aed pro operators training jantung

7/24/2019 AED Pro Operators Training jantung

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SERVICE FROM THE HEART

WELCOME TO THE PRESENTATION

AMBULANCE GAWAT DARURAT

DINKES PROV DKI JAKARTA


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Suddent Cardiac Arrest

Each year in the U.S., 400,000 to 460,000 people die of unexpected sudden cardiac

death in an emergency department or before reaching a hospital. (Circulation

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Suddent Cardiac Arrest Strikes

Anywhere, Anytime

Each year in the U.S., 400,000 to 460,000 people die of unexpected sudden cardiacdeath in an emergency department or before reaching a hospital. (Circulation

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NORMAL HEART

22


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WHAT HAPPEN DURING CARDIAC ARREST?

No 2

o 2

& Unconsious&

Stop breathing


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Condition Of Sudden Cardiac Arresticti!s

Life or Deat" is no# a !atterof TIME


7/42SERVICE FROM THE HEART

Ho# Lon$ it #i%% ta&es ?

) Sudden cardiac *rrest ) +rain eath

10-12 Minutes10-12 Minutes

SomeSomeOxygenOxygen

NONOOxygenOxygen



Presenting Rhythms in SCA

-ecent studies sho that / or /1

is the initial rhythm less than $02 of the time

Peberdy MA et a! Resuscitation."##$%&'(")*+$#'!Kaye W et a! JAMA! "##"($),&-.S/00 A!C1bb L et a! JAMA! "##"%"'',"$-($##'+$#2$!

Out Hospital



V!V" Presenting Rhythms in SCA

efibrillation is most effecti3e during the first 4 minutes of Sudden

Cardiac *rrest..



Asystole!P#A Presenting Rhythms in SCA

$e%ibrillation is &O US#

*systole or E*

High 'uality CPR re(uired



5igh uality, consistent and uninterruptedchest compressions

ush hard, push fast

Compression to 3entilation ratio# '0# -ate# at least !00 manual compressions

per minute

epth# at least inches 7 $ centimeters

uty cycle# $02 & $02

/entilation# % &!0 breaths per minute

AHA ! #RC )uidelines *++- CPR


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AED PRODE'I(RILLATORrayudi -./




#C) .onitoring with / lead #C) cable

Real CPR help

eedbac8 rescuer ith proper depth 9 rate of

compression during C-

Rectilinear 0iphasic 1a2e%orm

* *ppro3ed superiority o3er :onophasic

damped sinea3e, :ore a3erage current, 5igh

efficacy, ;ess pea8 current, and ithin the

optimum time

itur See3thru CPR

444 5ow "otal Cost o% Ownership

Rugged construction and durability

O2erride to manual de%ibrillation capabilities



C- &pad cable ? ' lead

+attery pac8



P#RS6APA& $A& HA53HA5 7A&) P#R5U $6P#RHA"68A& $A5A.

P#.ASA&)A& PA$S PA$A "U0UH 8OR0A&

>una8an pads yang sesuai dengan usia 8orban.

CPR3$ Pad9 Pedi3pad9 66

C-& pad< untu8 8orban berusia @ % tahun, @ $ Ag

edi&pad< == untu8 8orban berusia 0&% tahun, B $ Ag





asti8an pads harus terpasang78onta8 langsung dengan dada

telanang 8orban

+u8a pa8aian 8orban denganmengguna8an gunting yang

telah disedia8an


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Aering8an tubuh 8orban dengan handu8 i8a tubuh 8orban dalam

8ondisi basah.

asang pads pada tubuh pasien sesuai gambar dibaah ini.

ria easa Danita easa *na8&ana8


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Cu8ur dengan mengguna8ansilet cu8ur yang telah

disedia8an.

i8a dada 8orban memili8i rambut, cu8ur terlebih dahulu agar

pads dapat mere8at dengan bai8 pada tubuh 8orban


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i8a tubuh pasien gemu8, ma8a pads ele8troda bagian apex dapat

diperpanang sesuai gambar dibaah ini .


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i8a tubuh 8orban terdapat pacema8er7defibrilator implan, posisi8an

pad defibrilasi agar tida8 secara langsung mengarah 8e alat implan

tersebut.

