Download Free Medical CARDIOPULMONARY RESUSCITATION PowerPoint Presentation

CARDIOPULMONARY RESUSCITATION PowerPoint Presentation

DOWNLOAD MEDICAL POWERPOINT PRESENTATION

About This Presentation

Description : Check out this medical presentation on Emergency Medical Services (EMS), which is titled "CARDIOPULMONARY RESUSCITATION", to know about cardiopulmonary resuscitation including cardiopulmonary brain resuscitation (CPBR) and cardiopulmonary cerebral resuscitation (CPCR).

Tags : Emergency Medical Services, EMS, cardiopulmonary resuscitation, cardiopulmonary brain resuscitation, CPBR, cardiopulmonary cerebral resuscitation, CPCR, CPR

Published on : Aug 06, 2021 | Views : 5865 | Downloads : 29

Shareable Url :

Embed Code :

Comment

Transcript

Slide 1-

DR SUJATA PROFESSOR DEPT.OF ANAESTHESIOLOGY &CRITICAL CARE UCMS & GTB HOSPITAL CARDIOPULMONARY RESUSCITATION
Slide 2-

CPBR/ CPCR CPR Cardiopulmonary brain resuscitation -CPBR Cardiopulmonary cerebral resuscitation-CPCR
Slide 3-

Goal Support & restore effective oxygenation, ventilation and circulation with return of intact neurological function. Intermediate Goal: Return of spontaneous circulation (ROSC)
Slide 4-

Approach BLS ( Basic Life Support) Primary survey. ACLS (Advanced Cardiovascular Life Support) Secondary survey
Slide 5-

Cardiopulmonary Resuscitation BLS ACLS PROLONGED LIFE SUPPORT A - Airway B - Breathing C - Circulation D- Defibrillation
Slide 6-

Does BLS work? BLS- maximum attention of public .MMajority(70-80%) of cardiac arrests Out-of-Hospital .Pre-hospital care –key factor ajority(70-80%) of cardiac arrests Out-of-Hospital .Pre-hospital care –key factor
Slide 7-

Adult Chain of Survival
Slide 8-

Early access Early CPR Early Defibrillation 1.Recognition of Early warning signs 2.Activation of Emergency Medical Services 3.Basic CPR 4.Defibrillation Early ACLS CHAIN OF SURVIVAL
Slide 9-

Before BLS Primary Survey Scene safety Check responsiveness Activate EMS and get AED Assess & Perform appropriate action. Performance of the action improves chances of survival and better neurological outcome
Slide 10-

Before BLS Primary Survey
Slide 11-

BLS Primary survey Support/ restore effective oxygenation, ventilation and circulation until ROSC or ACLS team takes over. No advanced interventions- airway tech./ drugs (use universal precautions) Early CPR and early defibrillation
Slide 12-

BLS Primary Survey….components
Slide 13-

Basic airway skills Head tilt- chin lift Jaw thrust without head extension (? Cx spine trauma) Mouth- to- mouth ventilation Mouth- to- nose ventilation Mouth- to- barrier device (pocket mask) Bag-mask ventilation
Slide 14-

AIRWAY BREATHING CIRCULATION DEFIBRILLATION A B C D
Slide 15-

Airway Head tilt, Chin lift, Jaw thrust AVOID HEAD TILT IF TRAUMA Keeping airway open- LOOK, LISTEN, FEEL LOOK LISTEN FEEL CHEST MOVEMENTS BREATH SOUNDS AIR FLOW RESP. RATE VOICE QUALITY CHEST MOVEMENTS CYANOSIS ABNORMAL SOUNDS TRACHEAL POSITION TRAUMA FLUID/BLOOD /VOMITING NOT MORE THAN 10 SECONDS
Slide 16-

BREATHING PRESENT RECOVERY POSITION AND TRANSPORT BREATHING ABSENT 2 EFFECTIVE RESCUE BREATHS SLOW BREATHS TIDAL VOL. 8-10 ml/kg Deliver in one sec. Rate- 10-12/min. Chest rise/ expand
Slide 17-

Assessing the victim 1-- Make sure the victim, any bystanders, and you are safe. 2-- Check the victim for a response. Shake shoulders gently Ask “Are you all right If he responds Leave as you find him. Find out what is wrong. Reassess regularly If he does not respond: Activate Code Blue and get AED 4 --Keeping the airway open, look, listen, and feel for normal breathing. OPEN AIRWAY Look, listen and feel for NORMAL breathing Do not confuse agonal breathing with NORMAL breathing
Slide 18-

Keeping the airway open, look, listen, and feel for normal breathing. ……OPEN AIRWAY
Slide 19-

Look, listen and feel for NORMAL breathing
Slide 20-

If he is breathing normally • Turn him into the recovery position • Send or go for help, or call for an ambulance. • Check for continued breathing.
Slide 21-

If he is not breathing normally Give 2 rescue breaths Pinch the nose Take a normal breath Place lips over mouth Blow until the chest rises Take about 1 second Allow chest to fall Repeat
Slide 22-

Chest Compressions Patient positioning: Firm and hard surface (ground, table/ hard bed) deflate air/ water mattresses. Rescuer's position: Level with patient, elbows vertically straight and locked, shoulders directly above the hands, heel of one palm over the other. Site : sternum in inter-mammary line. Depth: 11/2- 2 inches. Rate:100 per minute (5 cycles of 30:2-C:V over 2 min.). Allow complete chest recoil.
Slide 23-

