BASIC LIFE SUPPORTAnita F. Lopes,BSN,MSN,RN

HISTORY

NEW 2010 GUIDELINESCPR TO CPCR

CARDIAC ARRESTIt is the absolute cessation of mechanical activity of the heart, characterised by

UnresponsivenessAbsence of detectable pulseApnea or agonal breathing

ADULT CHAIN OF SURVIVAL

PAEDIATRIC CHAIN OF SURVIVAL

STEP 1Check unresponsiveness

Step 2Call for help

Step 3Check pulse, if absent start CPCR

Not less then 5 secs and not more than 10 secs

Components of high quality CPRPush hard Adults- at least 2 inchesChildren- at least 2 inchesInfants- 1 and half inchPush fast- at least 100 compressions/ minAt the ratio of 30:2Minimize interruptionsAllow adequate chest recoilAvoid hyperventilation

Chest Recoil

ONE RESCUER30:2

TWO RESCUER15:2

Ratio of Chest compressions and Breathes

CHECK PULSEABSENT OR LESS THAN 60

CHECK THE BRACHIAL PULSE

For PALS : Chest compression techniquesTWO FINGER METHOD

THUMB METHOD

Step 4Provide two rescue breaths

Airway Management- outside hospital

Open the airwayHead tilt-chin liftJaw thrust

Airway- in the hospital EC technique

Attach defibrillatorAnalyze the rhythm

EARLY DEFIBRILLATION

Shockable rhythms- VENTRICULAR FIBRILLATION

Non shockable rhythm

CONTINUE CPR FOR 2 MINS

SIGNS OF ROSC (Return of Spontaneous circulation)

PROVIDE RECOVERY POSITION

CONTINUOUS MONITORING

ADEQUATE OXYGENATION

POST CARDIAC CARE- INDUCE HYPOTHERMIA

Recovery Position

THANK YOU