+e8as lu8a

menanda8an

adanya implan

5eart de3ices

7pacema8er dll.ma8a pads

diposisi8an

sedi8it

menyamping


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ECG MONITORINGrayudi -./



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F/3456 ECG 7136t1r634 7e3a7068a3 563ya ECG da3 ta706a3 de3y/t

9a3t/34 7ea/6 8abe ECG $+ead ata/ 0ad de:br6a56!

F/3456 ECG 7136t1r634 9/4a 7ea8/8a3 a3a65a ECG /3t/8 7e3dete8565;1


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U3t/8 7e344/3a8a3 =/3456 ECG M136t1r634 de34a3 8abe ECG $

ead. 0a5a34 8abe ECG $ ead a/ ;6d/08a3 /36t! U36t a8a37e35/ara8a3 >ECG M136t1r634 Cabe? 7e3a3da8a3 /36tber10era5613a daa7 =/3456 ECG 7136t1r634!

Pe3e70ata3 ee8tr1da ECG adaa; 5bb (


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Pe34/8/ra3 563ya ECG adaa; 0ada 813:4/ra56 ead II! O0erat1rt6da8 da0at 7e766; 813:4/ra56 ead a633ya!

J68a AED Pr1 7e3dete856 5;1 CHECK PATIENT?. >PLUG IN

DEFIB CABLE? Ga3t6 5e4era 8abe ECG+ $ eadde34a3 de:br6at613 0ad5 ,CPR D0ad@. CPR 5tat Pad@ ata/ Ped6 Pad@II-


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U3t/8 7e344/3a8a3 =/3456 ECG M136t1r634 de34a3 de:br6at613

0ad5. 0a5a34 0ad5 a/ ;6d/08a3 /36t 5a7b6 7e3e8a3 51=t8ey 86r65ea7a & det68! U36t a8a3 7e3a7068a3 ?MONITOR? 7e3a3da8a3/36t ber10era5613a daa7 =/3456 ECG 7136t1r634!

J68a AED Pr1 7e3dete856 5;1CHECK PATIENT?. da3 7e3a7068a3 7e3/ >SEMI+AUTO?

Te8a3 t17b1 51=t8ey > SEMI+AUTO?/3t/8 7ea8/8a3 de:br6a56


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De)*ri%%ationrayudi -./



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Se!i+Auto ( AED Pr1 a8a3 7ea8/8a3 a3a65a 563ya ECG 0at6e3t/3t/8 7e3e3t/8a3 a0a8a; 563ya ECG 0at6e3t 7er/0a8a3 5;1


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Manua% O,erride - U5er da0at 7e3e3t/8a3 0e7ber6a3 5;1


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U3t/8 7e3410era568a3 AED Pr1 daa7 71de 5e76+a/t1. a345/34

5a9a ;6d/08a3 AED Pr1 da3 5e


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U3t/8 7e3410era568a3 AED Pr1 daa7 71de 7a3/a 1err6de. te8a3

d/a t17b1 51=t8ey 5et6da83ya 5ea7a $ det68! Pada 71de 636 AED Pr1 a8a3 7ea8/8a3 /5er da0at 7e3e3t/8a3

8a0a3 a8t/ 0e7ber6a3 SHOCK. 3a7/3 ee e3er46 adaa;0re


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CPR Monitorin$rayudi -./



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J68a AED Pr1 7e3dete856 N13+5;1START CPR?

S/ara 7etr1317e a8a3 7e7a3d/ /5er /3t/8 7e3da0at8a3 a9/8170re56 ya34 10t67a!

*systole

&O

SHOC8

A$V6C#::

S"AR"

CPR


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J68a 8170re56 dada ya34 d6a8/8a3 tera/ da348a , " 63 PUSH HARDER?

Ta706a3 bar4ra0; a8a3 7e3/39/8a3 8edaa7a3 8170re56 5eG11d C170re55613?


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Non+rescue !oderayudi -./



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N13+re5


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U3t/8 7e7a5/86 71de N13+re5USB?

U36t a8a3 7e3a7068a3 0e5a3 >

DOWNLOADING DATA?

Setea; tra35=er data 5ee5a6. /36t

7e3a7068a3 0e5a3 > DATA DOWNLOAD

COMPLETE?


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La8/8a3 7a63te3a3


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