Senin 14 Desember 2020

Bantuan Hidup Dasar

Update of 2020 AHA Guidelines
Ns. Muhamad Adam, M.Kep, Sp.KMB
Prodi DIII Keperawatan
Update Kegawatdaruratan Jurusan Keperawatan
Disampaikan dalam Workshop AHA 2020 di Masa Pandemi Poltekkes Tanjung Karang
Ns. Muhamad Adam, M.Kep, Sp.KMB
Lahir di Pangkep, Sulawesi Selatan, 30 Maret 1984.
Berdomisili di Cyber Orchid Town House, Blok A12, Depok

Riwayat Pekerjaan
- Clinical Care Manager IGD RSUI (2018 – sekarang)
- Dosen Departemen KMB FIK UI (2013 – sekarang)
- Perawat IGD RSCM (2016 – 2017)

Riwayat Organisasi
- Anggota DPP PPNI, Bidang Diklat (2018 – sekarang)
- Tim Satgas COVID-19 DPP PPNI (2020)
- Tim Penyusun SDKI, SLKI, SIKI PPNI (2016 – sekarang)
- Pengurus Pusat HIPGABI (2010 – 2018)

Riwayat Pendidikan
- M.Kep dan Sp.KMB (Kardiovaskuler) di FIK UI (2009 – 2012)
- S.Kep dan Ners di PSIK Unhas Makassar (2002 – 2007)
 Chain of Survival (Rantai Bertahan
Hidup)
Lingkup
Bahasan Langkah-Langkah BHD

Rekomendasi Pedoman AHA 2020

muhamad.adam31@ui.ac.id
Ringkasan Pedoman

muhamad.adam31@ui.ac.id
Versi Inggris dapat diunduh di: Versi Indonesia dapat diunduh di:
https://cpr.heart.org/-/media/cpr-files/cpr-guidelines- https://cpr.heart.org/-/media/cpr-files/cpr-guidelines-
files/highlights/hghlghts_2020_ecc_guidelines.pdf files/highlights/hghlghts_2020eccguidelines_indonesian.pdf
Pedoman
memuat 5 topik

muhamad.adam31@ui.ac.id
 Bantuan Hidup
Dewasa Dasar dan
Lanjut

Sumber:
Panchal et al (2020). Part 3: Adult Basic and Advanced Life
Support, 2020 American Heart Association Guidelines for
Cardiovascular Resuscitation and Emergency Cardiovascular
Care. Circulation, 142, 16, S366–S468
https://www.ahajournals.org/doi/pdf/10.1161/CIR.0000000000
000916

muhamad.adam31@ui.ac.id
 NEW IN

Chain of Survival (Rantai Bertahan Hidup)

Intrahospital
2020

Update
Ditambahkan
rantai keenam
Pemulihan
(Recovery)
Outhospital

muhamad.adam31@ui.ac.id
 REAFFIRMED IN
Algoritma BHD Dewasa 2015 2020 2020

muhamad.adam31@ui.ac.id
 REAFFIRMED IN

Langkah-Langkah Bantuan Hidup Dasar 2020

2020 AHA Guidelines

D
Danger
R
Response
S
Shout for help
C
Circulation
A
Airway
B
Breathing

muhamad.adam31@ui.ac.id
 REAFFIRMED IN

2020
Langkah-Langkah
Cek Respons Meminta Pertolongan
Resusitasi Jantung Paru
CEK NAPAS & NADI Napas (+) Nadi (+)
Secara bersamaan (<10 detik)
Napas (-)

Nadi (+)
Napas (-)
Nadi (-)

30 kompresi : 2 napas 1 napas tiap 6 detik Recovery Position

2 menit Evaluasi tiap 2 menit
2 menit

muhamad.adam31@ui.ac.id
Rekomendasi Pedoman
Didasarkan pada:
• Class of Recommendations (COR)

COR

LOE
KEKUATAN

KUALITAS
Menggambarkan besarnya
manfaat atas risiko
• Level of Evidence (LOE)
Menggambarkan kepercayaan
atau kepastian bukti yang
mendukung rekomendasi
Sumber:
Applying Class of Recommendations and Level of Evidence to Clinical Strategies, Interventions, Treatments, or Diagnostic
Testing in Patient Care (Updated May 2019)
https://cpr.heart.org/en/resuscitation-science/cpr-and-ecc-guidelines/tables/applying-class-of-recommendation-and-level-of-evidence

muhamad.adam31@ui.ac.id
Class of Recommendation (COE)

Sumber: Applying Class of Recommendations and Level of Evidence to Clinical

Strategies, Interventions, Treatments, or Diagnostic Testing in Patient Care (Updated
May 2019)*. https://cpr.heart.org/en/resuscitation-science/cpr-and-ecc-
guidelines/tables/applying-class-of-recommendation-and-level-of-evidence
Level of Evidence (LOE)