CHEST COMPRESSIONS 30 CHEST COMPRESSIONS
Slide 24-

Hands off- time Less than 10 sec. Specific interventions: defibrillation, advanced airway, moving the patient. Avoid : Prolonged rhythm analysis Frequent pulse checks Too long breaths Unnecessary moving the pt.
Slide 25-

CHEST COMPRESSIONS Rate: 100/MIN., SITE- Sternal depression -1.5 in.-2 in. Universal compression-ventilation ratio (30:2) - Recommended for all single rescuers of infant, child and adult victims (excluding newborns) Two Rescuers = 30:2- ALL ADULTS, 15:2 – Infants and child PURPOSE : PUSH HARD,PUSH FAST PULSE PRESENT CONTINUE VENTILATION TILL SPONTANEOUS RESPIRATION PULSE ABSENT / NOT DETECTED PULSE CHECK NOT RECOMMENDED FOR LAY RESCUERS POOR SENSITIVITY-55% POOR SPECIFICITY-90% ACCURACY RATE -65% CHECK FOR SIGNS OF CIRCULATION
Slide 26-

Defibrillation AED: Follow the prompts. Manual defibrillator: Analyse rhythm, shockable- decide shock (Monophasic 360 J, Biphasic 120-200 J ), apply gel, charge, clear the patient, no inflammables (incl. oxygen), deliver shock….. Resume CPR immediately.
Slide 27-

AED
Slide 28-

ppt slide no 28 content not found
Slide 29-

Positioning of electrodes for automated external defibrillator
Slide 30-

DEFIBRILLATION ATTACH PADS TO VICTIM’S BARE CHEST
Slide 31-

Ventricular Fibrillation
Slide 32-

Continuous electrocardiogram showing successful treatment of ventricular fibrillation by a countershock (given at the arrow)
Slide 33-

ANALYSING RHYTHM DO NOT TOUCH VICTIM SHOCK INDICATED Stand clear Speak Aloud- “I Clear......You Clear.......All Clear!” Deliver shock IF VICTIM STARTS TO BREATHE NORMALLY PLACE IN RECOVERY POSITION
Slide 34-

ACLS Secondary survey Advanced, invasive assessment and management techniques required. Basic airway adjuncts: OPA, NPA Advanced Airway interventions: Combitube, LMA, Endotracheal intubation. Advanced circulatory interventions: Drugs to control heart rhythm and blood pressure.
Slide 35-

ACLS Secondary Survey…… components
Slide 36-

TECHNIQUES- Mouth-Mouth, Mouth-Nose VENTILATORY DEVICES Masks, Bag-Valve Devices Airway Adjuncts 1.Oropharygeal Airway 2.Nasopharyngeal Airway 3.Esophageal –Tracheal Combitube 4.Laryngeal Mask Airway 5.Transtracheal catheter ventilation 6.Cuffed oropharyngeal airway AIRWAY EQUIPMENTS ADJUNCT of CHOICE: TRACHEAL TUBE PURPOSE MAINTAIN AIRWAYAND OXYGENATE
Slide 37-

ACLS Secondary Survey…….components
Slide 38-

Common Reversible Causes
Slide 39-

PROBLEMS AND COMPLICATIONS OF CHEST COMPRESSIONS RIB FRACTURES FRACTURE STERNUM RIB SEPARATION PNEUMOTHORAX HEMOTHORAX LUNG CONTUSIONS LIVER LACERATIONS FAT EMBOLI HIV, HEPATITIS INFECTIONS MANAGE ACCORDINGLY BUT CONTINUE CPR
Slide 40-

EFFECTIVE CHEST COMPRESSION WITH MINIMAL HANDS OFF IS KEY FOR EFFECTIVE CPR
Slide 41-

When to stop BLS ROSC, Conscious pt. ACLS team takes over Rescuer tired
Slide 42-

SUMMARY
Slide 43-

DRUGS EPINEPHRINE Peripheral vasoconstriction-  -adrenergic Increase in Central aortic perfusion pressure Decrease Threshold for Defibrillation Fine VF to Coarse VF
Slide 44-

For Rhythm Amiodarone Lidocaine Atropine Magnesium For Blood Pressure Epinephrine Vasopressin DOPAMINE-2-4 micro/kg/min.-DA rec 4-10 micro/kg/min- Beta-rec. 10-20 micro/kg/min- Alpha rec. DRUGS
Slide 45-

DEFIBRILLATOR WHITE-RIGHT SIDE RED- RIBS-LEFT MID-AXILLARY LEFT-OVER-LEFT SHOULDER ECG
Slide 46-

The dying heart IDENTIFY THE RHYTHM
Slide 47-

1.VENTRICULAR FIBRILLATION 2. RAPID VENTRICULAR TACHYCARDIA 3. PULSELESS ELECRICAL ACTIVITY 4. ASYSTOLE RHYTHMS
Slide 48-

Asystole 2 OR Pulseless Electrical Activity
Slide 49-

ppt slide no 49 content not found
Slide 50-

ppt slide no 50 content not found
Slide 51-

ppt slide no 51 content not found
Slide 52-

ppt slide no 52 content not found
Slide 53-

UCMS >BH,DELHI