basic life support (based on aha guideline s 20 10) jajang sujana mail, dr., span
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Basic Life Support (Based on AHA Guideline s 20 10) Jajang Sujana Mail, dr., SpAn. Introduction. Latest guidelines AHA Guidelines 2010, many changes from guidelines 2005 Sudden cardiac arrest is a leading cause of death in Europe (700,000/year) - PowerPoint PPT PresentationTRANSCRIPT
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Basic Life Support(Based on AHA Guidelines 2010)
Jajang Sujana Mail, dr., SpAn
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Introduction
Latest guidelines AHA Guidelines 2010, many changes from guidelines
2005 Sudden cardiac arrest is a leading cause
of death in Europe (700,000/year) Early CPR + defibrillation can produce
survival as high as 49-75%!!!
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Latar Belakang
Statistik RJP di USA :• Sistem Emergensi Medis Amerika menangani
sekitar 300.000 korban henti jantung di luar RS setiap tahun
• Kurang dari 8 % bertahan hidup• Kurang dari 30% menerima RJP orang terdekat.• RJP efektif yang dilakukan orang terdekat dapat
meningkatkan 2-3 x kemungkinan korban bertahan hidup.
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Objective
The Student should be able to; Know about Chain of Survival Know about Basic Life Support steps Perform a CPR (cardiopulmonary
resuscitation) adequately
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AHA ECC Adult Chain of Survival
1. Immediate recognition of cardiac arrest and activation f the emergency response system
2. Early CPR with an emphasis on chest compressions3. Rapid defibrillation4. Effective advance life support5. Integrated post-cardiac arrest care
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Steps AHA Guidelines 2010Steps AHA Guidelines 2005
Alertness1
Airway2
Breathing3
Circulation4
Defibrillation5
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Simplified Adult BLS
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Alertness Make sure the scene is safe Check for response tap the victim on the
shoulder and ask, "Are you all right?"
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1. SAFETY FIRST
Are the victim andbystanders safe?
o Needleso Dangerous traffico Slopeo Electric live circuito Personal safety:
Gloves, glasses, gown
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2. CHECK VICTIM FOR RESPONSE
Be in visual field of victim
Gently shakeor tap the victim on
the shoulder
Ask:‘Are you all right?’
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3a. IF RESPONDS
Leave the person in position you found him/her unless any danger present
Reassess often
Find out what’s wrong
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3b. IF NO RESPONSE
SHOUT FOR HELP If no response,
activate emergency system
Tell about location, what happened, number and condition of victims, and type of aid provided
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Call for Help
118 RUMAH SAKIT RSUP Hasan Sadikin: (022) 2034953, 55 (022) 203 7066
Instalasi Gawat Darurat / Emergency (022) 2551198, 2551191 Paviliun Parahyangan (022) 2031440, 2035986 Paviliun Anggrek (022) 2014545, 088820006011
RS Muhammadiyah : 022 730 1062 RSI Al Islam : 022 755 5588 RS Mata Cicendo ; 022 423 1280 RS Jiwa Bandung : 022 420 3651 RS Advent : 022 203 8008 RS Immanuel : 022 520 1656 RS St. Yusuf : 022 727 9860 RS St. Borromeus : 022 255 2081 RS Sartika Asih : 022 522 9544 RS Rotinsulu : 022 203 4446
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Patient Position
Turn the victim onto his back if not already in that position
Make sure there is no obvious trauma to cervical spine
Place the victim on a hard surface in supine position
If an unresponsive victim is face down (prone), roll the victim to a supine position
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Circulation
Check pulse on carotid artery (near side) not more than 10 seconds
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Circulation If there is no pulse, compress the chest (at
least 100 compressions per minute) Rescuer kneeling beside the victim’s
thorax
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Circulation Place the heel of the hand on the sternum Place the heel of the second hand on top
of the first hand Interlock fingers
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Circulation Compression-ventilation ratio of 30:2 5 cycles Depth at least 2’in or 5 cm Complete chest recoil
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Airway
Head tilt-chin lift maneuver to open the airway of a victim without evidence of head or neck trauma
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Airway Suspects a cervical
spine injury, open the airway using a jaw thrust without head extension
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Breathing
No more Look, listen, and feel for breathing
Methods:Mouth to MouthMouth to Nose
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PREPARE AIRWAY
Close the nasal airway using your index finger and thumb of your hand on the forehead
Maintain chin lift Take a normal breath Make a seal with your
lips
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GIVE BREATHS 2x
Blow for 1sec steadily (rather than 2sec)
Give 1 breath every 5-6 sec
Watch from the corner of your eye the chest rising
Maintaining head tilt and chin lift, take your mouth away and watch the chest fall
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IF NO CHEST RISING
DON’T PANIC If at initial attempt no chest rise:1. Check victim’s mouth and remove any
visible obstruction2. Recheck adequate head tilt and chin lift3. Do not try more breaths than 2 before
coming back to chest compressions
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Re-evaluation
Re-evaluate every 5 cycles Victim with palpable pulses requires
support of ventilation, give rescue breaths at a rate of 10 to 12 breaths per minute
Each breath should be given in 1 second Reassess the pulse every 2 minutes
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Key BLS Components for Adult, Children, and Infants3
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Key BLS Components for Adult, Children, and Infants3
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QUESTIONS?
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HATUR NUHUN