INTRODUCTION
CPR CARDIOPULMONARY RESUSITATION BASE ON THE CHAIN OF SURVIVOR - early Recognition and call for help (EMS) - early CPR - early defibrillation - early Advance Care and Post Resuscitation care
Objective
To refresh our knowlegde and skill regarding CPR To highlight the major change of the CPR based on ILCOR guideline 2005
Modules
1 man CPR 2 man CPR Adult upper airway obstruction (choking)
Major changes
CPR consists of 30 chest compressions with 2 breaths To complete 5 cycles within 2 min which end in 2 breaths before checking the pulse If advance airway inserted, no more synchronization between cardiac compression and ventilation. Chest compression 100/min, ventilation 8-10 breaths/ min (6-8sec/breath)
Adult choking
Abdominal Thrust
Chest Thrust
Attempt to ventilate
Check pulse
Chest compression
Ventilate
Recovery Position
Recovery position
Main purpose: To maintain the patency of the airway & prevent aspiration in a non-trauma patient while waiting for the ambulance after patient successfully resuscitated
Paddle position
3. No physiological benefit can be expected because vital functions have deteriorated despite maximal therapy (eg, progressive septic or cardiogenic shock)
3. Reliable criteria indicating irreversible death are present 4. The rescuer is unable to continue because of exhaustion or 5. the presence of dangerous environmental hazards or because continuation of resuscitative efforts places other lives in jeopardy. 6. A valid DNAR order is presented to rescuers.
Thank you