logging in or signing up Intro BLS Dr.Jeeri ramlimdnor Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 170 Category: Education License: All Rights Reserved Like it (1) Dislike it (0) Added: June 15, 2010 This Presentation is Public Favorites: 1 Presentation Description No description available. Comments Posting comment... By: ANNA1234 (23 month(s) ago) Very good presentation :) Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript BASIC LIFE SUPPORT (BLS) : BASIC LIFE SUPPORT (BLS) RECOGNITION & ACTION for victims of cardiac or respiratory arrest or both DEFIBRILLATION of patients with VT/VF Recognition & relief of foreign body airway obstruction (FBAO) DEFINITIONS : DEFINITIONS RESPIRATORY ARREST Cessation of breathing Causes: drowning, stroke, foreign body airway obstruction (FAOB), drug overdose. CARDIAC ARREST Is the cessation of cardiac mechanical activity. unresponsive, absence of detectable pulse. Causes: myocardial infarction, pulmonary embolism DEFINITIONS : DEFINITIONS CARDIORESPIRATORY ARREST when both cardiac and respiratory arrest are not recognised CARDIOPULMONARY RESUSCITATION CPR is the combination of life saving measures performed to restart the lung (pulmonary) and heart (cardiovascular) function in a patient who has stopped beating an attempt to restore spontaneous circulation through chest compression and pulmonary ventilation WHY CPR ? : WHY CPR ? Preserve heart & brain function It is most crucial within the first few minutes after arrest. Early CPR leads to better survival Time from collapse to CPR < 5 minutes – 37% survival > 5 minutes – 20% survival SEQUENCE OF BLS : SEQUENCE OF BLS SCENE IS SAFE OF DANGER ASSESS RESPONSIVENESS EMS ACTIVATION AIRWAY BREATHING CIRCULATION DEFIBRILLATION AIRWAY : AIRWAY Position the victim Rescuer position Open the airway to prevent tongue & epiglottis from obstructing the airway. 1. HEAD TILT- CHIN LIFT MANEUVER 2. JAW-THRUST MANEUVER For victim with suspected neck injury Slide 7: Open Airway Head tilt, chin lift Jaw thrust - for patients withsuspected cervical spine injury Inspect upper airway and remove foreign body if present BREATHING : BREATHING Assessment : Check for Breathing 1. LOOK 2. LISTEN 3. FEEL Provide rescue breathing if breathing is absent or inadequate RESCUE BREATHING : RESCUE BREATHING MOUTH-TO-MOUTH BREATHING MOUTH-TO-NOSE BREATHING MOUTH-TO-STOMA BREATHING MOUTH-TO-FACE SHIELD BREATHING MOUTH-TO-MASK BREATHING BAG-MASK DEVICE HOW TO DO IT ? : HOW TO DO IT ? Pinch the victim’s nose Take a deep breath Seal around the victim’s mouth with your lips Give slow breaths, over 1 seconds About 10 to 12 breaths/min Volume of 8 ml/kg ( ~ 400-600ml ) CIRCULATION : CIRCULATION Assessment : Pulse check Assessment : Check for signs of circulation For lay person -Breathing, coughing or movement Provide chest compressions CHEST COMPRESSION : CHEST COMPRESSION Rhythmic applications of pressure over mid-half of the sternum Create blood flow by increasing intrathoracic pressure or directly compressing the heart Victim must be in the HORIZONTAL, SUPINE & on HARD SURFACE Push hard & fast Compression rate: 100/min 30 compressions : 2 ventilations DEFIBRILLATION : DEFIBRILLATION Most adults with sudden, witnessed cardiac arrest are found to be in VF. Time from collapse to defibrillation is the single greatest determinant of survival in these victims Survival from VF arrest declines by 7 to 10% for each minute without defibrillation DEFIBRILLATION : DEFIBRILLATION For pulseless VT / VF Switch on the power Attach ECG Select the lead ( Usually lead II ) Apply conducting gel Select the energy - 200J (4 J/kg FOR Paediatric) Place the paddles correctly: -sternumat R infra-clavicular region -apex at apex laterally Charge the defibrillator Shout clear,all clear & look around Apply 25lb/10kg pressure Discharge by looking at the monitor AUTOMATED EXTERNALDEFIBRILLATOR(AED) : AUTOMATED EXTERNALDEFIBRILLATOR(AED) POWER ON ATTACH ELECTRODE PADS ANALYZE RHYTHM CLEAR THE VICTIM PRESS SHOCK BUTTON 2005 RESUSCITATION GUIDELINES : 2005 RESUSCITATION GUIDELINES Compression to ventilation ratio of 30:2 for all single rescuers for all victims (2000 guideline 15:2) Rhythm checks should be performed every 2 minute. (5 cycles of 30:2) Rescue breath should be given over 1 second which produce visible chest rise (2000 guideline 2 seconds) 2005 RESUSCITATION GUIDELINES : 2005 RESUSCITATION GUIDELINES Chest compressions are recommended if the infant or child heart rate is less than 60 per minute FBAO in unconscious victims are simplified. Just perform CPR. Do finger sweep only if an foreign body is seen. Child CPR guideline apply to victims 1 year to the onset of puberty. (2000 guideline 1-8years) 2005 RESUSCITATION GUIDELINES : 2005 RESUSCITATION GUIDELINES Single defibrillation shocks. Initial and subsequent shocks using monophasic waveforms is 360J (2000 guideline stacked shocks – 200J to 360J) CPR should be initiated immediately when response to a collapsed person takes longer than 4-5 min. Only check the ECG rhythm and attempt def. after 5 cycle of CPR (2000 guideline def. immediately) You do not have the permission to view this presentation. 