PRESENTATION ON:

CARDIO PULMONARY
RESUSCITATION

PRESENTED BY:
Arun Mathur
Asist, prof. anaesthesia
Brijesh bhardwaj
o.T coordinator and incharge
INTRODUCTION

CARDIO PULMONARY RESUSCITATION

Cardio pulmonary resuscitation is a technique of basic life

support for the purpose of oxygenating the brain and heart
until appropriate, definitive medical treatment can restore
normal heart and ventilator action.
Purpose of cpr
 To maintain blood circulation (c)

 To maintain an open and clear airway (a)

 To maintain by artificial breathing (b)

 To provide basic life support till medical

and advanced life support arrives
Time is Critical!

 Brain damage begins

in 4–6 min
 Brain damage
irreversible in 8–10
min

Circulation must be
restored within 4– 6
minutes.
Diagnosis of cardiac arrest (TRIAD):

1) Loss of consciousness.

2) Loss of apical & central pulsations (carotid,

femoral).

3) Apnea.

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 terminologies
Bls Ventilation
Acls Ventricular
Defibrillation fibrillation.
Aed Ventricular
tachycardia
Asystole and pea
 What is basic life support (BLS)?
It is life support without the use of special
equipment.

 What is Advanced Life Support (ACLS)?

It is life support with the use of special
equipments (eg. Airway, endotracheal tube,
defibrillator).

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What’ Is BLS?
• Includes

• Recognition of cardiac arrest.

• Activation of the Emergency System.

• Cardiopulmonary Resuscitation (CPR).

• Defibrillation with Automated External

Defibrillator (AED).
 Why BLS?

 Limit hypoxic damage.

 Maximizes the chance for ALS to restore spontaneous

breathing and circulation.
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3 October 2018 12
CHAIN OF SURVIVAL
BLS STEP FOR ADULT (AHA)
Step 1. Assessment and
scene safety
Make sure the scene is safe for
the rescuer and the victim
Tap the victim’s shoulder and
shout, “are you all right”?
Check to see if the victim is
breathing.
STEP 2. ACTIVATE THE EMERGENCY
RESPONSE SYSTEM AND GET AN AED

 If The Rescuer Is Alone And Find An

Unresponsive Victim Not Breathing, Shout For
Help.

 If No One Responds, Activate The Emergency

Response System, Get An AED If Available And
The Return To The Victim
STEP 3. PULSE CHECK.
Palpate The Carotid Pulse
If You Do Not Definitely Feel A
Pulse
Within 10 Second ( For At Least 5
But
Not More Than 10sec), Start Chest
Compression
STEP 4: CHEST COMPRESSION
AND BREATH
 Compression Ventilation Ratio 30:2
 Put The Heel Of One Hand On The Centre Of
The Victim’s Chest On The Lower Half Of The
Breastbone And The Heel Of The Other Hand
On Top Of The First Hand.
 Straighten Your Arms, Your Shoulders Directly
Over Your Hand.
 Push Hard And Fast (1oo-120/Min At A
Depth Of Atleast 5cm (2inch) While Avoiding
Excessive Chest Compression Depths Greater
3 October 2018 19
 +

30 2 20
5. Opening The
Airway For Breath:
Head Tilt Chin Lift:
Head tilt, chin lift + jaw thrust
6.WAY OF DELIVERING
BREATH:
 MOUTH TO MOUTH BREATHING
 MOUTH TO BARRIER DEVICE
BREATHING:
MOUTH TO MASK ( 1 RESCUER)
BAG MASK DEVICE ( 2 RESCUER)
STEP 5. AED/ DEFEBRILLATOR.
 POWER ON THE AED
 ATTACH AED PADS TO THE VICTIMS BARE
CHEST
 PLACE ONE AED PAD ON THE VICTIMS
UPPER RIGHT CHEST (DIRECTLY BELOW
THE COLLAR BONE)
 OTHER PAD TO THE SIDE OF THE LEFTT
NIPPLE, A FEW CENTIMITRES BELOW THE
ARMPIT
BLS FOR CHILDREN FROM 1YR OF
AGE TO PUBERTY:
 PULSE– CAROTID OR FEMORAL PULSE.
 COMPRESSION VENTILATION RATIO
1 RESCUER – 30: 2; AND 2 RESCUER– 15:2
 COMPRSSION DEPTH: APPROXIMATELY
5CM
 COMPRESSION TECHNIQUE MAY USE 1 OR
2 HANDED CHEST COMPRESSION.
FOR INFANT:
 PULSE: BRACHIAL ARTERY
 TECHNIQUE OF DELIVERING COMPRESSION
SINGLE RESCUER: TWO FINGER
TWO RESCUER : THUMB ENCIRCLING HAND
TECHNIQUE.
 COMPRESSION VENTILATION RATIO
1 RESCUER – 30: 2; AND 2 RESCUER– 15:2
 COMPRSSION DEPTH: APPROXIMATELY 4CM
BLS FOR CHILDREN FROM 1YR
OF AGE TO PUBERTY:
 PULSE– CAROTID OR FEMORAL PULSE.
 COMPRESSION VENTILATION RATIO
1 RESCUER – 30: 2; AND 2 RESCUER– 15:2
 COMPRSSION DEPTH: APPROXIMATELY
5CM
 COMPRESSION TECHNIQUE MAY USE 1 OR
2 HANDED CHEST COMPRESSION.
 WHEN TO ACTIVATE EMERGENCY
RESPONSE SYSTEM:
 IF YOU DID NOT WITNESS THE ARREST
AND ARE ALONE, PROVIDE 2MIN OF CPR
BEFORE LEAVING THE CHILD TO
ACTIVATE ERS AND GET THE AED.
 IF THE ARREST IS SUDDEN AND
WITNESSED LEAVE THE CHILD TO
ACTIVATE THE EMERGENCY RESPONSE
SYSTEM AND GET THE AED.