare.net ***for use of public/Doctors
www.slideshare.net / Lifecarecentre

3. CONTENTS-
• WHAT IS CPR?
• AGE DEFINITION
• CHAIN OF SURVIVAL
• CRITICAL CONCEPTS
• DIFF B/W CARDIAC ARREST AND HEART RATE?
• BLS ALGORITHM
• ASSESSMENT
• CAB
• AED

4. WHAT IS CPR?
• CPR IS A LIFESAVING PROCEDURE FOR VICTIM
WHO SHOWS SIGN OF CARDIAC ARREST
• CARDIAC ARREST SIGNS-UNRESPONSIVE
STATE,NO PULSE,NO BREATHING
• COMPONENTS-CHEST COMPRESSION AND
BREATHS

5. AGE DEFINITIONS(BLS)-
• ADULT-ADOLESCENTS AND OLDER
• CHILDREN-1YR OF AGE TO PUBERTY
• INFANT- <1 YR OF AGE (EXCLUDING NEONATES)

6. CHAIN OF SURVIVAL-

7. • IN HOSPITAL CARDIAC ARREST-
1. SURVEILLANCE,PREVENTION,TREATMENT OF
PREARREST CONDITIONS
2. IMMEDIATE RECOGNITION AND ACTIVATION OF
EMS
3. EARLY CPR
4. RAPID DEFIBRILLATION
5. MULTIDISCIPLINARY POST CARDIAC ARREST CARE
• OUT OF HOSPITAL CARDIAC ARREST-
1. IMMEDIATE RECOGNITION AND ACTIVATION OF
EMS
2. EARLY CPR
3. RAPID DEFIBRILLATION
4. EFFECTIVE ADVANCED LIFE SUPPORT
5. MULTIDISCIPLINARY POST CARDIAC ARREST CARE

8. CRITICAL CONCEPTS-
• START COMPRESSION WITHIN 10 SECONDS OF
RECOGNITION OF CARDIAC ARREST
• PUSH HARD,PUSH FAST
1. RATE OF COMPRESSION~100-120/MIN
2. DEPTH=5CM (ONE THIRD THE DEPTH OF
CHEST)4 CM IN CHILDREN
3. ALLOW COMPLETE CHEST RECOIL AFTER EACH
COMPRESSION
4. GIVE EFFECTIVE BREATHS THAT MAKE THE
CHEST RISE.

9. DIFFERENCE BETWEEN CARDIAC
ARREST AND HEART ATTACK?

10. BUILDING BLOCKS OF CPR-

11. MAIN COMPONENTS OF CPR-
• CHEST COMPRESSIONS
• AIRWAY
• BREATHING

13. SCENE SAFETY-
• IF VICTIM COLLAPSED IN BURNING BUILDING
• MIDDLE OF BUSY ROAD
• DROWNING

14. ASSESSING RESPONSE
,BREATHING AND PULSE?
• TAP THE VICTIM’S SHOULDER AND SHOUT
“ARE YOU OK?”
• IF PATIENT UNRESPONSIVE SHOUT FOR
HELP
• ACTIVATE EMS
• ASSESS BREATHING AND PULSE
• IF YOU ARE ALONE ACTIVATE EMS FIRST
BEFORE STARTING CPR.

15. COMPRESSIONS-
• COMPRESSION VENTILATION RATIO- 30:2
• COMPRESS AT LEAST 5 CMS
• PLACEMENT-LOWER STERNUM
• CHEST COMPRESSION RATE-100-120BPM
• VICTIM SHOULD BE ON FLAT,FIRM SURFACE
WITH FACE UP

16. AIRWAY-
• HEAD TILT-CHIN LIFT
• JAW THRUST

17. BREATHS-
• DELIVER EACH BREATH OVER 1 SECOND
• NOTE VISIBLE CHEST RISE WITH EACH BREATH
• RESUME CHEST COMPRESSIONS IN LESS THAN
10 SECONDS
• USE POCKET MASK OR BAG MASK
VENTILATION OR MOUTH TO MOUTH
• E-C TECHNIQUE

18. AUTOMATIC EXTERNAL
DEFIBRILLATOR-
• OPEN THE CARRING CASE(POWER ON THE
AED)
• ATTACH’S AED PADS TO VICTIM’S BARE CHEST.
• CLEAR THE VICTIM
AND ALLOW AED
TO ANALYZE THE
RHYTHM
• IF AED ADVISES SHOCK
CLEAR THE PATIENT

19. SUMMARY

20. CASE DISCUSSION AND STEPS-
• MR KAKA,60YRS OLD MALE COLLAPSES ON
ROAD,NEXT STEP?

21. NEXT STEP-
• ASSESS PULSE,BREATHING>NO PULSE
• ATTACH AED IF AVAILABLE
• START HIGH QUALITY CPR TILL HELP ARRIVES

22. DEMONSTRATION VIDEO