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Intro BLS Dr.Jeeri ramlimdnor Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 170 Category: Education License: All Rights Reserved Like it (1) Dislike it (0) Added: June 15, 2010 This Presentation is Public Favorites: 1 Presentation Description No description available. Comments Posting comment... By: ANNA1234 (23 month(s) ago) Very good presentation :) Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript BASIC LIFE SUPPORT (BLS) : BASIC LIFE SUPPORT (BLS) RECOGNITION & ACTION for victims of cardiac or respiratory arrest or both DEFIBRILLATION of patients with VT/VF Recognition & relief of foreign body airway obstruction (FBAO) DEFINITIONS : DEFINITIONS RESPIRATORY ARREST Cessation of breathing Causes: drowning, stroke, foreign body airway obstruction (FAOB), drug overdose. CARDIAC ARREST Is the cessation of cardiac mechanical activity. unresponsive, absence of detectable pulse. Causes: myocardial infarction, pulmonary embolism DEFINITIONS : DEFINITIONS CARDIORESPIRATORY ARREST when both cardiac and respiratory arrest are not recognised CARDIOPULMONARY RESUSCITATION CPR is the combination of life saving measures performed to restart the lung (pulmonary) and heart (cardiovascular) function in a patient who has stopped beating an attempt to restore spontaneous circulation through chest compression and pulmonary ventilation WHY CPR ? : WHY CPR ? Preserve heart & brain function It is most crucial within the first few minutes after arrest. Early CPR leads to better survival Time from collapse to CPR < 5 minutes – 37% survival > 5 minutes – 20% survival SEQUENCE OF BLS : SEQUENCE OF BLS SCENE IS SAFE OF DANGER ASSESS RESPONSIVENESS EMS ACTIVATION AIRWAY BREATHING CIRCULATION DEFIBRILLATION AIRWAY : AIRWAY Position the victim Rescuer position Open the airway to prevent tongue & epiglottis from obstructing the airway. 1. HEAD TILT- CHIN LIFT MANEUVER 2. JAW-THRUST MANEUVER For victim with suspected neck injury Slide 7: Open Airway Head tilt, chin lift Jaw thrust - for patients withsuspected cervical spine injury Inspect upper airway and remove foreign body if present BREATHING : BREATHING Assessment : Check for Breathing 1. LOOK 2. LISTEN 3. FEEL Provide rescue breathing if breathing is absent or inadequate RESCUE BREATHING : RESCUE BREATHING MOUTH-TO-MOUTH BREATHING MOUTH-TO-NOSE BREATHING MOUTH-TO-STOMA BREATHING MOUTH-TO-FACE SHIELD BREATHING MOUTH-TO-MASK BREATHING BAG-MASK DEVICE HOW TO DO IT ? : HOW TO DO IT ? Pinch the victim’s nose Take a deep breath Seal around the victim’s mouth with your lips Give slow breaths, over 1 seconds About 10 to 12 breaths/min Volume of 8 ml/kg ( ~ 400-600ml ) CIRCULATION : CIRCULATION Assessment : Pulse check Assessment : Check for signs of circulation For lay person -Breathing, coughing or movement Provide chest compressions CHEST COMPRESSION : CHEST COMPRESSION Rhythmic applications of pressure over mid-half of the sternum Create blood flow by increasing intrathoracic pressure or directly compressing the heart Victim must be in the HORIZONTAL, SUPINE & on HARD SURFACE Push hard & fast Compression rate: 100/min 30 compressions : 2 ventilations DEFIBRILLATION : DEFIBRILLATION Most adults with sudden, witnessed cardiac arrest are found to be in VF. Time from collapse to defibrillation is the single greatest determinant of survival in these victims Survival from VF arrest declines by 7 to 10% for each minute without defibrillation DEFIBRILLATION : DEFIBRILLATION For pulseless VT / VF Switch on the power Attach ECG Select the lead ( Usually lead II ) Apply conducting gel Select the energy - 200J (4 J/kg FOR Paediatric) Place the paddles correctly: -sternumat R infra-clavicular region -apex at apex laterally Charge the defibrillator Shout clear,all clear & look around Apply 25lb/10kg pressure Discharge by looking at the monitor AUTOMATED EXTERNALDEFIBRILLATOR(AED) : AUTOMATED EXTERNALDEFIBRILLATOR(AED) POWER ON ATTACH ELECTRODE PADS ANALYZE RHYTHM CLEAR THE VICTIM PRESS SHOCK BUTTON 2005 RESUSCITATION GUIDELINES : 2005 RESUSCITATION GUIDELINES Compression to ventilation ratio of 30:2 for all single rescuers for all victims (2000 guideline 15:2) Rhythm checks should be performed every 2 minute. (5 cycles of 30:2) Rescue breath should be given over 1 second which produce visible chest rise (2000 guideline 2 seconds) 2005 RESUSCITATION GUIDELINES : 2005 RESUSCITATION GUIDELINES Chest compressions are recommended if the infant or child heart rate is less than 60 per minute FBAO in unconscious victims are simplified. Just perform CPR. Do finger sweep only if an foreign body is seen. Child CPR guideline apply to victims 1 year to the onset of puberty. (2000 guideline 1-8years) 2005 RESUSCITATION GUIDELINES : 2005 RESUSCITATION GUIDELINES Single defibrillation shocks. Initial and subsequent shocks using monophasic waveforms is 360J (2000 guideline stacked shocks – 200J to 360J) CPR should be initiated immediately when response to a collapsed person takes longer than 4-5 min. Only check the ECG rhythm and attempt def. after 5 cycle of CPR (2000 guideline def. immediately)