Sumber:
Applying Class of Recommendations and Level of Evidence to Clinical Strategies,
Interventions, Treatments, or Diagnostic Testing in Patient Care (Updated May 2019)*
https://cpr.heart.org/en/resuscitation-science/cpr-and-ecc-guidelines/tables/applying-class-of-
recommendation-and-level-of-evidence

muhamad.adam31@ui.ac.id
 REAFFIRMED IN

Rekomendasi-Rekomendasi 2020
Pedoman AHA 2020

Sumber:
Panchal et al (2020). Part 3: Adult Basic and Advanced Life Support, 2020 American Heart
Association Guidelines for Cardiovascular Resuscitation and Emergency Cardiovascular Care.
Circulation, 142, 16, S366–S468
https://www.ahajournals.org/doi/pdf/10.1161/CIR.0000000000000916

muhamad.adam31@ui.ac.id
 REAFFIRMED IN
Rekomendasi-Rekomendasi Pedoman AHA 2020 (Lanjutan)
2020

sternum
Posisi tangan pada
lower half of sternum

Sumber:
Panchal et al (2020). Part 3: Adult Basic and Advanced Life Support, 2020 American Heart Association Guidelines for Cardiovascular Resuscitation and Emergency Cardiovascular Care.

muhamad.adam31@ui.ac.id
Circulation, 142, 16, S366–S468 https://www.ahajournals.org/doi/pdf/10.1161/CIR.0000000000000916
 REAFFIRMED IN
Rekomendasi-Rekomendasi Pedoman AHA 2020 (Lanjutan)
2020

Sumber:
Panchal et al (2020). Part 3: Adult Basic and Advanced Life Support, 2020 American Heart Association Guidelines for Cardiovascular Resuscitation
and Emergency Cardiovascular Care. Circulation, 142, 16, S366–S468 https://www.ahajournals.org/doi/pdf/10.1161/CIR.0000000000000916

muhamad.adam31@ui.ac.id
 NEW IN
Rekomendasi-Rekomendasi Pedoman AHA 2020 (Lanjutan)
2020

muhamad.adam31@ui.ac.id
 REAFFIRMED IN
Rekomendasi-Rekomendasi Pedoman AHA 2020 (Lanjutan)
2020

Sumber:
Panchal et al (2020). Part 3: Adult Basic and Advanced Life Support, 2020 American Heart
Association Guidelines for Cardiovascular Resuscitation and Emergency Cardiovascular Care.
Circulation, 142, 16, S366–S468

muhamad.adam31@ui.ac.id
https://www.ahajournals.org/doi/pdf/10.1161/CIR.0000000000000916
 Mulai kompresi dalam 10 detik
RJP Bekualitas
High Quality CPR Push hard, push fast

Berikan complete chest recoil

Minimalkan interupsi

Berikan bantuan napas efektif

Hindari ventilasi berlebihan

muhamad.adam31@ui.ac.id
 AUTOMATIC DEFIBRILLATION DEVICE (AED)

Alat untuk memberikan kejutan

(shock) listrik pada henti jantung
secara otomatis

muhamad.adam31@ui.ac.id
RJP Dihentikan
Sirkulasi &
Penolong
Ventilasi
kelelahan
Spontan

STOP !!! • Kaku Mayat

1

2
• Lebam Mayat

DNR (Do Not Tanda 3

• Pupil Lebar

Resuscitation) Kematian 4
• Refleks Cahaya (-)

muhamad.adam31@ui.ac.id
Komplikasi RJP
Akibat Bantuan Napas Akibat Kompresi

Inflasi gaster Fraktur iga

Regurgitasi Pneumothorak

Hemothoraks

Kontusio Paru

Laserasi hati & limpa

muhamad.adam31@ui.ac.id
 NEW IN
Algoritma Kegawatdaruratan Akibat Opioid
untuk Penolong Awam (Lay Responder)
2020
Penolong awam terlatih
harus memberikan kompresi
dan bantuan napas. Jika
tidak terlatih maka penolong
memberikan RJP Tangan
(Hands-Only CPR)
Naloxone adalah obat yang
digunakan untuk mencegah dan
mengatasi overdosis opioid (seperti
morfin, heroin, dll).

Naloxone bekerja dengan

menghalangi obat masuk ke dalam
jaringan tubuh dan membalikkan
efek racun akibat overdosis.
muhamad.adam31@ui.ac.id
 NEW IN
Algoritma Kegawatdaruratan Akibat Opioid untuk
Penolong Tenaga Kesehatan (Healthcare Provider)
2020
Penolong tenaga kesehatan
memberikan kompresi dada dan
bantuan napas. Penolong tenaga
kesehatan memeriksa nadi
karotis untuk memastikan kondisi
henti jantung.

muhamad.adam31@ui.ac.id
Naloxone
muhamad.adam31@ui.ac.id
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