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Chest Compression Only CPR PowerPoint Presentation

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Description : Check out this medical presentation on Emergency Medical Services (EMS), which is titled "Chest Compression Only CPR", to know about Sudden Cardiac Arrest, Chest Compression, and CPR.

Tags : Emergency Medical Services, EMS, Chest Compression,y CPR, Sudden Cardiac Arrest

Published on : Aug 06, 2021 | Views : 2597 | Downloads : 52

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Slide 1-

Chest Compression Only CPR Save your Breath… Save a Life
Slide 2-

Sudden Cardiac Arrest — Any Age, Anybody
Slide 3-

Causes of Death (U.S.) Lloyd-Jones D, et al. American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics--2009 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation. 2009 Jan 27;119(3):e21-181. Sudden Cardiac Arrest Heart disease kills more people each year than cancer 1 in every 2.9 of all deaths Every year 230,000 - 325,000 people have a cardiac arrest outside of a hospital. Only 7.6% will survive Heart Disease 26% Cancer 23% All other causes 19% Stroke 6%
Slide 4-

Cardiac Arrest: Fact vs. Fiction Stereotype Reality Male Old Overweight Smoker High cholesterol Chest Pain Dizziness Heart Attack Male and Female Any Age No Known Risk Factors Often No Cardiac History Often No Symptoms Gender Age Risk Factors Medical History Presenting Symptoms
Slide 5-

Blockage in coronary artery Person usually conscious Upper body discomfort or pain Heart stops Person is unconscious Often no previous symptoms Person may be gasping or not be breathing at all Heart Attack vs Cardiac Arrest Heart Attack: Cardiac Arrest: Often a cardiac arrest occurs due to a heart attack. Call 911
Slide 6-

Primary vs Secondary Cardiac Arrest Heart stops pumping Blood in arteries full of oxygen Often unexpected witnessed collapse Secondary CA Heart stops pumping due to lack of oxygen Drowning, Drug Overdose or Choking Primary CA
Slide 7-

Out-of-Hospital Cardiac Arrest Approximately 70-80% of all adult cardiac arrest are a primary cardiac arrest. Chest Compression Only CPR Ann Emerg Med. 1997 Jul;30(1):69-75.
Slide 8-

What is Chest Compression Only CPR? A new method of resuscitation developed through extensive research at The University of Arizona Sarver Heart Center for primary cardiac arrest Continuous forceful chest compressions to circulate the person’s blood to their brain and heart Rescue breathing isn’t necessary.
Slide 9-

Why isn’t Rescue Breathing Necessary? Lungs are full of air Blood is full of oxygen Circulating the oxygenated blood is the key During Primary Cardiac Arrest:
Slide 10-

Why Might “Rescue Breathing” be Harmful? Any interruption of chest compressions stops blood flow to the brain Increased pressure in the chest decreases blood return to the heart
Slide 11-

Ewy GA, et al. Circulation. 2007;116(22):2525-30. Blood Flowing To The Brain Blood Flowing To The Brain Chest Compressions Only Compressions + Breaths (30:2) Pausing for breaths means No Blood Flow
Slide 12-

Why Chest Compression Only CPR? It saves more lives Dramatically better than doing nothing. Because of interruption of chest compressions, also does better than traditional CPR. Bobrow, et al. JAMA October 2010
Slide 13-

What Stops People from Doing CPR? Coons SJ, et al. Resuscitation 80;334-340:2009 This study was designed and funded by the Sarver Heart Center The University of Arizona College of Medicine and SHARE Mouth-to-Mouth Harming the Person Legal Consequences Won’t Perform Properly Physically Unable Chest Compressions Only Better than dead Good Samaritan Law Easier to Do Do Your Best / Call For Help Fear / Concern Solution
Slide 14-

40% 30% 25% 20% 15% 10% 5% 0% 18% 18% 34% Survival to Hospital Discharge No CPR Traditional CPR CCO CPR Bystander CPR in Arizona (2005 to 2010) Witnessed Primary Cardiac Arrest Rates are for ventricular fibrillation; from Bobrow, et al. JAMA October 2010
Slide 15-

When to use Chest Compression Only CPR? Obvious Breathing Problems: Drowning Choking Drug overdoses Children less than 8 Someone who unexpectedly collapses, and is unresponsive. When in doubt, do compressions!! Traditional CPR (30:2) Chest Compression Only CPR Vast Majority
Slide 16-

What to do: 3 Cs– Compress Chest at 100 Per Minute Call 911 Send Someone for an A.E.D. (if available)
Slide 17-

How to Do Chest Compression Only CPR With the victim on the floor: Kneel beside them Place the heel of one hand on top of the other 3. Lock your elbows 4. Aim for the middle of the chest (on the sternum between the nipples) Push hard and fast (try for 100/min.) Take turns with another person when tired.
Slide 18-

Chest Compressions: Rate and Depth Allows the heart to refill Staying Alive or I Gotta Feeling by Black Eyed Peas After each compression, take all weight off the chest At least 100 Compressions per Minute At least 2 inches in depth
Slide 19-

Are They Breathing? Gasping is a sign of cardiac arrest Majority of people with cardiac arrest gasp Can be a sign of minimal, but adequate blood flow to the brain. DO NOT stop chest compressions if they gasp
Slide 20-

Automatic External Defibrillators (AEDs)
Slide 21-

AEDs They may look different, but they all function the Same! Open and Follow Instructions Turn AED ON Apply Pads to Bare Chest Plug in Pads (if necessary) Analyze Patient (CLEAR!) Push Shock to defibrillate, if directed (CLEAR!) Immediately resume CPR
Slide 22-

The Universal Symbol Safe Easy Voice Prompted
Slide 23-

What to do: 3 Cs– Compress Chest at 100 Per Minute Call 911 & Send Someone for an A.E.D. Use an A.E.D. When it Arrives
Slide 24-

Thank You Save your Breath… Save a Life
Slide 25-

How to Do Chest Compression Only CPR With the victim on the floor: Kneel beside them Place one hand on top of the other 3. Lock your elbows 4. Aim for the middle of the chest (on the sternum between the nipples) Push hard and fast (try for 100/min.) Take turns with another person when tired.
Slide 26-

Appendix
Slide 27-

Bystander CCO CPR Improves Chance of Survival from Cardiac Arrest 100% 80% 60% 40% 20% 0% Time between collapse and defibrillation (min) 0 1 2 3 4 5 6 7 8 9 Survival (%) Nagao, K Current Opinions in Critical Care 2009 EMS Arrival Time based on TFD 90% Code 3 Response in FY2008. Standards of Response Coverage 2008. EMS Arrival No CPR Traditional CPR CCO CPR
Slide 28-

Three-Phase Model of Resuscitation Weisfeldt ML, Becker LB. JAMA 2002: 288:3035-8
Slide 29-

SOS-Kanto study group. Cardiopulmonary resuscitation by bystanders with chest compression only (SOS-KANTO): an observational study. Lancet. 2007;369:920-6.
Slide 30-

Bystander CPR in Arizona (2005 to 2010) All out-of-hospital cardiac arrests Rates are for all cardiac arrests; from Bobrow, et al. JAMA October 2010
Slide 31-

FAST for Stroke if people ask about stroke Face –Does one side droop? Smile? Arms – Raise arms? Is one weak or numb? Speech – Slurred? Repeat a simple sentence? Time – Have symptoms? Call 911! Get to hospital immediately!